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Home My WebLink About20173344.tiffehlZ-ofc V/1 75 - AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MAPLE STAR COLORADO This Agreement Amendment, made and entered into ///1 day of 2018 by and between the Board of Weld County Commissioners, on behalf of the Weld Co4rhty De,Ibartment of Human Services, hereinafter referred to as the "Department", and Maple Star Colorado, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Domestic Violence Reduction Program, KEEP Program, KEEP Kinship Program, and Visitation (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2017-3344 approved on September 25, 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 Domestic Violence Reduction Program, KEEP Program, KEEP Kinship Program, and Visitation. 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; % /t —/er l'/1044? P-Poveg 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: W.AirlitiV v• ide40•ti Weld ' . n Clerk to the Boar By: Deputy Clerk t •,j he Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair JUL 16 2018 ONTRACTOR: Maple Star Colorado 2250 South Oneida Street, Suite 200 Denver, Colorado 80224 (303) 564-2595 Heather orris, By: Date: s/31 c7217-331.PIL EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide the following services to Weld County families, as referred and authorized by the Department, under this agreement: • Domestic Violence Reduction Program • Key Essential Elements of Permanence (KEEP) Program • Key Essential Elements of Permanence (KEEP) Kinship Program • Life Skills 2. Domestic Violence Reduction Program (DVRP): • Purpose: Reduce the impact ofdomestic violence on children served by the Department. • Target Population: Victims, offenders and children living in the home. • Goals of the program include: o Providing a proactive support to families with a co -occurrence of domestic violence and child maltreatment, o Engaging families in appropriate services, o Promoting increased safety for abused children and adults, and decrease re - victimization, o Educating and empowering children about domestic violence, o Promoting self-sufficiency through connection to community resources; and o Positively impacting the undocumented population. • Contractor will assign a DVRP Advocate to referred families. The DVRP Advocate will: o Respond, on average, within 48 hours of receiving a referral. Referrals identified as emergent will receive same day response if possible. o Assist families in adhering to the Department's safety plan. o Assist families in developing a domestic violence safety plan. o Complete an individualized intake assessment at the initial visit. o Develop a holistic plan that identifies a variety of services such as housing resources, shelter resources, employment, legal, drug and alcohol resources, family support and/or counseling and mental health services. o Provide recommendations to the Department as well as assist with facilitating linkages with identified services and resources. • Contractor will provide psycho -educational classes for men, women, and children, ages 6-12, involved in the DVRP Program. Classes will focus on safety, understanding domestic violence, resiliency, internal and relational strengths, growth and development, impact of domestic violence on children and families, communication and emotional intelligence. Contractor will provide, at a minimum, one women's group, one men's group and one children's group per week. Contractor will format groups as follows: o 14 week opened -ended groups o Children's group will focus on developing strategies to improve child safety. o Women's group will focus on increasing awareness of the impact of domestic violence on children and developing strategies to improve child safety. o Men's groups will focus on increasing awareness of the impact of domestic violence on children, developing skills for effectively managing anger, and developing strategies t improve child safety. 3. Key Essential Elements of Permanence (KEEP) Program: • Purpose: To assist families in working toward a safe and stable home, equipped with the necessary tools for immediate and future use. • Target Population: Children ages 0-18 years of age involved with the Child Welfare system who are reunifying with their family of origin or other permanent placement, including kinship. 1 • The goals of service are: o Secure safety in the home o Help families satisfy the immediate needs of the household o Link families to essential community resources o Communicate with the referring county in the interest of the family • Contractor utilizes a trauma informed care model for all services with a focus on safety, stability, and improvement of family functioning. • Services include, but are not limited to, the following: o Two on -call workers are available 24/7 to receive referrals. Response time is within two (2) hours depending on the referred family's needs. o Two levels of services; Removal Prevention or Reunification. • Removal Prevention: Up to 50 hours which includes direct client contact, resource development and support services that spans 2 weeks, 30 days or 45 days to help mitigate safety concerns that may lead to removal of the children, and maintain stability in the home for the children and their family. The length of service is determined by the referred family's needs. • Reunification: Up to 50 hours which includes direct client contact, resource development and support services that spans 30-60 days to assist child and the family with needs and concerns specific to maintaining the safety and stability of the home. o Connecting with professionals, medical professionals, schools, and other to meet the needs of the family. o Connection with community resources to assist with familial needs to include: mortgage or financial assistance, household or concrete needs such as infant items or childcare options. o Liaison and advocacy services for the family, as well as education around self - empowerment. o Education around identifying and accessing community resources which include: family support lines, crisis lines, medical help lines, and others. o Crisis intervention. o Assisting with household structure to include routine and safety. o Providing parenting education as well as child development information. o Psycho -education around tools of self -regulation and coping. o Necessary transportation. o Unscheduled and scheduled family visits. o Detailed notes and prompt communication with Department. o Attendance at relevant appointments, staffings and court dates. o Anger management. 4. Key Essential Elements of Permanence (KEEP) Kinship Program: • Purpose: To assist families in working toward a safe and stable home, equipped with the necessary tools for immediate and future use. • Target Population: Children ages 0-18 years of age involved with the Child Welfare system who are reunifying with their family of origin or other permanent placement, including kinship. • The goals of service are: o Secure safety in the home o Help families satisfy the immediate needs of the household o Link families to essential community resources o Communicate with the referring county in the interest of the family • Contractor will work with biological parents to whom children are returning as well as kinship homes in which the child may be placed following a removal. 2 • Services include, but are not limited to, the following: o Two on -call workers are available 24/7 to receive referrals. Response time is within two 24-48 business hours. o Reunification: Up to 50 hours which includes direct client contact, resource development and support services that spans 30-60 days to assist child and the family with needs and concerns specific to maintaining the safety and stability of the home. Contractor will provide increased hours at the start of the case to support a smooth transition, including setting up resources, school enrollment, and other necessary components of a stable home. Contractor will address, in a strength -based manner, prior struggles are addressed as well as hopes for the future and how to attain those. o Connecting with professionals, medical professionals, schools, and other to meet the needs of the family. o Connection with community resources to assist with familial needs to include: mortgage or financial assistance, household or concrete needs such as infant items or childcare options. o Liaison and advocacy services for the family, as well as education around self - empowerment. o Education around identifying and accessing community resources which include: family support lines, crisis lines, medical help lines, and others. o Crisis intervention. o Assisting with household structure to include routine and safety. o Providing parenting education as well as child development information. o Psycho -education around tools of self -regulation and coping. o Necessary transportation. o Unscheduled and scheduled family visits. o Detailed notes and prompt communication with Department. o Attendance at relevant appointments, staffings and court dates. o Anger management. 5. Facilitation Visitation and Parent Coaching Program (Life Skills): • Purpose: Keep children safe and improve the relationship and bonding between children and parents, as well as build parent's protective capabilities. • Target Population: Children ages 0-18 years of age involved with the Child Welfare system. • Services include, but are not limited to, the following: o Parent Assessment Scale to assess the level of visitation o Therapeutic Visitation with Parent Feedback o Supervised/Monitored Visitation o Parent Coaching that focuses on educating parents about brain science, child development, and behavioral intervention strategies. 6. Contractor will provide services within all of Weld County. Contractor and within 25 miles of 2250 South Oneida Street, Denver, 80224, and 1465 North Union Boulevard, Colorado Springs, 80909. Referrals for services in areas outside the abovementioned locations will be considered on a case -by -case basis. 7. Contractor is sensitive to family ethnicity, culture, values and beliefs. 8. Contractor will bill Medicaid eligible services to Medicaid before seeking reimbursement under this agreement. 3 9. Contractor will offer an initial appointment within seven (7) days of receiving the referral and will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 10. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 11. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 12. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 13. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 14. Contractor understands that the Department will not reimburse Contractor for "no shows" after two (2) consecutive "no shows". It is the responsibility of the Contractor to communicate "no shows" to the Department in a timely manner to determine continuation of services. 15. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings may include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 4 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 2019. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $3,250.00/Episode (Episode=Case. Domestic Violence Reduction Program) $2,000.00/Episode (10 Cases/Month. KEEP or KEEP Kinship Programs.) $3,250.00/Episode (Episode=Case. KEEP or KEEP Kinship Programs.) $86.00/Hour (Therapeutic Visitation. Includes planning and debrief with parent.) $55.00/Hour (Supervised Visitation) $55.00/Hour (Parent Coaching) $50.00/Hour (Transportation — When utilizing visitation services) The rates above are for services provided within all of Weld County and within 25 miles of 2250 South Oneida Street, Denver, 80224, and 1465 North Union Boulevard, Colorado Springs, 80909. All hourly rates include preparation time, mileage to and from visitation appointments, coordination with parents to schedule appointments, communication with the Department regarding services and staff participation in team meetings, and report writing. 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. 1. 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 1 month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 CC R�T ". CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/01/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk 81nsurance Services CA License 40437153 777 South Figueroa Street Los Angeles, CA 90017 CN102049935-PROV-CASUA-18.19 c.- AcT NAME: PHONE EA: I (�. No): EMAIL H ADDRESS: INSURERS) AFFORDING COVERAGE NAIC I INSURER A : Lexington Insurance Company 19437 I IISUREDMaple S Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 INSURER B : Travelers Indemnity Co 25658 INSURER C : Travelers Property Casualty Company Of America 25674 INSURER D : WA N/A INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: LOS -002278753-13 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR LTR TYPE OF INSURANCE AWL INSD SUER WVQ, POLICY NUMBER POLICY EFF (MWDOTYYYYt POLICY EXP IMMIDD/TYYTI LIMITS A X COMMERCIAL GENERALLIABIuTY 6797667 03101/2018 03/01/2019 EACH OCCURRENCE $ 1,000,000 DAMCLAIMS-MADE PREM GE TO RENTED SES (Ea occurrence) $ LX OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 _ GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY PRO- U JECT LOC OTHER GENERAL AGGREGATE $ 3+000•000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ 9 AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY ` 1 ,__ SCHEDULED AUTOS NON -OWNED AUTOS ONLY TC2JCAP-42558955-18 03/01/2018 03/01/2019 COMBINED SINGLE LIMIT (Ea acc den0 $ 1,000.000 .__ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LAB EXCESS LMB _ _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED', (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y!N N N I A HC2JU8-42579395.17 10/0112017 0O 2018 X I PER I 10TH - STATUTE ER E.L EACH ACCIDENT $ 1,000,000 E. L DISEASE - EA EMPLOYEE $ 1,000,000 E L. DISEASE - POLICY LIMIT $ 1,000,000 A HEALTHCARE PROFESSIONAL LIAR CLAIMS MADE 6797667 03101/2018 03/01/2019 EACH MEDICAL INCIDENT AGGREGATE 1,000;000 $3.000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace la required) Weld County is/are included as additional insured where required by written contract with respect to general liability. CERTIFICATE HOLDER CANCELLATION Weld County Weld County. Departrnent of 0,roi Service, 1i 50 O St PO Boa 75i! G eelev. ( mac'. 31/6,v SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Au THORurED REPRESEN TA MYYE of Marsh Risk A insurance Ser'u;'s 1n ACORD CORPORATION, All rights reserved birr;fixr, AC�R �® C . CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 03/15/2018 THIS CERTigICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERP'IFICAZE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk 8 Insurance Services License 80437153 777 South Figueroa Street Los Angeles, CA 90017 Mtn: heeltlksre.accountscss@marsh.com Fax: 212-948.1307 CN102049935-TECH-18-19 CONTACT NAME: PHOCA JAA/C. Arlo. Ext): (A/C. No): E-MAIL ADDRESS: - INSURER(S) AFFORDING COVERAGE NMC X INSURER A : Allied Wart) National Assurance Corneany 10690 INSURED Maple Star Colorado 2250 Scutt Oneida Street Suite 200 Denver, CO 80224 INSURER B : INSURER C : INSURER 0 : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS -002079286-17 REVISION NUMBER: 9 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTRR TYPE OF INSURANCE INSD SUM( mm POUCY NUMBER POLICY� 1( POUCYI IMrr / LIMITS COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE E 1 CLAWS -MADE OCCUR DRENTED PREMISESGEO(a occurrence) $ MED EXP (My one person) $ PERSONAL 8 ADV INJURY S GENL AGGREGATE LIMIT APPLIES PRO - ECT PER; 1 LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG S S AUTOMOBILEUABIUTY ANY AUTO OWNED _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT LEa accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) _ $ UMBARELLA UAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S I DEP , I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIL.ITY ANYPROPRIETORRARTNER/EXECUTIVE OFFICERIMEMBER E XCLUDE D7 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N!A I PERTUTE I I ETH- E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S A Tech/Security & Privacy 0309-4884 03/1512018 03/15/2019 Unit cifLiabtlily SIR $10,000,000 $2,500,000 DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Weld Adolescent Resources are included as an additional insured under the Cyber (ability policy if required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Weld County Weld County ()apartment of Human Servvxs 1150 0 St PO Box 758 Greeley Ci) io 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Au THORIIE.0 REPRESENTATIVE ^.+Marsh Risk S Insurance Sars'ces {. t, 1988-2(116 ACORD CORPORA TION All rights rest/rved. n-+rcA t+ 0 ( s H 9 la-tl-i�l PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: November 17, 2017 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Weld County Department of Human Services' Agreement Amendment with Maple Star Colorado Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Contract Agreement Amendment with Maple Star Colorado. The Original Agreement, identified as document number 2017-3344, has been amended to include a rate of $50.00 per hour for case -related meeting reimbursement. This rate is being added at the request of Maple Star Colorado. This Amendment, together with the Original Agreement, constitute the entire understanding between the parties. All other terms and conditions of the Original Agreement remain unchanged. I do not recommend a Work Session. I recommend approval of this Amendment. Sean P. Conway Julie A. Cozad, Chair Mike Freeman Barbara Kirkmeyer Steve Moreno, Pro-Tem Approve Schedule Recommendation Work Session Other/Comments: Pass-Arrooun Memorandum; November 17, 201 ID 544 u/- /7 Page 1 O20 /7-�33 CONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MAPLE STAR COLORADO This Agreement Amendment, made and entered into / ( day of 2017, by and between the Board of Weld County Caonaimdonets on behalf cite Weld County Department of Human Services, hereind r refined to as the "Department", and Maple Star Colorado, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for the Domestic Violence Reduction Program, KEEP program, KEEP Kinship Program, and Visitation, (the "OrigindAgreement") identified by the Weld County Clerk to the Board of CountyCommisstonets as document No. 2017-3344, approved on Septanber 25, 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 refinance herein, as well as the terms provided harem. NOW THEREFORE, in consideration of the promisee, 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 damge ishereby made to the Contract Doammimb: 1. Exhibit D, Payment Scheduh:, Item 2 - Fees fir Services, is hereby amended as attached. • All other terms and conditions ofthe Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly awaited the Agreement as ofthe day, month, and year first above written. bury: ATTEST: jel"(A BOARD OF COUNTY COMMISSIONERS • Weld . Clakto the Board WELD COUNTY, COLORADO Deputy ' ; to the Board Olzad, Chair DEC11 t7 Maple Star Colorado 2250 South Oneida Street, Suite 200 Denver, CO 80224 (303) 564-25 By: Morris, State Director Date: t013 ` '1 By LXIMIZACTIM 'gBaa President, Mcc.e/INA Date: 1 /7 020/ 7 33si/ EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department In Trails after May 31, 2018. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $3,250.00/Episode (Episode =Case. Domestic Violence Reduction Program) $2,000.00/Episode (10 Cases/Month. KEEP or KEEP Kinship Programs.) $3,250.00/Episode (Episode:Case. KEEP or KEEP Kinship Programs.) $86.00/Hour (Therapeutic Visitation. Includes planning and debrief with parent.) $55.00/Hour (Supervised Visitation) $55.00/Hour (Parent Coaching) $50.00/Hour (Transportation — When utilizing visitation services) $50.00/Hour (Court Staffing/Court Facilitation/Family Team Meeting/Team Decision Making Meeting or Other Department Approved Staffing) All hourly rates include preparation time, mileage to and from visitation appointments, coordination with parents to schedule appointments, communication with the Department regarding services and staff participation in team meetings, and report writing. 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. 1. 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 7s' day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. 1 a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MAPLE STAR COLORADO This Agreement, made and entered into th/day of 2017, by and between the Board of Weld County Commissioners, on behalf of the Weld County Depar enta Human Services, hereinafter referred to as the "Department' and Maple Star Colorado, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services and/or Child Welfare Administration funding to the Department for Domestic Violence Reduction Program, KEEP Program, KEEP Kinship Program, and Visitation. 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 modification-- `-• eoruaraC 02-- 17 0-A-6tia, /46D 1-025-/-7 1 2017-3344 ij-EiJogg c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. 2 b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. 3 - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §S -17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional 4 has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/Contract Professionals must secure, at or before the 5 time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non- payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 0001 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: 8 - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Heather Morris, State Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Heather Morris, State Director 2250 South Oneida Street, Suite 220 Denver, CO 80224 (303) 564-2595 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other 9 reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records 10 Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment 11 insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A, and provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, 12 shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or 13 Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 14 By: Date: By: Date: IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: dw rch,;GG Weld County Clerk to the Board By: Deputy Clerk to Bo. rd Julie Cozad, Chair BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Maple Star Colorado 2250 South Oneida Street, Suite 200 Denver, CO 80224 (303) 564-25 5 j: Craig Bass, President Heather Morris, State Director O( 7 33(19 I-1RO0?S' 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 ,.. _ 8 6' GOU •NTY PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO THIS REQUEST FOR BID FOLLOW PAGE 9. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS ENGLISH AND BILINGUAL (ENGLISH/SPANISH) SERVICES (SERVICE AREAS INCLUDED IN THIS PROPOSAL INCLUDE, BUT ARE NOT LIMITED TO THE BELOW LIST. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVE SERVICES.) Program Area Definition AftercareServices Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out- of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domesticviolence. 1 Program Area Definition Crisis Intervention and Stabilization Services Services that provide an immediate, in- person/in- home response to families, youth and children, in *crisis, 24 hours a day, seven (7) days a week. *A "crisis" is further defined as a situation or circumstance, usually acute (recent) in nature, which breaks down the normal functioning of an individual and/or family, and results in the inability of the individual and/or family to resolve the crisis through normal coping behaviors, orwithout Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and theirfamilies. Foster ParentConsultation Services provided to foster and group home families caring for Weld County children and youth in their homes to enhance and improve the quality of care being provided. Foster ParentTraining Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Kinship Services (Therapeutic) Kinship services in the areas of (1) consultation and kinship parent support specific to a child placed in a kinship home, (2) corrective consultation specific to a child placed in a kinship home, and (3) critical care consultation specific to a child placed in a kinship home. Children placed in kinship care are maintained in the lowest level of care and least restrictive setting when out - of -home placement is necessary. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective accessto community resources, parenting techniques and family conflictmanagement. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve familycommunication, functioning and relationships. 2 Program Area Definition Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multi-systemicTherapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. RelinquishmentCounseling Relinquishment counseling for parents considering relinquishment of their children. Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Other Creative and unique services designed to meet the needs of children, youth and families interacting with the Child Welfare system through a prevention or traditional case. B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Ihereby waive my right to a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi 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 J" Street, Suite 150, Greeley, CO 80631. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. 3 II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described above). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III.INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 4 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5- 101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age orolder is lawfully present in the United States pursuant to C.R.S. 24-76.5-103(4) if such individual applies for public benefits provided under this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M.All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 5 O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in anyway to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV.GENERAL SPECIFICATIONS A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by 6 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. V. Insurance Requirements i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant tothis request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: 7 • $1,000,000 each occurrence; • $2,000,000 general aggregate; • $50,000 any one fire; and • $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: • If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; • Unlimited defense costs in excess of policy limits; • Contractual liability covering the indemnification provisions of this Agreement; • A severability of interests provision; • Waiver of exclusion for lawsuits by one insured against another; • A provision that coverage is primary; and • A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. iii. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub- vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 8 Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. VI.Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. CONFIDENTIAL INFORMATION Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staffand/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Contract Period and Pricing: 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is 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 fora period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 1 d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of 2 Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. 3 b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, 4 and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of 5 the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non- payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: 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. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub - vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training 7 Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office bye -mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 8 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator CONTRACTOR, TITLE 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 9 any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 10 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractors 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 Signature of Authorized Representative Date of Signature: LH [.) I �- PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services AGENCY OR PRIVATE PRACTICE Hearhor PRIMARY CONTACT - FULL NAME 303 x564-2595 PHONE NUMBER PRIMARY CONTACT - E-MAIL ADDRESS AGENCY MAILING ADDRESS F DIFFERENT r`1A •V "RIMARY CONTACT) REFERRAL CONTACT - PHONE NUMBER EXT. ExT TRAILS PROVIDER ID (If Known) State D rectc-r PRIMARY CONTACT -TITLE L303 1433-1980 FAX NUMBER AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) CITY LP REFERRAL CONTACT • TITLE REFERRAL CONTACT - E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or all bids, to waive any intbrmality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado, The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. \ t Weld County RFP Bid No. B1700080 Aftercare Services Maple Star Colorado Bid No. B1700080 Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). See Cover page 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. Maple Star currently employs staff members who meet the Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). If selected, Maple Star would recruit bilingual Spanish/ English speaking staff members to meet the needs of the contract. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. Maple Star Colorado was incorporated in 1994 as a Colorado non-profit child placement agency by the state of Colorado Department of Human Services. Since that time Maple Star has developed multiple community services to meet the need of the children and families of many communities throughout Colorado. Services include KEEP Removal Prevention and Reunification Services, KEEP Kinship, KEEP Teen, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction, Intensive Family Finding and SAFE Home Studies. Additionally, Maple Star provides Clinical Services such as the Virtual Residential Program, Family Preservation (Therapeutic and non -therapeutic level), Life Skills, STAND adoption disruption prevention program, comprehensive Trauma Assessments, Autism and in -home Family/ Child therapy. Maple Star provides individualized client care that is creative, flexible, adaptive, and timely. Maple Star actively provides services throughout the Front Range from Larimer and Weld to Pueblo County, but also contracts with multiple other Counties and states to provide our Community, Clinical and Foster Care services within Colorado. Beginning in 2014, Maple Star has provided trauma focused services under the Title IV -e waiver to El Paso and Denver Counties. Mission and Service Philosophy: Maple Star's trauma -specific approach provides individualized and holistic services that promote wellness, durability, and healing through the context of relationship. Service Philosophy: Maple Star believes in enhancing the self-determination of each client through a model that encourages healing, growth, and progress through a relationship -based model. This model is developed from current research (Bruce Perry, Karyn Purvis, Heather Forbes, Bryan Post, and Daniel Siegel) and incorporates an understanding of trauma and the brain. Weld County RFP Bid No. B17000B4 Aftercare Services The common thread of Maple Star services is the emphasis on the strengths and uniqueness of each client and family. We are dedicated to ensuring that all clients are offered services with treatment methods that will accomplish treatment goals. We encourage clients and families to participate fully in developing their goals and the means to successfully achieve these goals. Exploring available community support networks and facilitating connections with these services for families is an underpinning of the durable nature of Maple Star's services. Maple Star strives to provide services in home and community -based settings, whenever possible. Trauma Assessments and some visitations do occur in our office locations in Denver, Colorado Springs or Pueblo. In 2014 Maple Star became a trauma -informed workplace participating in a yearlong process through the National Council of Behavioral Health. Through conducting organizational assessments developed with a trauma lens, Maple Star was able to evaluate agency -wide trauma competency and implement new, or improve current, practices to best meet the needs of clients, staff and community partners with a holistic trauma informed approach. Maple Star selected multiple Trauma Champions within the agency to help implement trauma specific strategies into all areas of Maple Star's operations. Maple Star provides a wide array of services to meet the needs of multiple populations and is continually creating new programs in response to identified needs in a particular area. All of our programs share a primary commitment to provide care that builds upon our clients' strengths, responds to our clients' concerns, and utilizes natural support systems and community resources. Maple Star is part of Pathways, the behavioral health component of Molina Healthcare. Maple Star specializes in providing client centered therapy, case management, and foster care services to children, adolescents and adults served and monitored by government -subsidized programs. Maple Star Colorado has a demonstrated ability to provide highly trauma competent and resourceful services cross discipline throughout multiple communities in Colorado. Maple Star understands the unique needs of counties served and strives to contextualize our services to best serve the related population. Agency Directors manage the contracts. They are responsible to oversee Quality Assurance compliance, billing, and program development. In the last year, during all behavioral health as well as state audits, Maple Star passed with exceptional ratings and no significant deficiencies or safety concerns noted. Maple Star operates along the front range of Colorado including Weld County with its main office located at: 2250 South Oneida Street, Suite 200 Denver, CO 80224 303-433-1975 www.maplestar.net Brooks. Kaskelat pathways.com Emily.KleemanCc pathways.com heather.morris( athways.com Weld County RFP Bid No. B1700080 Aftercare Services Maple Star's Director of Community Programs, Brooks Kaskela, MA, oversees all community -based programming to ensure quality assurance. Emily Kleeman oversees all community programs in Northern Colorado including KEEP and Visitation. Heather Morris, MSW, State Director, provides leadership and oversight for all programs. Their resumes can be found in Attachment 1. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. This proposal is for After Care Services which focuses on reunification and permanence in an effort to prevent future out -of -home placements. Maple Star's KEEP (Key Essential Elements of Permanency) is designed for both placement prevention and reunification. The response time for KEEP program staff to respond is within two hours for the flat rate contract and within 24-48 hours for the case rate contract. Face to face contact as well as resource development and support services comprise the 25-50 hours of services provided to families referred to the KEEP program. KEEP may serve children ages 0-18 involved with the child welfare system who are reunifying with their family of origin or other permanent placement, including kinship. KEEP services are viewed through a holistic lens that strives to meet the needs of all members of a family unit using a family systems perspective. Maple Star has been providing KEEP Removal Prevention services to Weld County since 2016. Maple Star is able to bill Medicaid for therapy services. KEEP services are not Medicaid billable. KEEP Removal Prevention and Reunification Services The KEEP Program strives to assist in necessary ways through which to prevent removal of children from the home or to support the reunification process. This means that we help when the family in concern needs intense support to maintain the stability and safety of the home. Whether we are attempting to keep the children in the home or reunify them with their family home, the KEEP program can help in multiple ways. Mission: to assist families in working toward a safe and stable home, equipped with the necessary tools for immediate and future use Goals Secure safety in the home Help families satisfy immediate needs of the household Weld County RFP Bid No. B1700080 Aftercare Services Link families to essential community resources Communicate with related counties in the interest of the families KEEP stands for Key Essential Elements of Permanency and is a removal prevention and reunification program. Maple Star has provided these services through the KEEP program since October 1, 2012. Maple Star created and implemented this program to assist families and officials of participating counties and states in achieving and maintaining stability in the home and creating permanency for the related children. Through an emphasis on family engagement, the KEEP program focuses on family strengths in an effort to identify their challenges, engage the families in the process, and work to create self-sufficiency. The success of the program rests on this premise and is further enhanced by the availability of the KEEP staff as well as the creativity they provide in responding to a family's needs. A strength of the KEEP program is the ability to work with families in their home communities which defuses resistance and creates alignment and follow through on the part of the family. The KEEP program's primary initial emphasis is engaging the client in services and building strong rapport. This facilitates effective change and is easily transferable to those at the department that may have struggled with engagement due to misunderstandings on the part of the client. It is a strengths -based program that works in collaboration with the family and the department. KEEP case managers utilize an objective and holistic lens in working with families. This is operationalized via training in motivational interviewing and trauma informed care. Employing motivational interviewing allows for the client to identify their goals and confidence in attaining these, while the KEEP case manager walks alongside the individual and actively builds their confidence and competence. We meet the client where they are and walk the path of success with them towards achieving sustainable goals that are identified by the family and the county. Our utilization of trauma informed care allows us to effectively work with clients to achieve stability while providing them with a concrete path towards resiliency. its concepts remove the perceived judgment of a situation and provide evidence -based tools for success. The KEEP program's success is due to the following strategies that are included in all interventions. • Two on -call workers are available 24 hours per day, seven days per week to take referrals. Initial face to face contact with family within 2 hours of referral is provided in fixed/ flat rate contracts or within 24-48 business hours, as dictated by the referring Case Worker, for case rate contracts. • KEEP's prongs of service enable professionals and families involved to choose the level of service that is most beneficial to the client. o Removal Prevention: this prong offers up to 50 hours which includes direct client contact, resource development and support services that spans 2 weeks to 45 days to help mitigate safety concerns that may lead to removal of the children, and maintain stability in the home for the youth and their family. Service intensity and duration is developed in conjunction with the referring Case Worker upon initial contact with the KEEP program. o Reunification: this prong offers up to 50 hours of direct client contact, resource development and support services to span 60-90 days to assist youth and the Weld County RFP Bid No. B1700080 Aftercare Services respective families with needs and concerns specific to maintaining the safety and stability in the home. o Regarding the reunification prong of KEEP, this can be seen as aftercare. This aspect works with biological parents to whom children are returning as well as kinship homes in which the child may be placed following a removal. This prong has a longer service length to ensure a smooth transition for children returning home or being placed with kin. We provide increased hours at the start of a case to assist in setting up resources, school enrollment, and other necessary components of a stable home. In a strengths -based manner, prior struggles are addressed as well as hopes for the future and how to attain those. • Through each of these aspects of the KEEP program, KEEP offers services that include but are not limited to the following: o Connecting with professionals, medical professionals, schools, and others to meet the needs of the family. o Connection with community resources to assist with familial needs to include: mortgage or financial assistance, household or concrete needs such as infant items, child care options and financial assistance. o Liaison and advocacy services for the family, as well as education around self - empowerment o Educating families in identifying and accessing community resources which include: family support lines, crisis lines, medical help lines, and others. o Crisis intervention o Assisting with household structure to include routine and safety. o Providing parenting education as well as child development information o Psycho -education around tools of self -regulation and coping. o Necessary transportation o Unscheduled and scheduled family visits o Detailed notes and prompt communication with caseworker o Attendance of relevant appointments, staffings, and court dates o Anger management KEEP was accepted as Colorado State Promising Practice in 2015 based on the positive outcomes determined by an independent researcher. The details of this report are included in Attachment 5. • Maple Star, as a member of the National Council of Behavioral Health, participated in a year -long process of becoming a trauma -informed organization. Seven domains were addressed where one of the domains is a trauma -competent and trained workforce. Maple Star provides multiple staff trainings which focus on trauma informed care. Twice annually at an all staff training, staff members engage in trainings on strategies that include the latest brain research from well-known experts Bruce Perry, Daniel Siegel, Karyn Purvis and other relevant researchers. These trainings are mandatory; additionally, Maple Star accesses on- line trainings on the brain and each staff member working on this proposal will complete a training on Trauma Informed Care where the impact of ACEs is discussed. Prevention Weld County RFP Bid No. B1700080 Aftercare Services strategies are outlined and presented in this training. Maple Star provides a New Hire Academy/ Orientation monthly providing trauma informed care training so that all Maple Star staff have a common language and skill set from which to work. This training covers the prevalence of child abuse and neglect, definitions of trauma and related topics, as well as techniques and tools for use with clients with various trauma histories. Certificates of participation for the Directors can be found in Attachment 1. Additional certificates for training can be found in each employee's personnel file. Because of our emphasis on relationship -building and trauma -informed care, our clients have this to say about the KEEP Program: The most helpful aspect of the KEEP program was... Giving me the support I needed through a very difficult and painful time; giving me resources to use to cope. They listen to all we have to say whether good or bad. They support our future goals. One thing I learned is to keep moving forward one day at a time. Is working with great people. It helped me with things I never thought it would. Helping us understand the thinking of our daughter and relating better to her. Knowing I could ask for help at any time. They helped me feel like I wasn't alone. Their knowledge and understanding shown to me, and the professionalism shown. They really helped our family establish routines and coping skills and how to get along with each other. One thing I learned is to be mindful and use a softer tone. One thing I learned is to be more patient when my kid's acting out. The staff is extremely caring, understanding, and supportive. KEEP listened and provided appropriate strategies to improve communication. They provided immediate support to my daughter during her relapse. You guys are awesome. Thank you for all your help. The techniques you shared with us are great and it's working. I really enjoyed working with KEEP. They treated me with absolute respect. I would recommend this program to other families. Thank you so much for KEEP. I don't think we could have survived without their teaching and support. I would highly recommend the KEEP program if anyone has to go through the same insanity that we do. Weld County RFP Bid No. B1700080 Aftercare Services Maple Star's KEEP Removal Prevention and Reunification Services may be procured through two different rate schedules: • A single case rate is $3250 for the entire case; response time is within 24-48 business hours from referral. OR • Fixed rate contract where an agreed upon number of referrals are covered per month at a rate of $2000 per case; for example, a minimum of 10 referrals per month is required which would be $20,000 per month or $240,000 annually. Response time is within 2 hours. Minimum number of cases for this price structure would be 10 cases per month. • Maple Star's KEEP Kinship and KEEP Removal Prevention and Reunification Services may be procured through two different rate schedules. We mention this in relation to this proposal because if Weld County chooses to do so, Maple Star is open to offering a flat rate contract to service the county's Aftercare, Crisis Intervention and Stabilization Services, and Kinship Support needs outlined in the request for proposal. • The rates above are for services provided within all of Weld County. Maple Star also provides services from their Denver metro and Colorado Springs offices. For the purposes of this proposal, Maple Star will provide services throughout Weld County at the above noted rates. Maple Star may also provide services to Weld County children within 25 miles of their Denver office located at 2250 South Oneida Street, Denver, 80224 and their Colorado Springs office located at 1465 North Union Boulevard, Colorado Springs, 80909. Any referrals beyond the scope of those designations will be assessed an additional fee of $250 per case. Services can only be provided along the front range of Colorado, not on the western slope of Colorado. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. None 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. See Attachment 1 for the resumes and trainings for the Supervisory staff members who will manage and/or administer services under this proposal. Additionally, the staff member who currently serves Weld County and is cross trained in KEEP and Visitation services is included in Attachment 2. Resumes of additional staff members will be provided should this contract be awarded. Weld County RFP Bid No. B1700080 Aftercare Services 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. • Maple Star's Organizational chart can be found in Attachment 3. • Ratio of staff to supervisor does not exceed 10:1. • Supervision is generally bi-monthly but may be more or less frequently based on staff case load and client need, equivalent of two hours of supervision per month per employee; however, additional supervision may be provided during times of crises or when employees are new or experiencing a difficult case. • Most supervisors have master's degrees plus two years or more experience; while supervisors without masters degrees generally demonstrate two years or more work experience. • Supervisors receive additional training on how to be a supervisor though regular group supervision with cross Program Directors. Maple Star strives to sustain consistency across counties in the services we provide. In alignment with this goal, the agency conducts monthly supervisor meetings across the agency as well as monthly program supervisors meetings. Heather Morris, MSW- State Director- 16 years supervisory experience Brooks Kaskela, MA- Director of Community Programs- 5 years supervisory experience Emily Kleeman, LCSW- Northern Community Director- 3 years supervisory experience Patricia Pisano, BA- 1 year supervisory experience, 21 years experience in the field including recruiting and training foster parents and foster parenting. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. A referral phone number has been established where interested referring Department Case Workers may call and staff cases for appropriateness of service, discuss dynamics of the case and determine ways the Maple Star KEEP program may be of service to the family. If an appropriate match is determined, the Case Worker will make a referral via email and FIDOS, and get approval through internal Department procedures. Once an approved referral has been received from the Department, Maple Star Northern Colorado Supervisor will reach out to the referring caseworker to gather any additional information. The supervisor will then staff the case with available workers and make assignments based on caseload and family location. The staff will reach out to the family to schedule an initial visit. The staff or supervisor will then email the referring caseworker regarding contact information for those that are assigned as well as details about the initial visit. Weld County RFP Bid No. B1700080 Aftercare Services According to the initial plan developed with Case Worker at the time of referral, KEEP Case Manager will schedule their first visit with the family, usually within 24-48 hours of receipt of referral (may be sooner for Counties with flat rate, 2 hour imminent response time). Contact notes from every visit with the family are developed by the KEEP Case Manager and emailed to the Case Worker typically within 24 hours of the contact, but not to exceed 72 hours. Maple Star employees are all trained mandated reporters and any suspected abuse or neglect of a child or adult, or danger to self or others, would be immediately reported to the State hotline, the Case Worker would be notified by phone, and an incident report completed. Maple Star will communicate directly with the Case Worker or referral agency when issues, concerns, or questions arise. This notification will include missed appointments, significant events or emergencies. This thorough communication process can be used to problem -solve and plan for support services as needed by the client. A decision to hold a meeting with the relevant professionals may also be planned. Case Worker and referral worker feedback surveys may be utilized at the time of case closure or termination of services. Maple Star endeavors to schedule a minimum of quarterly face-to-face meetings between Maple Star program supervisors and designated Department personnel to elicit feedback, discuss progress and concerns, and modify to fulfill Department expectations and ensure contract compliance. KEEP solicits feedback from Case Workers via anonymous online surveys and from families via a survey upon termination of services. Maple Star believes in incorporating feedback into programming to ensure quality and effective services. Quality Assurance calls are made randomly to clients to ensure client contacts are made and to ensure clients are receiving services and to determine if they are satisfied and are subsequently are given a forum to provide feedback. 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. On September 21, 2016, Maple Star was awarded a contract to provide KEEP services in Weld County. The KEEP contract was awarded to meet the Crisis Intervention and Stabilization Services bid. KEEP was able to accept their first case on October 20, 2016. Since that time, KEEP has seen 6 families. One of these is still open and going well. The other five families experienced significant success with KEEP services and we were able to prevent removal in all of these instances. Should Maple Star be awarded a contract for multiple service lines, they are considering opening an office in the northern Colorado region. Maple Star will be able to meet the need of Weld County through this office or from their other offices to provide services in a timely and effective manner. Maple Star will be able to take referrals within 30-45 days of the initiation of the contract or upon formal notification of intent to award the contract. Another county that KEEP has been serving since 2014 compiled longitudinal data from TRAILS to assess effectiveness of the service. The results indicate that in 2015, of the families referred to Weld County RFP Bid No. B1700080 Aftercare Services KEEP services, 90% of families referred from PA4 continued to have stability in their home 90 days following service, as indicated by no removal occurring during this time. In 2016, 90% of families referred from PA5 continued to have children safely living in their home 90 days following services. The longitudinal data compiled also shows that 86% of PA5 families did not experience a removal for 365 days following KEEP services. Feedback we have received from Case Workers in Weld County that have used KEEP services includes the following : I just wanted to thank you SO MUCH for all you did today for this family. I really do appreciate it - you guys do fantastic work. I really see great things in moms future and I'm not sure we would be here if it weren't for you. Way to go !I!! "Thanks for helping mom out so much. Hopefully the TANF meeting can be rescheduled for the TANF block grant piece. You're all amazing!" "I wanted to thank both of you for continuing to work with MOC on a consistent basis. I have no doubt that this assessment would have turned into a filing, and removal had it not been for the hard work the Maple Star KEEP program has done looking at conducting a closure meeting for the family in a couple weeks." WAY TO GO!!! This was our 1st referral for this county and I think due to your hard work many more will be on the way! While presenting to Case Workers at Weld County, two county employees told the team how KEEP prevented a specific case being open and wished there were more of us to do more work 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. Maple Star's KEEP Removal Prevention and Reunification Services may be procured through two different rate schedules: • A single case rate is $3250 per case for the entire case (up to 50 hours of service); response time is within 24-48 business hours from receipt of approved referral. OR • Fixed rate contract where an agreed upon number of referrals are covered per month at a rate of $200O per case; for example, a minimum of 10 referrals per month is required which would be $20,000 per month or $240,000 annually. Response time is within 2 hours. Minimum number of cases for this price structure would be 10 cases per month. • Maple Star's KEEP Kinship and KEEP Removal Prevention and Reunification Services may be procured through two different rate schedules. We mention this in relation to this proposal because if Weld County chooses to do so, Maple Star is open to offering a flat rate contract to service the county's Aftercare, Crisis Intervention and Stabilization Services, and Kinship Support needs outlined in the request for proposal. Weld County RFP Bid No. B1700080 Aftercare Services • The rates above are for services provided within all of Weld County. Maple Star also provides services from their Denver metro and Colorado Springs offices. For the purposes of this proposal, Maple Star will provide services throughout Weld County at the above noted rates. Maple Star may also provide services to Weld County children within 25 miles of their Denver office located at 2250 South Oneida Street, Denver, 80224 and their Colorado Springs office located at 1465 North Union Boulevard, Colorado Springs, 80909. Any referrals beyond the scope of those designations will be assessed an additional fee of $250 per case. Services can only be provided along the front range of Colorado, not on the western slope of Colorado. 11) Each bidder must submit a Standard Certificate of insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. See Attachment 4 Weld County RFP Bid No. B1700080 Attachment 1 Mary Brooks Kaskela 414 West Acorns Dr. Mobile: (720) 244 2086 Littleton, CO 80120 bkaskela@gmail.com Objective To obtain a challenging position that enables me to better people's fives through expanding their opportunities and promoting personal growth Education Work experience 1996 - 2000 Rhode island College Providence, RI Bachelor of Arts in Psychology awarded August 2000 2003 - 2006 University of Northern Colorado Denver, CO Masters Degree in Community Counseling awarded December 2006 2013 present Maple Star Colorado Denver CO , Permanency Director As a result of the efficacy of and dedication to the KEEP program, it has spread to serve several more counties through providing therapeutic case management and consistently operating with a trauma informed philosophy to support and educate families in efforts of creating safe and stable homes for children. This promotion to Permanency Director was necessary to manage multiple KEEP teams as well as the creation and implementation of the intensive family finding program. The intensive family finding program seeks to find healthy connections for children involved with the department of human services. The role of Permanency Director is also responsible for having a role in the management of Maple Star as a whole as well as budget and financial decision making. In both this and the KEEP Supervisor position, there are frequent interactions with varied members of county administration, caseworkers, court personnel, as well as other community agencies. Advocacy and liaising for clients, building community partnerships, and knowledge of community resources are woven throughout all of the programs and positions in the respective programs. In this position, I am currently managing 8 program contracts and their related teams and services provided. 2012 - 2013 Maple Star Colorado Denver CO , KEEP Supervisor This position entailed the development, implementation, and management of the KEEP Program. KEEP is a removal prevention and reunification program that seeks to provide families, with risk of removal of children, with the necessary skills and knowledge to provide a safe and stable home for their children. This includes hiring, training, and supervision responsibilities of the team. As program supervisor, I received and created rich trainings in trauma informed care, motivational interviewing, and DBT that added to my wide knowledge base of child development and parenting. DVR Supervisor This position entailed the development, implementation, and management of the Domestic Violence Reduction Program. The DVR Program provides case management and psycho -educational groups to children and parents with domestic violence dynamics in their home. This includes hiring, training, and supervision responsibilities of the team. This also included creating the curriculum for the children' groups as well as the facilitation thereof. 2007 - 2008 i ennyson center for Children Denver, CO Therapist The duties of this role include creation and implementation of experiential group therapy, individual therapy, and crisis intervention. Along with necessary therapeutic components such as quick creative thinking, this entails keeping accurate documentation and efficient communication with necessary parties. The population being addressed is 5 to 18 year -olds who qualify for residential care at this facility, usually with abuse or neglect in their history. Provisional LPC attained, TCI trained 2005 - 2006 Family & Play Therapy Institute Aurora, CO Intern The many facets of this internship included co -leading grief support groups at Judi's House, leading individual counseling with teenagers, in -home family therapy, counseling with couples, and adult family therapy. Issues addressed in counseling include depression, PTSD, obesity, health concerns as they relate to mental health, previous abuse, and healthy development (physical, social, emotional, cognitive). Other responsibilities include documentation, scheduling, communicating with caregivers, case management, and participating in supervision. June, 2005 October, 2005 Creative Beginnings Child Placement Agency Denver, CO Case Manager Case management duties include ensuring implementation and maintenance of services and support for both foster parents and the children in their care. Necessary for this is a therapeutic relationship with the parents and children, as well as organized documentation and good communication with caseworkers, therapists, and other related professionals. 2002 - 2004 Tennyson Center for Children Denver, CO Youth Treatment Specialist The Special Services Unit of Tennyson Center for Children is designed to provide short-term relief, stabilization, and diagnostic assessments to families and service providers in need. The duties of this position include creating and executing psycho educational therapeutic groups, individualized and milieu therapy, and crisis interventions. Also included is communicating with the parents regarding the family's needs and consulting with the psychiatrist regarding the child's individual needs. 2000 - 2002 Washington Park Children's Shelter Providence, RI Residential Counselor This children's shelter is a temporary, safe environment for children ages newborn through twelve years who have been abused, abandoned, or neglected. Most of the children have behavioral and emotional problems. The duties of a residential counselor include helping the clients learn proper hygiene and nutrition, socialization skills, anger management, behavior management, and crisis management. `references available upon request (1/ Q Ct� W -14 of W) I T N C.) •JJ •• a) 8 0 vicr � zvcC 0 V A A I �1vcc Get V co O BROOKS TWSKELA f z O H O v (i) z This certifies that Immo ,4 V p Qkr N rMocE Lu cc A4 w U � 4 c 2 2 2 2 9t) U ca o � i '6 O Cc Brooks Kaskela Toni r Cain ca H r 4 rte^ 2.2 Relias - Nikoya Marsh Page 1 of 1 rn ti ys i 5 I L, i l f ry This is to certify that Brooks Kaskela has successfully completed CUP Trauma Informed Services: An Overview of the Impact of Trauma on Children Completed on: 10/9/2013 Credit Hours: 9.00 } •- r. 4-. , �' _ S� [ _ fir► i it •f , ; y.l' -r '.r ';.` r.1 L:t. .�. ':.:. k3-? 3rp•, 4'). Ark am • • 1itth'//nrnvirlencP training reliaedparnina Pnr rill" artifinataofPPnri 4.v7r CI-)N)n1 A The Whole -Brain Child LEFT BRAIN = LOGICAL PART RIGHT BRAIN = EMOTIONAL PART UPSTAIRS BRAIN = SOPHISTICATED, ANALYTICAL DOWNSTAIRS BRAIN = PRIMITIVE, REACTIVE i E J When your child is upset, 1. CONNECT FIRST RIGHT BRAIN TO RIGHT BRAIN eg, loving touch, empathy, validate their feelings, listen, reflect 2. REDIRECT WITH LEFT BRAIN When they are more receptive, involve child inpf r making amends In high stress situations: APPEAL TO THE UPSTAIRS BRAIN Keep them thinking and listening rather than just reacting After a difficult event USE THE REMOTE OF THE MIND TO PAUSE, REWIND AND FAST - FORWARD to help them process what happened LET THE CLOUDS OF ;1 EMOTION ROLL BY Help children understand that negative feelings are temporary GIVE TOOLS + STRATEGIES TO CALM THEMSELVES eg, taking calm breaths, visualising a calm place USE CONFLICT AS AN OPPORTUNITY TO TEACH KIDS USE LEFT -BRAIN STORY TELLING to help them understand what is upsetting them + feet more In control EXERCISE THE UPSTAIRS BRAIN eg, give choices, practice solving problems with them, practice controlling emotions, build self - understanding, consider other's feelings When kids are reactive ENCOURAGE PHYSICAL ACTIVITIES to shift their emotional state and reconnect with their upstairs brain GIVE KIDS PRACTICE AT REMEMBERING to help integrate implicit and explicit memories e.g. important and valuable moments of their lives Teach kids to explore SENSATIONS IMAGES FEELINGS THOUGHTS inside them to help them understand and change their experience FAMILY FUN + ENJOYABLE RITUALS creates positive memories © The Montessori Notebook Relias - Nikoya Marsh Page 1 of 1 r" 4�' 4 ,�[r ••;t:.ic�r. �cLV�i�ft ye•C�re mar�.,• 1•4.?r This is to certify that Brooks Kaskela has successfully completed CUP Attachment and Trauma Connections: Clinical Applications to Practice Teleclass Completed on: 6/3/2013 Credit Hours: 4.50 r r . `"�4V - l -,.1.� •4'f▪ -: ▪ tip¢. • I } •; a- • . 1��{r 4.'./.11,1574••••- 1,+s..!!«,«...:i,.,,. +- :..:. '. 7:. 1. ...:__ Y1n .a:C _a__ --_11 ---ITT a/ $%AI.e Relias - Nikoya Marsh Page 1 of 1 tt'� 4;;;T r•r. .;' �. • f ,.� i. , tir ,e { )S'iS-". S�Lf � '�."� .E. This is to certify that Brooks Kaskela has successfully completed CUP Trauma Past, Trauma Present: Trauma Informed Phase Oriented Treatment Teleclass Completed on: 5/20/2013 Credit Hours: 6.00 46. .P49 rW" , V K� 14:1, *eV - cd "Li • v • 4. • Emily Melissa Kleeman, LGSW 1114 Sterrett Street Baltimore, MD 21230 Ekleeman626@gmail.com 443.570.0514 EDUCATION: Colorado State University, B.S. Degree - Human Development and Family Studies May 2005 University of Maryland School of Social Work, MSW, LGSW MACO/Clinical: Emphasis in Children and Families & Mental Health May 2011 PROFESSIONAL EXPERIENCE: Laurel Advocacy & Referral Services - Laurel, MD **Selected as the Co -Secretary for the Private Sector, Homeless Services Provider for Prince George's County of Maryland Continuum of Care LEAD Case Manager for Emergency Crisis Services July 1, 2014 - Current • Meet and assess needs of individual clients and families. • Through consultation with LARS personnel and area agencies, develop a case plan to meet identified needs. • Provide outreach to homeless clients. ■ Provide case management for clients staying in LARS two church shelters. • Document contacts and services in the Homeless Management Information Systems (HMIS) and other LARS data bases within 24 hours of contact. • Develop and maintain strong working relationships with other community agencies. • Supervise work of assigned personnel and volunteers. • Prepare reports for grant agencies, as assigned. • Maintain organized records on grants used to assist in the crisis clinic. • In the absence of the Executive Director assume the essential administrative duties necessary for the continued operation of LARS. • Coordinate LARS' fundraising events and process all information related to this effort within the required deadlines. • Annually evaluate subordinates. • Serve as a professional agent of LARS at functions in the community, as assigned or approved by the Executive Director. ■ Attend monthly meetings of the Prince George's and Howard County Homeless Partnership, and other collaborations. ■ Other duties as assigned by the Executive and Deputy Director. Transitional Housing Case Manager May 2011 - July 1,"2014 • Meet with and assess needs of client's families on a weekly basis. • Provide one-on-one clinical counseling to LARS emergency and transitional housing clients. ■ Through consultation with LARS personnel and area agencies, develop a case plan to meet identified needs, and update it as required. • Research and secure an array of services in the community to support the success of the clients. • Document contacts services on Homeless Management Information Systems (HMIS) and other LARS databases within 24 hours of contact. • Apply all clients for appropriate supplemental financial resources, including the Rental Assistance Program (RAP) on the day of program entry. • Serve as the liaison for LARS between rental management companies used for transitional housing. • Provide employment services and support for community members for 8 hours per week. • Conduct regular and random drug testing and breathalyzers on clients. • Assist with reporting and renewal for HUD grants and other funding sources. • Assist in crisis center one day per week. ■ Assist with fundraising planning and events as assigned. Mountain manor Treatment Center at Reflections LLC -Laurel, MD Mental Health Therapist and Substance Abuse Counselor February 2013- September 2014 • Complete substance abuse and mental health intakes for clients. • Meet weekly with regular mental health and substance abuse clients for individual, group, and family therapy when needed. • Develop treatment plans and goals for clients. • Diagnose clients for mental health and substance abuse disorders. • Complete all necessary paperwork, assessments, discharge notes, session notes and input them into medical database, APRIMA. • Complete weekly individual and group supervision with my supervisor to discuss client cases, treatment plans and progress towards goals. • Assist other clinicians with assessments, treatment plans and necessary paperwork. Pro -Bono Counseling Project - Baltimore, MD Mental Health Therapist - LGSW September 2012 - Current ■ Meet with and assess clinical needs of client under the supervision of a practicing LCSW-C. • Provide one-on-one ongoing clinical counseling to adults with depression and anxiety disorders, substance abuse problems, and physical, mental, and emotional disabilities. • Carries a case load of three to five clients for a period of six months to one year. • Participates in CEU seminars and trainings provided by The Pro -Bono Counseling Project. ARC of Baltimore - Towson, MD Employment Support Specialist II November 2009 - May 2011 ■ Ensured that individual rights and dignity were respected and that the agency policy on normalization and the behavior management policies were actively supported. • Implemented sufficient, appropriate and relevant training programs and maintaining required data for assigned individual based on objectives developed by team members. ■ Formulated written training programs, as appropriate, withthe:Case Mariagers.nd Psychologist. • Completed monthly review process for individual training programs and other relevant individual records or reports. ■ Provided individual behavioral services as assigned including providing transportation and support services as required. • Provided staff augmentation and/or staff training as assigned. • Functioned as agency contact with employer, providing information about employing people with developmental disabilities. ■ Developed adaptive work methods as necessary to modification, task analysis and actual hand on hand job training. • Initiated and maintained regular, positive and proactive communication with individual's Case Manager and other persons personally and professionally connected to the individual's case progress. • Served as a member of the multi -disciplinary team responsible for developing individual plans. INTERNSHIP EXPERIENCE Main Street Housing, Inc. - Baltimore, MD Social Work Intern August 2010 - April 2011 ■ Assisted staff with property selection and community logistics for current housing initiative. ■ Researched, wrote and submitted three grants for Main Street Housing over $10,000. • Organized and executed a community -based fundraising event for Main Street Housing which raised over $2000. • Spent a minimum of three days in Annapolis to learn about the political process and assisted staff with drafting a Senate Bill for this years legislative hearings. ■ Wrote three articles for On Our Own of Maryland's newsletter • Updated brochure, website and social networks for Main Street Housing, Inc. ▪ Assisted staff at community conferences and events ■ Assisted staff with budget and finances for Main Street Housing, Inc. • Worked one on one with executive director to accomplish goals and objectives of strategic development plan Legal Aid of Baltimore City- Baltimore, MD Social Work Intern January 2010 - April 2010 • Coordinated with attorney's and pertinent staff members on client cases and completed mental health assessments for clients referred for services at the social work unit of Legal Aid • Assisted clients referred to the social work unit with accessing state financial benefits • Coordinated health care and mental health appointments to ensure clients were receiving mental health services and complying with court orders • • Trained attorney's and pertinent staff with social work roles and how to work with difficult clients struggling with social work related problems • Held weekly drop in hours for attorney's to discuss cases which involved a social work aspect References available upon request N O U) o E o O o U a L o O U) 75_ V• I- Aid ( W) V • �YYY 00 0 Iou,u 0 0 tg imc� s._ o . . TN o 3 C E o O D c W Representative a a ea This certifies that •o• T w Ca Z O 'r z 3 - w el z1 e "8 O O� o F"." Q O r4 ei mt' = 14.! E i-) w '%X O ea w • p Lei O 10318 Cheetah Tail, Littleton CO 80124 714-883-9875 cell Heatherm1207@gmail.com Objectives Seeking a challenging position where my education and varied experience will be effectively utilized. Experience Maple Star Colorado Director of Community Operations May 12 -present Assisted with the design and implementation of more than 5 new programs, including Home Study writing and supervision, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction Program, Permanency and Removal Prevention services, Kinship Services and Intensive Family Finding. Programs currently serving community programs to 10 major Colorado Counties. Foster Care services are provided along the Front Range and regularly contract with over 15 counties. PRIMARY RESPONSIBILITIES: This position is responsible to oversee all program services in Community and Foster Care Program areas. These services may include, but not be limited to, assessments; service team meetings; case management services; foster care, support groups; advocacy; recruitment and certification of foster parents and home studies. Administratively, this position will oversee Human Resource, Information Technology, and Billing processes. Program Supervisors, Orientation and Training • Responsible for the interviewing, hiring, orientation, training, on -going supervision, and written evaluations of the program supervisors that work in the agency. • Insure completion of orientation for new program supervisors • Develop and coordinate ongoing training agenda for staff Program Supervisors Supervision • Provide minimum of two individual supervisions each month for full time supervisors, may include phone supervision and will include documentation of supervisory sessions. Performance Assessments • Continually assess and develop methods to improve performance of individual programs • Respond to conflicts or concerns pertaining to supervisors' performance in addition to the monitoring performance of the staff supervised by the program supervisors • Provide performance evaluations according to guidelines for newly hired staff and for yearly reviews Foster Care Director October 2009 -May 2012 Supervised up to 7 full time staff, 50 foster homes and 100 children in placement. Primary Responsibilities: The Foster Care Regional Director is responsible for the certification and training of foster homes, placement of youth into foster homes, and supervision of agency case management personnel. • Responsible for collaboration with Recruiter and Home Supervisors in the recruitment, licensing, training, and evaluation of Foster Parents. • Review all Home Studies completion according to SAFE requirements • Assist Recruitment staff in development of robust recruitment plans, assist with specialized recruitment and ensure appropriate tracking and reporting formats are completed, accurate and timely • Complete file audits and approve prior to certification and on annual basis for compliance with Volume 7 regulations. • Complete license and Issue Certificate only after thorough file audit has been conducted. • Ensure appropriate profile development for matching of youth and family information communicated to referral agencies. • Responsible for obtaining and following up on referrals from outside sources, the matching and placement of youth into foster homes, as well as the subsequent rate negotiations.. • Maintain record of monthly census for preparation of foster parent invoices as well as financial reporting to Executive Director. Concept 7 Family support and Treatments Centers, Orange, CA Regional Director- Foster Care Program- Orange and San Diego Counties March 2004- May 2009 • Hire, supervise and evaluate the Masters level Social Work staff and support staff for the Orange and San Diego County regions Recruit, train, and certify treatment foster homes according to Community Care Licensing and County contract requirements • Oversee the intake placement and termination process for foster children • Oversee home study process and approval for new and recertifying families Program Supervisor Monitored Visitation and Transportation Program April 2002 -March 2004 • Family Support Specialist • February 2001 -April 2002 Education San Diego State University, San Diego, CA USA Masters, GPA 3.92 Major: Social Work May 2000 University of California, Santa Barbara, Santa Barbara, CA USA Bachelor of Arts GPA 3.27 Major: Psychology lune 1994 Certifications SAFE Home Study- May 2005 SAFE Home Study Supervisor September 2011 CERTIFICATE OF COMPLETION This is to certify that TRAUMATOLOGY I J • r s i a, 00 ii 0'4; 4,0 44,) l-lIy dt Relias - Nikoya Marsh Page 1 of 1 This is to certify that Heather Morris has successfully completed Why Are We Talking About Trauma? Completed on: 2/19/2014 Credit Hours: 4.00 Patricia Pisano 21UU Stillwater Creek Drive, Fort Collins CO 11115121 Cell: 970-413-3296 hmstudy4u@gmail.com Summary Recruiter of Foster Parents, Provided Trauma Informed training for foster families. Supervised/Monitored Visitation Supervisor for Larimer County contract through Maple Star. Foster/Adoptive Rawl for 21 years. Extensive experience with special needs kids, have 6 adopted children. Owned a line -based preschool for 10 years, gtew the busies to 14 students, with 3 employees. Managerial experience as a Sr. Merchandise Manager for JC Penney. Annually bought over 1 million dollars in merchandise, oversaw display and selling of the goods as well as managed a staff of up to 25 employees. Experience Foster Parent Recruitment Specialist/ Parent Coach/Facilitator & Supervisor for Larimer County Sept. 2015 to current Maple Star, CO Recruit families to become Foster Parents. Provide training in Trauma Informed Care. Prepare documents for SAFE Home Studies. Coach parents in Monitored/Supervised visitation settings on parenting skills. June 2006 to 2015 Stay at home Morn At home Mom, raising 6 adopted special needs children, fostering children as needed. Worked with schools to asses children's individual needs are met through IEP's and additional services as needed. Worked with staff regarding classroom adjustments to ensure the optimal learning environment for each child. Pursued appropriate activities/sports for each child. Sought out support for our multi -racial children in the community such as GPS - CSU African American mentoring program. A Place Like Home August 1996 to June 2006 Owner Escondido, CA started a home -based preschool that grew to 14 students. Taught Pre -K curriculum, provided enrichment programs such as field trips, foreign language progam, and swim lei. Offered parents training opportunities, mentored younger families and provided resources. Mentored new providers, assisted in business set up, provided on -going support. JC Penney June 1986 to August 1996 Senior Merchandise Manager Escondido, CA Responsible for purchasing and overseeing roughly 1 million dollars in merchandise (Jewelry, Lingerie and Women's Wear). Supervised a staff of 25 employees. Provided customer service, trained employees, hired and terminated employees based on performance & sales volume. Education University of Northern Colorado 1982 Bachelor of Arts: Psychology/Business Marketing Greeley, CO, USA P.R.I.D.E. Foster Parent training S.A.F.E, Home Study trained SAFE Environment Training - Cub Scouts, AHG & St. John's Extensive ongoing Trauma Training Karyn Purvis training First Aid/CPR trained - .•-......,,.. . t *.. ry, �..# i.+i t � r'ti+�• r'ti+�'+{�'l ti •i'v . � r`t.; W ',•.-. ri'.+W,•�` ., r't'7+r� '.. '� R•- • `.,- . ..-, .wi f+#. W;:-4-....:;-- ��y� F r -r, ...1., W.,4....... ....42-.... WI .:yz, f 1r4r, .r r• V : a _rte ...at., r v - �.. 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'. ,�� .�„ •„�Ir,� II . ,rte. _ AIR.R." 411000 art` 'iYIa.P'' ■!IP'ilim.00- •' t.."......."«.....L �r"i .� 44....0- . ...,.....`„,-,......-.^......`,......... .�fr�llt/ 1 O 7-1 a Trauma Lens: "What is Re co Q% L U 4=1 al 0 U o w 0 0 u, o a o. a3 • u o • g a. o 4.4 �w O a C rio 0 Presented by: Nicole Pellitier and Andrea Fotsch 0 Is C4 4 o 0 71 44 a, L61 o Lg O 0 o U I U • ct o N VD lain Trauma to Families" x w 0 0 c —J co I- H QJ I- V fr O ° O cra o �C.4 y 4.4 o o 4 e o Err 41 Z.12 0 u O o U o u bA tri H �I m w e. rip Presented by: CK Kemp and Andrea Fotsch 0 0 c • tvo 0 44 'V of U ers and What it means for Trauma Work" Your Own Tri a Trauma Lens: "Understandin ro U S u c O 'v,4, g 0 e JLJ w g U o w � d0 _d pie a m O n:$ ass • O • � U , o .5 ro 4 • 1,1 Id a a '0 O O 00 ✓ Presented by: Ryann Vertnetson and Andrea Fotsch Weld County RFP Bid No. B1700080 Attachment 2 5rooke L Hawley 710 City Park Ave. #E535. Fort Collins, CO,80521— (970) 889-2080 ~ blueravenecho@gmail.com Objective • Provide an attitude of professionalism, positivity and warmth, while cultivating a welcoming and safe environment for clients and coworkers. • Maintain an open mind and willingness to learn the skill set required to be the best I can be at the tasks required of me. • Utilize skills I have obtained through previous experience, such as: Active Listening, Assessing the needs of the client, Problem Solving, Multitasking, Working well under Stress, and Attention to Detail. Job Experience Beaver Meadows Resort ;100 Marmot Ln, Red Feather Lks, CO -970-881-2450 Supervisor: Linda Weixelman March 1997 to Dec 2002 • 2012, May -Sept. Server, Bartender, Customer Service, Catering, Weddings, Sales Beavers Market; 1100 W Mountain Ave, Ft Collins, CO"970-484-2243 Supervisor: Brian Beavers Aug 2007 to May 2009 Cashier, Customer Service Arena Sports; 7850 S. County Rd 5, Windsor, CO 80528 1970)377-0065 Supervisor: Sally Kehl January 2014 to January 2015 Bar Manager El Dorado Mexican Grill; 215 1st St, Ault, CO 80610 "1970)834-2245 Supervisors: Hector & Dinora Ramirez February 2015 to Present Server, Bartender Education Front Range Community College; 2005-2009 Associate of Arts Degree & Holistic Health Certificate Colorado State University; 2009-2011 Bachelor of Social Work Degree *Community Volunteer Work ~ Over 2000 hours - Details in Cover Letter* References available on separate page. Civtdy A Heritage MA LPC PRESENTED BY: February 15, 2O17 ON THIS DAY: i • C O cv 0 E 2 O o ) O Uy.._ O cn v +- a a L V v 0 Q� U o O Y O U < `lam' '''fi""'`2t"'. 1 0 C a) a a) ce 0 a) a a rCO g Weld County RFP Bid No. B1700080 Attachment 3 I } °q 2 axe �o H $ E if5* o d Printed: 20 -Apr -17 Weld County RFP Bid No. B1700080 Attachment 4 AR bw CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 03/20/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License 40437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: healthcare.accountscss©marsh.com Fax: 212-948-1307 -TECH-17-18 NAMEXCT AIC PHONE No. Ex*:I IA/C, Not: EMAIL ADDRESS: INSURERS} AFFORDING COVERAGE NAIC # INSURER A : Allied World National Assurance Company 10690 INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 INSURER B : INSURER C : INSURER D INSURER E : INSURER F : CERTIFICATE LOS -001996925.03 • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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INSR TYPE OF INSURANCE ADDL iron]LTR ID SUER WV11 POLICY NUMBER POLICY EFF ,JMM(PDIYYYYI POLICY EXP (MM/DD/YYYTI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL &ADM INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO - LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ A ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS BODILY INJURY Per accident ) $ H HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS•MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY / PER OTH- I STATUTE ER Y N ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? N r A E.L. EACH ACCIDENT $ (Mandatory In NH) if descre E.L. 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All rights reserved. The ACORD name and logo are registered marks of ACORD Weld County RFP Rid Nn R17nnnszn Attachment 5 ADAMS COUNTY CHILDREN AND FAMILY SERVICES DIVISION Darwin Cox, Director A Best Practice Submission to the Best Practice Review Committee January 10, 2014 Key Essential Elements of Permanency (KEEP) ACKNOWLEDGEMENTS Report Author Ken Schlessinger M.S. Report Contributors Brooks Kaskela, Maple Star Adams County Children and Family Services Monica Sorenson, Manager DeeDee Green, Contract Administrator Francisco Maez, Manager KEY ESSENTIAL ELEMENTS OF PERMANENCY (KEEP) 1 (Removal Prevention Services) Promising Practice Submission The KEEP program is a product of the first quality practice initiative for the Adams County Quality Practice Team. The QPT workgroup was made up of cross section of work units that began work on November 11, 2011. The team met weekly for two hours using QPT techniques such as fishbone, cause and effect analysis and project planning. The team developed a program concept and outline that was presented to the Director and Managers for review in January 2012. The program was approved by management and a request for proposal was prepared and published in June, 2012. Proposals were reviewed by a subset of members of the removal QPT workgroup and Maple Star was selected as the provider of services. Maple Star began offering services on October 1, 2012. As of November 30, 2013, 110 families involving 215 children were referred to and received services from the program. The following is a description of the program and analysis of intended population and outcomes. Adams County, Children and Family Services Division first Quality Practice Team (QPT) Team Removal Prevention QPT Workgroup Name Section Role Greig, David Ongoing Worker Sandoval, Ellen Ongoing Supervisor Pieper, Joni Permanency Supervisor Johnson, Carol Client Services Supervisor Waiter, Allison Client Services Lead Worker Green, DeeDee Client Services Contract Administrator Rhodes, Steve Intake Supervisor Langton, Shane Intake Worker Cisco Maez Quality Assurance Facilitator Dawn Cox Quality Assurance Facilitator Ken Schlessinger Quality Assurance Facilitator Description of the Practice 1. Identify the target population(s) There are two identified populations. The first are families with screened -in referrals/assessments or in open cases in which the children/youth are at imminent risk for out of home placement. The second population includes families of children/ youth being reunited with parents. The data suggests that children/youth experience re-entry after reunification at a higher rate early in the reunification process. The Maple Star KEEP program provided services to 110 families referred in the first eleven months from October 1, 2012 through October 31, 2013. Fourteen families were referred twice, each have two separate spans of service. There was a distinct count of 96 families. 