HomeMy WebLinkAbout20172975CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND COLORADO BOYS RANCH FOUNDATION DBA CBR YOUTHCONNECT
This Agreement, made and entered into th ay of 2017, by and between the Board of Weld
County Commissioners, on behalf of the Weld County Department o uman Services, hereinafter referred to as
the "Department' and Colorado Boys Ranch Foundation DBA CBR You hConnect, hereinafter referred to as the
"Contractor".
The parties to this Agreement understand and agree that the provisions of this Agreement specifically
include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal,
Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and
incorporated herein by this reference.
WITNESSETH
WHEREAS, required approval, clearance, and coordination have been accomplished from and with
appropriate agencies; and
WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the
Department for Home -Based Intensive Services and Life Skills .
NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows:
1. Term
This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and
shall expire May 31, 2018, unless sooner terminated as provided herein. The agreement is for a period of
three years. However, the agreement must be renewed by both parties, in writing, on an annual basis.
2. Scope of Services
Services shall be provided by the Contractor to any person(s) eligible for services in compliance with
Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services.
3. Referrals, Billing and Tracking
a. Contractor understands and will comply with all aspects of the referral authorization, billing and
tracking requirements as set forth by the Department. Failure to comply with all aspects may result
in a forfeiture of payment.
b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-
mail address prior to the start of this Agreement. Contractor acknowledges that services are not
authorized until the Contractor has received an authorized referral form from the Department.
Contractor further acknowledges that services provided prior to the authorized start date or outside
the scope of services on the referral form will not be eligible for reimbursement.
Contractor acknowledges that any and all modifications to an existing referral must be approved
through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or
through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other
Department staff or other party to the case may authorize services or modifications to services.
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c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month,
following the month of service, utilizing billing forms required by the Department.
d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month
following the month of service for each client receiving ongoing services. One-time services will be
verified through receipt of the completed product (ex. psychological evaluation, substance abuse
evaluation). Verification of Monitored Sobriety Services will be the test result.
Contractor will document in detail any and all observed or verbalized concerns regarding any child
whom the Contractor is working with under the Agreement. Areas of concern may include, but are
not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be
reported immediately to the caseworker AND on the required monthly report.
Monthly reports will be submitted through the Department's online reporting system, unless
otherwise directed or agreed to by the Department.
4. Payment
a. The Department and the Contractor agree that all benefits from private insurance and/or other
funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's
Compensation must be exhausted before Core Services or other Department funds can be accessed
for services.
b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit
B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached
hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in
accordance with the Agreement.
c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent
upon, the continuing availability of said funds for the purposes hereof.
d. The Department may withhold reimbursement if Contractor has failed to comply with any part of
the Agreement, including the Financial Management requirements, program objectives, contractual
terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may
appeal such circumstance in writing to the Director of Human Services. The decision of the Director
of Human Services shall be final.
5. Financial Management
At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall
comply with the administrative requirements, cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133.
6. Payment Method
Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D,
Payment Schedule:
a. If services are funded through Core Services, Contractor agrees to accept reimbursement
through ACH direct deposit one time per month.
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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.
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- Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks
for all employees, contractors and sub -contractors.
b. Contractor is further charged with the knowledge that any person who feels that s/he has been
discriminated against has the right to file a complaint either with the Colorado Department of Human
Services or with the United States Department of Health and Human Services, Office for Civil Rights.
c. Contractor assures that it will fully comply with all other applicable Federal and State laws which
may govern the ability of the Department to comply with the relevant funding requirements.
Contractor understands the source of funds to be accessed under the Agreement is Core Services.
d. Contractor assures and certifies that it and its principals:
- Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transaction by a Federal or State department or agency;
and
- have not, within a three-year period preceding this Agreement, been convicted of or
had a civil judgment rendered against them for commission of fraud or criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State or
Local) transaction or contract under public transaction; violation of federal or state antitrust
statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction
of records, making false statements, or receiving stolen property; and
- are not presently indicted for or otherwise criminally or civilly charged by a government
entity (federal, state or local) with commission of any of the offenses enumerated in this
certification; and
- have not, within a three-year period preceding this Agreement, had one or more public
transactions (federal, state, or local) terminated for cause or default.
e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and
agrees that it does not knowingly employ or contract with an illegal alien who will perform work under
this contract. Contract Professional will confirm the employment eligibility of all employees who are
newly hired for employment in the United States to perform work under this Agreement, through
participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S.
§8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to
perform work under this Agreement or enter into a contract with a subcontractor that fails to certify
with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal
alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or
State of Colorado program procedures to undertake pre -employment screening or job applicants while
this Agreement is being performed. If Contract Professional obtains actual knowledge that a
subcontractor performing work under the public contract for services knowingly employs or contracts
with an illegal alien Contract Professional shall notify the subcontractor and County within three (3)
days that Contract Professional has actual knowledge that a subcontractor is employing or contracting
with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or
contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall
not terminate the contract if within three days the subcontractor provides information to establish that
the subcontractor has not knowingly employed or contracted with an illegal alien. Contract
Professional shall comply with reasonable requests made in the course of an investigation, undertaken
pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract
Professional participates in the State of Colorado program, Contract Professional shall, within twenty
days after hiring a new employee to perform work under the contract, affirm that Contract Professional
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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
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time of execution of any agreement or commencement of any work, the following insurance
covering all operations, goods or services provided pursuant to this request. Contractors/Contract
Professionals shall keep the required insurance coverage in force at all times during the term of
the Agreement, or any extension thereof, and during any warranty period. The required insurance
shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best
Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating
"Should any of the above -described policies by canceled or should any coverage be reduced
before the expiration date thereof, the issuing company shall send written notice to the Weld
County Director of General Services by certified mail, return receipt requested. Such written
notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-
payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess
of a deductible or self -insured retention, County must be notified by the Contractor/Contract
Professional. Contractor/Contract Professional shall be responsible for the payment of any
deductible or self -insured retention. County reserves the right to require Contractor/Contract
Professional to provide a bond, at no cost to County, in the amount of the deductible or self -
insured retention to guarantee payment of claims. The insurance coverages specified in this
Agreement are the minimum requirements, and these requirements do not decrease or limit the
liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at
its own expense, any additional kinds or amounts of insurance that it may deem necessary to
cover its obligations and liabilities under this Agreement.
b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all
times during the term of any Agreement, insurance in the following kinds and amounts:
i.Workers' Compensation Insurance as required by state statute, and Employer's Liability
Insurance covering all of Contractor's Contract Professional's employees acting within
the course and scope of their employment. If Contractor is an Independent Contractor,
as defined by the Colorado Worker's Compensation Act, this requirement shall not apply.
Contractor must submit to the Department a Declaration of Independent Contractor
Status Form prior to the start of this agreement.
ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93
or equivalent, covering premises operations, fire damage, independent Contractors,
products and completed operations, blanket contractual liability, personal injury, and
advertising liability with minimum limits as follows:
- $1,000,000 each occurrence;
$2,000,000 general aggregate;
$50,000 any one fire; and
$500,000 errors and omissions.
iii.Automobile Liability: Contractor/Contract Professional shall maintain limits of
$1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident,
and $1,000,000 for property damage applicable to all vehicles operating both on County
property and elsewhere.
iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor
liability and pollution liability must provide the following:
If any aggregate limit is reduce by twenty-five percent (25%) or more
by paid or reserved claims, Contractor shall notify County within ten (10) days
and reinstate the aggregates required;
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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
1150'0' 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.
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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:
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- 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 Chuck Thompson, President/CEO
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:
Chuck Thompson, President/CEO
14143 Denver West Parkway, #100
Golden, CO 80401
(303) 905-4109
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
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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
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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
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,
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shall not employ any person having such known interests. During the term of this Agreement, the
Contractor shall not engage in any in any business or personal activities or practices or maintain any
relationships which actually conflict with or in any way appear to conflict with the full performance of its
obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may
result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of
the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or
hold any such position which either by rule, practice or action nominates, recommends, supervises
Contract Professional's operations, or authorizes funding to the Contractor.
33. Board of County Commissioners of Weld County Approval
This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld
County, Colorado.