2 Services were provided to 215 children. The majority of children are referred for Removal Prevention Services: KEEP Children by Program Type 200 150 100 50 0 Removal Prevention Reunificaion Children Referred to KEEP by Race/Ethnicity One component of the best practice submission is a description of population served including race and ethnicity. The Colorado Department of Human Services and Colorado Humane sponsor a web site that provides race and ethnicity data for county child populations. The chart below provides race and ethnicity data as a percentage of children in the KEEP program compared to race and ethnicity percentages of children in the Adams County child population (CDHS/Colorado Humane Disparities website http://www.colodrc.org/). African American children are significantly over -represented while Hispanic and Native American children are slightly over -represented within the KEEP population compared to the Adams County child population. Caucasian children are under -represented. The African American and Hispanic over -representation referrals to KEEP may be a positive indicator as the goal is removal prevention and remain home. Race/Ethnicity N KEEP % Population % African American 29 13% 6.7% American Indian 3 1% 0.4% Caucasian 70 33% 42.5% Hispanic 99 46% 42.5% Other/Unknown 14 7% 7.9% Total 215 100% 100.0% Age Age of children in the KEEP program is a significant factor for removal prevention and reunification. Caseworkers and supervisors in the Removal Prevention QPT work group reported that a program like KEEP would be very useful during the assessment/case phase in assessing risk especially with infants and preverbal children who cannot report on the conditions in the household relative to abuse and neglect. Over 40% of children are under the age of five and 75% were twelve and under. There were 19 infants in the population. 3 Within Age Group -KEEP 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 44./10 0-4 5-12 13 and older Family Structure and Risk A study conducted by the Colorado State University College of Human Science, Applied Research in Child Welfare consortium, Winokur et.al (2011), Family Preservation Outcomes and Child Welfare Success found that number of caregivers in the family is a significant predictor of child welfare outcomes. Families with two verses one care giver are 2.4 time more likely to have a positive outcome in the child welfare system. This factor turned out to be the strongest predictor of child welfare outcomes in the study. Data provided by the Maple Star KEEP program indicates that more than half of the referrals to the program were single parents. The reason for a referral to the KEEP program is recorded for each family. The risk factors reported were categorized and to determine frequency. Drug and alcohol use/abuse and domestic violence are consistently reported as are mental health issues, clients with developmental issues and lack of supervision. Homelessness or potential for homelessness is reported in 8 cases. Family Structure and Risk Factors (Trails) The QPT Removal Prevention workgroup's target population is children at risk for placement in assessment or open cases. That is, the family presents with sufficient risk factors to warrant removal for child safety. The decision for "at risk for removal", and referral to KEEP is determined by the caseworker, caseworker's supervisor and in some cases a manager. The decision to refer to KEEP is not based on specific quantifiable criteria. To determine if the population of families referred to KEEP is at "risk for removal", the risk assessment data for KEEP families was compared with all families with open cases that were assessed in the last three years. The KEEP families were compared to two groups; all families in open cases and those that experience a removal using the average scores of the risk of abuse, risk of neglect and total risk scores (sum of abuse/neglect total). Child abuse and neglect risk factors are quantified as part of the family assessment process and recorded in the Colorado SACWIS system, Trails. The assessments consist of two sections; risk of abuse and risk of neglect. Each section contains risk characteristics pertaining to abuse and neglect scored by the caseworker that includes but is not limited to; prior social services involvement, age of youngest child, family violence, substance abuse and others. Each risk factor is scored on a scale which can include a negative number -1 (risk factor not present) to 3 indicating various levels of severity. When the scores for each risk factor are added, the result is a risk of abuse score and a risk neglect score. The study conducted by the Colorado State University College of Human Science, Applied Research in Child 4 Welfare consortium, Winokur et.al (2011), Family Preservation Outcomes and Child Welfare Success found that the risk of abuse and risk of neglect scores are statistically significant predictors of child welfare outcomes. The higher the score for each risk type (abuse/neglect), the more likely a family will experience a negative child welfare outcome such as placement or termination of parental rights. The group means difference on the three assessment scores when comparing KEEP to all non -KEEP open cases was statistically significant, which means that there is only a five percent probability that this result could have occurred by chance. The KEEP population presented with higher risk than non -KEEP families on all three risk measures. KEEP Compared to Non -KEEP Risk Assessment (Cases) N Mean Minimum Maximum F D<.05 Risk Neglect KEEP 81 *8.2 -2 28 Non -KEEP 1245 *6.5 -3 19 13.39 0.000 Risk Abuse KEEP 81 *5.9 -2 16 Non -KEEP 1234 *4.9 -2 17 5.86 0.017 Total Risk KEEP 81 *14.2 I -4 34 Non -KEEP 1231 *10.5 -5 34 11.92 0.001 The group means for the three assessment measures were compared with cases in the population that experienced a removal. For this test there was no difference. That is, the KEEP population is similar to the population of cases that experienced removal. The caseworkers, supervisors and managers who are making the decision to refer to KEEP are matching the target population as intended. KEEP spared to Non -KEEP with a Removal Risk Assessment (Cases) N Mean Minimum Maximum F p<.05 Risk Neglect KEEP 81 8.2 -3 18 Non -KEEP 536 7.7 -2 16 1.2 0.261 Risk Abuse KEEP 81 5.9 -2 16 Non -KEEP 529 5.6 -2 14 0.4 0.527 Total Risk KEEP 81 14.2 -5 32 Non -KEEP 528 13.3 -4 29 0.981 0.322 5 2. Describe the intervention(s) The KEEP program is a contracted service designed to provide immediate coordinated support and assistance to families in mitigating risk to child safety and avoiding out of home placement. The goals are to; secure safety in the home, help families satisfy immediate needs, link families to essential community resources and maintain close communication and coordination with the child protection professionals. Direct services to the families are provided within two hours of notification by the child protection worker, unless otherwise directed by the assigned worker. A safety plan is developed by the child protection worker who identifies safety concerns, strengths and supports. An intervention plan is jointly developed by the case worker and KEEP worker to determine the nature and intensity of KEEP intervention. An "Initial Plan for Intervention" is developed and reviewed with the family. The duration of KEEP involvement is up to two weeks, 25 hours per week of contact with the family. The case worker schedules a family team meeting (FTM) within 24 hours. The case worker and KEEP worker have daily contact and daily reports are submitted to the assigned worker by KEEP. The Maple Star KEEP program records the types of case management activities that KEEP case mangers employ in the course of their involvement with each family referred. Here are two examples: "Parenting suggestions were provided, such as a rewards chart, taking the CH outside daily for exercise, redirection, and consistency. The family was already doing some of these things, but I reassured them and encouraged them to KEEP up the good work". "I conducted research regarding housing resources, daycare, daycare funding resources, after school activities and recreation scholarships. I made telephone calls for resources for housing support and recreation support. I provided the family with information and ideas on parenting skills". Unannounced visits are reported with high frequency in the data provided by Maple Star KEEP. This activity was identified as an important component to ensuring child safety by the Removal Prevention QPT workgroup. QPT case workers and supervisors reported the need for additional "eyes on" to identify additional risk factors but also additional indications of a family's strengths in their ability to provide a protective environment. Unannounced visits can enhance the assessment of safety risk and family strengths. The balance of the KEEP case management activities provides direct support to the family including; transportation, resource identification and referral, training and education in appropriate parenting skills. Daily contact with the family was noted in multiple cases. KEEP staff makes it clear to the family that their goal is to assist them in providing a safe environment for their children which will allow them to remain home. Case management activities are coordinated closely with the assigned caseworker on an ongoing basis. 3. Describe the intended/actual outcomes. Outcome evaluations generally involve the comparison of two equivalent groups; one that did receive the treatment and one that did not. The gold standard of all comparative research is "random assignment". That is subjects/families who meet specific criteria for the treatment are randomly assigned to an experimental group that get the treatment and a control group that does not. Random assignment in social research is somewhat limited and was not used in making referrals to KEEP. An outcome evaluation requires specific quantifiable criteria for inclusion into the program. Referrals to KEEP relied on the judgment of case workers, supervisors and managers. Their judgment did provide an appropriate match for the target population intended. An additional issue is that that KEEP services are 6 very short term and ancillary to case work services. Lastly, outcome evaluations generally include a follow-up period of one year or more to determine if treatment effects were sustained over time. The program has been in operation just over one year, limiting the follow-up period. The primary goal of the KEEP program is to allow children to remain home safely during the course of their intensive, short term, involvement by avoiding a "during program involvement removal". It should be noted that a "during program involvement removal" may not be a negative outcome, when additional risk factors are uncovered signaling a need for removal as the only means of ensuring child safety. A secondary outcome of interest is removal after program involvement. At this time, the program has been in existence just over a year and few children have been "at risk" of removal for a full year follow- up period. The after program removal activity is being provided as it can provide important programmatic information. It is important to reiterate that the families referred to the KEEP program presented with high risk as measured by the risk assessment and were comparable to families that had experienced removal in the past. Children Removed During Program involvement Less than 10% of families and children experienced removal during KEEP program involvement. Eight families involving 17 children experienced removal during the program. Families engaged with KEEP for the purpose of reunification did not experience a removal (re-entry). Children removed during the program tended to be young, twelve of the 17 children were under the age of five and two were infants. KEEP Removals During Program N Removal During Program No During Program Removal Percent Without Removal During Program KEEP Cases 110 8 102 92.7% KEEP Children 215 17 98 92.2% Children Removed during KEEP program Involvement by Race/Ethnicity When comparing children removed during the program by race and ethnicity there are disproportional numbers of African American children that experienced removal. That is, African American children make up 13.5% of all children in the KEEP population while 17.2% experienced removal during KEEP involvement. It should be noted that all 5 children were from the same family. Race/Ethnicity N Children Removed During Program by Race Ethnicity Percent of Children Removed by Race Ethnicity African American 29 American Indian 3 5 0 17.2% 0.0% Percent of Total Children Referred to KEEP by Race and Ethnicity 13.5% 1.4% Caucasian 70 5 7.1% 32.6% Hispanic 99 7 Other/Unknown 14 0 7.1% 46.0% 0.0% 6.5% I Total 215 17 7.9% 100.0% 7 Age of Children that Experience a During Program Removal Younger children tend to experience during program removal. Seventy percent of children were age four or under. There was no gender difference. Age Group of Children with During Program Removal N Percent Infant to Age 4 12 71.0% Age 5 to Age 12 3 18.0% Ages 13 and Over 2 11.0% Total 17 100.0% Removal Following Completion of KEEP Program Involvement It will also be instructive to identify children that were removed after KEEP program closure. It is common in social research to follow up for one or more years ("time as risk") to determine if program participation correlates with improved outcomes. Because KEEP has been in existence just over 13 months, very few children have been at risk for removal for more than 12 months. The total number of families that experienced a removal after program completion, as of November 30, 2013 is 20, involving 44 children. The program type for this outcome is primarily children referred for removal prevention (41 -removal prevention, 3 -reunification). The chart below identifies the percentage of cases and children that did not experience a removal after program completion. It should be noted that the number (N) of cases and children excludes the cases (8) and children (17) that experienced a during program removal. Removals After Program Completion N Removal After Program Percent Without Removal After Program KEEP Cases 102 20 80.39% KEEP Children 198 44 77.78% 8 Children Removed after KEEP program Involvement by Race/Ethnicity (These data represent less than one year of follow-up (at risk time) time for most of the children involved in KEEP) African American children continue to be overrepresented on the outcome of removal after program completion when compared to percentages of race and ethnicity in the KEEP program. Caucasian, Native American and Hispanic children are under -represented. Race/Ethnicity (Adjusted N) Total KEEP Children Minus Removed During Program Children Removed After Program Completion Percent of Children Removed After Program Completion Percent of Total Children Referred to KEEP by Race and Ethnicity African American 24 6 25.0% 13.5% American Indian 3 0 0.0% 1.4% Caucasian 65 15 23.1% 32.6% Hispanic 92 Other/Unknown 14 23 25.0% 0 0.0% Total 198 44 22.3% 46.0% 6.5% 100.0% Age of Children that Experience an After Program Completion Removal (These data represent less than one year of follow-up (at risk time) time for most of the children involved in KEEP). Younger children tend to experience after program completion removal. Fifty percent of the 44 children that experienced after program removals were age four or under and eight of the children were infants. There was a gender difference in this outcome variable, 27 of 44 children (61%) were male. Age Group of Children with After Program Removal N Percent Infant to Age 4 22 50.0% Age 5 to Age 12 11 25.0% Ages 13 and Over 11 25.0% Total 44 100.0% 9 Overall Removal Outcome Less than ten percent of families and children experience removal during KEEP involvement. There is an increase in removals subsequent to KEEP involvement. Seven families (15 children) experienced removal within 30 days of KEEP completion which may indicate a need for extended program involvement for certain families. Fourteen families (35 children) were referred twice. Seven of the families referred twice did not experience removal. Multiple referrals to KEEP for some families may be a good strategy for removal avoidance. Thirteen families experienced after program removal ranging from 36 to 211 days after KEEP involvement. It is likely that these families established an acceptable level of stability that could not be sustained over time. It must be reiterated that these are some of the most high risk cases within child welfare caseloads. Total KEEP Population During Program Involvement Removal Percent Without During Program Removal Total Without During Program Removal After Program Removal as of 11-30-2013 Total Without After Program Removal Percent Without Removal that Completed Program as of 11-30-2013 Overall Percent Without Removal During or After Program Families 110 8 92.7% 102 20 82 80.4% 74.5% Children 215 17 92.1% 198 44 154 77.8% 71.6% 10 Impact on Total Out of Home Paid Placement One outcome of an effective removal prevention program would be a correlation between removal reduction and average daily placement (ADP) of children in paid placements. To determine if a correlation exists, the ADP was calculated for two years; the twelve months prior to KEEP implementation and the first twelve months of KEEP involvement. The ADP for paid placement went from 388 to 340, a 12% reduction in ADP when considering all OOH paid placements. Total Annual Average Daily Placement 2 Year Comparison 400 380 360 340 110 10-1-2011 to 9-30-2012 340 10-1-2012 to 9-30-2013 Impact on Total Out of Home Paid Placement by Placement Type Upon closer examination, the ADP for the two years was compared by placement type. There was a decrease in the annualized ADP from 120 to 93 for County Foster Care, a 22% decrease, and a reduction in ADP for CPA Foster Care from 176 to 151, a 14% decrease in the two comparison years. Based on the age of child population targeted by KEEP it is likely that an effect on paid placement would be seen primarily in the County Foster Care, and CPA Foster Care. Average Daily Placement by Placement Type 2 Years 200 150 100 50 County Foster CPA 57 56 9 10 Group Care Paid Kinship Residential 10-1-2011 to 9-30-2012 ■ 10-1-2012 to 9-30-2013 11 Cost Benefit Analysis There was a marked decrease in placement costs when comparing a twelve month period prior to KEEP implementation and a twelve month period during KEEP. According to Monica Sorenson, Manger of Client Services for the Division, there were no other programs or initiatives in place during the most recent twelve month period that would account for a decrease in placement costs. It is likely that KEEP may have impacted placement costs. This may be best characterized as cost shifting. That is the savings in placement costs have been shifted to upfront intensive coordinated KEEP services provided to families and children. The contracted cost for the KEEP program is $302,120. The most significant long term benefits occur when effective social services case management employs resources such as KEEP and others to mitigate child abuse and neglect risk by providing parents the opportunity to gain the skills necessary to keep their children safe. 12 Month Period Comparison Annual Average Placement Cost (Based on Trails Service Authorizations without Adjustments) Average Daily Rate 10-1-2011 to 9-30-2012 10-1-2012 to 9-30-2013 Difference $9,645,493 $67.95 $9,130,474 $515,019 Difference with Adjustment for 2% Increase $73.61 $697,628 $67.95 Relevance to child welfare: What positive outcomes or benefits do you expect from this practice? 1. Permanency: Placing children as appropriately and as little as possible a. The program was designed to support families in their effort to increase safety, allowing children to remain, and return home. 2. Permanency: Getting children home a quickly as possible a. The reunification component of the program is designed to support families in the reunification process, especially early in the when the risk of re-entry is increased 3. Permanency: Making sure children have a permanent home/family a. , The goal is that children remain home safely, a primary permanency strategy. 4. Permanency: Making sure children stay home once they return home a. Again, a program component is reunification. There was no reentry after reunification during program involvement. 5. Safety: Preventing re -abuse a. The program adds additional resource temporarily during the assessment/case phase with families that present with high risk for child abuse or neglect. 6. Safety: Preventing abuse while in our care a. The additional intensive support at critical periods provides increased oversight, assessment and resource support to families that may have otherwise experienced removal of children. 7. Safety: Case Re -involvement a. The program is ancillary to child welfare case management and short in duration. It is unlikely that the program will have an effect on case re -involvement. 8. Safety: Remain Home a. A primary goal of the program, see program outcome section. 9. Well-being: Briefly describe 12 a. The program staff works diligently to connect clients to available resources in the community while coordinating safety plans with the caseworker. 10. Benefits a. Families receive immediate, intensive services which may not otherwise be available with routine case management. Contact with the family is available 24/7, is flexible and can be provided on a daily basis when needed. b. Children that may otherwise have been removed are able to remain home. c. The additional intensive case management and oversight improves child safety. d. Case workers are provided additional information regarding risk and strengths that can be used to improve case planning. e. Services can be put into place in a more expeditious manner. f. Families are provided immediate essential services such as housing assistance, transportation, food and clothing. g. Supportive, coordinated services are provided to families in crisis in an effort to mitigate risks to child safety. h. KEEP case managers utilize evidence based practices such as Motivational Interviewing in addition to active listening, coaching, advocacy and trauma informed care. 11. Briefly describe other expected benefits to the practice not already described in the child welfare outcomes. What are the potential risks of the practice? Questions to consider regarding potential risks: • Does the program or intervention identify the potential risks and benefits to the population/programs it is going to serve? o The program is designed to reduce the risk to the target population and avoid the trauma of out of home placement. o KEEP case managers work closely with the assigned case worker to assess and manage risk, sometimes on a daily basis. • Does the research or program allow sufficient time for the intended affects to manifest? o The program is very short term, intensive and ancillary to case work services. The primary goal is for children to remain home safely during program involvement. Less than 10% of families/children experienced out of home placement. o A secondary outcome of interest is removal subsequent to program completion. Do the timing, intensity, and coordination of case management services using this program produce a sustained effect, allowing children to remain home following program completion? To date, there has not been a sufficient follow-up period and it would be difficult to assess a sustained treatment effect in the absence of random assignment. • Does the research or program identify any potential harm that could occur to the intended population and the potential severity of the harm? (Harm is "subjective evaluations like distress, embarrassment, and anxiety, which are clearly difficult to either predict or to control for" (as per http://www.ethicsguidebook.ac.uk/How-is-harm-defined-67). o The focus of the program is to help families develop strategies that will reduce risk, allow children to remain home and avoid the harm incurred as a result of out of home placement. • Does the research or program indicate strategies to mitigate the potential risks or harms? 13 o All strategies employed by the program and coordinated child welfare case management are aimed at mitigation of risk and harm. What would be necessary for replication of this process? Replication - to repeat, duplicate, or reproduce, a practice with fidelity with hopes of getting the same or similar results as the first time it was implemented. Questions to consider regarding replication: • Can the practice be replicated with fidelity? o This program started with a concept and criteria developed by the QPT workgroup. These concepts were defined in a request for proposal. A contract was granted to Maple Star who put the concepts and criteria into practice. Maple Star staff records the types of activities that are used to engage and provide services to families. A formative process evaluation was conducted in concert with this proposal that can be used to provide program information to the Division and Maple Star. This program may be best described as evolving. • Are there associated manuals, protocols, and or related written materials? o Maple Star has produced a program description which is attached. In addition, training materials have been produced for Maple Star and Division casework staff. • Is training/consultation available? o Yes • Does the practice lend itself to replication in other communities or with other populations? o Yes. Other counties have indicated an interest in this program and one county, Arapahoe and Jefferson Counties have initiated a contract for similar services with Maple Star. • Can this practice be adopted and adapted in new communities? o Yes What resources are needed to implement and maintain this practice? Outline the necessary resources for this practice, both for initial implementation and sustained practice. Examples include training, hardware, software, etc. Also include fiscal implications of this practice. Adams County elected to use contract services as opposed to internal services to implement removal prevention services. Services are paid as a Core service as the process and goals of the program meets Core service requirements. The Core service authorization in Trails supports the process by identifying service utilization by case and client and allowing for impact and cost benefit evaluation. Administration and coordination of the program is important. In Adams County, program administrators and Maple Star administrators and staff meet monthly to review progress. Training of child welfare staff is critical to ensure utilization. Systematic process and outcome evaluation must be resourced in order to determine program effectiveness and impact. Questions to consider regarding fiscal implications: • Does the research on this practice include a cost analysis? 14 o Yes. The evaluation completed as part of the submission includes a cost benefit analysis, see Cost Benefit section. There was a decrease in placement costs which may be attributable to the KEEP program. • Does the research or program include strategies that address fiscal impact for both short-term implementation and long term sustainability? o The program does meet the criteria for Core Service funding. • Does the research or program have identified ongoing costs? o Services are contracted annually. • Does the research or program identify funding sources available to replicate the practice? o Yes How do agency staff, professionals, community members and families/youth and children generally respond to this practice? • The Maple Star KEEP program completed a survey of case workers which is attached. Responses are generally favorable. • Maple Star KEEP conducts family surveys which are attached and provide favorable comments. • Review any risks or benefits of this practice not covered elsewhere. o Contracted services seem to be a benefit. KEEP case managers are not part of the social services system that may be negatively perceived by families. The KEEP case manager is independent and can help families understand and navigate the child protective service process. What evidence/formal research exists to support this practice? Evidence: Research, data, or casework examples that can be directly tied to the process, practice, or intervention. Questions to consider when examining evidence: • What formal research exists that supports the proposed practice? o A literature review was conducted during the QPT process and the team was unable to find research on programs that focus on removal prevention. • Is data available on a local level to support the proposed practice? (e.g., ARD Reports, Trails, CFSR data measures, Ad Hoc Trails Reports, County Data, Scorecard data measures, expert opinion, consumer preferences - client satisfaction surveys, anecdotal evidence, etc.) o This evaluation has shown that families referred for KEEP services present with high risk for out of home placement as measured by the risk of abuse and risk of neglect assessment in Trails. o This evaluation has shown that less than 10% of families/children experience removal during KEEP involvement. o Although not a primary outcome for the program, further research will be need to determine if KEEP involvement combined with casework services has a longer term effect on removal prevention. o This evaluation has shown that average daily placement and placement costs have decreased compared to the 12 months prior to KEEP implementation. • Do practitioners cite casework examples that support this practice? 15 o See attached survey • To what degree can evidence be directly tied to the practice? For example, is there a logic model that describes the relationship of the practice to the intended outcome? o The logic model for the removal prevention program is attached. • Was attention given to cultural responsiveness and relevance when the evidence was gathered? o Yes • Is there demonstrated evidence that it has been used with diverse populations with the same or similar results? o This evaluation has shown that African American families/children are: • Over represented in numbers of families and children referred to the KEEP program compared to the Adams County Child population • Over represented in the number of children that experience during program removal (5 African American from one family experienced during program removal) • Over represented in the number of children that experience removal after program completion (data is preliminary) o Caucasian children are underrepresented at every level of analysis. o Native American children did not experience during program removal. Disproportionate outcomes were discovered as a result of this analysis and were not know to Division or program administration. Strategies to address the disproportional outcomes are being addressed. 16 PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services AGENCY OR PRIVATE PRACTICE Hoether t;k:'itt PRIMARY CONTACT- FULL NAME TRAILS PROVIDER ID (If Know1) State J$3CtC1 PRIMARY CONTACT- TITLE 303 , 564-2595 303 , 433-1980 PHONE NUMBER EXT. FAX NUMBER Heether.Morr saPethweys,corn www.MapleStar ret PRIMARY CONTACT- E-MAIL ADDRESS 2250 S. Onedia St., Suite 200 AGENCY MAILING AJME%$ AGENCY/PRACTICE WEB menus (W APPUount) Denver 80224 CITY 7JP EFFFRAI CONTACT - FULL NAME Jf (AFFERENTr1EAh IRIMAAFCONTACT, REFERRAL CONTACT 71 LE REFERRAL CONTACT- PHONE NUMBER EXT. REFERRAL CONTACT- E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. Signature of Authorized Representative: J2 J�..,1,. Gn Date of Signature: - 3j a/ Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence Maple Star Colorado Bid No. B1700080 Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). See Cover page 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. Maple Star currently employs staff members who meet the Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). If selected, Maple Star would recruit bilingual Spanish/ English speaking staff members to meet the needs of the contract. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. Maple Star Colorado was incorporated in 1994 as a Colorado non-profit child placement agency by the state of Colorado Department of Human Services. Since that time Maple Star has developed multiple community services to meet the need of the children and families of many communities throughout Colorado. Services include KEEP Removal Prevention and Reunification Services, KEEP Kinship, KEEP Teen, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction, intensive Family Finding and SAFE Home Studies. Additionally, Maple Star provides Clinical Services such as the Virtual Residential Program, Family Preservation (Therapeutic and non -therapeutic level), Life Skills, STAND adoption disruption prevention program, comprehensive Trauma Assessments, Autism and in -home Family/ Child therapy. Maple Star provides individualized client care that is creative, flexible, adaptive, and timely. Maple Star actively provides services throughout the Front Range from Larimer and Weld to Pueblo County, but also contracts with multiple other Counties and states to provide our Community, Clinical and Foster Care services within Colorado. Beginning in 2014, Maple Star has provided trauma focused services under the Title IV -e waiver to El Paso and Denver Counties. Mission and Service Philosophy: Maple Star's trauma -specific approach provides individualized and holistic services that promote wellness, durability, and healing through the context of relationship. Service Philosophy: Maple Star believes in enhancing the self-determination of each client through a model that encourages healing, growth, and progress through a relationship -based model. This model is developed from current research (Bruce Perry, Karyn Purvis, Heather Forbes, Bryan Post, and Daniel Siegel) and incorporates an understanding of trauma and the brain. Weld County RFP Bid No. 81700080 Anger Management/ Domestic Violence The common thread of Maple Star services is the emphasis on the strengths and uniqueness of each client and family. We are dedicated to ensuring that all clients are offered services with treatment methods that will accomplish treatment goals. We encourage clients and families to participate fully in developing their goals and the means to successfully achieve these goals. Exploring available community support networks and facilitating connections with these services for families is an underpinning of the durable nature of Maple Star's services. Maple Star strives to provide services in home and community -based settings, whenever possible. Trauma Assessments and some visitations do occur in our office locations in Denver, Colorado Springs or Pueblo. In 2014 Maple Star became a trauma -informed workplace participating in a yearlong process through the National Council of Behavioral Health. Through conducting organizational assessments developed with a trauma lens, Maple Star was able to evaluate agency -wide trauma competency and implement new, or improve current, practices to best meet the needs of clients, staff and community partners with a holistic trauma informed approach. Maple Star selected multiple Trauma Champions within the agency to help implement trauma specific strategies into all areas of Maple Star's operations. Maple Star provides a wide array of services to meet the needs of multiple populations and is continually creating new programs in response to identified needs in a particular area. All of our programs share a primary commitment to provide care that builds upon our clients' strengths, responds to our clients' concerns, and utilizes natural support systems and community resources. Maple Star is part of Pathways, the behavioral health component of Molina Healthcare. Maple Star specializes in providing client centered therapy, case management, and foster care services to children, adolescents and adults served and monitored by government -subsidized programs. Maple Star Colorado has a demonstrated ability to provide highly trauma competent and resourceful services cross discipline throughout multiple communities in Colorado. Maple Star understands the unique needs of counties served and strives to contextualize our services to best serve the related population. Agency Directors manage the contracts. They are responsible to oversee Quality Assurance compliance, billing, and program development. In the last year, during all behavioral health as well as state audits, Maple Star passed with exceptional ratings and no significant deficiencies or safety concerns noted. Maple Star operates along the front range of Colorado including Weld County with its main office located at: 2250 South Oneida Street, Suite 200 Denver, CO 80224 303-433-1975 www.maplestar.net Brooks. Kaskela(a�pathways. corn Emily.Kleeman(a�pathways.com heather.morrisCc�pathways.com Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence Maple Star's Director of Community Programs, Brooks Kaskela, MA, oversees all community -based programming to ensure quality assurance. Emily Kleeman oversees all community programs in Northern Colorado including KEEP and Visitation. Heather Morris, MSW, State Director, provides leadership and oversight for all programs. Their resumes can be found in Attachment 1. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Maple Star Colorado will be responsive in their ability to serve families with children between the ages of birth and eighteen years of age who are involved in the child welfare system as a result of domestic violence as a child protection issue. Populations served: Families within the intake unit where it is known that domestic violence endangers the children. Families with open cases with a goal of the child remaining at home or reunification where domestic violence is identified as a child protection issue. Families with court involved or voluntary cases Families with children/youth at risk of disruption from foster care placements while working with the family to reintegrate child/youth back into the family's home. Maple Star's Domestic Violence Reduction Program may be operated in one of two ways: as a case rate, with an advocate engaging the individual family an providing up to 50 service hours over the course of up to six months. The case rate for DV Advocacy services is $3250 per case. Or Fixed rate contract where an agreed upon number of referrals are covered per month at a rate of $2000 per case; for example, a minimum of 10 referrals per month is required which would be $20,000 per month or $240,000 annually. Minimum number of cases for this price structure would be 10 cases per month. Having two dedicated full time advocates would staff the program adequately to conduct weekly groups for men, women and children as part of the contracted services. The group format is described below. Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence Maple Star is open to cross training dedicated Weld County staff members to provide Domestic Violence and KEEP services in order to meet the needs of Weld County while offering sufficient staffing opportunities to ensure that staff are available to provide on -call and/ or group services. Domestic violence advocacy and psychoeducational services are not Medicaid billable. Maple Star Colorado offers Clinical Services which, when the client meets medical necessity, are billable to Medicaid and could be one such referral resource for mental health support when deemed necessary. Scope of Services: The purpose of Maple Star Colorado's Domestic Violence Reduction Program would be to reduce the impact of domestic violence on children served by child welfare in Weld County. The Domestic Violence Reduction Program serves the victims, offenders and the children living in the home. Goals of the program are to: • provide proactive support to families with a co -occurrence of domestic violence and child maltreatment, • engage families in appropriate services, • promote increased safety for abused children and adults, and decrease re -victimization • educate and empower children about domestic violence • promote self-sufficiency through connection to community resources • positively impact the undocumented population Maple Star's Domestic Violence Reduction Program (DVRP) Our mission is to provide clients with advocacy services and education that will strengthen and support them in making positive and safe decisions for their futures and those of their children. DVRP Advocates, under the supervision of the DVOMB certified Program Manager through Maple Star, provide services to clients with aspects of domestic violence in their homes. Two full time dedicated Victim Advocates under the supervision of a DVOMB certified Program Manager make up the proposed program's staff. In Adams County, Maple Star has two full time Advocates- one assigned to the intake unit and one to the ongoing unit. New case assignments are given to the primary worker assigned to that unit, but the Advocates can be deployed to other units as client need dictates. Additionally, Maple Star currently employs a part time advocate to assist with the high number of client and group referrals. When the program began, the contract was to provide services to 140 clients. In 2014, Maple Star's Domestic Violence program served 213 clients and in 2015, 184 clients. In 2016, we provided services to over 200 families. Maple Star is proposing the same format to meet the needs of Weld County. Maple Star is proposing the current structure employed by Adams County of one full time Advocate primarily assigned to the Intake Unit and the full time Advocate primarily assigned to the Ongoing Unit to meet the needs of Weld County. Both Advocates are cross trained in order to provide services to clients as needed and requested by Weld County Human Services. A minimum Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence of 120 victim referrals including will be served by the Domestic Violence Advocates described above. Proposed staffing patterns are geared to meet the observed referral rate and client need from Adams County Human Services as indicated during service years 2012-2016. As Maple Star Colorado recognizes that many relationships have co -combative dynamics, groups within the Domestic Violence Reduction Program are broken down in to men's, women's and children's groups and are not referred to as "victims" or "perpetrators". Domestic Violence Advocates Domestic Violence Advocates provide the following services to the clients with whom they are working: • Referrals made through Fidos are reviewed and assigned daily with an average 48 -hour response time. If an emergent need arises and it is requested by the Case Worker, Domestic Violence Advocates may respond on the same day. • Assist families to adhere to child welfare safety plan and create domestic violence safety plan. An individualized intake assessment will be conducted with each family during the initial visit and a holistic plan developed that assists with a variety of services such as: housing resources, shelter resources, employment, legal, drug and alcohol resources, Family Support and/or counseling and mental health services. Advocates will make recommendations to the Case Worker as well as assist with facilitating linkages for the family with the above resources. Maple Star Colorado considers the review of the safety assessment and safety plan to be our most important beginning responsibility upon being assigned a case. This includes necessary contact with the caseworker and concurrent visits with the family for both the intake and ongoing sections upon initiating services and as needed. To do so is to attend to the primary objective: to assure the safety of children. When assessing safety plans we will prioritize the following critical factors: • Immediately available —in response to any issue, concern, change, or risk • Action oriented — service delivery that is focused on safety factors, • Flexible access - services that are located in close proximity and can be called upon for immediate response to assist the family with immediate safety needs. • Routine communication with safety plan participants and continual oversight • Engagement of caregivers concerning the acknowledgement of safety issues, and their commitment to the safety plan • Assessment of caregiver protective capacities to determine what must change • Assessment of existing health issues • Reasonable efforts to provide the least intrusive means for assuring children are safe • Intensive case management will be provided to assist the family in meeting concrete needs as well as safety concerns. • Improve clients' access and utilization of community resources that provide services outside of the scope of the Domestic Violence Reduction Program (i.e.: shelters, emergency hotlines, financial assistance programs). Interaction with shelter staff • Accompany clients to Dependency and Neglect or criminal court dates to provide support and ensure that the family understands can implement court directives and findings. Advocates also support clients in obtaining civil protection orders when needed. Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence • Attend FTMs and other important meetings as invited to ensure timely and transparent reports on participation and progress in the program and with groups. • Provide appropriate mental health recommendations for therapeutic groups and/or individual therapy to qualified therapists who specialize in working with children and domestic violence issues, when applicable. Maple Star Colorado offers Clinical Services which, when the client meets medical necessity, are billable to Medicaid and could be one such referral resource for mental health support when deemed necessary. Therapists are trained with the same Trauma Informed Care principles as the Advocates and would be able to support clients in tying together themes learned within the psychoeducational classes offered as well as providing overall mental health treatment. Services could be provided at Weld County Human Services. Should Maple Star be awarded several contracts, we will explore the possibility of obtaining Northern Colorado office space. Provide psycho -educational classes for men, women and children (ages 6-12) involved in the Domestic Violence Reduction Program focused on safety, understanding domestic violence, resiliency, internal and relational strengths, growth and development, impacts of domestic violence on children and families, communication and emotional intelligence. As part of this proposal Maple Star will provide minimum of one women's groups, one children's group and one men's group weekly. Psychoeducational groups are formatted as follows: • 14 week open ended groups. • Psychoeducational group for children which develop strategies to improve child safety, • Psychoeducational groups for women designed to increase awareness of the impact of domestic violence on children and develop strategies to improve child safety, and • Psychoeducational men's groups designed to increase awareness of the impact of domestic violence on children, develop skills for effectively managing anger, and develop strategies to improve child safety. Maple Star strives to educate participants about the impact of trauma on the brain and behaviors and teaches skills for safety, healthy relationships and communication. Men's topics include: Defining Domestic Violence, Accountability, Anger Management & Coping Skills, Communication, Building Healthy Relationships, the Impact of Violence on Children and Goal setting. Women's topics include: Understanding Domestic Violence, Safety and Resiliency, Coping Skills, Communication, Building Healthy Relationships, Impact of Violence on Children and Goal setting. Children's topics include: Feelings identification, Hope and Positive Thinking, Identifying Safe People, Mood Identification, Perceived Control & Negative Thoughts, Appropriate Reactions, Self - Regulation and Calming Techniques, Understanding & Making Safety, Hopes and Future, Appropriate Choices, Self -Image, Self -Esteem, Rights and Boundaries. The Women's and children's groups are structured in a way that topics are reflective of one another and give parents excellent jumping off points for discussion in their homes. Children's groups utilize a period of play time to allow the children to process and apply what they have learned in a way that is creative and meaningful to them. Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence Brief overview of program and groups are found in Attachment 1. Proposed staffing for the DVRP would support the provision of psychoeducational groups at the rate of one group each, men, women's & children's based on client need. Groups are currently offered in English only but Maple Star would recruit and hire a bilingual Advocate to be able to provide education around these topics to Spanish speaking clients and would support a group should the numbers allow. It should be noted that Maple Star's Domestic Violence Reduction Program Psychoeducation classes are currently 14 weeks but could easily be expanded to 16 weeks if granted this contract through the addition of topics "Cognitive Distortions" and "Empathy". The Domestic Violence Reduction Program endeavors to run the women's and children's groups at the same time so that children 6-12 will be engaged during the time their mother is participating in group. Currently this is happening for one children's group. The addition of the proposed three quarters time advocate would allow for the extra support to run the second children's group concurrently. Maple Star has also partnered with Adams County Human Services to provide childcare for children under the age of 6, to help overcome the need to find childcare which many women identify as a barrier to accessing services. Maple Star would propose this same arrangement to meet the needs of Weld County. Advocates will enter detailed notes about individual client contact, group participation, attempted contacts and the individualized service plans developed with families in Fidos within 72 hours of contact. Domestic Violence advocates also regularly engage case workers via email, phone and face to face contacts when an issue of concern is noted and needs to be elevated by the Advocate. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. None 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. See Attachment 2 for the resumes and trainings for the Supervisory staff members who will manage and/or administer services under this proposal. Staff members who will provide services under this contract, should it be awarded, are maintained in Maple Star personnel files. • Maple Star has been offering Domestic Violence Reduction Program services to Adams County since 2012 and has served in excess of 500 Adams County families and children during that time. The current Domestic Violence Advocates and DVOMB certified supervisor bring a wealth of experience in providing advocacy as well as domestic violence offender services to the program. • Maple Star is well -versed in facilitating various groups and implements innovative options to the group process in an effort to build self-awareness, insight, and healing. These innovations include drumming, yoga, music, and/or art. These non-traditional modalities are positively indicated for families with significant crises and for those with trauma histories. Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence Background checks including CBI, FBI, BIU, e -Verify and DORA, where applicable, are conducted on every Maple Star employee. All required background checks are conducted as outlined in Colorado Department of Human Services Volume 7 Rules and Regulations. Maple Star conducts a minimum of three telephone reference checks prior to employment. A driving record check is completed prior to employment. Caseloads have averaged twenty to twenty-five families per staff person. Supervisory workloads will be six workers per supervisor. Staff Requirements for Domestic Violence Advocates: • Education: Bachelor's Degree with a major in a human behavioral sciences field. • Training: 15 hours minimum of training as a victim's advocate • Experience: two years in the field including a minimum one-year experience in domestic violence advocacy • Skills: Advocacy of domestic violence programs, community services, and ability to provide psycho -educational training to families regarding domestic violence. • Maple Star will seek to recruit a bilingual Advocate. Other Staff Requirements: • Maple Star Colorado will recruit employees to serve the community to enhance a sense of community and remove barriers and resistance to service provision. We will strive to actively recruit and hire employees who are culturally similar to the families they serve. Regardless of an employee's ethnic or cultural background, they must interact with and provide services to all others without regard to race, ethnicity, gender, sexual identity, religion, language ability, level of education, or socioeconomic status. It is essential for culturally appropriate Advocates and Supervisors to establish a foundation of respect, trust and empowerment as families are more successful and responsive to interventions when they feel respected. Maple Star Colorado will require all staff to attend and participate in Cultural Diversity training. As representative of this value, Maple Star Colorado expects that employees strive to understand various cultures and their inherent strengths; have a working knowledge of the cultures of the families with which they work; and seek trainings to help them understand diversity and oppression. Maple Star Colorado will continuously seek out bilingual professionals particularly in areas that pertain the families' religious and cultural practice and needs. Required Staff Training: Mandatory training for all employees includes: • Ethics • Cultural Diversity • HIPPA • Cell phone security- PHI • Harrassment • Maple Star Agency Orientation • Trauma Informed Care Through education and advocacy work with families and children Maple Star Colorado's Domestic Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence Violence Reduction program will strive for the following program outcomes: • Reduce the risk of out of home placement as identified by family stabilization and other tangible factors o Assessments will be completed at intake and discharge to determine progress. Case Workers provided written updates on progress and successful completion of the psycho -educational group. • Reduce the risk of abuse and neglect o Measured by participation in educational efforts o Measured by no further reports • Shorten the length of out of home placement o Length of stay will be measured o Children will live in the least restrictive and safe environment (Outcomes at transition will be tracked) All DVRP referrals are received and reviewed on a daily basis by the Program Supervisor. Families are contacted within 48 hours of receipt of referral. Close weekly supervision with the Advocates will ensure compliance with all DVOMB standards. Through use of trauma informed approaches to families, Maple Star's programs have been imminently successful in engaging families in services and maintaining child safety in the home. 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. • Maple Star's Organizational chart can be found in Attachment 2. Staff Requirements for Supervisor: • Education: A Master's Degree or higher in social work or human behavioral sciences field • DVOMB certification • Experience: Minimum of one year of experience with domestic violence, crisis intervention and conflict resolution: knowledge of child development, in home visitation, and child welfare system • Skills: Ability to train families in domestic violence prevention, child abuse prevention, facilitate monthly support groups. Ability to supervise staff to ensure consideration of domestic violence dynamics when developing service plan and during client contact. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. Referrals may be made to the Domestic Violence Reduction Program through Fidos. The system will be monitored by the program supervisor and all referrals staffed and assigned within 48 hours of contact with Case Worker to discuss and develop a service plan. Client contact and reports will include data that documents dates and duration of services provided, progress on goals, client participation, client strengths, client challenges, a record of groups attended, level of participation, progress toward resolving the domestic Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence violence issues that led to safety/risk issues for the children, referrals to other resources, and other information requested by the County during the agreement term and other appropriate data. Contact reports will be submitted no later than 72 hours after the client contact and will be entered in to Fidos. Daily phone or email updates will be provided with more frequent communication as needed. Maple Star shall maintain program related statistics and report monthly on cases referred to the offeror from Child Welfare intake and ongoing units. Descriptive statistics of those served include, number of new referrals, number of children served, number of families served, number of family team meetings attended, risk estimates for victims, risk estimates of perpetrators, court reports, cases referred to the offeror, client contacts for both Child Welfare intake and ongoing units, number of families that engage with the offeror within ninety (90) days of Child Welfare contact, service referrals, and demographic information including services declared at intake. Performance measures and outcomes will be discussed with the County at regularly scheduled, quarterly meetings. As requested, Domestic Violence Reduction Program staff and the County will participate in staffing cases, with each party determining personnel appropriate to participate. Conflicts and concerns should be addressed at the lowest level possible with adherence to the County and offeror's respective chain of command procedures. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. Maple Star currently provides Domestic Violence services in Adams and Broomfield counties. The DVOMB supervisor of this program would also supervise any Weld County Domestic Violence Reduction Program cases. Should Maple Star be awarded a contract for multiple service lines, they are considering opening an office in the northern Colorado region. Maple Star will be able to meet the need of Weld County through this office or from their other offices to provide services in a timely and effective manner. Maple Star will be able to take referrals within 30-45 days of the initiation of the contract or upon formal notification of intent to award the contract. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. Maple Star's Domestic Violence Reduction Program may be operated in one of two ways: as a case rate, with an advocate engaging the individual family an providing up to 50 service hours over the course of up to six months. The case rate for DV Advocacy services is $3250 per case. Or Weld County RFP Bid No. B1700080 Anger Management/ Domestic Violence Fixed rate contract where an agreed upon number of referrals are covered per month at a rate of $2000 per case; for example, a minimum of 10 referrals per month is required which would be $20,000 per month or $240,000 annually. Minimum number of cases for this price structure would be 10 cases per month. Having two dedicated full time advocates would staff the program adequately to conduct weekly groups for men, women and children as part of the contracted services. The group format is described below. Maple Star is open to cross training dedicated Weld County staff members to provide Domestic Violence and KEEP services in order to meet the needs of Weld County while offering sufficient staffing opportunities to ensure that staff are available to provide on -call and/ or group services. Domestic violence advocacy and psychoeducational services are not Medicaid billable. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. See Attachment 4 Weld County RFP Bid No. B1700080 Attachment 1 MapleStar DVR Psycho -educational Classes and Advocacy As of February 1St, 2013, Maple Star Colorado has been providing Adams County with its Domestic Violence Reduction services. We have a DVR advocate assigned to the intake section and one to the ongoing section. We provide case management and advocacy services to those that are referred to our services from the related section. We also offer psycho -educational classes for women, men, and children involved. These classes are meant to educate and empower the individuals involved, and help them make safe choices in the future. Advocacy The role of the domestic violence advocates is to make contact, provide resources/support, and assess for group readiness to the DVR psycho -educational classes. Because a referral to the DVR program only occurs if there is suspected or documented domestic violence in the relationship/home, the advocates are working under the assumption that DV has/is occurring and will not be evaluating whether or not the clients should attend group or not. They will assess their ability to function in the group. We are not DVOMB providers and under our service contract, we are NOT permitted to do official court -ordered DVOMB assessments or therapy. Three different classes are provided for men, women, and children. • Men's class- offered on Tuesday evenings 6-7:15 pm ongoing. A member can join at any time that his caseworker and the DVR advocate deem appropriate, after screening as an appropriate candidate for class. This is for both "victims" and "perpetrators" as the information is not tailored to either perspective. • Women's class — offered Thursday afternoons 1:30 — 2:45 pm and evenings 6-7:15 pm with child care provided by the department. A member can join at any time that her caseworker and the DVR advocate deem appropriate, after screening as an appropriate candidate for class. This is for both "victims" and "perpetrators" as the information is not tailored to either perspective. • Children's class — offered concurrently with the women's class on Thursday evenings 6-7pm. These classes typically last about 1 hour and focus on communication, safety, relationships, sense of self, and strengthening protective factors. A member can join at any time that his/her caseworker and the DVR advocate deem appropriate, after screening as an appropriate candidate for class. These classes are offered for ages 5 and up. • One-on-one work with candidates deemed appropriate for group will ONLY occur in the instance that all other class members fail to show for class and this class member still wants the information and is present. If you have any questions about the DVR program, please contact your DVR advocate or the Director of Community Operations. Thank you! DVR Lead Advocate —Ongoing Mallori Kenworthy DVR Advocate — Intake Angela Bingham DVR-Advocate- Ongoing (PT) Addy DeMasse cell(720) 625-9367 cell (720) 625-9365 cell (720) 480-2910 mkenworthy@adcogov.org ABingham@maplestar.net ADeMasse@maplestar.net Maple Star's Domestic Violence Reduction Program (DVRP) Our mission is to provide clients with advocacy services and education that will strengthen and support them in making positive and safe decisions for their futures and those of their children. Program components • Intake and Ongoing DVRP Advocates, under the supervision of the Program Manager through Maple Star, provide services to intake and ongoing clients with aspects of domestic violence in their homes. o Initiate first meeting with victims and perpetrators (after three unsuccessful contact attempts, case workers are contacted and referrals are closed) o Assist families to adhere to child welfare safety plan and create domestic violence safety plan o As needed, provide minimal crisis intervention o Improve clients' access and utilization of community resources that provide services outside of DVRP scope (shelters, emergency hotlines, financial assistance programs) o Accompany clients to court dates, FTM's and other important meetings as needed o Provide psycho -educational classes for men, women and children (ages 6-12) involved in DVRP focused on safety, understanding dv, resiliency, internal and relational strengths, growth and development, impacts of dv on children and families, communication and emotional intelligence. o Communicate with case workers as needed in order to collaborate and report on critical information • All referrals to the DVR program are made in SharePoint. o Intake and ongoing case workers making referrals are expected to provide adequate information in order for advocates to be able to make safe contact with the family or individual. o Case workers are expected to refer to SharePoint notes for information on advocate's contact with clients and client services before contacting advocates. • DVRP Supervisor ensures program quality. o Works with Adams County management and supervisors to ensure highest level of care for clients o Reviews SharePoint referral notes in order to assure timeliness and quality of advocate records o Co -supervises advocates with related units (intake, ongoing) o Co -locates at Adams County building on Thursdays in 1s` floor Maple Star office o Monitors case loads, dynamics of cases and advocacy o Ensures quality and effectiveness of psycho -educational classes o Engages in regular supervision with advocates • Advocates DO NOT provide the following services: o Official evaluations of whether or not domestic violence is present and/or whether a client needs domestic violence treatment (evaluation services are referred out to DVOMB provider agencies) o Therapy to families and/or individuals o Individual psycho -education Please contact us directly with any questions, concerns or feedback DVRP Advocate Lead - Ongoing DVRP Advocate — Intake DVRP Advocate — PT/Ongoing Mallori Kenworthy Angie Bingham Addy DeMasse (720) 625 9367 (720) 625 9365 (720) 480 2907 mkenworthy@maplestar.net abinghamPmaplestar.net admasse@maplestar.net Weld County RFP Bid No. B1700080 Attachment 2 Mallori Kenworthy 1404 S. Richfield Way, Aurora, CO 80017 720-939-8477 mkenworthy.09@gmail.com Education Experience Additional Experience Master of Arts, Clinical Mental Health Counseling Argosy University, Denver, Colorado (CACREP accredited) Bachelor of Arts, English Writing (Minor in Sociology) University of Colorado Denver, Denver, Colorado January 2010 — October 2012 AuSas1, 2003 — December 2007 Mental Health Counselor, Parker, Fmyd &A.rsocsates Marrb 2012 — present • Provided psychoeducation and therapeutic services via group and individual sessions. . Conducted mental health and anger management evaluations. . Performed intake evaluations for domestic violence and substance abuse clients. • Developed treatment plans and monthly reports. • Worked directly with human services and the judicial systems. Assistant to the Coordinator, Atuvra Public Scboolr jte# 2009 - Marrb 2012 . Worked directly with the coordinator, specialists, and teaching staff for special needs students, regarding schedules, services, and coverage. • Managed the front desk staff, offering overall support to 60 staff members. . Provided support and information to families regarding education and special needs. • Managed concerns and open cases for families, students, and staff members. Help Line Counselor, TeenCentral net June 2009 -pay 2010 • Listened and responded to challenges and issues submitted to website. • Responded in a timely manner to clients, offered support, and provided resources. . Maintained rapport with recurring_clients,providingsafety planning and education. • Registered Psychotherapist with the state of Colorado • Trained for non-violent alternatives program for Denver inmates. . Completed required training for Domestic Violence Offender Management Board 1 Heather Morris, MSW 10318 Cheetah Tail, Littleton CO 80124 714-883-9875 cell Heatherm1207@gmail.com Objectives Seeking a challenging position where my education and varied experience will be effectively utilized. Experience Maple Star Colorado Director of Community Operations May 12 -present Assisted with the design and implementation of more than 5 new programs, including Home Study writing and supervision, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction Program, Permanency and Removal Prevention services, Kinship Services and Intensive Family Finding. Programs currently serving community programs to 10 major Colorado Counties. Foster Care services are provided along the Front Range and regularly contract with over 15 counties. PRIMARY RESPONSIBILITIES: This position is responsible to oversee all program services in Community and Foster Care Program areas. These services may include, but not be limited to, assessments; service team meetings; case management services; foster care, support groups; advocacy; recruitment and certification of foster parents and home studies. Administratively, this position will oversee Human Resource, Information Technology, and Billing processes. Program Supervisors, Orientation and Training • Responsible for the interviewing, hiring, orientation, training, on -going supervision, and written evaluations of the program supervisors that work in the agency. • Insure completion of orientation for new program supervisors • Develop and coordinate ongoing training agenda for staff Program Supervisors Supervision • Provide minimum of two individual supervisions each month for full time supervisors, may include phone supervision and will include documentation of supervisory sessions. Performance Assessments • Continually assess and develop methods to improve performance of individual programs • Respond to conflicts or concerns pertaining to supervisors' performance in addition to the monitoring performance of the staff supervised by the program supervisors • Provide performance evaluations according to guidelines for newly hired staff and for yearly reviews Foster Care Director October 2009 -May 2012 Supervised up to 7 full time staff , 50 foster homes and 100 children in placement. Primary Responsibilities: The Foster Care Regional Director is responsible for the certification and training of foster homes, placement of youth into foster homes, and supervision of agency case management personnel. • Responsible for collaboration with Recruiter and Home Supervisors in the recruitment, licensing, training, and evaluation of Foster Parents. • Review all Home Studies completion according to SAFE requirements • Assist Recruitment staff in development of robust recruitment plans, assist with specialized recruitment and ensure appropriate tracking and reporting formats are completed, accurate and timely • Complete file audits and approve prior to certification and on annual basis for compliance with Volume 7 regulations. • Complete license and Issue Certificate only after thorough file audit has been conducted. • Ensure appropriate profile development for matching of youth and family information communicated to referral agencies. • Responsible for obtaining and following up on referrals from outside sources, the matching and placement of youth into foster homes, as well as the subsequent rate negotiations.. • Maintain record of monthly census for preparation of foster parent invoices as well as financial reporting to Executive Director. Concept 7 Family support and Treatments Centers, Orange, CA Regional Director- Foster Care Program- Orange and San Diego Counties March 2004- May 2009 • Hire, supervise and evaluate the Masters level Social Work staff and support staff for the Orange and San Diego County regions • Recruit, train, and certify treatment foster homes according to Community Care Licensing and County contract requirements • Oversee the intake placement and termination process for foster children • Oversee home study process and approval for new and recertifying families Program Supervisor Monitored Visitation and Transportation Program April 2002 -March 2004 • Family Support Specialist • February 2001 -April 2002 Education San Diego State University, San Diego, CA USA Masters, GPA 3.92 Major: Social Work May 2000 University of California, Santa Barbara, Santa Barbara, CA USA Bachelor of Arts GPA 3.27 Major: Psychology June 1994 Certifications SAFE Home Study- May 2005 SAFE Home Study Supervisor September 2011 2 CERTIFICATE OF COMPLETION This is to certify that ()LOGY by Dr. Debi Grebenik CERTIFICATE OF COMPLETION TRAUMATOLOGY i r1 r41., tt.), tt ) 0 (co,;) t 4:• _:() 91t { co mod:' cd cmt5 cd U -15)A U this certifies that Heather Morris "-'O s I z cos CV ., -- M O 5 b4 U . 6 z tut) O .4 --m C, r 4r r„;,C,-." SK-iite.4.1.144:614 Relias - Nikoya Marsh Page 1 of 1 This is to certify that Heather Morris has successfully completed Why Are We Talking About Trauma? Completed on: 2/19/2014 Credit Hours: 4.00 ItEI.I As f f'.ARNI:NG Mary Brooks Kaskela 414 West Acoma Dr. Mobile: (720) 244 2086 Littleton, CO 80120 bkaskela@gmail.com Objective To obtain a challenging position that enables me to better people's lives through expanding their opportunities and promoting personal growth Education 1996 - 2000 Rhode island College Providence, RI Bachelor of Arts in Psychology awarded August 2000 Work experience 2003 - 2006 University of Northern Colorado Denver, CO Masters Degree in Community Counseling awarded December 2006 2013 - present Maple Star Colorado Denver, CO Permanency Director As a result of the efficacy of and dedication to the KEEP program, it has spread to serve several more counties through providing therapeutic case management and consistently operating with a trauma informed philosophy to support and educate families in efforts of creating safe and stable homes for children. This promotion to Permanency Director was necessary to manage multiple KEEP teams as well as the creation and implementation of the intensive family finding program. The intensive family finding program seeks to find healthy connections for children involved with the deparlrnent of human services. The role of Permanency Director is also responsible for having a role in the management of Maple Star as a whole as well as budget and financial decision making. In both this and the KEEP Supervisor position, there are frequent interactions with varied members of county administration, caseworkers, court personnel, as well as other community agencies. Advocacy and liaising for clients, building community partnerships, and knowledge of community resources are woven throughout all of the programs and positions in the respective programs. In this position, f am currently managing 8 program contracts and their related teams and services provided. 2012 - 2013 Maple Star Colorado Denver, CO KEEP Supervisor This position entailed the development, implementation, and management of the KEEP Program. KEEP is a removal prevention and reunification program that seeks to provide families, with risk of removal of children, with the necessary skills and knowledge to provide a safe and stable home for their children. This includes hiring, training, and supervision responsibilities of the team. As program supervisor, I received and created rich trainings in trauma informed care, motivational interviewing, and DBT that added to my wide knowledge base of child development and parenting. DVR Supervisor This position entailed the development, implementation, and management of the Domestic Violence Reduction Program. The DVR Program provides case management and psycho -educational groups to children and parents with domestic violence dynamics in their home. This includes hiring, training, and supervision responsibilities of the team. This also included creating the curriculum for the children' groups as well as the facilitation thereof. 2007 - 2008 Tennyson Center for Children Denver, CO Therapist The duties of this role include creation and implementation of experiential group therapy, individual therapy, and crisis intervention. Along with necessary therapeutic components such as quick creative thinking, this entails keeping accurate documentation and efficient communication with necessary parties. The population being addressed is 5 to 18 year -olds who qualify for residential care at this facility, usually with abuse or neglect in their history. Provisional LPC attained, TCI trained 2005 - 2006 Family & Play Therapy Institute Aurora, CO Intern The many facets of this internship included co -leading grief support groups at Judi's House, leading individual counseling with teenagers, in -home family therapy, counseling with couples, and adult family therapy. Issues addressed in counseling include depression, PTSD, obesity, health concerns as they relate to mental health, previous abuse, and healthy development (physical, social, emotional, cognitive). Other responsibilities include documentation, scheduling, communicating with caregivers, case management, and participating in supervision. June, 2005 - October, 2005 Creative Beginnings Child Placement Agency Denver, CO Case Manager Case management duties include ensuring implementation and maintenance of services and support for both foster parents and the children in their care. Necessary for this is a therapeutic relationship with the parents and children, as well as organized documentation and good communication with caseworkers, therapists, and other related professionals. 2002 — 2004 Tennyson Center for Children Denver, CO Youth Treatment Specialist The Special Services Unit of Tennyson Center for Children is designed to provide short-term relief, stabilization, and diagnostic assessments to families and service providers in need. The duties of this position include creating and executing psycho educational therapeutic groups, individualized and milieu therapy, and crisis interventions. Also included is communicating with the parents regarding the family's needs and consulting with the psychiatrist regarding the child's individual needs. 2000 - 2002 Residential Counselor Washington Park Children's Shelter Providence, RI This children's shelter is a temporary, safe environment for children ages newborn through twelve years who have been abused, abandoned, or neglected. Most of the children have behavioral and emotional problems. The duties of a residential counselor include helping the clients learn proper hygiene and nutrition, socialization skills, anger management, behavior management, and crisis management. *references available upon request 0 al r A v,AT ';.V7,744-ir Ifr= h _ .l ..'MZ. p?.t - si xis74 — 1 2 O top 2 M ?.i V co 1_4 1= .t GO •ty con F Mr CCi k fi U 2 f cm i 4 vh a. _ a z ) Relias - Nikoya Marsh This is to certify that Brooks Kaskela has successfully completed CUP Trauma Informed Services: An Overview of the Impact of Trauma on Children Completed on: 10/9/2013 Credit Hours: 9.00 i rsn •., ri. ,� :..r-•.ir ta. rratM 4r,^^Mnr Page 1 of 1 httn'//nrnvitdpnrp trainina naliaclparninn rnm/CarrifiratPa/R an flaw none 7('n...ti.eTl«,.,,11... C/1PIA A The Whole -Brain Child RIGHT BRAN = EMOTIONAL PART I UPSTAIRS BRAIN = SOPHIS ;AfF ANALY-"CAS. DOWNSTAIRS BRAIN = PRIMITIVE, REACTIVE When your child is upset: 1. CONNECT FIRST RIGHT BRAIN TO RIGHT BRAIN eg, loving touch, empathy, validate their feelings, listen, reflect 2. REDIRECT WITH LEFT BRAIN When they are more receptive, involve child in making amends In high stress situations: 1 APPEAL TO THE UPSTAIRS BRAIN i Keep them thinking and listening rather than lust reacting After a difficult event USE THE REMOTE OF THE MIND TO PAUSE, REWIND AND FAST - FORWARD to help them process what happened LET THE CLOUDS OF EMOTION ROLL BY Help children understand that negative feelings are temporary GIVE TOOLS + STRATEGIES TO CALM THEMSELVES eg, taking calm breaths, visualising a calm place USE CONFLICT AS AN OPPORTUNITY TO TEACH KIDS USE LEFT -BRAIN STORY TELLING to help them understand I what is upsetting them + feel more in control J EXERCISE THE UPSTAIRS BRAIN eg, give choices, practice solving problems with them, practice controlling emotions, build self - understanding, consider other's feelings When kids are reactive ENCOURAGE PHYSICAL ACTIVITIES to shift their emotiona state and reconnect with their upstairs brain GIVE KIDS PRACTICE i AT REMEMBERING to help integrate implicit and explicit memories e.g. important and valuable moments of their lives Teach kids to explore SENSATIONS IMAGES FEELINGS THOUGHTS inside them to help them understand and , change their experience • IQs 1, -l;w FAMILY FUN + ENJOYABLE RITUALS t creates positive memories © The Montessori Notebook Relias - Nikoya Marsh This is to certify that Brooks Kaskela has successfully completed Page 1 of 1 CUP Attachment and Trauma Connections: Clinical Applications to Practice Teleclass Completed on: 6/3/2013 Credit Hours: 4.50 S ' wtr. pro.:, ,, .yfa l.t�.../(. L.. 4: --- r�.--I1. -_.TT' el,. . Relias - Nikoya Marsh Page 1 of 1 This is to certify that Brooks Kaskela has successfully completed CUP Trauma Past, Trauma Present: Trauma Informed Phase Oriented Treatment Teleclass Completed on: 5/20/2013 Credit Hours: 6.00 1 .H.J4AS' 1 1:ARNI \G M+A•. r S/grnft., 1- .4._ tL ]J_ _t7 _t_ . an P /A /AA'S • Weld County RFP Bid No. B1700080 Attachment 3 � g8 z • HI 8 'Et dg 5t Printed: 20 -Apr -17 Weld County RFP Bid No. B1700080 Attachment 4 AR o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMf0DIYYYY) 03/20/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: heathcare.accountscssiiknarsh corn Fax 212-94&1307 . -TECH-17-18 CONTACT NAME: PHONE TFAx (A/C No Eat): _ _ (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 8 INSURER A : Allied World National Assurance Company 10690 INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 INSURER B INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: LOS -001996925-03 REVISION NUMBER:6 THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH OF PERTAIN, POLICIES. ADDLSUBRI- INSD INSURANCE MD LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. wee' LTR TYPE OF INSURANCE I POLICY NUMBER POLICY EFF (MENDDIYYYY) POLICY EXP IMM/DDIYYTY), - -- ------ - LIMITS COMMERCIAL GENERAL LIABILITY I _I OCCUR EACH OCCURRENCE $ CLAIMS -MADE DAMAGE TO RENTED PREMISES (Ea occurrence) 4 $ JPERSONAL GEN'L ._.__.. I MED EXP (Any one person) $ & ADV INJURY $ AGGREGATE LIMIT APPLIES PER; POLICY I PRO - ' JECT I I LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE ___.. —.. LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ _ UMBRELLA LIAR_ EXCESS LIAB I OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $--- DED I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA' I PERI OTH- STATUTE I I ER E.L. EACH ACCIDENT $ y EL DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT S A Tech/Security & Privacy 0309-4884 03/15/2017 03/15/2018 Limit of LiaEility SIR $10,000,000 $2,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (AC ORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION Weld County Weld County Department of Human Services 1150 O St. PO Box 758 Greeley, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Sarah Lawrence S a,41 4-. ACORD 25 (2014101) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AL) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 03,31/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk 8 Insurance Services CA License ti'0437153 777 South Figueroa Street Los Angeles, CA 90017 -PROV-CASUA-17-18 CONTACT NAME: PHONE FAX !A/C. Na Eat).t 0/C Ni E-MAfL ADDRESS: INSURERS) AFFORDING COVERAGE NAIL # IN/A INSURER A : NIA INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 /of1Vcr]wf±co w,.�.-----.—_ ...---___ INSURER a : Zurich American Insurance Con )any j16535 INSURER C : Travelers Property Casualty Company Of America 25674 INSURER O : N/A N/A INSURER E : INSURER F: • ""- --- — ISLYrolurs niuMb Fc:i THIS IS TO CERTIFY THAT THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL LTR TYPE OF INSURANCE I ISUBR PADIkrVD POLICY NUMBER POLICY EFF POLICY EXP (MM1DO/YYYY) (MMl0DIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY SELF -INSURED 04/01/2017 03/01/2018 EACH OCCURRENCE 3 1,000,000 CLAJMS-MADE IX, OCCUR E TO RENTED PREMISES occurrence) S —� MED EXP (Any one person) $ Ir PERSONAL& ADV INJURY $ 1 GENL )( AGGREGATE LIMIT APPLIES PER: r-. 1 GENERAL AGGREGATE $ 3,000,000 I POLICY , JEcT LOC I PRODUCTS - COMP /OP AGG F $ ! OTHER: $ B AUTOMOBILE X 1 LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO ALL OWNED SCHEDULED BAP 0141785-00 03/01/2017 03/01/2018 BODILY INJURY (Per person) $ X AUTOS I AUTOS NON -OWNED BODILY INJURY (Per accident) -. $ HEED AUTOS ( PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LAB I EXCESS OCCUR _ EACH OCCURRENCE $ LIAB I CLAIMS -MADE AGGREGATE I 1 $ DED ( RETENTION§ $ C WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y/N HC2JUB-42578395-16 10/01/2016 10/01/2017 x PER I 0TH- I STATUTE ER ANY OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE N N / A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes, describe under E.L DISEASE - EA EMPLOYE9 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,000 HEALTHCARE PROFESSIONAL LIAB CLAIMS MADE SELF -INSURED 04/01/2017 03/01/2018 EACH OCC 1,000,000 AGGREGATE $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more spans is required) Weld County is/are included as additional insured where required by written contract with respect to general liability. ncn-r,c.n a Tc u•••, rt.-r% CANCELLATION Weld County Weld County Department of Human Services 1150 O a PO Box 758 Greeley, CO 80632 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Charles Shin CO 1988-2014 ACORD CORPORATION. Alt rights reserved. The ACORD name and logo are registered marks of ACORD AC RO U EVIDENCE OF PROPERTY INSURANCE DATE (MNYDDIYYYY) 03/02/2017 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE COMPANY LjA/C,No Ex Marsh Risk & Insurance Services North American Elite Insurance Company CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: Healthcare.accountsCSS@marsh.comiFAX: 212-948.1307 -PROVI-Prop-17-18 FAX ' E-MAIL - - tA1C. Nod: I ADDRESS: CODE: SUB CODE: AGENCY CUSTOMER ID # INSURED LOAN NUMBER I POLICY NUMBER Maple Star Colorado NAP 2001079 01 2250 South Oneida Street Suite 200 Denver, CO 80224 EFFEC7NE DATE I EXPIRATION DATE CONTINUED UNTIL 03101/2017 03/01/2018 I TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED I I BASIC , I BROAD I I SPECIAL I COVERAGE/ PERILS FORMS All Risk of direct physical loss or damage to real property on a replacement cost basis, subject to policy terms, conditions and exclusions. Coverage Includes, but is not limited to fire. extended perils such as vandalism. malicious mischief and equipment breakdown Real Property Personal Property Business Income Other deductibles may apply as per policy terms and conditions. AMOUNT OF INSURANCE I DEDUCTIBLE 250,000 250,000,000 INCLUDED ABOVE INCLUDED ABOVE REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST LOS -002050624-04 NAME AND ADDRESS Beacon Healh Options, Inc. 9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 ADDITIONAL INSURED I LENDER'S LOSS PAYABLE 1 [ LOSS PAYEE MORTGAGEE I I LOAN # AUTHORIZED REPRESENTATIVE of Marsh Risk & insurance Services Charles Shin ACORD 27 (2016/03) © 1993-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID (H Krtown) Heather Morris, MSW PRIMARY CONTACT — FULL NAME PRIMARY CONTACT TITLE 3©3 564-2595 303 433-1980 PHONE NUMBER . FAX NUMBER '-c r Mc*rr ` P,A1'we;rs PRIMARY CONTACT — E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) 'Tleiia St_ s.nke ?4G AGENCY MAILING ADDRESS CITY RET4FRA; CONTACT - c1.I1 NAME ;IF DIFFERENT THAN PRIMARY CLiNTAt2; REFERRAL CONTACT— PHONE NUMBER 7JP REFERRAL CONTACT -`RLE Fla REFERRAL CONTACT - E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. Signature of Authorized Representative: � 1 Date of Signature: LH I : I I - Weld County RFP Bid No. B1700080 Life Skills Maple Star Colorado Bid No. B1700080 Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). See Cover page 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. Maple Star currently employs staff members who meet the Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). If selected, Maple Star would recruit bilingual Spanish/ English speaking staff members to meet the needs of the contract. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. Maple Star Colorado was incorporated in 1994 as a Colorado non-profit child placement agency by the state of Colorado Department of Human Services. Since that time Maple Star has developed multiple community services to meet the need of the children and families of many communities throughout Colorado. Services include KEEP Removal Prevention and Reunification Services, KEEP Kinship, KEEP Teen, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction, Intensive Family Finding and SAFE Home Studies. Additionally, Maple Star provides Clinical Services such as the Virtual Residential Program, Family Preservation (Therapeutic and non -therapeutic level), Life Skills. STAND adoption disruption prevention program, comprehensive Trauma Assessments, Autism and in -home Family/ Child therapy. Maple Star provides individualized client care that is creative, flexible, adaptive, and timely. Maple Star actively provides services throughout the Front Range from Larimer and Weld to Pueblo County, but also contracts with multiple other Counties and states to provide our Community, Clinical and Foster Care services within Colorado. Beginning in 2014, Maple Star has provided trauma focused services under the Title IV -e waiver to El Paso and Denver Counties. Mission and Service Philosophy: Maple Star's trauma -specific approach provides individualized and holistic services that promote wellness, durability, and healing through the context of relationship. Service Philosophy: Maple Star believes in enhancing the self-determination of each client through a model that encourages healing, growth, and progress through a relationship -based model. This model is developed from current research (Bruce Perry, Karyn Purvis, Heather Forbes, Bryan Post, and Daniel Siegel) and incorporates an understanding of trauma and the brain. Weld County RFP Bid No. B1700080 Life Skills The common thread of Maple Star services is the emphasis on the strengths and uniqueness of each client and family. We are dedicated to ensuring that all clients are offered services with treatment methods that will accomplish treatment goals. We encourage clients and families to participate fully in developing their goals and the means to successfully achieve these goals. Exploring available community support networks and facilitating connections with these services for families is an underpinning of the durable nature of Maple Star's services. Maple Star strives to provide services in home and community -based settings, whenever possible. Trauma Assessments and some visitations do occur in our office locations in Denver, Colorado Springs or Pueblo. In 2014 Maple Star became a trauma -informed workplace participating in a yearlong process through the National Council of Behavioral Health. Through conducting organizational assessments developed with a trauma lens, Maple Star was able to evaluate agency -wide trauma competency and implement new, or improve current, practices to best meet the needs of clients, staff and community partners with a holistic trauma informed approach. Maple Star selected multiple Trauma Champions within the agency to help implement trauma specific strategies into all areas of Maple Star's operations. Maple Star provides a wide array of services to meet the needs of multiple populations and is continually creating new programs in response to identified needs in a particular area. All of our programs share a primary commitment to provide care that builds upon our clients' strengths, responds to our clients' concerns, and utilizes natural support systems and community resources. Maple Star is part of Pathways, the behavioral health component of Molina Healthcare. Maple Star specializes in providing client centered therapy, case management, and foster care services to children, adolescents and adults served and monitored by government -subsidized programs. Maple Star Colorado has a demonstrated ability to provide highly trauma competent and resourceful services cross discipline throughout multiple communities in Colorado. Maple Star understands the unique needs of counties served and strives to contextualize our services to best serve the related population. Agency Directors manage the contracts. They are responsible to oversee Quality Assurance compliance, billing, and program development. In the last year, during all behavioral health as well as state audits, Maple Star passed with exceptional ratings and no significant deficiencies or safety concerns noted. Maple Star operates along the front range of Colorado including Weld County with its main office located at: 2250 South Oneida Street, Suite 200 Denver, CO 80224 303-433-1975 www.maplestar.net Brooks. Kaskela(pathways. corn Emily. Kleemanpathways. corn heather. morris cni pathways.corn Weld County RFP Bid No. B1700080 Life Skills Maple Star's Director of Community Programs, Brooks Kaskela, MA, oversees all community -based programming to ensure quality assurance. Emily Kleeman oversees all community programs in Northern Colorado including KEEP and Visitation. Heather Morris, MSW, State Director, provides leadership and oversight for all programs. Their resumes can be found in Attachment 1. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Maple Star believes strongly in its mission to provide individualized and holistic services that promote wellness, durability, and healing through the context of relationship and a trauma specific approach. We employ a collaborative approach with counties we serve, as this enhances the delivery of and satisfaction with services provided. We initiate development and implementation of services by first asking the county's specific needs to best contextualize services. We not only believe in collaboration at the onset of services but throughout the delivery as well. This assists everyone in making necessary changes that come to light throughout the service provision and evolving client and county needs. Maple Star believes in keeping services consistent across counties and across clients, to the extent that is appropriate without negating necessary regional contextualization. Particular to visitation services, the families served necessitate significant consistency in their visit times and facilitator. Through the trauma informed lens that Maple Star views our clients and services, we identify the need of the children served to see the involved parents at predictable, consistent times. It is also ideal to keep the structure and expectations of visitation consistent, as we know that these factors remaining stable minimize the trauma that begins at time of removal and often prior. The Facilitated Visitation and Parent Coaching Program will be provided in a carefully planned and coordinated manner that takes into account the referred children) and their family's level of need for supervision, structure and intervention. It is anticipated, due to the clinical orientation and staff composition of Maple Star Colorado, a significant proportion of the families referred for facilitated visitation services may benefit from a more structured and therapeutic approach. Bachelors and Masters level staff will work with children and families using a trauma focused approach help the families identify their strengths and build on them. Weld County RFP Bid No. B1700080 Life Skills Facilitators may employ a variety of interventions including: coaching and teaching skills; psycho -education around the role of trauma on behavior and understanding behaviors through a trauma informed lens, modeling positive parenting interventions, self- regulation, safety planning, and support in areas such as bill paying, nutrition, and budgeting. Based on the referral information provided by the Department, a visitation format and plan will be discussed with the family and include a variety of possible issues including but not limited to: Individuals participating in visits and anyone restricted from attending visits; the level of structure/supervision to be provided by Maple Star; explanation of the reporting function the agency has as facilitator; expectations for parents in terms of preparation for visits and items they need to bring; possible learning/skill-building goals and activities to be integrated into the visitation time and some general guidelines in relation to attendance and behavior. Visitation and coaching may be provided at Weld County, in the community, or at the family home. Once reunification has occurred, the services may extend to the family home in the form of Parent Coaching to assist with the transition and application of skills learned throughout the life of the visitation For all referrals made to Maple Star for visitation, an intake meeting will be scheduled with the parent(s) prior to visitations occurring. This first step is a key in developing a relationship with the parent(s) in a culturally responsive manner. Based on the referral information provided by the referring county, a visitation format and plan will be discussed with the family and include a variety of possible issues including but not limited to: scheduling/duration of visits; individuals participating in visits and anyone restricted from attending visits; the level of structure/supervision to be provided by Maple Star; explanation of the reporting function the agency has as facilitator; expectations for parents in terms of preparation for visits and items they need to bring; possible learning/skill-building goals and activities to be integrated into the visitation time and some general guidelines in relation to attendance and behavior. Maple Star will also take the first session to explain Maple Star's, the courts', the parents' and the county's roles with an emphasis on the importance of child safety. Ample time will be given to respond to any questions posed. During this intake appointment, Maple Star utilizes a self- assessment scale based on the Parent Assessment Scale (described below) with the related parent. This allows the parent the opportunity to self -report on their perceived skills and abilities to provide a safe and protective environment for children without requiring the parent to recount the entire history of their child protection services involvement. At the initial visit between the parent(s) and child(ren) the Parent Assessment Scale is then implemented in its full form, taking into account observations related to interactions with the children involved, during the first visit. The self -assessment completed during the intake appointment and this initial Parent Assessment Scale are reviewed with the parent(s) so the Facilitator may identify and address any discrepancies. These tools are used to develop goals for the Facilitated Visitation Services provided by Maple Star. Maple Star believes that strengths -based language and empowerment will assist the client in moving forward successfully. The use of this concrete, consistent tool helps to avoid the negative associations that may be present for the client in regards to the reasons they necessitate visitation services. By doing so, Facilitators may overcome a potential barrier to success at the onset of services through engagement of the parent(s) in visitation services. Weld County RFP Bid No. B1700080 Life Skills Facilitated Visitation Services will be provided at the level approved and as indicated by the Parent Assessment Scale. Offering the continuum of Facilitated Visitation Services allows a smooth and supervised transition to lower levels of supervision and structure by Maple Star with the targeted goal of reunification. Conversely, if a family is struggling at a lower level of structure and supervision, higher level visitation services may be indicated and can be accessed immediately upon authorization by authorized Department personnel. If reunification is the outcome of the case Parent Coaching services may follow the children in to the home and provide support in applying skills learned during visitation services as well as assistance with other areas such as household management, and access to community resources. Visitation services extend beyond the visit to include fifteen (15) minutes of time with the parents, before and/ or after each visit, to discuss the parenting visitation time goals, what went well, what needs to continue to be worked on, etc. Maple Star's visitation facilitators will provide the additional coaching when referred and authorized. Maple Star can also provide In -Home Family Coaching as part of their community -based Parenting Time Services. To assist with the awkwardness that some families encounter during a parenting session, Maple Star will provide baskets of activity ideas where families can draw an idea that prompts interactions such as playing a game, coloring together, building something, or creating a discussion. The activity basket can be utilized; however, it is not required for any of the parenting sessions. • These activities are in line with trauma informed principles in regards to increasing play and connections between family members involved in visitation services. • These activities support Motivational Interviewing tenets around meeting the individual where they are and walking the path of success with them. • Both Trauma Informed Care and Motivational Interviewing are evidenced based practices and woven through all of our services at Maple Star. A primary focus and goal of all Facilitated Visitation Services is to keep the child safe. This is accomplished through the immediate earshot/ sightline proximity of all Facilitators to parent(s) visitors, modeling of appropriate interactions as well as addressing parenting strategies that may not be beneficial to the child's well-being. All Facilitated Visitation Services include engagement of the parents with an effort to shape and coach positive, developmentally -appropriate, and trauma -specific parenting strategies. The goal is to improve the relationship and bonding between the parent and child, as well as to build a parent's protective capacities. • The schedule will include the needs all involved parties in the case. The hours that visits are provided will be aligned with other services currently in place and will support the families and children being served. • It is anticipated, due to the clinical orientation and staff composition of Maple Star Colorado, some of the families referred for Facilitated Visitation Services would benefit from a structured, trauma -informed, and therapeutic approach identified as Therapeutic Visitation to be supervised by Masters level staff. This is available and can be determined via the parent assessment tool or additional information from the referring county. Weld County RFP Bid No. 81700080 Life Skills • Maple Star will monitor visitation plan adherence and completion of individualized service goals developed collaboratively with client families. Whenever possible the visitation plan will be coordinated with any existing treatment plan in place. • Program staff will facilitate visits and employ a variety of interventions including: coaching and teaching skills; behavioral shaping/modification through positive reinforcement; role-playing and modeling of desired behaviors; identifying and reinforcing strengths and providing practical information and guidance. • Visitation Services will be provided by Bachelors and Masters level staff or staff with equivalent experience in the child welfare field. The Visitation program at Maple Star is supervised by a Licensed Masters level clinician. • Maple Star Colorado employs a family systems and strength -based approach in all programs and services, which includes Facilitated Visitation. Maple Star Colorado currently has the staffing resources in place to provide this service in a flexible and responsive manner with an individualized approach to setting and format. Visitation coordinators are experienced in guiding and supporting the visitation process and are able to provide varying levels of structure either within the office setting or in an appropriate community -based location. • Maple Star exhibits significant experience working with children, youth, and families within the child welfare system, particularly those with trauma histories or in placement. This experience lays the foundation for Maple Star's ability to provide safe and family -centered Facilitated Visitation Services. • Maple Star's twenty-three years of experience in working with foster care children includes understanding the needs of abused and neglected children while also working sensitively with relevant biological families. • Maple Star also provided multiple years of casework and casework supervision in El Paso County which included planning and supervising visitation services. • Additionally, Maple Star regularly provides Facilitated Visitation Services at our Denver based visitation center, our Colorado Springs office or in the community for Adams, Douglas, Denver, Boulder, Broomfield, and Larimer Counties. Maple Star has also provided services to Jefferson and Eagle Counties. This rich experience creates a knowledge base from which Maple Star will build. • The Facilitated Visitation Services will be based on safety and needs of the child and the family's visitation plan. This setting will prioritize family engagement in an effort to ensure the visiting parents feel safe and respected. Both children and families will be served in a culturally responsive manner which highlights the family's strengths. • Maple Star utilizes a Parent Coaching curriculum based on Daniel Siegel's Whole Brain Child (2012), Karyn Purvis's The Connected Child (2007), and John Medina's Brain Rules (2014). Visitation Facilitators and Parent Coaches use approaches and information from these books in educating parents on brain science, child development, and behavioral intervention strategies during their visits and during the debriefing time before and/or after the visit. Weld County RFP Bid No. 81700080 Life Skills • Transitions are difficult for children with trauma histories to manage. With this knowledge in the forefront of our interactions, Maple Star may provide calendar pages for each child to take with them at the end of the parenting time. The child and parents may place a sticker on the day of the next parenting time session so the child can monitor and predict when they will see their parents next. This strategy helps to alleviate anxiety and create predictability, both strategies are crucial in working with children with trauma histories. • Maple Star, in conjunction with the case worker, will develop visitation contracts with specific families if the visitors' attendance is not consistent, which may include the visitor calling ahead to confirm or arrive early to check in. This minimizes the children being re - traumatized should a parent fail to attend a visit. • Maple Star is able to answer questions that parents may be reluctant to discuss with other professionals due to their fear of the system. We can then build a bridge of collaboration and communication with other professionals and empower clients to use their voice and tools of success to meet their own needs. • For Community Based Facilitated Visitation Services, Maple Star may provide a wide range of options which includes parenting time 7 days a week, between the hours of 8:30 am to 8:00 pm, depending on the scope of the contract. The length and frequency of parenting time will be dependent on the needs of the case and schedules of the parents and children. Every attempt will be made to provide timely and flexible scheduling in the child's home community. • When office based visitation is indicated by the Parent Assessment Scale, Maple Star will partner with Weld County Department of Human Services to secure collocated office space. If the contract is awarded, Maple Star may consider Northern Colorado office space in which to provide visitation or other services to meet the needs of Weld County families. Maple Star's Parent Assessment Scale Recommendations to the Department regarding the level of visitation will be based on the safety and needs of the child. Maple Star's Facilitated Visitation Services will be used only until it is safe for children to be in a monitored or unsupervised visiting situation. The following factors will be considered in determining the length of time and level of supervision for visitation time services: • Safety of child/children • Progress of parents in treatment towards resolution of abusive/neglectful behavior • Progress of parents in demonstrating skills necessary to keep their children safe • Progress of parents in demonstrating an increase in their parental protective capacities Maple Star utilizes an assessment tool, combined with the factors listed above, to determine the needs and concerns to be addressed during the visitations. The assessment tool was based on the North Carolina Family Assessment Scale (NCFAS), an evidence based tool developed to assess safety. Weld County RFP Bid No. B1700080 Life Skills Maple Star modified this tool to target areas of the scale specific to the delivery of visitation services. This targeted tool delineates visitation services into specific categories. It does so by allowing facilitators to rate participants in several concrete domains. This gives all professionals and involved family members a common language from which to build goals and interventions. This tool is administered at the onset of services and at 30 day increments following. It is used collaboratively with the family in efforts of enhanced understanding of struggles and successes for the family as well as increased engagement in the visitation services and the time with their children. The domains the Parent Assessment Scale addresses include: • Parent status at visit - This domain assesses if the parent arrives on time, the parent(s)' hygiene/ substance use, the parent(s)' sensitivity to child's feelings, and the parent(s)' use of child friendly language. • Communication skills - This domain assessing the parent(s)' warmth and engagement toward child verbally and non -verbally and if the parent is verbally respectful to child. • Physical space and intimacy needs - This domain assesses the respect for child's physical space shown by parent(s), if the parent joins in with child's play or lets child initiate play, if the parent provides safe and comfortable interaction for child, if the parent sets appropriate behavior limit/boundaries, and if the parent handles child frustrations and anger appropriately and seeks to calm the child. • Conflict resolution -This domain evaluates if the parent demonstrates mutual enjoyment in the interaction and if the parent provides consistently appropriate modeling during interactions. • Understanding of child's developmental stage - The final domain assesses how the parent responds to child verbal and non-verbal cues, if the parent has appropriate expectations of child's abilities, if the parent provides basic care necessary for child's developmental stage, how the parent separates from their child at end of visit, and how the parent understands the impact of their behavior on their child Maple Star, as a member of the National Council of Behavioral Health, participated in a year- long process of becoming a trauma -informed organization. Seven domains were addressed where one of the domains is a trauma -competent and trained workforce. Maple Star provides multiple staff trainings which focus on trauma informed care. Twice annually at an all staff training, staff members engage in trainings on strategies that include the latest brain research from well-known experts Bruce Perry, Daniel Siegel, Karyn Purvis and other relevant researchers. These trainings are mandatory; additionally, Maple Star accesses on-line trainings on the brain and each staff member working on this proposal will complete a training on Trauma Informed Care where the impact of ACEs is discussed. Prevention strategies are outlined and presented in this training. Maple Star provides a New Hire Academy/ Orientation monthly providing trauma informed care training so that all Maple Star staff have a common language and skill set from which to work. This training covers the prevalence of child abuse and neglect, definitions of trauma and related topics, as well as techniques and tools for use with clients with various trauma histories. Certificates of participation for the Directors can be found in Attachment 1. Additional certificates for training can be found in each employee's personnel file. Weld County RFP Bid No. B1700080 Life Skills Maple Star's Facilitated Visitation and Parent Coaching Rates: Therapeutic Visitation: $86/ hour. Included in this rate is the planning prior and debrief time after with the parent. Supervised Facilitated Visitation: $55/ hour Parenting Coaching: $55/ hour Transportation: $50/ hour- billed in 15 minute increments Rate for collocated visitation personnel available to do scheduled and emergency on site visits TBD with Department depending on availability requested. Maple Star is able to bill Medicaid for therapy services. Visitation services are not Medicaid billable. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. None 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. See Attachment 1 for the resumes and trainings for the Supervisory staff members who will manage and/or administer services under this proposal. Additionally, the staff member who currently serves Weld County and is cross trained in KEEP and Visitation services is included in attachment 2. Maple Star's Staff Qualifications Maple Star's Visitation staff meet the following regulations: • Maple Star's visitation workers all have Bachelor's Degrees; however, a worker may have obtained a high school diploma or a General Equivalency Diploma (GED) and six months full time public contact in human services or a related field in some instances; however, the majority of the staff in this position will be Bachelor's level with experience. Substitution for public contact is successful completion of a certificate program and/or college course equivalent to public contact in human services or a related field. • The current Program Coordinator meets the equivalent of the minimum qualifications, as defined Volume 7, with a Master's Degree and Licensure in Social Work. • All visitation workers providing therapeutic visitation hold Master's degrees in the human services field. • Visitation reports will be emailed to the Department Case Worker and/or entered in to the required database based on individual Department requirements. • All Maple Star employees, including visitation workers, are background -searched to include finger prints and child welfare checks. • Mandatory training for all employees includes: • Crisis management • CPR/First Aid • HIPPA Requirements Weld County RFP Bid No. B1700080 Life Skills • Confidentiality • Ethics • Mandatory Reporting • Child and Adolescent Development • Trauma and the Brain • Beyond Consequences • Family dynamics • Strengths -Based Family Theory • Parenting which includes signs of abuse and neglect • Awareness related to alcohol and substance abuse issues • Safety protocols • Additional trainings for Parenting Time workers includes: • Intervention to promote change • Parenting skills • Behaviors that facilitate positive attachment, separation and reconnection • Training for therapeutic visitation includes: • Any person providing therapeutic supervised visitation services must be a licensed mental health professional or supervised by a licensed mental health professional • The use of therapeutic modalities to address parent -child interactions with a focus on improving the relationship and bonding between the parent and child. In collaboration with Maple Star, the county may request levels of experience or education for particular levels of service. 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. • Maple Star's Organizational chart can be found in Attachment 3 • Ratio of staff to supervisor does not exceed 10:1. • Supervision is generally bi-monthly but may be more or less frequently based on staff case load and client need, equivalent of two hours of supervision per month per employee; however, additional supervision may be provided during times of crises or when employees are new or experiencing a difficult case. • Most supervisors have master's degrees plus two years or more experience; while supervisors without master's degrees generally demonstrate two years or more work experience. • Supervisors receive additional training on how to be a supervisor though regular group supervision with cross Program Directors. Maple Star strives to sustain consistency across counties in the services we provide. In alignment with this goal, the agency conducts monthly supervisor meetings across the agency as well as monthly program supervisors meetings. Weld County RFP Bid No. B1700080 Life Skills Heather Morris, MSW- State Director- 16 years supervisory experience Brooks Kaskela, MA- Director of Community Programs- 5 years supervisory experience Emily Kleeman, LCSW- Northern Community Director- 3 years supervisory experience Patricia Pisano, BA- 1 year supervisory experience, 21 years experience in the field including recruiting and training foster parents and foster parenting. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. The Program Supervisor's phone number is available where interested referring Department Case Workers may call and staff cases for appropriateness of service, discuss dynamics of the case and determine ways the Maple Star Visitation and Parent Coaching program may be of service to the family. If an appropriate match is determined, the Case Worker will make a referral via email and FIDOS, and get approval through internal Department procedures. Once an approved referral has been received from the Department, Maple Star Northern Colorado Supervisor will reach out to the referring caseworker to gather any additional information. The supervisor will then staff the case with available workers and make assignments based on caseload and family location. The staff will reach out to the family to schedule an initial visit. The staff or supervisor will then email the referring caseworker regarding contact information for those that are assigned as well as details about the initial visit. Maple Star's established track record is evident in their ability to provide accurate, detailed and timely written reports for referral sources as well as maintaining productive working relationships with counties with which we collaborate. Maple Star will communicate progress and challenges to the caseworker on at least a weekly basis in the form of progress notes. Additionally, visitation workers are trained in issues related to working with families, crisis, abuse, reunification, and observation. The visitation workers' documentation will reflect their observations in multiple domains that include interpersonal dynamics, parenting techniques, behavioral appropriateness, and logistical responsibility (arriving on time and consistently or notifying Maple Star when delays or cancellations occur). The Program Supervisor also will track statistics and report to the County Department monthly. Visitation plans are based on court orders, children's safety, parents' progress, and status of the court case and are developed in collaboration with the parent during their intake visit. These goals in these plans are regularly reviewed and updated. Consistent communication between caseworkers and Maple Star's visitation workers will ensure compliance to the family's visitation plans. Case Worker and referral worker feedback surveys may be utilized at the time of case closure or termination of services. Maple Star endeavors to schedule a minimum of quarterly face-to-face meetings between Maple Star program supervisors and designated Department personnel to elicit feedback, discuss progress and concerns, and modify to fulfill Department expectations and Weld County RFP Bid No. B1700080 Life Skills ensure contract compliance. Quality Assurance calls are made randomly to clients to ensure client contacts are made and to ensure clients are receiving services and to determine if they are satisfied and are subsequently are given a forum to provide feedback. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. Maple Star currently provides visitation services in the adjacent communities of Larimer, Boulder, Adams and Broomfield counties. Additionally, Maple Star currently provides KEEP services in Weld County and this staff member is already cross trained in visitation services. Should Maple Star be awarded a contract for multiple service lines, they are considering opening an office in the northern Colorado region. Maple Star will be able to meet the need of Weld County through this office or from their other offices to provide services in a timely and effective manner. Maple Star will be able to take referrals within 30-45 days of the initiation of the contract or upon formal notification of intent to award the contract. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. Maple Star's Facilitated Visitation and Parent Coaching Rates: Therapeutic Visitation: $86/ hour. Included in this rate is the planning prior and debrief after with the parent. Supervised Facilitated Visitation: $55/ hour Parenting Coaching: $55/ hour Transportation: $50/ hour- billed in 15 minute increments Rate for collocated visitation personnel available to do scheduled and emergency on site visits TBD with Department depending on availability requested. Maple Star is able to bill Medicaid for therapy services. Visitation services are not Medicaid billable. time 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. See Attachment 4 Weld County RFP Bid No. 81700080 Life Skills Weld County RFP Bid No. B1700080 Attachment 1 Mary Brooks Kaskela Objective Education Work experience 414 West Acoma Dr. Mobile: (720) 244 2086 Littleton, CO 80120 bkaskela@gmail.com To obtain a challenging position that enables me to better people's lives through expanding their opportunities and promoting personal growth 1996 - 2000 Rhode Island College Providence, RI Bachelor of Arts in Psychology awarded August 2000 2003 - 2006 University of Northern Colorado Denver, CO Masters Degree in Community Counseling awarded December 2006 2013 - present Maple Star Colorado Denver, CO Permanency Director As a result of the efficacy of and dedication to the KEEP program, it has spread to serve several more counties through providing therapeutic case management and consistently operating with a trauma informed philosophy to support and educate families in efforts of creating safe and stable homes for children. This promotion to Permanency Director was necessary to manage multiple KEEP teams as well as the creation and implementation of the intensive family finding program. The intensive family finding program seeks to find healthy connections for children involved with the department of human services. The role of Permanency Director is also responsible for having a role in the management of Maple Star as a whole as well as budget and financial decision making. In both this and the KEEP Supervisor position, there are frequent interactions with varied members of county administration, caseworkers, court personnel, as well as other community agencies. Advocacy and liaising for clients, building community partnerships, and knowledge of community resources are woven throughout all of the programs and positions in the respective programs. In this position, I am currently managing 8 program contracts and their related teams and services provided. 2012 - 2013 Maple Star Colorado Denver, CO KEEP Supervisor This position entailed the development, implementation, and management of the KEEP Program. KEEP is a removal prevention and reunification program that seeks to provide families, with risk of removal of children, with the necessary skills and knowledge to provide a safe and stable home for their children. This includes hiring, training, and supervision responsibilities of the team. As program supervisor, I received and created rich trainings in trauma informed care, motivational interviewing, and DBT that added to my wide knowledge base of child development and parenting. DVR Supervisor This position entailed the development, implementation, and management of the Domestic Violence Reduction Program. The DVR Program provides case management and psycho -educational groups to children and parents with domestic violence dynamics in their home. This includes hiring, training, and supervision responsibilities of the team. This also included creating the curriculum for the children' groups as well as the facilitation thereof. 2007 - 2008 Tennyson Center for Children Denver, CO Therapist The duties of this role include creation and implementation of experiential group therapy, individual therapy, and crisis intervention. Along with necessary therapeutic components such as quick creative thinking, this entails keeping accurate documentation and efficient communication with necessary parties. The population being addressed is 5 to 18 year -olds who qualify for residential care at this facility, usually with abuse or neglect in their history. Provisional LPC attained, TCI trained 2005 - 2006 Family & Play Therapy Institute Aurora, CO Intern The many facets of this internship included co -leading grief support groups at Judi's House, leading individual counseling with teenagers, in -home family therapy, counseling with couples, and adult family therapy. Issues addressed in counseling include depression, PTSD, obesity, health concerns as they relate to mental health, previous abuse, and healthy development (physical, social, emotional, cognitive). Other responsibilities include documentation, scheduling, communicating with caregivers, case management, and participating in supervision. June, 2005 - October, 2005 Creative Beginnings Child Placement Agency Denver, CO Case Manager Case management duties include ensuring implementation and maintenance of services and support for both foster parents and the children in their care. Necessary for this is a therapeutic relationship with the parents and children, as well as organized documentation and good communication with caseworkers, therapists, and other related professionals. 2002 - 2004 Tennyson Center for Children Denver, CO Youth Treatment Specialist The Special Services Unit of Tennyson Center for Children is designed to provide short-term relief, stabilization, and diagnostic assessments to families and service providers in need. The duties of this position include creating and executing psycho educational therapeutic groups, individualized and milieu therapy, and crisis interventions. Also included is communicating with the parents regarding the family's needs and consulting with the psychiatrist regarding the child's individual needs. 