34. Choice of Law/Jurisdiction
Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation,
execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference
which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute
between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive
jurisdiction to resolve said dispute.
35. Subcontractors
Contract Professional acknowledges that County has entered into this Agreement in reliance upon the
particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any
subcontractor agreements for the completion of this project without County's prior written consent, which
may be withheld in County's sole discretion.
36. Attorneys Fees/Legal Costs
In the event of a dispute between County and Contract Professional, concerning this Agreement, the
parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs
incurred by or on its own behalf.
37. Ownership
All work and information obtained by Contract Professional under this Agreement or individual work order
shall become or remain (as applicable), the property of County. In addition, all reports, documents, data,
plans, drawings, records and computer files generated by Contract Professional in relation to this
Agreement and all reports, test results and all other tangible materials obtained and/or produced in
connection with the performance of this Agreement, whether or not such materials are in completed form,
shall at all times be considered the property of the County. Contract Professional shall not make use of such
material for purposes other than in connection with this Agreement without prior written approval of
County.
38. Interruptions
Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or
otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond
its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or
13
Governmental actions.
39. Severability
If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of
competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the
extent that this Agreement is then capable of execution within the original intent of the parties.
14
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and
year first above written.
COUNTY
ATTEST: daiLl �I • f11+° (1‘"
Weld Cou ty Clerk to the Board WELD COUNTY, COLORADO
BOARD OF COUNTY COMMISSIONERS
By:
Deputy Clerk to th ' Board
15
uTCozad, Chair
AUG 82017
CONTRACTOR:
Colorado Boys Ranch Foundation DBA CBR
YouthConnect
14143 Denver West Parkway, #100
Golden, Colorad • •r+ 01
(303) 905-4
huck Thompson, President/CEO
02.0/7- 297
EXHIBIT A
WELD COUNTY'S REQUEST FOR PROPOSAL
REQUEST FOR BIDS AND PROPOSALS
WELD COUNTY, COLORADO
1150 O STREET
GREELEY, CO 80634
DATE: April 3, 2017
BID NUMBER: B1700080
DESCRIPTION: Annual Request for Various Services
DEPARTMENT: Human Services
MANDATORY PRE -BID CONFERENCE DATE: N/A
BID OPENING DATE: APRIL 24, 2017
PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION
CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO
THIS REQUEST FOR BID FOLLOW PAGE 9.
I. NOTICE TO BIDDERS
A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of
Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the
following:
VARIOUS ENGLISH AND BILINGUAL (ENGLISH/SPANISH) SERVICES (SERVICE AREAS INCLUDED IN THIS
PROPOSAL INCLUDE, BUT ARE NOT LIMITED TO THE BELOW LIST. OTHER SERVICES WILL BE
CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVE SERVICES.)
Program Area
Definition
Aftercare Services
Services provided to prepare a child for reunification with his/her family or
other permanent placement and to prevent future out- of -home placement
of thechild.
Anger
Management/Domestic
Violence
Diagnostic and/or therapeutic services to assist in the development of the
family services plan, to assess and/or improve familycommunication,
functioning and relationships, and to prevent further domesticviolence.
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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 yearsold.
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.
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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.
Relinquishment Counseling
Relinquishment counseling for parents considering relinquishment of their
children.
Substance Abuse Treatment
Services
Diagnostic and/or therapeutic services to assist in the development of the
Family Service Plan (FSP), to assess and/or improve family communication,
functioning and relationships, and to prevent further abuse of drugs or
alcohol.
Other
Creative and unique services designed to meet the needs of children,
youth and families interacting with the Child Welfare system through a
prevention or traditional case.
B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource
Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF
HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows:
Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must
include the following statement on the email: "I hereby waive my right to a sealed bid". An email
confirmation will be sent when we receive your bid/proposal.
Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include
the following statement on the email: "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 7th Street, Suite 150, Greeley, CO 80631. Please call or email Tobi Vegter at 970-400-6392 or
vegterta@weldgov.com if you have any questions.
3
II. INVITATION TO BID
A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human
Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various
Services (as described above).
B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the
total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if
awarded the bid.
C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to
submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed
bid must contain the following statement: "I hereby waive my right to a sealed bid."