2000 - 2002 Washington Park Children's Shelter Providence, RI Residential Counselor This children's shelter is a temporary, safe environment for children ages newborn through twelve years who have been abused, abandoned. or neglected. Most of the children have behavioral and emotional problems. The duties of a residential counselor include helping the clients learn proper hygiene and nutrition, socialization skills, anger management, behavior management, and crisis management. *references available upon request 4.0 0 01 00 4-w C 0 N Ct CO i z O t= ae W ALI W V Brooks Kaskela C!D qt z z C4 z w C w Cindy A Heritage MA LPC PRESENTED BY: February is, 2O17 ON THIS DAY: Let it be known tha. Brooks Kaskela 4) i ring rl O O) 4) citt F Relias - Nikoya Marsh Page 1 of 1 This is to certify that Brooks Kaskela has successfully completed CUP Trauma Informed Services: An Overview of the Impact of Trauma on Children Completed on: 10/9/2013 Credit Hours: 9.00 *oit i• c' ..r cS,eve+Mn hll„•//nrnvitienrp trainino rpliacloarninrr onm/1 Prfifl!'atac/Rort.7ar TI Z/)/ )ni I The Whole -Brain Child LEFT BRAIN = LOGICAL PART RIGHT BRAIN = EMOTIONAL PART UPSTAIRS BRAIN = SOPHISTICATED, ANALYTICAL DOWNSTAIRS BRAIN = PRIMITIVE, REACTIVE CONNECT AND RF-DIRFCT When your child is upset: 1. CONNECT FIRST RIGHT BRAIN TO RIGHT BRAIN eg, loving touch, empathy, validate their feelings, listen, reflect 2. REDIRECT WITH LEFT BRAIN When they are more receptive, involve child in making amends In high stress situations: APPEAL TO THE UPSTAIRS BRAIN Keep them thinking and listening rather than just reacting After a difficult event USE THE REMOTE OF THE MIND TO PAUSE, REWIND AND FAST - FORWARD to help them process what happened FEELINCS COME AND CO LET THE CLOUDS OF EMOTION ROLL BY Help children understand that negative feelings are temporary GIVE TOOLS + STRATEGIES TO CALM THEMSELVES eg, taking calm breaths, visualising a calm place ill USE CONFLICT AS AN OPPORTUNITY TO TEACH KIDS USE LEFT -BRAIN 1 STORY TELLING a to help them understand what is upsetting them + feel more in control EXERCISE THE UPSTAIRS BRAIN eg, give choices, practice solving problems with them, practice controlling emotions, build self - understanding, consider other's feelings When kids are reactive ENCOURAGE PHYSICAL ACTIVITIES to shift their emotional state and reconnect with their upstairs brain GIVE KIDS PRACTICE AT REMEMBERING to help integrate implicit and explicit memories e.g. important and valuable moments of their lives Teach kids to explore SENSATIONS IMAGES FEELINGS THOUGHTS inside them to help them understand and change their experience FAMILY FUN + ENJOYABLE RITUALS creates positive memories © The Montessori Notebook Relias - Nikoya Marsh Page 1 of 1 Reiias - Nikoya Marsh This is to certify that Brooks Kaskela has successfully completed CUP Trauma Past, Trauma Present: Trauma Informed Phase Oriented Treatment Teleclass Completed on: 5/20/2013 Credit Hours: 6.00 Page 1 of I ,rte rrn r%n,• Emily Melissa Kleeman, LGSW 1114 Sterrett Street Baltimore, MD 21230 Ekleeman626@gmail.com 443.570.0514 EDUCATION: Colorado State University, B.S. Degree - Human Development and Family Studies May 2005 University of Maryland School of Social Work, MSW, LGSW MACO/Clinical: Emphasis in Children and Families & Mental Health May 2011 PROFESSIONAL EXPERIENCE: Laurel Advocacy & Referral Services - Laurel, MD **Selected as the Co -Secretary for the Private Sector, Homeless Services Provider for Prince George's County of Maryland Continuum of Care LEAD Case Manager for Emergency Crisis Services July 1, 2014 - Current • Meet and assess needs of individual clients and families. • Through consultation with LARS personnel and area agencies, develop a case plan to meet identified needs. • Provide outreach to homeless clients. • Provide case management for clients staying in LARS two church shelters. • Document contacts and services in the Homeless Management Information Systems (HMIS) and other LARS data bases within 24 hours of contact. • Develop and maintain strong working relationships with other community agencies. • Supervise work of assigned personnel and volunteers. • Prepare reports for grant agencies, as assigned. • Maintain organized records on grants used to assist in the crisis clinic. • In the absence of the Executive Director assume the essential administrative duties necessary for the continued operation of LARS. • Coordinate LARS' fundraising events and process all information related to this effort within the required deadlines. • Annually evaluate subordinates. • Serve as a professional agent of LARS at functions in the community, as assigned or approved by the Executive Director. • Attend monthly meetings of the Prince George's and Howard County Homeless Partnership, and other collaborations. • Other duties as assigned by the Executive and Deputy Director. Transitional Housing Case Manager May 2011 - July 1, 2014 • Meet with and assess needs of client's families on a weekly basis. • Provide one-on-one clinical counseling to LARS emergency and transitional housing clients. ■ Through consultation with LARS personnel and area agencies, develop a case plan to meet identified needs, and update it as required. • Research and secure an array of services in the community to support the success of the clients. • Document contacts services on Homeless Management Information Systems (HMIS) and other LARS databases within 24 hours of contact. • Apply all clients for appropriate supplemental financial resources, including the Rental Assistance Program (RAP) on the day of program entry. • Serve as the liaison for LARS between rental management companies used for transitional housing. • Provide employment services and support for community members for 8 hours per week. • Conduct regular and random drug testing and breathalyzers on clients. • Assist with reporting and renewal for HUD grants and other funding sources. • Assist in crisis center one day per week. • Assist with fundraising planning and events as assigned. Mountain manor Treatment Center at Reflections LLC -Laurel, MD Mental Health Therapist and Substance Abuse Counselor February 2013- September 2014 • Complete substance abuse and mental health intakes for clients. • Meet weekly with regular mental health and substance abuse clients for individual, group, and family therapy when needed. • Develop treatment plans and goals for clients. • Diagnose clients for mental health and substance abuse disorders. • Complete all necessary paperwork, assessments, discharge notes, session notes and input them into medical database, APRIMA. • Complete weekly individual and group supervision with my supervisor to discuss client cases, treatment plans and progress towards goals. • Assist other clinicians with assessments, treatment plans and necessary paperwork. Pro -Bono Counseling Project - Baltimore, MD Mental Health Therapist - LGSW September 2012 - Current • Meet with and assess clinical needs of client under the supervision of a practicing LCSW-C. • Provide one-on-one ongoing clinical counseling to adults with depression and anxiety disorders, substance abuse problems, and physical, mental, and emotional disabilities. • Carries a case load of three to five clients for a period of six months to one year. • Participates in CEU seminars and trainings provided by The Pro -Bono Counseling Project. ARC of Baltimore - Towson, MD Employment Support Specialist II November 2009 - May 2011 ■ Ensured that individual rights and dignity were respected and that the agency policy on normalization and the behavior management policies were actively supported. ■ Implemented sufficient, appropriate and relevant training programs and maintaining required data for assigned individual based on objectives developed by team members. • Formulated written training programs, as appropriate, with +1.o CaseManage2sandl+` Psychologist. _ ■ Completed monthly review process fo- r individual training programs and other relevant individual records or reports. • Provided individual behavioral services as assigned including providing transportation and support services as required. • Provided staff augmentation and/or staff training as assigned. • Functioned as agency contact with employer, providing information about employing people with developmental disabilities. • Developed adaptive work methods as necessary to modification, task analysis and actual hand on hand job training. • Initiated and maintained regular, positive and proactive communication with individual's Case Manager and other persons personally and professionally connected to the individual's case progress. ■ Served as a member of the multi -disciplinary team responsible for developing individual plans. INTERNSHIP EXPERIENCE Main Street Housing, Inc. - Baltimore, MD Social Work Intern August 2010 - April 2011 • Assisted staff with property selection and community logistics for current housing initiative. ■ Researched, wrote and submitted three grants for Main Street Housing over $10,000. Organized and executed a community -based fundraising event for Main Street Housing which raised over $2000. • Spent a minimum of three days in Annapolis to learn about the political process and assisted staff with drafting a Senate Bill for this years legislative hearings. • Wrote three articles for On Our Own of Maryland's newsletter ■ Updated brochure, website and social networks for Main Street Housing, Inc. • Assisted staff at community conferences and events • Assisted staff with budget and finances for Main Street Housing, Inc. • Worked one on one with executive director to accomplish goals and objectives of strategic development plan Legal Aid of Baltimore City- Baltimore, MD Social Work Intern January 2010 - April 2010 • Coordinated with attorney's and pertinent staff members on client cases and completed mental health assessments for clients referred for services at the social work unit of Legal Aid • Assisted clients referred to the social work unit with accessing state financial benefits Coordinated health care and mental health appointments to ensure clients were receiving mental health services and complying with court orders • Trained attorney's and pertinent staff with social work roles and how to work with difficult clients struggling with social work related problems • Held weekly drop in hours for attorney's to discuss cases which involved a social work aspect References available upon request I L Heather Morris, MSW 10318 Cheetah Tail, Littleton CO 80124 714-883-9875 cell Heatherm1207@gmail.com Objectives Seeking a challenging position where my education and varied experience will be effectively utilized. Experience Maple Star Colorado Director of Community Operations May 12 -present Assisted with the design and implementation of more than 5 new programs, including Home Study writing and supervision, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction Program, Permanency and Removal Prevention services, Kinship Services and Intensive Family Finding. Programs currently serving community programs to 10 major Colorado Counties. Foster Care services are provided along the Front Range and regularly contract with over 15 counties. PRIMARY RESPONSIBILITIES: This position is responsible to oversee all program services in Community and Foster Care Program areas. These services may include, but not be limited to, assessments; service team meetings; case management services; foster care, support groups; advocacy; recruitment and certification of foster parents and home studies. Administratively, this position will oversee Human Resource, Information Technology, and Billing processes. Program Supervisors, Orientation and Training • Responsible for the interviewing, hiring, orientation, training, on -going supervision, and written evaluations of the program supervisors that work in the agency. • Insure completion of orientation for new program supervisors • Develop and coordinate ongoing training agenda for staff Program Supervisors Supervision • Provide minimum of two individual supervisions each month for full time supervisors, may include phone supervision and will include documentation of supervisory sessions. Performance Assessments • Continually assess and develop methods to improve performance of individual programs • Respond to conflicts or concerns pertaining to supervisors' performance in addition to the monitoring performance of the staff supervised by the program supervisors • Provide performance evaluations according to guidelines for newly hired staff and for yearly reviews Foster Care Director October 2009 -May 2012 Supervised up to 7 full time staff , 50 foster homes and 100 children in placement. Primary Responsibilities: The Foster Care Regional Director is responsible for the certification and training of foster homes, placement of youth into foster homes, and supervision of agency case management personnel. • Responsible for collaboration with Recruiter and Home Supervisors in the recruitment, licensing, training, and evaluation of Foster Parents. • Review all Home Studies completion according to SAFE requirements • Assist Recruitment staff in development of robust recruitment plans, assist with specialized recruitment and ensure appropriate tracking and reporting formats are completed, accurate and timely • Complete file audits and approve prior to certification and on annual basis for compliance with Volume 7 regulations. • Complete license and Issue Certificate only after thorough file audit has been conducted. • Ensure appropriate profile development for matching of youth and family information communicated to referral agencies. • Responsible for obtaining and following up on referrals from outside sources, the matching and placement of youth into foster homes, as well as the subsequent rate negotiations.. • Maintain record of monthly census for preparation of foster parent invoices as well as financial reporting to Executive Director. Concept 7 Family support and Treatments Centers, Orange, CA Regional Director- Foster Care Program- Orange and San Diego Counties March 2004- May 2009 • Hire, supervise and evaluate the Masters level Social Work staff and support staff for the Orange and San Diego County regions • Recruit, train, and certify treatment foster homes according to Community Care Licensing and County contract requirements • Oversee the intake placement and termination process for foster children • Oversee home study process and approval for new and recertifying families Program Supervisor Monitored Visitation and Transportation Program April 2002 -March 2004 • Family Support Specialist • February 2001 -April 2002 Education San Diego State University, San Diego, CA USA Masters, GPA 3.92 Major: Social Work May 2000 University of California, Santa Barbara, Santa Barbara, CA USA Bachelor of Arts GPA 3.27 Major: Psychology June 1994 Certifications SAFE Home Study- May 2005 SAFE Home Study Supervisor September 2011 2 0 Heather Morris N PRESENTED BY: ) I 'r, , CERTIFICATE OF COMPLETION Li5 -r r'1 Page 1 of 1 Relias - Nikoya Marsh This is to certify that Heather Morris has successfully completed Why Are We Talking About Trauma? Completed on: 2/19/2014 Credit Hours: 4.00 Patricia Pisano 2100 Stillwater Creek Drive, Fort Collins CO 80528 Cell: 970-413-3296 hmstudy4u@gmail.com Summary Recruiter of Foster Parents, Provided Trauma Informed training for foster families. Supervised/Monitored Visitation Supervisor for Larimer County contract through Maple Star. Foster/Adoptive Patent for 21 years. Extensive experience with special needs kids, have 6 adopted children. Owned a home -based preschool for 10 years, grew the business to 14 students, with 3 employees. Managerial experience as a Sr. Merchandise Manager for JC Penney. Annually bought over 1 million dollars in merchandise, oversaw display and selling of the goods as well as managed a staff of up to 25 employees. Experience Foster Parent Recruitment Specialist/ Parent Coach/Facilitator & Supervisor for Larimer County Sept. 2015 to current Maple Star, CO Recruit families to become Foster Parents. Provide training in Trauma Informed Care. Prepare documents for SAFE Home Studies. Coach parents in Monitored/Supervised visitation settings on parenting skills. June 2006 to 2015 Stay at home Mom At home Mom, raising 6 adopted special needs children, fostering children as needed. Worked with schools to asses children's individual needs are met through IEP's and additional services as needed. Worked with staff regarding classroom adjustments to ensure the optimal learning environment for each child. Pursued appropriate activities/sports for each child. Sought out support for curmulti-racial children in the community such as GPS - CSU African American mentoring program. A Place Like Home August 1996 to June 2006 Owner Escondido, CA started a home -based preschool that grew to 14 students. Taught Pre -K curriculum, provided enrichment programs such as field trips, foreign language program, and swim lessons. Offered parents training opportunities, mentored younger families and provided resources. Mentored new providers, assisted in business set up, provided on -going support. JC Penney June 1986 to August 1996 Senior Merchandise Manager Escondido, CA Responsible for purchasing and overseeing roughly 1 million dollars in merchandise (Jewelry, Lingerie and Women's Wear). Supervised a staff of 25 employees. Provided customer service, trained employees, hired and terminated employees based on performance & sales volume. Education University of Northern Colorado Bachelor of Arts: Psychology/Business Marketing Greeley, CO, USA P.R.I.D.E. Foster Parent training S.A.F.E, Home Study trained SAFE Environment Training - Cub Scouts, AHG & St. John's 1982 Extensive ongoing Trauma Training Karyn Purvis training First Aid/CPR trained (10 TV %V 1:1$ 4111 41i) 41) This is to certify that N oL O O V4 U 00 V Fs. EtV c tocid as o 711 -5 V0 0 • .. O QU A 0 C5 st A 73bY J O °� V VF • 1 • :, • A 11'0 . �� ,�..l.l.S��!`:`.+rte i�`.,+�+`-i�i.:•�r:�r: is 0.• t-:;‘:' ♦'. �'�� r►'+��► •+� '+��r' y�r'.••J�.' .!•:•yam►': -'.,��e•s. O a Trauma Lens: "What is Re C CO a) U otO cct A.. YC 4J CC 5A C1▪ 3 O • • ✓ 4 0 ▪ ° o u ° °• � O Uw u w y., La X O • '7) a 0 u a. O ff' czt • U O c• o▪ cn w cct 1J H td ° v O 0 Presented by: Nicole Pellitier and Andrea Fotsch cn u• LT-4 fti "O ▪ 44 c� C4 O v V Q O U a) a 0 O O aTI c� U j� E"4 2 ;1. W '� `v `rV • 47 0 0 -1!%). w • P-iW `N O; 4 Q g O U W 7 7z qQ 4.4 lain Trauma to Families" Creating A Trauma Lens: "How to Ex .5 .11 • • • 0 O 0 0 ytin O b U O ed • U • '4 0 0 O Presented by: CK Kemp and Andrea Fotsch st 23, 2016— 11:30 — 1:30 (2 hour of traum XI 0 u w° ct rip x � o y a 0 w 4 O V • c� A Your Own Tri a Trauma Lens: "Understandin CO U) L U o g U g O � U o X • .b • - o tre t as U � y tv0 t cn R4 I 7:1 g y cd ▪ 6.0 EQ 00 4 0 o lii o o U Presented by: Ryann Vertnetson and Andrea Fotsch September 23, 2016, 2016— 11:30 — :30 (2 hour of traum Weld County RFP Bid No. B1700080 Attachment 2 5rooke L Hawley 710 City Park Ave. #E535, Fort Collins, CO.80521 ^' (970) 889-2080 ^' blueravenechoC0gmail.com Objective • Provide an attitude of professionalism, positivity and warmth, while cultivating a welcoming and safe environment for clients and coworkers. • Maintain an open mind and willingness to learn the skill set required to be the best I can be at the tasks required of me. • Utilize skills I have obtained through previous experience, such as: Active Listening, Assessing the needs of the client, Problem Solving, Multitasking, Working well under Stress, and Attention to Detail. Job Experience Beaver Meadows Resort;100 Marmot Ln, Red Feather Lks, CO -970-881-2450 Supervisor: Linda Weixelman March 1997 to Dec 2002 • 2012, May -Sept. Server, Bartender, Customer Service, Catering, Weddings, Sales Beavers Market; 1100 W Mountain Ave, Ft Collins, C0'170-484-2243 Supervisor: Brian Beavers Aug 2007 to May 2009 Cashier, Customl er Service Arena Sports; 7850 S. County Rd 5, Windsor, CO 8052819701377-0065 Supervisor: Sally Kehl January 2014 to January 2015 Bar Manager El Dorado Mexican Grill; 215 1st St, Ault, CO 80610 (970)834-2245 Supervisors: Hector & Dinora Ramirez February 2015 to Present Server, Bartender Education Front Range Community College; 2005-2009 Associate of Arts Degree & Holistic Health Certificate Colorado State University; 2009-2011 Bachelor of Social Work Degree *Community Volunteer Work ^' Over 2000 hours ^' Details in Cover Letter* References available on separate page. Z Ocrp INN g ILL 7,- t, � z i- 4D gig po-4 D:tC a- � H 4J � 1-,Z E--4 a O O W o r4o Um G.14 F= w oC W Civtdy A Heritage MA LPC PRESENTED BY: February 15, 2O17 ON THIS DAY: C 0 04) ra- o -8 E D (2 0 o� o o 0 v w U -� L 47- 9 i 0 c o t a� o u E -5- E eQ0° U � 0 oe'lj Ti oC� 2) L 3 --+E EO L5 r\ N O L Q nJ) a 5O 0 0 Maple Star Representative Inc Weld County RFP Bid No. B1700080 Attachment 3 c O U o c C/D • N v ct d 80 b m S E S 4 Printed: 20 -Apr -17 Weld County RFP Bid No. 81700080 Attachment 4 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/2012017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License 40437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: healthcare.accountscss@marsh.com Fax: 212-948-1307 -TECH--17-18 INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 CONTACT NAME. PHONE (A/C, No, Ext.): E-MAIL ADDRESS: FAX (A/C No): INSURER(S) AFFORDING COVERAGE INSURER A : Allied World National Assurance Company INSURER B INSURER C INSURER D INSURER E INSURER F NAIC If 10690 COVERAGES CERTIFICATE NUMBER: LOS -001996925-03 REVISION NUMBER:6 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE AINSD WVD POLICY NUMBER ' POLICY EFF • POLICY EXP LIMITS (M lYEFF I POLICY EXP COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES LEa_occurrence) . $ MED EXP (Any one person; $ PERSONAL & AOV INJURY. $ GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE ''. $ ) PRO - POLICY ;JECTRO- LOC OTHER: PRODUCTS - COMPiOP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY i Per person) ' $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident)! $ HIRED AUTOS' _ _._. NON -OWNED AUTOS PROPERTY DAMAGE 1Per accident_ $ I$ UMBRELLA LIAB : OCCUR !. EACH OCCURRENCE $ EXCESS LIAB i CLAIMS -MADE AGGREGATE . $ OED I I RETENT ON$ I $ WORKERS COMPENSATION LIABILITY PER OTH- STATUTE __ ER AND EMPLOYERS' ANY PROPRIETOR/PARTNER,/EXECUTIVE Y / N N - N I A. E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED, (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Tech/Security & Privacy 0309-4884 0315/2017 .0315/2018 Limit of Liability $10.000.000 SIR 02,500.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Weld County Weld County Department>of Human Services 11500 St. PO Box 758 Greeley. CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Sarah Lawrence S Qt.4" 1.1tur YP.t� ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO CERTIFICATE OF LIABILITY INSURANCE �� DATE (MM/DD/YYYY) 03/31 /2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 -PROV-CASUA-17.1$ CONTACT NAME: PHONE FAX (A/C. No EXtL (A!C,No). ADDRESS AE SS. INSURER(S) AFFORDING COVERAGE NAIC # INSURER A N'A NiA INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 INSURER B : Zurich Amencan ':•nsurance Company 16535 INSURER C Travelers Property Casualty Company Of America 25674 INSURER D : NA N/A INSURER E INSURER F CERTIFICATE NUMBER: LOS -001996922-06 • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADOL'SUBR ' LTR TYPE OF INSURANCE INSD . WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DO/YYTY) (MM/DD/YYYY). LIMITS X COMMERCIAL GENERAL LIABILITY SELF -INSURED 04/01/2017 03/01/2018 EACH OCCURRENCE $ 1,000 000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES -- (Ea occurrence) MED EXP .;Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3.000.000 _- X POLICY _._ MI' LOC PRODUCTS - COMP/OP AGG _._ $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT d ; $ 1,000.000 B X ANY AUTO ALL OWNED BAP 0141785-00 03/01;2017 03'01/2018 BODILY INJURY (Per person) I $ _ AUTOS __ SCHEDULED AUTOS BODILY INJURY (Per accident)' $ I X _—._.. HIRED AUTOS _ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) ' $ '$ UMBRELLA LIAB EXCESS SS LIAB OCCUR CLAIMS -MADE' EACH OCCURRENCE $ AGGREGATE $ DED , RETENTION $ I $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANv PROPRIETORIPARTNER!EXECUTIVE l CE°ICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below HC2JUB-42570395-1F 00/01/2016 110!01'2017 _ x : PER ' ERH- STATUTE ! ER N IA E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE, $ 1,000,000 , E.L. DISEASE - POLICY LIMIT $ 1,000,000 ' HEALTHCARE PROFESSIONAL LAB CLAIMS MADE SEL-INSCRED 0401/20'7 03/01:2018 EACH OCC 1,000,000 AGGREGATE $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Weld County is/are included as additional insured where required by written contract with respect to general liability. ATE HOLDER CANCELLATION Weld County Weld County Department of Human Services 1150 0 St. PO Box 758 Greeley, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Charles Shin ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACC) EVIDENCE OF PROPERTY INSURANCE DATE (MM/DEVYYYYi 03'02/2017 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER O ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AF COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AGENCY PHONE (A/C No EA,I, Marsh Risk & Insurance Services CA License O437153 777 South Figueroa Street Los Angeles. CA 90017 Attn. Healthcare.accountsCSS@marsh com/FAx 212-948-1307 -PROVI-Prop-17-18 FAX _ -- E-MAIL LAIC N49;_ ADDRESS. CODE: SUB CODE: AGENCY CUSTOMER ID #: INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 F INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE FIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE AND THE ADDITIONAL INTEREST. COMPANY North American Elite Insurance Company LOAN NUMBER POLICY NUMBER NAP 2001079 01 EFFECTIVE DATE EXPIRATION DATE 03/01/2017 03/01/2018 CONTINUED UNTIL I TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED I BASIC I I BROAD I I SPECIAL COVERAGE / PERILS / FORMS All Risk of direct physical loss or damage to real property on a replacement cost basis, subject to policy terms: conditions and exclusions Coverage includes, but is not limited to fire, extended perils such as vandalism, malicious mischief and equipment breakdown. Real Property Personal Property Business Income Other deductibles may apply as per policy terms and conditions AMOUNT OF INSURANCE DEDUCTIBLE 250,000,000 INCLUDED ABOVE INCLUDED ABOVE 250,000 REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST LOS -002050624-04 NAME AND ADDRESS Beacon Health Options, Inc. 9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 ADDITIONAL INSURED LENDER'S LOSS PAYABLE MORTGAGEE LOAN AUTHORIZED REPRESENTATIVE of Marsh Risk 8 Insurance Services Charles Shin am. 1 LOSS PAYEE ACORD 27 (2O16/O3) 0O1993-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services AGENCY OR PRIVATE PRACTICE Heather Morris MS 'Ai PRIMARY CONTACT- FULL NAME TRAILS PROVIDER ID (Ii Known) Stare DfrectcF PRIMARY CONTACT - TITLE 303 , 564-2595 L303 1433-1980 PHONE NUMBER FAX NUMBER +eRfher.MOrriSAPethwey3 COrt' w td'a PRIMARY CONTACT - E-MAtL ADDRESS AGENCY/PRACTCE WEB ADDRESS i IF APPLICABLE} 2250 S. Onedia St , Suite 200 AGENCY MAILING ADDRESS CrTY F,,f RA: '".N -4(T - Ft:Lt NAME IF DIETERENT THAN PRIMARY CON'. At: REFERRAL CONTACT TITLE REFERRAL CONTACT - PHONE NUMBER ZIP EXT REFERRAL CONTACT - E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all ccases where the bids are competitive in price and quality. Signature of Authorized Representative: k /\ ,kV -` Date of Signature: L-{/ a:4 171-- Weld County RFP Bid No. 81700080 Kinship Support Services Maple Star Colorado Bid No. B1700080 Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). See Cover page 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. Maple Star currently employs staff members who meet the Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). If selected, Maple Star would recruit bilingual Spanish/ English speaking staff members to meet the needs of the contract. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. Maple Star Colorado was incorporated in 1994 as a Colorado non-profit child placement agency by the state of Colorado Department of Human Services. Since that time Maple Star has developed multiple community services to meet the need of the children and families of many communities throughout Colorado. Services include KEEP Removal Prevention and Reunification Services, KEEP Kinship, KEEP Teen, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction, Intensive Family Finding and SAFE Home Studies. Additionally, Maple Star provides Clinical Services such as the Virtual Residential Program, Family Preservation (Therapeutic and non -therapeutic level), Life Skills, STAND adoption disruption prevention program, comprehensive Trauma Assessments, Autism and in -home Family/ Child therapy. Maple Star provides individualized client care that is creative, flexible, adaptive, and timely. Maple Star actively provides services throughout the Front Range from Larimer and Weld to Pueblo County, but also contracts with multiple other Counties and states to provide our Community, Clinical and Foster Care services within Colorado. Beginning in 2014, Maple Star has provided trauma focused services under the Title IV -e waiver to El Paso and Denver Counties. Mission and Service Philosophy: Maple Star's trauma -specific approach provides individualized and holistic services that promote wellness, durability, and healing through the context of relationship. Service Philosophy: Maple Star believes in enhancing the self-determination of each client through a model that encourages healing, growth, and progress through a relationship -based model. This model is developed from current research (Bruce Perry, Karyn Purvis, Heather Forbes, Bryan Post, and Daniel Siegel) and incorporates an understanding of trauma and the brain. Weld County RFP Bid No. B1700080 Kinship Support Services The common thread of Maple Star services is the emphasis on the strengths and uniqueness of each client and family. We are dedicated to ensuring that all clients are offered services with treatment methods that will accomplish treatment goals. We encourage clients and families to participate fully in developing their goals and the means to successfully achieve these goals. Exploring available community support networks and facilitating connections with these services for families is an underpinning of the durable nature of Maple Star's services. Maple Star strives to provide services in home and community -based settings, whenever possible. Trauma Assessments and some visitations do occur in our office locations in Denver, Colorado Springs or Pueblo. In 2014 Maple Star became a trauma -informed workplace participating in a yearlong process through the National Council of Behavioral Health. Through conducting organizational assessments developed with a trauma lens, Maple Star was able to evaluate agency -wide trauma competency and implement new, or improve current, practices to best meet the needs of clients, staff and community partners with a holistic trauma informed approach. Maple Star selected multiple Trauma Champions within the agency to help implement trauma specific strategies into all areas of Maple Star's operations. Maple Star provides a wide array of services to meet the needs of multiple populations and is continually creating new programs in response to identified needs in a particular area. All of our programs share a primary commitment to provide care that builds upon our clients' strengths, responds to our clients' concerns, and utilizes natural support systems and community resources. Maple Star is part of Pathways, the behavioral health component of Molina Healthcare. Maple Star specializes in providing client centered therapy, case management, and foster care services to children, adolescents and adults served and monitored by government -subsidized programs. Maple Star Colorado has a demonstrated ability to provide highly trauma competent and resourceful services cross discipline throughout multiple communities in Colorado. Maple Star understands the unique needs of counties served and strives to contextualize our services to best serve the related population. Agency Directors manage the contracts. They are responsible to oversee Quality Assurance compliance, billing, and program development. In the last year, during all behavioral health as well as state audits, Maple Star passed with exceptional ratings and no significant deficiencies or safety concerns noted. Maple Star operates along the front range of Colorado including Weld County with its main office located at: 2250 South Oneida Street, Suite 200 Denver, CO 80224 303-433-1975 www.maplestar.net Brooks. Kaskela(a�pathways.com Kim.VanAukenapathways.corn heather. morris(cr�pathways.com Weld County RFP Bid No. B1700080 Kinship Support Services Maple Star's Director of Community Programs, Brooks Kaskela, MA, oversees all community -based programming to ensure quality assurance. Kim Van Auken, LCSW, Director of Clinical Programs, oversees all clinical -based programming. Heather Morris, MSW, State Director, provides leadership and oversight for all programs. Their resumes can be found in Attachment 1. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. This proposal is for KEEP Kinship Services which focuses on reunification and permanence in an effort to prevent future out -of -home placements. Maple Star's KEEP (Key Essential Elements of Permanency) is designed for both placement prevention and reunification, and the reunification prong of this is the basis from which the KEEP Kinship program was developed. The response time for KEEP Kinship program staff to respond is within two hours for the flat rate contract and within 24-48 hours for the case rate contract. Face to face contact as well as resource development and support services comprise the 25-50 hours of services provided to families referred to the KEEP Kinship program. KEEP Kinship may serve children ages 0-18 involved with the child welfare system who are reunifying with their family of origin or other permanent placement, including kinship. KEEP Kinship services are viewed through a holistic lens that strives to meet the needs of all members of a family unit using a family systems perspective. Maple Star has been providing KEEP Removal Prevention services to Weld County since 2016. Maple Star is able to bill Medicaid for therapy services. KEEP and KEEP Kinship services are not Medicaid billable. KEEP Kinship Program Mission: to assist families in working toward a safe and stable home, equipped with the necessary tools for immediate and future use Goals Secure safety in the home Help families satisfy immediate needs of the household Link families to essential community resources Communicate with related counties in the interest of the families Weld County RFP Bid No. B1700080 Kinship Support Services KEEP stands for Key Essential Elements of Permanency and is being utilized by El Paso County to support kinship providers and the children in their care. Maple Star created and implemented this program to assist families and officials of participating counties and states in achieving and maintaining stability in the home and creating permanency for the related children. Through an emphasis on family engagement, the KEEP Kinship Program focuses on family strengths in an effort to identify their challenges, engage the families in the process, and work to create self-sufficiency. The success of the program rests on this premise and is further enhanced by the availability of the KEEP kinship staff as well as the creativity they provide in responding to a family's needs. The KEEP kinship program is a strengths -based program that works in collaboration with the family and the county. When the county kinship worker completes the Kinship Supports Needs Assessment with the family during the initial home visit, this will be when you know if a referral to the KEEP Kinship Program is appropriate. KEEP addresses most of the identified ongoing needs directly, and we can link the family with resources to help in the few areas that we do not address in depth. While we do so, we provide caseworkers with detailed notes as close as possible to within 24hrs of any client contact. We specialize in, and directly address, the following areas: Financial Navigation Education Advocating for Child/Self Parenting/ Discipline/ Rules/ Boundaries Child Development Nutrition Education Home Safety/ Childproofing Family Communication Role Definition Organization School Enrollment Ongoing Daily Necessities ADHD/ ADD Child Exposure: Trauma Informed Care Stress Relief/ Self -Regulation Grief and Loss Anger Management Conflict Resolution Support Groups Employment Resources Liaison with Professionals Family Connections and Support We will assist the family with connecting with the resources addressing the following areas: Financial Assistance Credit Counseling Individual Counseling Family Counseling Child Care Enrollment Employment Resources Legal Assistance Food Banks Food Stamps Hotline Numbers Housing IEP/ Education Services KEEP Kinship case managers utilize an objective and holistic lens in working with families. This is operationalized via training in motivational interviewing and trauma informed care. Employing Weld County RFP Bid No. 81700080 Kinship Support Services motivational interviewing allows for the client to identify their goals and confidence in attaining these, while the KEEP Kinship case manager walks alongside the individual and actively builds their confidence and competence. We meet the client where they are and walk the path of success with them towards achieving sustainable goals that are identified by the family and the county. Our utilization of trauma informed care allows us to effectively work with clients to achieve stability while providing them with a concrete path towards resiliency. Its concepts remove the perceived judgment of a situation and provide evidence -based tools for success. The KEEP Kinship program's success is due to the following strategies that are included in all interventions. • Two on -call workers are available 24 hours per day, seven days per week to take referrals. Initial face to face contact with family within 2 hours of referral is provided in fixed/ flat rate contracts or within 24-48 business hours, as dictated by the referring Case Worker, for case rate contracts. o The reunification prong of KEEP provides the underpinnings for Maple Star's KEEP Kinship Services. This aspect works with biological parents to whom children are returning as well as kinship homes in which the child may be placed following a removal. This prong has a longer service length to ensure a smooth transition for children returning home or being placed with kin. We provide increased hours at the start of a case to assist in setting up resources, school enrollment, and other necessary components of a stable home. In a strengths -based manner, prior struggles are addressed as well as hopes for the future and how to attain those. • Through each of the aspects of the KEEP Kinship program, KEEP Kinship offers services that include but are not limited to the following: o Connecting with professionals, medical professionals, schools, and others to meet the needs of the family. o Connection with community resources to assist with familial needs to include: mortgage or financial assistance, household or concrete needs such as infant items, child care options and financial assistance. o Liaison and advocacy services for the family, as well as education around self - empowerment o Educating families in identifying and accessing community resources which include: family support lines, crisis lines, medical help lines, and others. o Crisis intervention o Assisting with household structure to include routine and safety. o Providing parenting education as well as child development information o Psycho -education around tools of self -regulation and coping. o Necessary transportation o Unscheduled and scheduled family visits o Detailed notes and prompt communication with caseworker o Attendance of relevant appointments, staffings, and court dates o Anger management Weld County RFP Bid No. B1700080 Kinship Support Services Integral to Maple Star's KEEP Kinship Program is an understanding of the uniqueness of kinship care. Kinship families present needs that are both similar and different to other family dynamics. Maple Star's experience demonstrates that evidence based practices such as motivational interviewing and trauma informed care provide far-reaching effects with helping kin understand trauma's effects on the brain, what they will see due to this, and how to understand and subsequently respond. Kin need consistent support and assistance in a variety of ways and at Maple Star, we tailor our approach to suit the individual needs of the family with which we are working. While one family may need assistance with establishing child care or educational services, another may need support in handling emotions and behaviors they may not have expected to face with the children now in their care. Kin sometimes struggle with communication with county officials and knowing who to reach out to, when, and how they can help. The directory of professionals we develop with families during our initial meeting is an example of a simple tool that demonstrates significant impact in helping families. It is attention to details such as these, which can make the difference to a struggling kinship home. We provide parent coaching where we work in collaboration to teach and support the family in a holistic way to maintain a safe and nurturing home. We see families based on their schedule and needs and in their homes. We find this most conducive to providing the support that they need and gathering the most information we can to help them in their natural environment. We link families with community resources and supports in efforts of building a strong base that will be sustainable long into the future. These range from linking clients with legal aid to mental health care to potential mentor relationships, to name just a few. Maple Star consistently exudes transparency, communication, and follow-through. When this is provided to all parties involved, plans flow smoothly and confusion or miscommunication is minimized. We attend court dates and county meetings to ensure families understand and adhere to what is discussed as well as to empower them to use their voice. We provide prompt, detailed notes of any client interaction to the assigned caseworker so they may have the most current and thorough information available with which to make decisions and provide services. KEEP was accepted as Colorado State Promising Practice in 2015 based on the positive outcomes determined by an independent researcher. The details of this report are included in Attachment 5. Maple Star, as a member of the National Council of Behavioral Health, participated in a year -long process of becoming a trauma -informed organization. Seven domains were addressed where one of the domains is a trauma -competent and trained workforce. Maple Star provides multiple staff trainings which focus on trauma informed care. Twice annually at an all staff training, staff members engage in trainings on strategies that include the latest brain research from well-known experts Bruce Perry, Daniel Siegel, Karyn Purvis and other relevant researchers. These trainings are mandatory; additionally, Maple Star accesses on- line trainings on the brain and each staff member working on this proposal will complete a training on Trauma Informed Care where the impact of ACEs is discussed. Prevention strategies are outlined and presented in this training. Maple Star provides a New Hire Academy/ Orientation monthly providing trauma informed care training so that all Maple Star staff have a common language and skill set from which to work. This training covers the Weld County RFP Bid No. B1700080 Kinship Support Services prevalence of child abuse and neglect, definitions of trauma and related topics, as well as techniques and tools for use with clients with various trauma histories. Certificates of participation for the Directors can be found in Attachment 2. Additional certificates for training can be found in each employee's personnel file. Family Survey Feedback for Maple Star's KEEP Kinship Program Most helpful aspect of program: the information and tools and knowledge to help my husband understand why the children are so different than other children everything! Advocating getting the information I needed offering assistance in whatever area I needed help with in reference to my foster son helping me understand things I didn't know and resources all of the info and resources and I was given having an extra resource when my plate was too full all the great training information and wonderful staff resources clothing getting items for certification, clothes, help with bills their support and their resources supplying baby items and offered more help than asked of transportation and bed meeting the child's need getting me ready for home study giving family the help they need helped so much in getting the children into a summer camp kinship and the support program all the classes for foster care were great Monica ask questions to find our needs and help research and also provide Research, help direct me through social service maze Providing supplies to qualify for foster Weld County RFP Bid No. 81700080 Kinship Support Services Being able to process through the process Help with necessities and removing stress and worry Them being there to help us out Bunk beds significantly improved sleeping conditions for all Assistance and support Martha was there for whatever we needed without any hesitation Very easy to reach Lots of resources and activities to help with mental well-being Helpful and available Helped with thinks like first aid, fire extinguisher, and classes Listening to needs/caring about problems Helping you and listening to you Martha helped me with almost all needs for baby Being able to voice my concerns to Martha and get help Helped me with paperwork needed to get things done Helped me with things I had no time to do myself Very dependable person- always on top of things needed Support given to my family Always in touch The food I learned: MS you are good people to help those of us in need that there are good helpful people out there for needy families there are people who do care and understand people care synapse development to breathe at situations and then deal with them (square breathing) helped with stuff I couldn't get answers listen and understand and be patient Weld County RFP Bid No. 81700080 Kinship Support Services to understand the needs and the patience of the trauma a child go through program like this are very helpful for family like myself who needs a little help how much effectiveness trauma does have on the children especially the small ones also along with the older ones being honest and patient different ways to say things how trauma impacts young children and brain growth how to care for kinship baby small children do not know how to express emotions and need help and a lot of love people care parenting skills, baby stuff how to keep baby hydrated using more than just water Additional Comments keep up the great job and thanks for the help keep up the great work and thanks for the support we were very happy with Betsy and showed us concern, help, and understanding we hate to see her leave my worker was great and so very helpful. She was just there when I needed her. Your program is so awesome and I would recommend you to anyone your program has been tremendously helpful for us. My utmost thanks to Betsy and Maple Star for all of your help. I love Maple Star there a great resource Our case manager was the best. She help us many ways. She was very support, things that the baby needed. She was able to help him out. She understood his need we love her Ms. Martha DeLuna. We are going to miss her so much. You are very welcome and thank each and every there for all the help they have provided for me. They respond within the hour and listen Thank you for all the help. You were the most helpful out of all the people I dealt with since I have been with the social services They answered all my questions and were amazing to work with Martha was so helpful! Weld County RFP Bid No. B1700080 Kinship Support Services VERY POSITIVE EXPERIENCE • Maple Star's KEEP Kinship and KEEP Removal Prevention and Reunification Services may be procured through two different rate schedules. We mention this in relation to this proposal because if Weld County chooses to do so, Maple Star is open to offering a flat rate contract to service the county's Aftercare, Crisis Intervention and Stabilization Services, and Kinship Support needs outlined in the request for proposal. • A single case rate is $3250 for the entire case; response time is within 24-48 business hours from referral. OR • Fixed rate contract where an agreed upon number of referrals are covered per month at a rate of $2000 per case; for example, a minimum of 10 referrals per month is required which would be $20,000 per month or $240,000 annually. Response time is within 2 hours. Minimum number of cases for this price structure would be 10 cases per month. • The rates above are for services provided within all of Weld County. Maple Star also provides services from their Denver metro and Colorado Springs offices. For the purposes of this proposal, Maple Star will provide services throughout Weld County at the above noted rates. Maple Star may also provide services to Weld County children within 25 miles of their Denver office located at 2250 South Oneida Street, Denver, 80224 and their Colorado Springs office located at 1465 North Union Boulevard, Colorado Springs, 80909. Any referrals beyond the scope of those designations will be assessed an additional fee of $250 per case. Services can only be provided along the front range of Colorado, not on the western slope of Colorado. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. None 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. See Attachment 2 for the resumes and trainings for the Supervisory staff members who will manage and/or administer services under this proposal. Resumes of additional staff members will be provided should this contract be awarded. 