D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid
document, which will be the only official copy of the bid, shall be filed at the Weld County Department of
Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable
review. An e-mail confirmation will be sent when we receive your bid/proposal.
III.INSTRUCTIONS TO BIDDERS
A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him
with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed
with the partnership name by one of the partners of the partnership or by an authorized representative,
followed by the signature and title of the person signing. Bids by corporations must be signed with the legal
name of the corporation, followed by the name of the state of the incorporation and by the signature and
title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by
limited liability companies must furnish the full names of all members and managers and must be signed by a
manager or by an authorized representative, followed by the signature and title of the person signing. The
name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes
to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may
be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of
the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by
the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements,
specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be
fully and clearly set forth.
B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received
from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid
confers no right for the withdrawal of the bid after it has been opened.
C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure
to do so will be at the bidder's risk.
D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and
specifications herein unless specifically requested by the special instructions attached hereto. Any proposal
which fails to comply with the letter of the instructions and specifications herein may be rejected.
E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that
the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the
time indicated in Section I., entitled "Notice to Bidders."
F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity
as best fits its needs.
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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 any way to modify any of the
terms, conditions, or specifications of this bid without written approval of said Director of the Weld County
Department of Human Services. This is not to imply that bids will not be accepted or considered with
specifications which are different from those herein. Any item which does not meet all the terms, conditions,
or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid
specification and proposal sheets and returned with the bid.
IV.GENERAL SPECIFICATIONS
A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are
contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By
acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the
current fiscal year.
B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver,
express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado
Governmental Immunity Act §§24- 10-101 et seq., as applicable now or hereafter amended.
C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent
contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and
employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or
employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its
employees and agents are not entitled to unemployment insurance or workers' compensation benefits
through Weld County and Weld County shall not pay for or otherwise provide such coverage for the
successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the
successful bidder and its employees and agents only if such coverage is made available by the successful bidder
or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes
and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have
authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as
expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to
workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force
workers' compensation and unemployment compensation insurance in the amounts required by law, and (b)
provide proof thereof when requested to do so by Weld County.
D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws,
rules and regulations in effect or hereafter established, including without limitation, laws applicable to
discrimination and unfair employment practices.
E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the
interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by
6
reference which conflicts with said laws, rules and/or regulations shall be null and void.
F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body
or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and
void.
G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the
terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly
reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action
whatsoever by any other person not included in the contract. It is the express intention of the undersigned
parties that any entity other than the undersigned parties receiving services or benefits under the contract
shall be an incidental beneficiary only.
H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder,
concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the
payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder.
V. Insurance Requirements
i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution
of any agreement or commencement of any work, the following insurance covering all operations, goods or
services provided pursuant tothis request. Contractors/Contract Professionals shall keep the required
insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any
warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be
underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or
better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described
policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing
company shall send written notice to the Weld County Director of General Services by certified mail,
return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or
reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any
policy is in excess of a deductible or self -insured retention, County must be notified by the
Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any
deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to
provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee
payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and
these requirements do not decrease or limit the liability of Contractor/Contract Professional.
Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of
insurance that it may deem necessary to cover its obligations and liabilities under this Agreement.
ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the
term of any Agreement, insurance in the following kinds and amounts:
(a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance
covering all of Contractor's Contract Professional's employees acting within the course and scope of their
employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation
Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent
Contractor Status Form prior to the start of this agreement.
(b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent,
covering premises operations, fire damage, independent Contractors, products and completed operations,
blanket contractual liability, personal injury, and advertising liability with minimum limits as follows:
7
• $1,000,000 each occurrence;
• $2,000,000 general aggregate;
• $50,000 any one fire; and
• $500,000 errors and omissions.
(c). Automobile Liability: Contractor/Contract Professional shall maintain limits of
$1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for
property damage applicable to all vehicles operating both on County property and elsewhere.
(d). Additional Provisions:
• Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must
provide the following:
• If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims,
Contractor shall notify County within ten (10) days and reinstate the aggregates required;
• Unlimited defense costs in excess of policy limits;
• Contractual liability covering the indemnification provisions of this Agreement;
• A severability of interests provision;
• Waiver of exclusion for lawsuits by one insured against another;
• A provision that coverage is primary; and
• A provision that coverage is non-contributory with other coverage or self- insurance provided by
County.
(e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability
policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or
the first date when any goods or services were provided to County, whichever is earlier.
iii. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator
("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times
during the term of the Agreement as the same may be extended as herein provided, a commercial general
liability insurance policy, including public liability and property damage, in form and company acceptable to
and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request
for Bid.
iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its
insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract
Professional's required insurance to the County. County reserves the right to require Contractor/Contract
Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the
County's Risk Administrator in his sole discretion.
v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability,
and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured.
vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation
rights against County.
vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub- vendors, suppliers or
other entities providing goods or services required by this Agreement shall be subject to all of the
requirements herein and shall procure and maintain the same coverages required of Contractor/Contract
Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors,
sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors
maintain the required coverages.
8
Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors,
independent contractors, sub -vendors suppliers or other entities upon request by the County.
A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage:
Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000
aggregate limit for all claims.
VI.Warranty. The successful bidder shall warrant that:
A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended;
B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County
specifications as established herein.
VI. CONFIDENTIAL INFORMATION
Confidential financial information of the bidder should be transmitted separately from the main bid submittal,
clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the
successful bidder is advised that as a public entity, Weld County must comply with the provisions of
C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot
guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information
marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an
appropriate court order preventing disclosure. Without such an order, Weld County will release the requested
information in accordance with CORA.
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SCOPE OF SERVICES
PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English-
speaking and bilingual (English/Spanish) providers in various service areas under various funding sources.
Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment,
Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services
(Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health,
Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention,
Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services.
SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED
TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT
FOR UNIQUE AND CREATIVESERVICES.
Qualifications:
To be considered, a bidder must meet the following minimum qualifications:
1) Complete a Provider Information Form (PIF).
2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full
Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below.
• Full Professional Proficiency: Able to use and read the language fluently and accurately on all
levels pertinent to professional needs
• Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking
and reading).
3) A bidder must agree to language proficiency testing that may include assessment of reading, writing
and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient
Spanish speaker selected by Weld County.
4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's
location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A
bidder must include current contact information including physical address, mailing address, phone
number, email address and website, if applicable.
5) A bidder must submit sufficient information concerning each proposed service for Weld County to
evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be
submitted as its own proposal, inclusive of scope of services and rate information. The scope of service
should include at a minimum the following information for each service proposed:
• Detailed description of service components, modalities used, appropriate use of service, etc.
• Target population including age range, specific population characteristics, area of service, etc.
• Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid.
Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are
preferred.
• Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service.
6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does
not directly address the requirements set forth in this Request for Bid.
7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s).
8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and
contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if
applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board
Providers).
9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the
bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of
supervision, credentials of supervisor and length of time as a supervisor.
10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol,
including communication to the referring agency.
11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of
applicable training certificates, or proof of registration for training, for all staff members who manage
and/or administer services under this proposal.
12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly
and successfully schedule services as requested.
13) A bidder must agree to track outcome data related to services proposed if awarded a contract and
report outcomes upon request.
14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County
Department of Human Services and comply with all requirements of the agreement.
Contract Period and Pricing:
1) The initial contract period is to be determined and shall continue as allowable by the funding source,
so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit
annually.
2) The initial contract will be funded through Core Services Program or other funding, so long as funding
is made available.
3) The selected vendor will bill the Weld County Department of Human Services monthly according to
billing requirements set forth by the Weld County Department of Human Services.
Submittal Requirements for All Proposals:
A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All
proposals must contain the following specific information:
1) Provider Information Form (PIF).
2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish)
services.
3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her
experience and qualifications, and staff, if applicable.
4) A bidder must submit sufficient information concerning each proposed service for Weld County to
evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must
be submitted as its own proposal, inclusive of scope of services and rate information. The scope of
service should include at a minimum the following information for each service proposed:
• Detailed description of service components, modalities used, appropriate use of service, etc.
• Target population including age range, specific population characteristics, area of service, etc.
• Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid.
Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are
preferred.
• Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service.
5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not
directly address the requirements set forth in this Request for Bid.
6) Current resume, proof of licensure and copies of applicable training certificates for all staff members
who will manage and/or administer services under this proposal.
7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio
of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor
and length of time as a supervisor.
8) Internal referral acceptance and assignment protocol, including communication to the referring
agency.
9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and
comply with the specific requirements set forth by the Weld County Department of Human Services.
10) All proposals must include a clear and concise rate schedule that accurately correlates to the
proposed services and is inclusive of all possible charges related to the proposed service(s). The rate
schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of
rates for a service will not be accepted.
11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance
company authorized to do business in the State of Colorado stating its willingness to insure the bidder
pursuant to the terms of this Request for Bid.
Evaluation of Proposals:
All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the
Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the
following:
• Qualifications, appropriate licensure, and experience.
• Cost structure.
• Relationships and collaboration.
• Organizational experience and past performance.
The FYC Commission will make recommendations to the Board of Weld County Commissioners by and
through the Weld County Department of Human Services. The Weld County Department of Human
Services will make its award of contract to the successful bidders upon final approval of the Board of
Weld County Commissioners.
EXHIBIT A
SAMPLE AGREEMENT
CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND
This Agreement, made and entered into the _ day of 2015, by and between the Board of Weld
County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as
the "Department' and «Contractor», hereinafter referred to as the "Contractor".
The parties to this Agreement understand and agree that the provisions of this Agreement specifically
include the following documents: Exhibit A, Weld County's Reuquest for Proposal, Exhibit B, Contractor's Proposal,
Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and
incorporated herein by this reference.
WITNESSETH
WHEREAS, required approval, clearance, and coordination have been accomplished from and with
appropriate agencies; and
WHEREAS, the Colorado Department of Human Services has provided funding to the Department
for
NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows:
1. Term
This agreement shall become effective on , upon proper execution of this Agreement and shall
expire , unless sooner terminated as provided herein. The agreement is for a period of three years.
However, the agreement must be renewed by both parties, in writing, on an annual basis.
2. Scope of Services
Services shall be provided by the Contractor to any person(s) eligible for services in compliance with
Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services.
3. Referrals, Billing and Tracking
a. Contractor understands and will comply with all aspects of the referral authorization, billing and
tracking requirements as set forth by the Department. Failure to comply with all aspects may result
in a forfeiture of payment.
b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-
mail address prior to the start of this Agreement. Contractor acknowledges that services are not
authorized until the Contractor has received an authorized referral form from the Department.
Contractor further acknowledges that services provided prior to the authorized start date or outside
the scope of services on the referral form will not be eligible for reimbursement.
Contractor acknowledges that any and all modifications to an existing referral must be approved
through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or
through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other
Department staff or other party to the case may authorize services or modifications to services.
c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month,
following the month of service, utilizing billing forms required by the Department.
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d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month
following the month of service for each client receiving ongoing services. One-time services will be
verified through receipt of the completed product (ex. psychological evaluation, substance abuse
evaluation). Verification of Monitored Sobriety Services will be the test result.
Contractor will document in detail any and all observed or verbalized concerns regarding any child
whom the Contractor is working with under the Agreement. Areas of concern may include, but are
not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be
reported immediately to the caseworker AND on the required monthly report.
Monthly reports will be submitted through the Department's online reporting system, unless
otherwise directed or agreed to by the Department.
4. Payment
a. The Department and the Contractor agree that all benefits from private insurance and/or other
funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's
Compensation must be exhausted before Core Services or other Department funds can be accessed
for services.
b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit
B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached
hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in
accordance with the Agreement.
c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent
upon, the continuing availability of said funds for the purposes hereof.
d. The Department may withhold reimbursement if Contractor has failed to comply with any part of
the Agreement, including the Financial Management requirements, program objectives, contractual
terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may
appeal such circumstance in writing to the Director of Human Services. The decision of the Director
of Human Services shall be final.