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. • Maple Star's Organizational chart can be found in Attachment 3. • Ratio of staff to supervisor does not exceed 10:1. Weld County RFP Bid No. B1700080 Kinship Support Services • Supervision is generally bi-monthly but may be more or less frequently based on staff case load and client need, equivalent of two hours of supervision per month per employee; however, additional supervision may be provided during times of crises or when employees are new or experiencing a difficult case. • Most supervisors have master's degrees plus two years or more experience; while supervisors without master's degrees generally demonstrate two years or more work experience. • Supervisors receive additional training on how to be a supervisor though regular group supervision with cross Program Directors. Maple Star strives to sustain consistency across counties in the services we provide. In alignment with this goal, the agency conducts monthly supervisor meetings across the agency as well as monthly program supervisors meetings. Heather Morris, MSW- State Director- 16 years supervisory experience Brooks Kaskela, MA- Director of Community Programs- 5 years supervisory experience Emily Kleeman, LCSW- Northern Community Director- 3 years supervisory experience Patricia Pisano, BA- 1 year supervisory experience, 21 years experience in the field including recruiting and training foster parents and foster parenting. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. A referral phone number has been established where interested referring Department Case Workers may call and staff cases for appropriateness of service, discuss dynamics of the case and determine ways the Maple Star KEEP program may be of service to the family. If an appropriate match is determined, the Case Worker will make a referral via email and FIDOS, and get approval through internal Department procedures. Once an approved referral has been received from the Department, Maple Star Northern Colorado Supervisor will reach out to the referring caseworker to gather any additional information. The supervisor will then staff the case with available workers and make assignments based on caseload and family location. The staff will reach out to the family to schedule an initial visit. The staff or supervisor will then email the referring caseworker regarding contact information for those that are assigned as well as details about the initial visit. According to the initial plan developed with Case Worker at the time of referral, KEEP Case Manager will schedule their first visit with the family, usually within 24-48 hours of receipt of referral (may be sooner for Counties with flat rate, 2 hour imminent response time). Contact notes from every visit with the family are developed by the KEEP Case Manager and emailed to the Case Worker typically within 24 hours of the contact, but not to exceed 72 hours. Maple Star employees are all trained mandated reporters and any suspected abuse or neglect of a child or adult, or Weld County RFP Bid No. B1700080 Kinship Support Services danger to self or others, would be immediately reported to the State hotline, the Case Worker would be notified by phone, and an incident report completed. Maple Star will communicate directly with the Case Worker or referral agency when issues, concerns, or questions arise. This notification will include missed appointments, significant events or emergencies. This thorough communication process can be used to problem -solve and plan for support services as needed by the client. A decision to hold a meeting with the relevant professionals may also be planned. Case Worker and referral worker feedback surveys may be utilized at the time of case closure or termination of services. Maple Star endeavors to schedule a minimum of quarterly face-to-face meetings between Maple Star program supervisors and designated Department personnel to elicit feedback, discuss progress and concerns, and modify to fulfill Department expectations and ensure contract compliance. KEEP solicits feedback from Case Workers via anonymous online surveys and from families via a survey upon termination of services. Maple Star believes in incorporating feedback into programming to ensure quality and effective services. Quality Assurance calls are made randomly to clients to ensure client contacts are made and to ensure clients are receiving services and to determine if they are satisfied and are subsequently are given a forum to provide feedback. 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. Should Maple Star be awarded a contract for multiple service lines, they are considering opening an office in the northern Colorado region. Maple Star will be able to meet the need of Weld County through this office or from their other offices to provide services in a timely and effective manner. Maple Star will be able to take referrals within 30-45 days of the initiation of the contract or upon formal notification of intent to award the contract. On September 21, 2016, Maple Star was awarded a contract to provide KEEP services in Weld County. The KEEP contract was awarded to meet the Crisis Intervention and Stabilization Services bid. KEEP was able to accept their first case on October 20, 2016. Since that time, KEEP has seen 6 families. One of these is still open and going well. The other five families experienced significant success with KEEP services and we were able to prevent removal in all of these instances. Another county that KEEP has been serving since 2014 compiled longitudinal data from TRAILS to assess effectiveness of the service. The results indicate that in 2015, of the families referred to KEEP services, 90% of families referred from PA4 continued to have stability in their home 90 days following service, as indicated by no removal occurring during this time. In 2016, 90% of families referred from PA5 continued to have children safely living in their home 90 days following services. The longitudinal data compiled also shows that 86% of PA5 families did not experience a removal for 365 days following KEEP services. Feedback we have received from Case Workers in Weld County that have used KEEP services includes the following: Weld County RFP Bid No. B1700080 Kinship Support Services I just wanted to thank you SO MUCH for all you did today for this family. I really do appreciate it - you guys do fantastic work. I really see great things in moms future and I'm not sure we would be here if it weren't for you. Way to go !!!! "Thanks for helping mom out so much. Hopefully the TANF meeting can be rescheduled for the TANF block grant piece. You're all amazing!" "I wanted to thank both of you for continuing to work with MOC on a consistent basis. I have no doubt that this assessment would have turned into a filing, and removal had it not been for the hard work the Maple Star KEEP program has done.... looking at conducting a closure meeting for the family in a couple weeks." WAY TO GO!!! This was our 1st referral for this county and I think due to your hard work many more will be on the way! While presenting to Case Workers at Weld County, two county employees told the team how KEEP prevented a specific case being open and wished there were more of us to do more work 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. Maple Star's KEEP Kinship and KEEP Removal Prevention and Reunification Services may be procured through two different rate schedules. We mention this in relation to this proposal because if Weld County chooses to do so, Maple Star is open to offering a flat rate contract to service the county's Aftercare, Crisis Intervention and Stabilization Services, and Kinship Support needs outlined in the request for proposal. • A single case rate is $3250 per case for the entire case (up to 50 hours of service); response time is within 24-48 business hours from receipt of approved referral. OR • Fixed rate contract where an agreed upon number of referrals are covered per month at a rate of $2000 per case; for example, a minimum of 10 referrals per month is required which would be $20,000 per month or $240,000 annually. Response time is within 2 hours. Minimum number of cases for this price structure would be 10 cases per month. • The rates above are for services provided within all of Weld County. Maple Star also provides services from their Denver metro and Colorado Springs offices. For the purposes of this proposal, Maple Star will provide services throughout Weld County at the above noted rates. Maple Star may also provide services to Weld County children within 25 miles of their Denver office located at 2250 South Oneida Street, Denver, 80224 and their Colorado Springs office located at 1465 North Union Boulevard, Colorado Springs, 80909. Weld County RFP Bid No. B1700080 Kinship Support Services Any referrals beyond the scope of those designations will be assessed an additional fee of $250 per case. Services can only be provided along the front range of Colorado, not on the western slope of Colorado. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. See Attachment 4 Weld County RFP Bid No. 61700080 Attachment 1 Mary Brooks Kaskela 414 West Acoma Dr. Mobile: (720) 244 2086 Littleton, CO 80120 bkaskela@gmail.com Objective To obtain a challenging position that enables me to better people's lives through expanding their opportunities and promoting personal growth Education Work experience 1996 - 2000 Rhode Island College Providence, RI Bachelor of Arts in Psychology awarded August 2000 2003 - 2006 University of Northern Colorado Denver, CO Masters Degree in Community Counseling awarded December 2006 2013 - present Maple Star Colorado Denver, CO Permanency Director As a result of the efficacy of and dedication to the KEEP program, it has spread to serve several more counties through providing therapeutic case management and consistently operating with a trauma informed philosophy to support and educate families in efforts of creating safe and stable homes for children. This promotion to Permanency Director was necessary to manage multiple KEEP teams as well as the creation and implementation of the intensive family finding program. The intensive family finding program seeks to find healthy connections for children involved with the department of human services. The role of Permanency Director is also responsible for having a role in the management of Maple Star as a whole as well as budget and financial decision making. In both this and the KEEP Supervisor position, there are frequent interactions with varied members of county administration, caseworkers, court personnel, as well as other community agencies. Advocacy and liaising for clients, building community partnerships, and knowledge of community resources are woven throughout all of the programs and positions in the respective programs. In this position, I am currently managing 8 program contracts and their related teams and services provided. 2012 - 2013 Maple Star Colorado Denver, CO KEEP Supervisor This position entailed the development, implementation, and management of the KEEP Program. KEEP is a removal prevention and reunification program that seeks to provide families, with risk of removal of children, with the necessary skills and knowledge to provide a safe and stable home for their children. This includes hiring, training, and supervision responsibilities of the team. As program supervisor, I received and created rich trainings in trauma informed care, motivational interviewing, and DBT that added to my wide knowledge base of child development and parenting. DVR Supervisor This position entailed the development, implementation, and management of the Domestic Violence Reduction Program. The DVR Program provides case management and psycho -educational groups to children and parents with domestic violence dynamics in their home. This includes hiring, training, and supervision responsibilities of the team. This also included creating the curriculum for the children' groups as well as the facilitation thereof. 2007 - 2008 Tennyson Center for Children Denver, CO Therapist The duties of this role include creation and implementation of experiential group therapy, individual therapy, and crisis intervention. Along with necessary therapeutic components such as quick creative thinking, this entails keeping accurate documentation and efficient communication with necessary parties. The population being addressed is 5 to 18 year -olds who qualify for residential care at this facility, usually with abuse or neglect in their history. Provisional LPC attained, TCI trained 2005 - 2006 Intern The many facets of this internship included co -leading grief teenagers, in -home family therapy, counseling with couples, depression, PTSD, obesity. health concerns as they relate to social. emotional, cognitive). Other responsibilities include management, and participating in supervision. Family & Play Therapy Institute Aurora, CO support groups at Judi's House. leading individual counseling with and adult family therapy. Issues addressed in counseling include mental health, previous abuse, and healthy development (physical, documentation, scheduling, communicating with caregivers, case June, 2005 - October, 2005 Creative Beginnings Child Placement Agency Denver, CO Case Manager Case management duties include ensuring implementation and maintenance of services and support for both foster parents and the children in their care. Necessary for this is a therapeutic relationship with the parents and children, as well as organized documentation and good communication with caseworkers, therapists, and other related professionals. 2002 - 2004 Tennyson Center for Children Denver, CO Youth Treatment Specialist The Special Services Unit of Tennyson Center for Children is designed to provide short-term relief, stabilization, and diagnostic assessments to families and service providers in need. The duties of this position include creating and executing psycho educational therapeutic groups, individualized and milieu therapy, and crisis interventions. Also included is communicating with the parents regarding the family's needs and consulting with the psychiatrist regarding the child's individual needs. 2000 - 2002 Washington Park Children's Shelter Providence, RI Residential Counselor This children's shelter is a temporary, safe environment for children ages newborn through twelve years who have been abused, abandoned, or neglected. Most of the children have behavioral and emotional problems. The duties of a residential counselor include helping the clients learn proper hygiene and nutrition, socialization skills, anger management, behavior management, and crisis management. *references available upon request 5 E _ N I ,V1 I E w I w in aC I c y I S d I 00 O C 43 I CO 13 N I C O I— I 00 W I C c 00 L i% o c so 2 A �O DO C a v a 0 I- 4- Tt. AI 43 I a- l0 0 N Qt C 8 C z O O o� V U WAKING nit' TIGER z O , ode /rich, R4 (III Pip .ill. t!!a (1" (ill' oY III' Opp' ((1,;: 0.4 (fp.' la OD- • OD' ' ODD' #D''. `,l1 flow Ci a) kJ) El This is to certify that rooks Kaskela a) -o a) E 0 >, c U ,O U c co -44 LO 0 N C � 0 0 0 -w) to a5 C/l ce 0 4 O 3 E 0 ce o' 0 74 4 V UH . NM= 04.1F• 4: �'��• �:Yi:y"rr: �Y ..li': •.4 .�r:. �% • .a w .+.�. ;�' ; ;1"., ,, a�,Am •••••• � `� �1' Brooks Kaskela C/I * +ray COO 1-4 • L ere there is bre Relias - Nikoya Marsh This is to certify that Brooks Kaskela has successfully completed CUP Trauma Informed Services: An Overview of the Impact of Trauma on Children Completed on: 10/9/2013 Credit Hours: 9.00 Page 1 of 1 httn•//nrnviddPnee trainino raliaclvnrninrt rnm/( artifiratac/Ra„�Pr >f ��l~„r.,ll„.o„rill Pl/ln1,1 The Whole -Brain Child LEFT BRAIN = LOGICAL PART RIGHT BRAIN = EMOTIONAL PART When your child is upset: 1 CONNECT FIRST i RIGHT BRAIN TO RIGHT BRAIN eg, loving touch, empathy, validate their feelings, listen, reflect 2. REDIRECT WITH LEFT BRAIN I When they are more receptive, involve child in 4 making amends In high stress situations: APPEAL TO THE UPSTAIRS BRAIN Keep them thinking and listening rather than just reacting After a difficult event USE THE REMOTE OF THE MIND TO PAUSE, REWIND AND FAST - FORWARD to help them process what happened LET THE CLOUDS OF EMOTION ROLL BY Help children understand that negative feelings are temporary EXERCISE INDSKAT GIVE TOOLS + STRATEGIES TO CALM THEMSELVES eg, taking calm breaths, visualising a calm place USE CONFLICT AS AN OPPORTUNITY TO TEACH KIDS USE LEFT -BRAIN STORY TELLING to help them understand what is upsetting them + feel more in control EXERCISE THE UPSTAIRS BRAIN eg, give choices, practice solving problems with them, practice controlling emotions, build self - understanding, consider other's feelings When kids are reactive ENCOURAGE PHYSICAL ACTIVITIES to shift their emotional state and reconnect with their upstairs brain GIVE KIDS PRACTICE AT REMEMBERING to help integrate implicit and explicit memories e.g. important and valuable moments of their lives Teach kids to explore SENSATIONS IMAGES FEELINGS THOUGHTS inside them to help them understand and change their experience FAMILY FUN + ENJOYABLE RITUALS creates positive memories © The Montessori Notebook Relias - Nikoya Marsh This is to certify that Brooks Kaskela has successfully completed CUP Attachment and Trauma Connections: Clinical Applications to Practice Teleclass Completed on: 6/3/2013 Credit Hours: 4.50 t o.rner.,� tro. .+.ng . d.:. :n1 Sy T:•e-< Page 1 of 1 /«..... .: ,7 ,,.., .... 4«..:«: — 1:..,.1..,.... :... .. ,. 11, _nn _.___ _ r__.. - 11 Relias - Nikoya Marsh This is to certify that Brooks Kaskela has successfully completed CUP Trauma Past, Trauma Present: Trauma Informed Phase Oriented Treatment Teleclass Completed on: 5/20/2013 Credit Hours: 6.00 Page 1 of I aTr t (1 IA,A 1 A Emily Melissa Kleeman, LGSW 1114 Sterrett Street Baltimore, MD 21230 Ekleeman626@gmai1.com 443.570.0514 EDUCATION: Colorado State University, B.S. Degree - Human Development and Family Studies May 2005 University of Maryland School of Social Work, MSW, LGSW MACO/Clinical: Emphasis in Children and Families & Mental Health May 2011 PROFESSIONAL EXPERIENCE: Laurel Advocacy & Referral Services - Laurel, MD **Selected as the Co -Secretary for the Private Sector, Homeless Services Provider for Prince George's County of Maryland Continuum of Care LEAD Case Manager for Emergency Crisis Services July 1, 2014 - Current • Meet and assess needs of individual clients and families. ■ Through consultation with LARS personnel and area agencies, develop a case plan to meet identified needs. • Provide outreach to homeless clients. • Provide case management for clients staying in LARS two church shelters. • Document contacts and services in the Homeless Management Information Systems (HMIS) and other LARS data bases within 24 hours of contact. • Develop and maintain strong working relationships with other community agencies. ■ Supervise work of assigned personnel and volunteers. ■ Prepare reports for grant agencies, as assigned. • Maintain organized records on grants used to assist in the crisis clinic. • In the absence of the Executive Director assume the essential administrative duties necessary for the continued operation of LARS. ■ Coordinate LARS' fundraising events and process all information related to this effort within the required deadlines. • Annually evaluate subordinates. • Serve as a professional agent of LARS at functions in the community, as assigned or approved by the Executive Director. ■ Attend monthly meetings of the Prince George's and Howard County Homeless Partnership, and other collaborations. • Other duties as assigned by the Executive and Deputy Director. Transitional Housing Case Manager May 2011 - July 1, 2014 • Meet with and assess needs of client's families on a weekly basis. ■ Provide one-on-one clinical counseling to LARS emergency and transitional housing clients. • Through consultation with LARS personnel and area agencies, develop a case plan to meet identified needs, and update it as required. • Research and secure an array of services in the community to support the success of the clients. • Document contacts services on Homeless Management Information Systems (HMIS) and other LARS databases within 24 hours of contact. • Apply all clients for appropriate supplemental financial resources, including the Rental Assistance Program (RAP) on the day of program entry. • Serve as the liaison for LARS between rental management companies used for transitional housing. • Provide employment services and support for community members for 8 hours per week. • Conduct regular and random drug testing and breathalyzers on clients. • Assist with reporting and renewal for HUD grants and other funding sources. ■ Assist in crisis center one day per week. • Assist with fundraising planning and events as assigned. Mountain manor Treatment Center at Reflections LLC -Laurel, MD Mental Health Therapist and Substance Abuse Counselor February 2013- September 2014 • Complete substance abuse and mental health intakes for clients. • Meet weekly with regular mental health and substance abuse clients for individual, group, and family therapy when needed. • Develop treatment plans and goals for clients. • Diagnose clients for mental health and substance abuse disorders. ■ Complete all necessary paperwork, assessments, discharge notes, session notes and input them into medical database, APRIMA. • Complete weekly individual and group supervision with my supervisor to discuss client cases, treatment plans and progress towards goals. • Assist other clinicians with assessments, treatment plans and necessary paperwork. Pro -Bono Counseling Project - Baltimore, MD Mental Health Therapist - LGSW September 2012 - Current • Meet with and assess clinical needs of client under the supervision of a practicing LCSW-C. ■ Provide one-on-one ongoing clinical counseling to adults with depression and anxiety disorders, substance abuse problems, and physical, mental, and emotional disabilities. • Carries a case load of three to five clients for a period of six months to one year. • Participates in CEU seminars and trainings provided by The Pro -Bono Counseling Project. ARC of Baltimore - Towson, MD Employment Support Specialist II November 2009 - May 2011 • Ensured that individual rights and dignity were respected and that the agency policy on normalization and the behavior management policies were actively supported. • Implemented sufficient, appropriate and relevant training programs and maintaining required data for assigned individual based on objectives developed by team members. • Formulated written training programs, as appropriate, with the. Case Managers.and Psychologist. • Completed monthly review process for individual training programs and other relevant individual records or reports. • Provided individual behavioral services as assigned including providing transportation and support services as required. ■ Provided staff augmentation and/or staff training as assigned. • Functioned as agency contact with employer, providing information about employing people with developmental disabilities. • Developed adaptive work methods as necessary to modification, task analysis and actual hand on hand job training. • Initiated and maintained regular, positive and proactive communication with individual's Case Manager and other persons personally and professionally connected to the individual's case progress. • Served as a member of the multi -disciplinary team responsible for developing individual plans. INTERNSHIP EXPERIENCE Main Street Housing, Inc. - Baltimore, MD Social Work Intern August 2010 - April 2011 • Assisted staff with property selection and community logistics for current housing initiative. • Researched, wrote and submitted three grants for Main Street Housing over $10,000. • Organized and executed a community -based fundraising event for Main Street Housing which raised over $2000. • Spent a minimum of three days in Annapolis to learn about the political process and assisted staff with drafting a Senate Bill for this years legislative hearings. • Wrote three articles for On Our Own of Maryland's newsletter • Updated brochure, website and social networks for Main Street Housing, Inc. • Assisted staff at community conferences and events • Assisted staff with budget and finances for Main Street Housing, Inc. • Worked one on one with executive director to accomplish goals and objectives of strategic development plan Legal Aid of Baltimore City- Baltimore, MD Social Work Intern January 2010 - April 2010 • Coordinated with attorney's and pertinent staff members on client cases and completed mental health assessments for clients referred for services at the social work unit of Legal Aid • Assisted clients referred to the social work unit with accessing state financial benefits • Coordinated health care and mental health appointments to ensure clients were receiving mental health services and complying with court orders • Trained attorney's and pertinent staff with social work roles and how to work with difficult clients struggling with social work related problems • Held weekly drop in hours for attorney's to discuss cases which involved a social work aspect References available upon request .o a 0 2 E O O O / O O (7) v 1 • •u 1- a) U a) > W 0O 0 Ioau C D� U n` J •"*' E _ VJ a; -4- U N _O O C o C• .4- O c C O• ♦- < W a 0 0 Heather Morris, MSW 10318 Cheetah Tail, Littleton CO 80124 714-883-9875 cell Heatherm1207@gmail.com Objectives Seeking a challenging position where my education and varied experience will be effectively utilized. Experience Maple Star Colorado Director of Community Operations May 12 -present Assisted with the design and implementation of more than 5 new programs, including Home Study writing and supervision, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction Program, Permanency and Removal Prevention services, Kinship Services and Intensive Family Finding. Programs currently serving community programs to 10 major Colorado Counties. Foster Care services are provided along the Front Range and regularly contract with over 15 counties. PRIMARY RESPONSIBILITIES: This position is responsible to oversee all program services in Community and Foster Care Program areas. These services may include, but not be limited to, assessments; service team meetings; case management services; foster care, support groups; advocacy; recruitment and certification of foster parents and home studies. Administratively, this position will oversee Human Resource, Information Technology, and Billing processes. Program Supervisors, Orientation and Training • Responsible for the interviewing, hiring, orientation, training, on -going supervision, and written evaluations of the program supervisors that work in the agency. • Insure completion of orientation for new program supervisors • Develop and coordinate ongoing training agenda for staff Program Supervisors Supervision • Provide minimum of two individual supervisions each month for full time supervisors, may include phone supervision and will include documentation of supervisory sessions. Performance Assessments • Continually assess and develop methods to improve performance of individual programs • Respond to conflicts or concerns pertaining to supervisors' performance in addition to the monitoring performance of the staff supervised by the program supervisors • Provide performance evaluations according to guidelines for newly hired staff and for yearly reviews Foster Care Director October 2009 -May 2012 Supervised up to 7 full time staff, 50 foster homes and 100 children in placement. Primary Responsibilities: The Foster Care Regional Director is responsible for the certification and training of foster homes, placement of youth into foster homes, and supervision of agency case management personnel. • Responsible for collaboration with Recruiter and Home Supervisors in the recruitment, licensing, training, and evaluation of Foster Parents. • Review all Home Studies completion according to SAFE requirements • Assist Recruitment staff in development of robust recruitment plans, assist with specialized recruitment and ensure appropriate tracking and reporting formats are completed, accurate and timely • Complete file audits and approve prior to certification and on annual basis for compliance with Volume 7 regulations. • Complete license and Issue Certificate only after thorough file audit has been conducted. • Ensure appropriate profile development for matching of youth and family information communicated to referral agencies. • Responsible for obtaining and following up on referrals from outside sources, the matching and placement of youth into foster homes, as well as the subsequent rate negotiations. . • Maintain record of monthly census for preparation of foster parent invoices as well as financial reporting to Executive Director. Concept 7 Family support and Treatments Centers, Orange, CA Regional Director- Foster Care Program- Orange and San Diego Counties March 2004- May 2009 • Hire, supervise and evaluate the Masters level Social Work staff and support staff for the Orange and San Diego County regions • Recruit, train, and certify treatment foster homes according to Community Care Licensing and County contract requirements • Oversee the intake placement and termination process for foster children • Oversee home study process and approval for new and recertifying families Program Supervisor Monitored Visitation and Transportation Program April 2002 -March 2004 • Family Support Specialist • February 2001 -April 2002 Education San Diego State University, San Diego, CA USA Masters, GPA 3.92 Major: Social Work May 2000 University of California, Santa Barbara, Santa Barbara, CA USA Bachelor of Arts GPA 3.27 Major: Psychology June 1994 Certifications SAFE Home Study- May 2005 SAFE Home Study Supervisor September 2011 2 O Heather Morris U z c x t A :1; -�i CERTIFICATE OF COMPLETION •r r Page 1 of I Relias - Nikoya Marsh This is to certify that Heather Morris has successfully completed Why Are We Talking About Trauma? Completed on: 2/19/2014 Credit Hours: 4.00 Patricia Pisano 2100 Stillwater Creek Drive, Fort Collins CO 80528 Cell: 970-413-3296 hmstudy4u@gmail.com Summary Recruiter of Foster Parents, Provided Trauma Informed training for foster families. Supervised/Monitored Visitation Supervisor for Larimer County contract through Maple Star. Foster/Adoptive Patent for 21 years. Extensive experience with special needs kids, have 6 adopted children. Owned a home -based preschool for 10 years, grew the business to 14 students, with 3 employees. Managerial experience as a Sr. Merchandise Manager for JC Penney. Annually bought over 1 million dollars in merchandise, oversaw display and selling of the goods as well as managed a staff of up to 25 employees. Experience Foster Parent Recruitment Specialist/ Parent Coach/Facilitator & Supervisor for Larimer County Sept. 2015 to current Maple Star, CO Recruit families to become Foster Parents. Provide training in Trauma Informed Care. Prepare documents for SAFE Home Studies. Coach parents in Monitored/Supervised visitation settings on parenting skills. June 2006 to 2015 Stay at home Morn At home Mom, raising 6 adopted special needs children, fostering children as needed. Worked with schools to asses children's individual needs are met through [EP's and additional services as needed. Worked with staff regarding classroom adjustments to ensure the optimal learning environment for each child. Pursued appropriate activities/sports for each child. Sought out support for atrmulti-racial children in the community such as GPS - CSU African American mentoring program. A Place Like Home August 1996 to June 2006 Owner Escondido, CA started a home -based preschool that grew to 14 students. Taught Pre -K curriculum, provided enrichment programs such as field trips, foreign language program, and swim les9ans. Offered parents training opportunities, mentored younger families and provided resources. Mentored new providers, assisted in business set up, provided on -going support. JC Penney June 1986 to August 1996 Senior Merchandise Manager Escondido, CA Responsible for purchasing and overseeing roughly 1 million dollars in merchandise (Jewelry, Lingerie and Women's Wear). Supervised a staff of 25 employees. Provided customer service, trained employees, hired and terminated employees based on performance & sales volume. Education University of Northern Colorado Bachelor of Arts: Psychology/Business Marketing Greeley, CO, USA P.R.I.D.E. Foster Parent training S.A.F.E, Home Study trained SAFE Environment Training - Cub Scouts, AHG & St. John's 1982 Extensive ongoing Trauma Training Karyn Purvis training First Aid/CPR trained a) .O a O O. E o O 1 U �/ a O � O a� O V a) V a 0 C O Co a Trauma Lens: "What is Re C Co 4- L V 4- o ▪ 77) 0,44 04 • U '3,;,) 4-1 C • a) vi v rU+ U O v e � y w m ctf .O .44 . 0 U Presented by: Nicole Pellitier and Andrea Fotsch X m U i •U CTi v Cd ✓, W PC C J v A. v aU V tz g 5 O w o 0 0 U o E4 y Vr v b V �' U lain Trauma to Families" 0 O 0 • '- czi ▪ 0 = 0 v• 0 cis J - O v ij fp I 0 V w 0 • ..-1 1.1 U • y v V 0 y 4r SJ o U v y V Presented by: CK Kemp and Andrea Fotsch C (i) 1 x o a 0 y 0 "o V 0 0 cl 4.4 1.1 "O • . V tn •• ti Your Own Tri a Trauma Lens: "Understandin co a) L V O tt, E V bb fLo L O o 4— V) C u a ° y� I sa C 0L. 74 j aC O bA w v w 0 at ci ▪ ▪ O 4.4 L y C cd h W n ^O • M tp X (et • tO C , u N is 0 F- 0 o aV ii o U 0 c u a. — t13 Ryann Vertnetson and Andrea Fotsch Presented by Weld County RFP Bid No. B1700080 Attachment 2 Smoke L Haw/ey 710 City Park Ave. #E535, Fort Collins, CO,80521 ^' (970) 889-2080 "' blueravenecho@gmail.com Objective • Provide an attitude of professionalism, positivity and warmth, while cultivating a welcoming and safe environment for clients and coworkers. • Maintain an open mind and willingness to learn the skill set required to be the best I can be at the tasks required of me. • Utilize skills I have obtained through previous experience, such as: Active Listening, Assessing the needs of the client, Problem Solving, Multitasking, Working well under Stress, and Attention to Detail. Job Experience Beaver Meadows Resort ;100 Marmot Ln, Red Feather Lks, CO -970-881-2450 Supervisor: Linda Weixelman March 1997 to Dec 2002 • 2012, May -Sept. Server, Bartender, Customer Service, Catering, Weddings, Sales Beavers Market; 1100 W Mountain Ave, Ft Collins, CO"970-484-2243 Supervisor: Brian Beavers Aug 2007 to May 2009 Cashier, Customer Service Arena Sports; 7850 S. County Rd 5, Windsor, CO 80528 (970)377-0065 Supervisor: Sally Kehl January 2014 to January 2015 Bar Manager El Dorado Mexican Grill; 215 1st St Ault, CO 80610 ^' (970)834-2245 Supervisors: Hector & Dinora Ramirez February 2015 to Present Server, Bartender Education Front Range Community College; 2005-2009 Associate of Arts Degree & Holistic Health Certificate Colorado State University; 2009-2011 Bachelor of Social Work Degree *Community Volunteer Work ^' Over 2000 hours ^' Details in Cover Letter* References available on separate page. Z O Paw 4:t Cie Q CL. CIC LI W x 0 0 Cindy A Heritage MA LPC PRESENTED BY: February 15, 2O17 ON THIS DAY: Weld County RFP Bid No. B1700080 Attachment 3 E i g g O g g $m ft y S � 2 E^� Printed: 20 -Apr -17 Weld County RFP Bid No. B1700080 Attachment 4 ,acc1RLJ CERTIFICATE OF LIABILITY INSURANCE `.� DATE(MM/OD/YYYY) 03120/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: healthcare.accountscss@marsh.corn Fax: 212-948-1307 TECH -17-18 CONTACT NAME: PHONE FAX _LA/ p ExU: LA/c, ND): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC F INSURER A . Allied World National Assurance Company 10690 INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 INSURER B : INSURER C INSURER D INSURER E INSURER F . -00'996975- ---- r.V1y1JCR.0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR; POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER IMM/DD/YYYY) iMM/DD/YVYY) LIMITS COMMERCIAL GENERAL LIABILITY '.. 'CLAIMS -MADE OCCUR ' EACH OCCURRENCE $ DAMAGE TO RENTED - PREMISES (Ea occurrenc53 $ ---- MED EXP iAny one person; $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. ,. POLICY PRO- LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _{,Ea accident $ ANY AUTO — ALL OWNED j BODILY INJURY (Per person) $ SCHEDULED , AUTOS AUTOS NON BODILY INJURY (Per acadenli $ -OWNED HIRED AUTOS , AUTOS PROPERTY DAMAGE 'Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE _, DED I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y!N PER OTH- STATUTE ; ER ANY PROPRIETOR%FAR'NER,EXEbL,TIVE r-' OFFICER/MEMBER EXCLJDED? 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AGENCY iPHONE COMPANY Marsh Risk 8 Insurance Services�c, No. E■e3: North American Elite Insurance Company CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 Attn Heal hcare.accountsC$5@marsh comi'FAX: 212-948-1307 -PROVI-Prop-17-18 FAX j EMAIL (A/C No): _ _ I ADDRESS: CODE: SUB CODE: AGENCY CUSTOMER ID #: INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 LOAN NUMBER POLICY NUMBER ;NAP 2001079 01 EFFECTIVE DATE r EXPIRATION DATE 03/01/2017 03/01/2018 THIS REPLACES PRIOR EVIDENCE DATED: CONTINUED UNTIL j I TERMINATED IF CHECKED PROPERTY INFORMATION LOCATION/DESCRIPTION THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED I I BASIC I I BROAD I I SPECIAL COVERAGE I PERILS I FORMS All Risk of direct physical loss or damage to real property on a replacement cost basis. subject to policy terms, conditions and exclusions Coverage Includes: but is not limited to fire, extended perils such as vandalism, malicious mischief and equipment breakdown. Real Property Personal Property Business Income Other deductibles may apply as per policy terms and conditions. AMOUNT OF INSURANCE DEDUCTIBLE 250,000,000 INCLUDED ABOVE INCLUDED ABOVE 250, 000 REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS LOS -002050624-04 Beacon Health Options, Inc. 9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 ADDITIONAL INSURED _ LENDER'S LOSS PAYABLE MORTGAGEE LOAN # LOSS PAYEE AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Charles Shin ACORD 27 (2016/03) © 1993-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Weld County RFP Rid Mr. nl7nnfRn Attachment 5 ADAMS COUNTY CHILDREN AND FAMILY SERVICES DIVISION Darwin Cox, Director A Best Practice Submission to the Best Practice Review Committee January 10, 2014 Key Essential Elements of Permanency (KEEP) ACKNOWLEDGEMENTS Report Author Ken Schiessinger M.S. Report Contributors Brooks Kaskela, Maple Star Adams County Children and Family Services Monica Sorenson, Manager DeeDee Green, Contract Administrator Francisco Maez, Manager KEY ESSENTIAL ELEMENTS OF PERMANENCY (KEEP) 1 (Removal Prevention Services) Promising Practice Submission The KEEP program is a product of the first quality practice initiative for the Adams County Quality Practice Team. The QPT workgroup was made up of cross section of work units that began work on November 11, 2011. The team met weekly for two hours using QPT techniques such as fishbone, cause and effect analysis and project planning. The team developed a program concept and outline that was presented to the Director and Managers for review in January 2012. The program was approved by management and a request for proposal was prepared and published in June, 2012. Proposals were reviewed by a subset of members of the removal QPT workgroup and Maple Star was selected as the provider of services. Maple Star began offering services on October 1, 2012. As of November 30, 2013, 110 families involving 215 children were referred to and received services from the program. The following is a description of the program and analysis of intended population and outcomes. Adams County, Children and Family Services Division first Quality Practice Team (QPT) Team Removal Prevention QPT Workgroup Name Section Role Greig, David Ongoing Worker Sandoval, Ellen ; Ongoing Supervisor Pieper, Joni Permanency Supervisor Johnson, Carol Walter, Allison Client Services Client Services Supervisor Lead Worker Green, DeeDee Client Services Contract Administrator Rhodes, Steve Intake Supervisor Longton, Shane Intake Worker Cisco Maez Quality Assurance Facilitator Dawn Cox Quality Assurance Facilitator Ken Schlessinger Quality Assurance Facilitator Description of the Practice 1. Identify the target population(s) There are two identified populations. The first are families with screened -in referrals/assessments or in open cases in which the children/youth are at imminent risk for out of home placement. The second population includes families of children/ youth being reunited with parents. The data suggests that children/youth experience re-entry after reunification at a higher rate early in the reunification process. The Maple Star KEEP program provided services to 110 families referred in the first eleven months from October 1, 2012 through October 31, 2013. Fourteen families were referred twice, each have two separate spans of service. There was a distinct count of 96 families. 2 Services were provided to 215 children. The majority of children are referred for Removal Prevention Services: KEEP Children by Program Type 200 150 100 50 0 Removal Prevention Reunificaion Children Referred to KEEP by Race/Ethnicity One component of the best practice submission is a description of population served including race and ethnicity. The Colorado Department of Human Services and Colorado Humane sponsor a web site that provides race and ethnicity data for county child populations. The chart below provides race and ethnicity data as a percentage of children in the KEEP program compared to race and ethnicity percentages of children in the Adams County child population (CDHS/Colorado Humane Disparities website http://www.colodrc.org/). African American children are significantly over -represented while Hispanic and Native American children are slightly over -represented within the KEEP population compared to the Adams County child population. Caucasian children are under -represented. The African American and Hispanic over -representation referrals to KEEP may be a positive indicator as the goal is removal prevention and remain home. Race/Ethnicity N KEEP % Population % African American 29 13% 6.7% American Indian Caucasian Hispanic 3 1% 0.4% 70 33% 99 46% 42.5% 42.5% Other/Unknown 14 7% Total 215 100% 7.9% 100.0% Age Age of children in the KEEP program is a significant factor for removal prevention and reunification. Caseworkers and supervisors in the Removal Prevention QPT work group reported that a program like KEEP would be very useful during the assessment/case phase in assessing risk especially with infants and preverbal children who cannot report on the conditions in the household relative to abuse and neglect. Over 40% of children are under the age of five and 75% were twelve and under. There were 19 infants in the population. 