5. Financial Management
At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall
comply with the administrative requirements, cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under this Agreement must conform to the Single Audit Act of 1984 and 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
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Colorado per the directions on the form. Failure to complete and submit this form in a timely and
accurate manner may result in a delay of payment.
c. Contractor agrees to accept payment through county warrant when funding source does not
allow for direct deposit.
7. Compliance with Applicable Laws
a. At all times during the performance of this Agreement, Contractor will strictly adhere to all
applicable Federal and State laws, order, and applicable standards, regulations, interpretations
and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all
applicant/recipient records, papers, documents, tapes and any other materials that have been or may
hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws
and regulations, including, but not limited to the following:
- Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil
Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45
C.F.R. Part 80 et. seq.; and
- all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of
race, creed, color, sex, or national origin, be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination under the approved Agreement.
- Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its
implementing regulations, 45 C.F.R. Part 84; and
- the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its
implementation regulations, 45 C.F.R. Part 91; and
- Title VII of the Civil Rights Act of 1964; and
- the Age Discrimination in Employment Act of 1967; and
- the Equal Pay Act of 1963; and
- the Education Amendments of 1972; and
- Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and
- all regulations applicable to these laws prohibiting discrimination because of race, color,
national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome
(AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of
1973, as amended, cited above. If necessary, Contractor and the Department will resist in
judicial proceedings any efforts to obtain access to client records except as permitted by 42
C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken
to assure that small and minority businesses are utilized, when possible, as sources of
supplies, equipment, construction and services. This assurance is given in consideration of
and for the purpose of obtaining any all Federal and/or State financial assistance.
- Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks
for all employees, contractors and sub -contractors.
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b. Contractor is further charged with the knowledge that any person who feels that s/he has been
discriminated against has the right to file a complaint either with the Colorado Department of Human
Services or with the United States Department of Health and Human Services, Office for Civil Rights.
c. Contractor assures that it will fully comply with all other applicable Federal and State laws which
may govern the ability of the Department to comply with the relevant funding requirements.
Contractor understands the source of funds to be accessed under the Agreement is Core Services.
d. Contractor assures and certifies that it and its principals:
- Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transaction by a Federal or State department or agency;
and
- have not, within a three-year period preceding this Agreement, been convicted of or
had a civil judgment rendered against them for commission of fraud or criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State or
Local) transaction or contract under public transaction; violation of federal or state antitrust
statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction
of records, making false statements, or receiving stolen property; and
- are not presently indicted for or otherwise criminally or civilly charged by a government
entity (federal, state or local) with commission of any of the offenses enumerated in this
certification; and
- have not, within a three-year period preceding this Agreement, had one or more public
transactions (federal, state, or local) terminated for cause or default.
e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and
agrees that it does not knowingly employ or contract with an illegal alien who will perform work under
this contract. Contract Professional will confirm the employment eligibility of all employees who are
newly hired for employment in the United States to perform work under this Agreement, through
participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S.
§8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to
perform work under this Agreement or enter into a contract with a subcontractor that fails to certify
with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal
alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or
State of Colorado program procedures to undertake pre -employment screening or job applicants while
this Agreement is being performed. If Contract Professional obtains actual knowledge that a
subcontractor performing work under the public contract for services knowingly employs or contracts
with an illegal alien Contract Professional shall notify the subcontractor and County within three (3)
days that Contract Professional has actual knowledge that a subcontractor is employing or contracting
with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or
contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall
not terminate the contract if within three days the subcontractor provides information to establish that
the subcontractor has not knowingly employed or contracted with an illegal alien. Contract
Professional shall comply with reasonable requests made in the course of an investigation, undertaken
pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract
Professional participates in the State of Colorado program, Contract Professional shall, within twenty
days after hiring a new employee to perform work under the contract, affirm that Contract Professional
has examined the legal work status of such employee, retained file copies of the documents, and not
altered or falsified the identification documents for such employees. Contract Professional shall deliver
to County, a written notarized affirmation that it has examined the legal work status of such employee,
and shall comply with all of the other requirements of the State of Colorado program. If Contract
Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq.,
County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be
liable for actual and consequential damages.
f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if
Contract Professional receives federal or state funds under the contract, Contract Professional must
confirm that any individual natural person eighteen (18) years of age or older is lawfully present in
the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits
provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears
or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully
present in the United States pursuant to federal law, (b) shall produce one of the forms of
identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of
identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract.