3 Within Age Group -KEEP 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 0-4 5-12 13 and older Family Structure and Risk A study conducted by the Colorado State University College of Human Science, Applied Research in Child Welfare consortium, Winokur et.al (2011), Family Preservation Outcomes and Child Welfare Success found that number of caregivers in the family is a significant predictor of child welfare outcomes. Families with two verses one care giver are 2.4 time more likely to have a positive outcome in the child welfare system. This factor turned out to be the strongest predictor of child welfare outcomes in the study. Data provided by the Maple Star KEEP program indicates that more than half of the referrals to the program were single parents. The reason for a referral to the KEEP program is recorded for each family. The risk factors reported were categorized and to determine frequency. Drug and alcohol use/abuse and domestic violence are consistently reported as are mental health issues, clients with developmental issues and lack of supervision. Homelessness or potential for homelessness is reported in 8 cases. Family Structure and Risk Factors (Trails) The QPT Removal Prevention workgroup's target population is children at risk for placement in assessment or open cases. That is, the family presents with sufficient risk factors to warrant removal for child safety. The decision for "at risk for removal", and referral to KEEP is determined by the caseworker, caseworker's supervisor and in some cases a manager. The decision to refer to KEEP is not based on specific quantifiable criteria. To determine if the population of families referred to KEEP is at "risk for removal", the risk assessment data for KEEP families was compared with all families with open cases that were assessed in the last three years. The KEEP families were compared to two groups; all families in open cases and those that experience a removal using the average scores of the risk of abuse, risk of neglect and total risk scores (sum of abuse/neglect total). Child abuse and neglect risk factors are quantified as part of the family assessment process and recorded in the Colorado SACWIS system, Trails. The assessments consist of two sections; risk of abuse and risk of neglect. Each section contains risk characteristics pertaining to abuse and neglect scored by the caseworker that includes but is not limited to; prior social services involvement, age of youngest child, family violence, substance abuse and others. Each risk factor is scored on a scale which can include a negative number -1 (risk factor not present) to 3 indicating various levels of severity. When the scores for each risk factor are added, the result is a risk of abuse score and a risk neglect score. The study conducted by the Colorado State University College of Human Science, Applied Research in Child 4 Welfare consortium, Winokur et.al (2011), Family Preservation Outcomes and Child Welfare Success found that the risk of abuse and risk of neglect scores are statistically significant predictors of child welfare outcomes. The higher the score for each risk type (abuse/neglect), the more likely a family will experience a negative child welfare outcome such as placement or termination of parental rights. The group means difference on the three assessment scores when comparing KEEP to all non -KEEP open cases was statistically significant, which means that there is only a five percent probability that this result could have occurred by chance. The KEEP population presented with higher risk than non -KEEP families on all three risk measures. KEEP Compared to Non -KEEP Risk Assessment (Cases) N Mean Minimum Maximum F o<.05 Risk Neglect KEEP 81 *8.2 -2 28 13.39 0.000 Non -KEEP 1245 *6.5 -3 19 Risk Abuse KEEP 81 *5.9 16 Non -KEEP 1234 *4.9 KEEP 17 5.86 Total Risk 81 I *14.2 1 -4 34 Non -KEEP 1231 *10.5 -5 I 34 11.92 0.017 0.001 The group means for the three assessment measures were compared with cases in the population that experienced a removal. For this test there was no difference. That is, the KEEP population is similar to the population of cases that experienced removal. The caseworkers, supervisors and managers who are making the decision to refer to KEEP are matching the target population as intended. KEEP Compared to Non -KEEP with a Removal Risk Assessment (Cases) N Mean Minimum Maximum F p<.05 Risk Neglect KEEP 81 8.2 -3 18 1.2 0.261 Non -KEEP 536 7.7 -2 _ 16 Risk Abuse KEEP 81 5.9 -2 16 0.4 0.527 Non -KEEP 529 5.6 -2 14 Total Risk KEEP 81 14.2 -5 32 0.981 0.322 Non -KEEP 528 13.3 _ -4 29 5 2. Describe the intervention(s) The KEEP program is a contracted service designed to provide immediate coordinated support and assistance to families in mitigating risk to child safety and avoiding out of home placement. The goals are to; secure safety in the home, help families satisfy immediate needs, link families to essential community resources and maintain close communication and coordination with the child protection professionals. Direct services to the families are provided within two hours of notification by the child protection worker, unless otherwise directed by the assigned worker. A safety plan is developed by the child protection worker who identifies safety concerns, strengths and supports. An intervention plan is jointly developed by the case worker and KEEP worker to determine the nature and intensity of KEEP intervention. An "Initial Plan for Intervention" is developed and reviewed with the family. The duration of KEEP involvement is up to two weeks, 25 hours per week of contact with the family. The case worker schedules a family team meeting (FTM) within 24 hours. The case worker and KEEP worker have daily contact and daily reports are submitted to the assigned worker by KEEP. The Maple Star KEEP program records the types of case management activities that KEEP case mangers employ in the course of their involvement with each family referred. Here are two examples: "Parenting suggestions were provided, such as a rewards chart, taking the CH outside daily for exercise, redirection, and consistency. The family was already doing some of these things, but I reassured them and encouraged them to KEEP up the good work". "I conducted research regarding housing resources, daycare, daycare funding resources, after school activities and recreation scholarships. I made telephone calls for resources for housing support and recreation support. I provided the family with information and ideas on parenting skills". Unannounced visits are reported with high frequency in the data provided by Maple Star KEEP. This activity was identified as an important component to ensuring child safety by the Removal Prevention QPT workgroup. QPT case workers and supervisors reported the need for additional "eyes on" to identify additional risk factors but also additional indications of a family's strengths in their ability to provide a protective environment. Unannounced visits can enhance the assessment of safety risk and family strengths. The balance of the KEEP case management activities provides direct support to the family including; transportation, resource identification and referral, training and education in appropriate parenting skills. Daily contact with the family was noted in multiple cases. KEEP staff makes it clear to the family that their goal is to assist them in providing a safe environment for their children which will allow them to remain home. Case management activities are coordinated closely with the assigned caseworker on an ongoing basis. 3. Describe the intended/actual outcomes. Outcome evaluations generally involve the comparison of two equivalent groups; one that did receive the treatment and one that did not. The gold standard of all comparative research is "random assignment". That is subjects/families who meet specific criteria for the treatment are randomly assigned to an experimental group that get the treatment and a control group that does not. Random assignment in social research is somewhat limited and was not used in making referrals to KEEP. An outcome evaluation requires specific quantifiable criteria for inclusion into the program. Referrals to KEEP relied on the judgment of case workers, supervisors and managers. Their judgment did provide an appropriate match for the target population intended. An additional issue is that that KEEP services are 6 very short term and ancillary to case work services. Lastly, outcome evaluations generally include a follow-up period of one year or more to determine if treatment effects were sustained over time. The program has been in operation just over one year, limiting the follow-up period. The primary goal of the KEEP program is to allow children to remain home safely during the course of their intensive, short term, involvement by avoiding a "during program involvement removal". It should be noted that a "during program involvement removal" may not be a negative outcome, when additional risk factors are uncovered signaling a need for removal as the only means of ensuring child safety. A secondary outcome of interest is removal after program involvement. At this time, the program has been in existence just over a year and few children have been "at risk" of removal for a full year follow- up period. The after program removal activity is being provided as it can provide important programmatic information. It is important to reiterate that the families referred to the KEEP program presented with high risk as measured by the risk assessment and were comparable to families that had experienced removal in the past. Children Removed During Program Involvement Less than 10% of families and children experienced removal during KEEP program involvement. Eight families involving 17 children experienced removal during the program. Families engaged with KEEP for the purpose of reunification did not experience a removal (re-entry). Children removed during the program tended to be young, twelve of the 17 children were under the age of five and two were infants. KEEP Removals During Program N Removal During Program No During Program Removal Percent Without Removal During Program KEEP Cases 1 110 8 102 92 7% KEEP Children 215 17 98 92.2% Children Removed during KEEP program Involvement by Race/Ethnicity When comparing children removed during the program by race and ethnicity there are disproportional numbers of African American children that experienced removal. That is, African American children make up 13.5% of all children in the KEEP population while 17.2% experienced removal during KEEP involvement. It should be noted that all 5 children were from the same family. Race/Ethnicity African American American Indian N 29 3 Children Removed During Program by Race Ethnicity S 0 Percent of Children Removed by Race Ethnicity 17.2% 0.0% Percent of Total Children Referred to KEEP by Race and Ethnicity 13.5% 1.4% Caucasian 70 5 7.1% 32.6% Hispanic 99 7 7.1% Other/Unknown Total 14 215 0 17 46.0% 0.0% 6.5% 7.9% 100.0% 7 Age of Children that Experience a During Program Removal Younger children tend to experience during program removal. Seventy percent of children were age four or under. There was no gender difference. Age Group of Children with During Program Removal N Percent Infant to Age 4 12 71.0% Age5toAge12 3 18.0% Ages 13 and Over 2 11.0% Total 17 100.0% Removal Following Completion of KEEP Program Involvement It will also be instructive to identify children that were removed after KEEP program closure. It is common in social research to follow up for one or more years ("time as risk") to determine if program participation correlates with improved outcomes. Because KEEP has been in existence just over 13 months, very few children have been at risk for removal for more than 12 months. The total number of families that experienced a removal after program completion, as of November 30, 2013 is 20, involving 44 children. The program type for this outcome is primarily children referred for removal prevention (41 -removal prevention, 3 -reunification). The chart below identifies the percentage of cases and children that did not experience a removal after program completion. It should be noted that the number (N) of cases and children excludes the cases (8) and children (17) that experienced a during program removal. Removals After Program Completion N Removal After Program Percent Without Removal After Program KEEP Cases 102 20 80.39% KEEP Children 198 44 77.78% 8 Children Removed after KEEP program Involvement by Race/Ethnicity (These data represent less than one year of follow-up (at risk time) time for most of the children involved in KEEP) African American children continue to be overrepresented on the outcome of removal after program completion when compared to percentages of race and ethnicity in the KEEP program. Caucasian, Native American and Hispanic children are under -represented. Race/Ethnicity (Adjusted N) Total KEEP Children Minus Removed During Program Children Removed After Program Completion Percent of Children Removed After Program Completion Percent of Total Children Referred to KEEP by Race and Ethnicity African American 24 6 25.0% 13.5% American Indian 3 0 0.0% 1.4% Caucasian 65 15 23.1% 32.6% Hispanic 92 _ 23 25.0% 46.0% Other/Unknown ! 14 0 0.0% 6.5% Total 198 44 22.3% 100.0% Age of Children that Experience an After Program Completion Removal (These data represent less than one year of follow-up (at risk time) time for most of the children involved in KEEP). Younger children tend to experience after program completion removal. Fifty percent of the 44 children that experienced after program removals were age four or under and eight of the children were infants. There was a gender difference in this outcome variable, 27 of 44 children (61%) were male. Age Group of Children with After Program Removal N Percent Infant to Age 4 22 5 50.0% Age 5 to Age 12 11 25.0% Ages 13 and Over Total 11 44 25.0% 100.0% 9 Overall Removal Outcome Less than ten percent of families and children experience removal during KEEP involvement. There is an increase in removals subsequent to KEEP involvement. Seven families (15 children) experienced removal within 30 days of KEEP completion which may indicate a need for extended program involvement for certain families. Fourteen families (35 children) were referred twice. Seven of the families referred twice did not experience removal. Multiple referrals to KEEP for some families may be a good strategy for removal avoidance. Thirteen families experienced after program removal ranging from 36 to 211 days after KEEP involvement. It is likely that these families established an acceptable level of stability that could not be sustained over time. It must be reiterated that these are some of the most high risk cases within child welfare caseloads. Families 110 8 92.7% 102 20 82 80.4% Total KEEP Population During Program Involvement Removal Percent Without During Program Removal Total Without During Program Removal After Program Removal as of 11-30-2013 Total Without After Program Removal Percent Without Removal that Completed Program as of 11-30-2013 Overall Percent Without Removal During or After Program 74.5% Children 215 17 92.1% 198 44 154 77.8% 71.6% 10 Impact on Total Out of Home Paid Placement One outcome of an effective removal prevention program would be a correlation between removal reduction and average daily placement (ADP) of children in paid placements. To determine if a correlation exists, the ADP was calculated for two years; the twelve months prior to KEEP implementation and the first twelve months of KEEP involvement. The ADP for paid placement went from 388 to 340, a 12% reduction in ADP when considering all OOH paid placements. Total Annual Average Daily Placement 2 Year Comparison 400 380 360 340 10-1-2011 to 9-30-2012 340 10-1-2012 to 9-30-2013 Impact on Total Out of Home Paid Placement by Placement Type Upon closer examination, the ADP for the two years was compared by placement type. There was a decrease in the annualized ADP from 120 to 93 for County Foster Care, a 22% decrease, and a reduction in ADP for CPA Foster Care from 176 to 151, a 14% decrease in the two comparison years. Based on the age of child population targeted by KEEP it is likely that an effect on paid placement would be seen primarily in the County Foster Care, and CPA Foster Care. 200 150 1- 100 50 0 County Foster 120 Average Daily Placement by Placement Type 2 Years 93 CPA 151 9 10 Group Care Paid Kinship 10-1-2011 to 9-30-2012 57 56 P 10-1-2012 to 9-30-2013 Residential 11 Cost Benefit Analysis There was a marked decrease in placement costs when comparing a twelve month period prior to KEEP implementation and a twelve month period during KEEP. According to Monica Sorenson, Manger of Client Services for the Division, there were no other programs or initiatives in place during the most recent twelve month period that would account for a decrease in placement costs. It is likely that KEEP may have impacted placement costs. This may be best characterized as cost shifting. That is the savings in placement costs have been shifted to upfront intensive coordinated KEEP services provided to families and children. The contracted cost for the KEEP program is $302,120. The most significant long term benefits occur when effective social services case management employs resources such as KEEP and others to mitigate child abuse and neglect risk by providing parents the opportunity to gain the skills necessary to keep their children sate. 12 Month Period Comparison Annual Average Placement Cost (Based on Trails Service Authorizations without Adjustments) Average Daily Rate 10-1-2011 to 9-30-2012 $9,645,493 $67.95 10-1-2012 to 9-30-2013 $9,130,474 $73.61 Difference $515,019 Difference with Adjustment for 2% Increase $697,628 $67.95 Relevance to child welfare: What positive outcomes or benefits do you expect from this practice? 1. Permanency: Placing children as appropriately and as little as possible a. The program was designed to support families in their effort to increase safety, allowing children to remain, and return home. 2. Permanency: Getting children home a quickly as possible a. The reunification component of the program is designed to support families in the reunification process, especially early in the when the risk of re-entry is increased 3. Permanency: Making sure children have a permanent home/family a. The goal is that children remain home safely, a primary permanency strategy. 4. Permanency: Making sure children stay home once they return home a. Again, a program component is reunification. There was no reentry after reunification during program involvement. 5. Safety: Preventing re -abuse a. The program adds additional resource temporarily during the assessment/case phase with families that present with high risk for child abuse or neglect. 6. Safety: Preventing abuse while in our care a. The additional intensive support at critical periods provides increased oversight, assessment and resource support to families that may have otherwise experienced removal of children. 7. Safety: Case Re -involvement a. The program is ancillary to child welfare case management and short in duration. It is unlikely that the program will have an effect on case re -involvement. 8. Safety: Remain Home a. A primary goal of the program, see program outcome section. 9. Well-being: Briefly describe 12 a. The program staff works diligently to connect clients to available resources in the community while coordinating safety plans with the caseworker. 10. Benefits a. Families receive immediate, intensive services which may not otherwise be available with routine case management. Contact with the family is available 24/7, is flexible and can be provided on a daily basis when needed. b. Children that may otherwise have been removed are able to remain home. c. The additional intensive case management and oversight improves child safety. d. Case workers are provided additional information regarding risk and strengths that can be used to improve case planning. e. Services can be put into place in a more expeditious manner. f. Families are provided immediate essential services such as housing assistance, transportation, food and clothing. g. Supportive, coordinated services are provided to families in crisis in an effort to mitigate risks to child safety. h. KEEP case managers utilize evidence based practices such as Motivational Interviewing in addition to active listening, coaching, advocacy and trauma informed care. 11. Briefly describe other expected benefits to the practice not already described in the child welfare outcomes. What are the potential risks of the practice? Questions to consider regarding potential risks: • Does the program or intervention identify the potential risks and benefits to the population/programs it is going to serve? o The program is designed to reduce the risk to the target population and avoid the trauma of out of home placement. o KEEP case managers work closely with the assigned case worker to assess and manage risk, sometimes on a daily basis. • Does the research or program allow sufficient time for the intended affects to manifest? o The program is very short term, intensive and ancillary to case work services. The primary goal is for children to remain home safely during program involvement. Less than 10% of families/children experienced out of home placement. o A secondary outcome of interest is removal subsequent to program completion. Do the timing, intensity, and coordination of case management services using this program produce a sustained effect, allowing children to remain home following program completion? To date, there has not been a sufficient follow-up period and it would be difficult to assess a sustained treatment effect in the absence of random assignment. • Does the research or program identify any potential harm that could occur to the intended population and the potential severity of the harm? (Harm is "subjective evaluations like distress, embarrassment, and anxiety, which are clearly difficult to either predict or to control for" (as per http://www.ethicsguidebook.ac.uk/How-is-harm-defined-b7). o The focus of the program is to help families develop strategies that will reduce risk, allow children to remain home and avoid the harm incurred as a result of out of home placement. • Does the research or program indicate strategies to mitigate the potential risks or harms? 13 o All strategies employed by the program and coordinated child welfare case management are aimed at mitigation of risk and harm. What would be necessary for replication of this process? Replication - to repeat, duplicate, or reproduce, a practice with fidelity with hopes of getting the same or similar results as the first time it was implemented. Questions to consider regarding replication: • Can the practice be replicated with fidelity? o This program started with a concept and criteria developed by the QPT workgroup. These concepts were defined in a request for proposal. A contract was granted to Maple Star who put the concepts and criteria into practice. Maple Star staff records the types of activities that are used to engage and provide services to families. A formative process evaluation was conducted in concert with this proposal that can be used to provide program information to the Division and Maple Star. This program may be best described as evolving. • Are there associated manuals, protocols, and or related written materials? o Maple Star has produced a program description which is attached. In addition, training materials have been produced for Maple Star and Division casework staff. • Is training/consultation available? o Yes • Does the practice lend itself to replication in other communities or with other populations? o Yes. Other counties have indicated an interest in this program and one county, Arapahoe and Jefferson Counties have initiated a contract for similar services with Maple Star. • Can this practice be adopted and adapted in new communities? o Yes What resources are needed to implement and maintain this practice? Outline the necessary resources for this practice, both for initial implementation and sustained practice. Examples include training, hardware, software, etc. Also include fiscal implications of this practice. Adams County elected to use contract services as opposed to internal services to implement removal prevention services. Services are paid as a Core service as the process and goals of the program meets Core service requirements. The Core service authorization in Trails supports the process by identifying service utilization by case and client and allowing for impact and cost benefit evaluation. Administration and coordination of the program is important. In Adams County, program administrators and Maple Star administrators and staff meet monthly to review progress. Training of child welfare staff is critical to ensure utilization. Systematic process and outcome evaluation must be resourced in order to determine program effectiveness and impact. Questions to consider regarding fiscal implications: • Does the research on this practice include a cost analysis? 14 o Yes. The evaluation completed as part of the submission includes a cost benefit analysis, see Cost Benefit section. There was a decrease in placement costs which may be attributable to the KEEP program. • Does the research or program include strategies that address fiscal impact for both short-term implementation and long term sustainability? o The program does meet the criteria for Core Service funding. • Does the research or program have identified ongoing costs? o Services are contracted annually. • Does the research or program identify funding sources available to replicate the practice? o Yes How do agency staff, professionals, community members and families/youth and children generally respond to this practice? • The Maple Star KEEP program completed a survey of case workers which is attached. Responses are generally favorable. • Maple Star KEEP conducts family surveys which are attached and provide favorable comments. • Review any risks or benefits of this practice not covered elsewhere. o Contracted services seem to be a benefit. KEEP case managers are not part of the social services system that may be negatively perceived by families. The KEEP case manager is independent and can help families understand and navigate the child protective service process. What evidence/formal research exists to support this practice? Evidence: Research, data, or casework examples that can be directly tied to the process, practice, or intervention. Questions to consider when examining evidence: • What formal research exists that supports the proposed practice? o A literature review was conducted during the QPT process and the team was unable to find research on programs that focus on removal prevention. • Is data available on a local level to support the proposed practice? (e.g., ARD Reports, Trails, CFSR data measures, Ad Hoc Trails Reports, County Data, Scorecard data measures, expert opinion, consumer preferences - client satisfaction surveys, anecdotal evidence, etc.) o This evaluation has shown that families referred for KEEP services present with high risk for out of home placement as measured by the risk of abuse and risk of neglect assessment in Trails. o This evaluation has shown that less than 10% of families/children experience removal during KEEP involvement. o Although not a primary outcome for the program, further research will be need to determine if KEEP involvement combined with casework services has a longer term effect on removal prevention. o This evaluation has shown that average daily placement and placement costs have decreased compared to the 12 months prior to KEEP implementation. • Do practitioners cite casework examples that support this practice? 15 o See attached survey • To what degree can evidence be directly tied to the practice? For example, is there a logic model that describes the relationship of the practice to the intended outcome? o The logic model for the removal prevention program is attached. • Was attention given to cultural responsiveness and relevance when the evidence was gathered? o Yes • Is there demonstrated evidence that it has been used with diverse populations with the same or similar results? o This evaluation has shown that African American families/children are: ■ Over represented in numbers of families and children referred to the KEEP program compared to the Adams County Child population • Over represented in the number of children that experience during program removal (5 African American from one family experienced during program removal) Over represented in the number of children that experience removal after program completion (data is preliminary) o Caucasian children are underrepresented at every level of analysis. o Native American children did not experience during program removal. Disproportionate outcomes were discovered as a result of this analysis and were not know to Division or program administration. Strategies to address the disproportional outcomes are being addressed. 16 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide the following services to Weld County families, as referred and authorized by the Department, under this agreement: • Domestic Violence Reduction Program • Key Essential Elements of Permanence (KEEP) Program • Key Essential Elements of Permanence (KEEP) Kinship Program • Life Skills 2. Domestic Violence Reduction Program (DVRP): • Purpose: Reduce the impact of domestic violence on children served by the Department. • Target Population: Victims, offenders and children living in the home. • Goals of the program include: o Providing a proactive support to families with a co -occurrence of domestic violence and child maltreatment, o Engaging families in appropriate services, o Promoting increased safety for abused children and adults, and decrease re - victimization, o Educating and empowering children about domestic violence, o Promoting self-sufficiency through connection to community resources; and o Positively impacting the undocumented population. • Contractor will assign a DVRP Advocate to referred families. The DVRP Advocate will: o Respond, on average, within 48 hours of receiving a referral. Referrals identified as emergent will receive same day response if possible. o Assist families in adhering to the Department's safety plan. o Assist families in developing a domestic violence safety plan. o Complete an individualized intake assessment at the initial visit. o Develop a holistic plan that identifies a variety of services such as housing resources, shelter resources, employment, legal, drug and alcohol resources, family support and/or counseling and mental health services. o Provide recommendations to the Department as well as assist with facilitating linkages with identified services and resources. • Contractor will provide psycho -educational classes for men, women, and children, ages 6-12, involved in the DVRP Program. Classes will focus on safety, understanding domestic violence, resiliency, internal and relational strengths, growth and development, impact of domestic violence on children and families, communication and emotional intelligence. Contractor will provide, at a minimum, one women's group, one men's group and one children's group per week. Contractor will format groups as follows: o 14 week opened -ended groups o Children's group will focus on developing strategies to improve child safety. o Women's group will focus on increasing awareness of the impact of domestic violence on children and developing strategies to improve child safety. o Men's groups will focus on increasing awareness of the impact of domestic violence on children, developing skills for effectively managing anger, and developing strategies t improve child safety. 3. Key Essential Elements of Permanence (KEEP) Program: • Purpose: To assist families in working toward a safe and stable home, equipped with the necessary tools for immediate and future use. • Target Population: Children ages 0-18 years of age involved with the Child Welfare system who are reunifying with their family of origin or other permanent placement, including kinship. 1 • The goals of service are: o Secure safety in the home o Help families satisfy the immediate needs of the household o Link families to essential community resources o Communicate with the referring county in the interest of the family • Contractor utilizes a trauma informed care model for all services with a focus on safety, stability, and improvement of family functioning. • Services include, but are not limited to, the following: o Two on -call workers are available 24/7 to receive referrals. Response time is within two (2) hours depending on the referred family's needs. o Two levels of services; Removal Prevention or Reunification. • Removal Prevention: Up to 50 hours which includes direct client contact, resource development and support services that spans 2 weeks, 30 days or 45 days to help mitigate safety concerns that may lead to removal of the children, and maintain stability in the home for the children and their family. The length of service is determined by the referred family's needs. • Reunification: Up to 50 hours which includes direct client contact, resource development and support services that spans 30-60 days to assist child and the family with needs and concerns specific to maintaining the safety and stability of the home. o Connecting with professionals, medical professionals, schools, and other to meet the needs of the family. o Connection with community resources to assist with familial needs to include: mortgage or financial assistance, household or concrete needs such as infant items or childcare options. o Liaison and advocacy services for the family, as well as education around self - empowerment. o Education around identifying and accessing community resources which include: family support lines, crisis lines, medical help lines, and others. o Crisis intervention. o Assisting with household structure to include routine and safety. o Providing parenting education as well as child development information. o Psycho -education around tools of self -regulation and coping. o Necessary transportation. o Unscheduled and scheduled family visits. o Detailed notes and prompt communication with Department. o Attendance at relevant appointments, staffings and court dates. o Anger management. 4. Key Essential Elements of Permanence (KEEP) Kinship Program: • Purpose: To assist families in working toward a safe and stable home, equipped with the necessary tools for immediate and future use. • Target Population: Children ages 0-18 years of age involved with the Child Welfare system who are reunifying with their family of origin or other permanent placement, including kinship. • The goals of service are: o Secure safety in the home o Help families satisfy the immediate needs of the household o Link families to essential community resources o Communicate with the referring county in the interest of the family • Contractor will work with biological parents to whom children are returning as well as kinship homes in which the child may be placed following a removal. 2 • Services include, but are not limited to, the following: o Two on -call workers are available 24/7 to receive referrals. Response time is within two 24-48 business hours. o Reunification: Up to 50 hours which includes direct client contact, resource development and support services that spans 30-60 days to assist child and the family with needs and concerns specific to maintaining the safety and stability of the home. Contractor will provide increased hours at the start of the case to support a smooth transition, including setting up resources, school enrollment, and other necessary components of a stable home. Contractor will address, in a strength -based manner, prior struggles are addressed as well as hopes for the future and how to attain those. o Connecting with professionals, medical professionals, schools, and other to meet the needs of the family. o Connection with community resources to assist with familial needs to include: mortgage or financial assistance, household or concrete needs such as infant items or childcare options. o Liaison and advocacy services for the family, as well as education around self - empowerment. o Education around identifying and accessing community resources which include: family support lines, crisis lines, medical help lines, and others. o Crisis intervention. o Assisting with household structure to include routine and safety. o Providing parenting education as well as child development information. o Psycho -education around tools of self -regulation and coping. o Necessary transportation. o Unscheduled and scheduled family visits. o Detailed notes and prompt communication with Department. o Attendance at relevant appointments, staffings and court dates. o Anger management. 5. Facilitation Visitation and Parent Coaching Program (Life Skills): • Purpose: Keep children safe and improve the relationship and bonding between children and parents, as well as build parent's protective capabilities. • Target Population: Children ages 0-18 years of age involved with the Child Welfare system. • Services include, but are not limited to, the following: o Parent Assessment Scale to assess the level of visitation o Therapeutic Visitation with Parent Feedback o Supervised/Monitored Visitation o Parent Coaching that focuses on educating parents about brain science, child development, and behavioral intervention strategies. 6. Contractor will provide services within all of Weld County. Contractor and within 25 miles of 2250 South Oneida Street, Denver, 80224, and 1465 North Union Boulevard, Colorado Springs, 80909. Referrals for services in areas outside the abovementioned locations will be considered on a case -by -case basis. 7. Contractor is sensitive to family ethnicity, culture, values and beliefs. 8. Contractor will bill Medicaid eligible services to Medicaid before seeking reimbursement under this agreement. 3 9. Contractor will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 10. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 11. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 12. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 13. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 14. Contractor understands that the Department will not reimburse Contractor for "no shows" after two (2) consecutive "no shows". It is the responsibility of the Contractor to communicate "no shows" to the Department in a timely manner to determine continuation of services. 15. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings may include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 4 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 2018. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $3,250.00/Episode (Episode=Case. Domestic Violence Reduction Program) $2,000.00/Episode (10 Cases/Month. KEEP or KEEP Kinship Programs.) $3,250.00/Episode (Episode=Case. KEEP or KEEP Kinship Programs.) $86.00/Hour (Therapeutic Visitation. Includes planning and debrief with parent.) $55.00/Hour (Supervised Visitation) $55.00/Hour (Parent Coaching) $50.00/Hour (Transportation — When utilizing visitation services) The rates above are for services provided within all of Weld County and within 25 miles of 2250 South Oneida Street, Denver, 80224, and 1465 North Union Boulevard, Colorado Springs, 80909. All hourly rates include preparation time, mileage to and from visitation appointments, coordination with parents to schedule appointments, communication with the Department regarding services and staff participation in team meetings, and report writing. 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. 1. 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 1 month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 �`� Kam' CERTIFICATE OF LIABILITY INSURANCE DATE(MAVODrvYYY) 03/20/2017THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy((es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License p0437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: heelThcare.accountscss@marsh.com Fax: 212-948.1307 -TECH-•17.18 CONTACT NAME. PHONE FAX (A/C. No. E=tk i (A/C No):. E-MAIL ADDRESS: - INSURER(S) AFFORDING COVERAGE I NAIC INSURER A : Allied World National Assurance Company 10690 _ INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver. CO 80224 ('Avro Anrc INSURER B - INSURER C INSURER D INSURER E INSURER F: -- --- nrrrarvry rvVmDtK:o THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS --- INSR ADDL SUER LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER I (MMJDD(YLICY YYY) f IMM/DD(riYYY) LIMITS COMMERCIAL GENERAL LIABILITY J EACH OCCURRENCE $ CLAIMS -MADE L I OCCUR DAMAGE TO RENTED PREMISES (En occurrence) $ MED --- EXP (Any one person) $ �j _PERSONAL & ADV INJURY I $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ P POLICY 1 !El: Li LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ A ANY AUTO ALL OWNED —1 SCHEDULED I BODILY INJURY (Per person) AUTOS AUTOS NON -OWNED BODILY INJURY (Per accident) _ $ J HIRED AUTOS C J AUTOS I PROPERTY DAMAGE (Per accident) $ I I UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAB I CLAIMS -MADE I AGGREGATEF $ DED RETENT ON $ $ -- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N 1 A' F PER 1 DTI - I STATUTE ER E.L. EACH ACCIDENT — -- $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Tech/Security & Privacy I 0309-4884 03/15/2017 03/15/2018 Limit of Liability $10,000,000 SIR $2,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION Weld County Weld County Department of Human Services 1150 O St. PO Box 758 Greeley, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Saran Lawrence S a,"-4^ ACORD 25 (2014/01) ® 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AcoR1® CERTIFICATE OF LIABILITY INSURANCE DATE,(MMDDIYYYY) /2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License 80437153 777 South Figueroa Street Los Angeles, CA 90017 -PROV-CASUA-17-18 CONTACT PHOE: HONE ' FAX PA/C, No. Eatt, INC, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC a INSURER A : NIA N/A INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver. CO 80224 INSURER B : Zurich American Insurance Company -- 16535 INSURER C : Travelers Property Casualty Company Of America INSURER D : N/A [25674 NIA INSURER E : INSURER F : - COVERAGES CERTIFICATE NUMBER: LOS -001996922-06 REVISION NUMBER:3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBRI POLICY EFF INSD WVD POLICY NUMBER (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY l L X 1 OCCUR SELF -INSURED 04/01/2017 03/01,/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE _ DAMAGE TO RENTED PREMISES (Ea occurrence) $ GEN'L -, X - - MED EXP (My one person) $ Ir PERSONAL E ADV INJURY $ AGGREGATE LIMIT APPUES PER: l- PRO- I I POUCY 1.. I JECT I LOC OTHER: I GENERAL AGGREGATE $ $ 3,000,000 PRODUCTS - COMP/OP AGG $ B AUTOMOBILE X — I X LIABILITY ANY AUTO ALL OWNED AUTOS I. SCHEDULED AUTOS NON -OWNED AUTOS BAP 0141785-00 03/01/2017 03/01/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 I F BODILY INJURY (Per person) $ IBODILY INJURY (Per accident) $ PROPERTY OPRTY DAMAGE a $ $ _ -`---r UMBRELLA LIAB ( EXCESS LIAB 1 -T- OCCUR 1CLAIMS -MADE rIr I IF_ EACH OCCURRENCE $ _ AGGREGATE $ DED I RETENTION $ C R WORKERS O KERS COMPENSATION AND EMPLOYERS' LIABILITY YI N ANY PROPRIETOR/PARTNERIEXECUTIVE N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below N! A HC2JUB-4257B395-16 10/01/2016 10/01/2017 X PER 0TH - I STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ ----__-- 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 HEALTHCARE PROFESSIONAL LIAB CLAIMS MADE l I SELF -INSURED ( 04/01/2017 03/01/2016 EACH OCC AGGREGATE 1,000,000 $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addldonal Remarks Schedule, may be attached if more space is required) Weld County is/ale included as additional insured where required by written contract with respect to general liability. CERTIFICATE HOLDER CANCELLATION Weld County Weld County Department of Human Services 1150 0 St PO Box 758 Greeley, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Charles Shin ACORD 25 (2014/01) Q 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD '417 � R� EVIDENCE OF PROPERTY INSURANCE oozrloM°°"""' THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY 1 PHlA/O No. Ent ONE COMPANY North American Elite Insurance Company Marsh Risk & Insurance Services CA License 4437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: Healthcare.sccountsCSS@rnarsh.00mlFAX: 212-948-1307 -PROM-Prop-17-18 FAX I E-MAIL (AIC No): ADDRESS: CODE: SUB CODE: AGENCY CUSTOMER ID 5:.. _ INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 LOAN NUMBER j POLICY NUMBER NAP 2001079 01 EFFECTIVE DATE r EXPIRATION DATE 03/01/2017 03/01/2018 I CONTINUED UNTIL : 1 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: LOCATION/DESCFUPTION THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN fS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED I BASIC BROAD I _SPECIAL COVERAGE/PERILSI FORMS All Risk of direct physical loss or damage to real property on a replacement cost basis, subject to policy terms. conditions and exclusions. Coverage Includes, but is not limited to fire, extended perils such as vandalism, malicious mischief and equipment breakdown, Real Property Personal Property Business Income Other deductibles may apply as per policy terms and conditions. AMOUNT OF INSURANCE DEDUCTIBLE 250,000,000 INCLUDED ABOVE INCLUDED ABOVE 250,000 REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS LOS -002050624-04 Beacon Health Options, Inc. 9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 ADDITIONAL INSURED I LENDERS LOSS PAYABLE MORTGAGEE L j LOSS PAYEE LOAN # AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Charles Shin ACORD 27 (2016/03) O 1993-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Hello