8. Compliance with Child and Family Services Review
The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas;
Safety, Permanency and Well Being of families. For each outcome, data and performance indicators
measure each state's performance according to national standards and monitor progress over time.
Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance
services to families.
Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well
Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under
this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under
the Child and Family Services Review (CFSR), and will address the aforementioned three areas when
completing monthly reports as required by Paragraph 3(d) of this Agreement.
9. Insurance Requirements
Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County,
its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or
omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing
duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County,
the Board of County Commissioners of Weld County, its employees, volunteers and agents.
Contractor shall provide the liability insurances (including professional liability insurances where
necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged
in the performance of this Agreement which are required under Weld County's Request for Proposal, and
required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the
acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement.
At a minimum, Contractor shall procure, either personally or through its employer as applicable to the
Contractor's business, at its own expense, and maintain for the duration of the work, the following
insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners
of Weld County, its employees and agents, shall be named as additional named insured on the insurance,
where permissible the insurance provider.
a. General Requirements: Contractors/Contract Professionals must secure, at or before the
time of execution of any agreement or commencement of any work, the following insurance
covering all operations, goods or services provided pursuant to this request. Contractors/Contract
Professionals shall keep the required insurance coverage in force at all times during the term of
5
the Agreement, or any extension thereof, and during any warranty period. The required insurance
shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best
Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating
"Should any of the above -described policies by canceled or should any coverage be reduced
before the expiration date thereof, the issuing company shall send written notice to the Weld
County Director of General Services by certified mail, return receipt requested. Such written
notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-
payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess
of a deductible or self -insured retention, County must be notified by the Contractor/Contract
Professional. Contractor/Contract Professional shall be responsible for the payment of any
deductible or self -insured retention. County reserves the right to require Contractor/Contract
Professional to provide a bond, at no cost to County, in the amount of the deductible or self -
insured retention to guarantee payment of claims. The insurance coverages specified in this
Agreement are the minimum requirements, and these requirements do not decrease or limit the
liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at
its own expense, any additional kinds or amounts of insurance that it may deem necessary to
cover its obligations and liabilities under this Agreement.
b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all
times during the term of any Agreement, insurance in the following kinds and amounts:
Workers' Compensation Insurance as required by state statute, and Employer's
Liability Insurance covering all of Contractor's Contract Professional's employees acting
within the course and scope of their employment. If Contractor is an Independent
Contractor, as defined by the Colorado Worker's Compensation Act, this requirement
shall not apply. Contractor must submit to the Department a Declaration of Independent
Contractor Status Form prior to the start of this agreement.
ii. Commercial General Liability Insurance written on ISO occurrence form CG 00
01 10/93 or equivalent, covering premises operations, fire damage, independent
Contractors, products and completed operations, blanket contractual liability, personal
injury, and advertising liability with minimum limits as follows:
$1,000,000 each occurrence;
$2,000,000 general aggregate;
$50,000 any one fire; and
$500,000 errors and omissions.
iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of
$1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident,
and $1,000,000 for property damage applicable to all vehicles operating both on County
property and elsewhere.
iv. Additional Provisions: Policies for all general liability, excess/umbrella liability,
liquor liability and pollution liability must provide the following:
If any aggregate limit is reduce by twenty-five percent (25%) or more
by paid or reserved claims, Contractor shall notify County within ten (10) days
and reinstate the aggregates required;
Unlimited defense costs in excess of policy limits;
Contractual liability covering the indemnification provisions of this
Agreement;
A severability of interests provision;
Waiver of exclusion for lawsuits by one insured against another;
A provision that coverage is primary; and
A provision that coverage is non-contributory with other coverage or
self-insurance provided by County.
v. For all general liability, excess/umbrella liability, liquor liability, pollution liability
and professional liability policies, if the policy is a claims -made policy, the retroactive
date must be on or before the contract date or the first date when any goods or services
were provided to County, whichever is earlier.
c. Contractors/Contract Professionals shall secure and deliver to County's Risk
Administrator ("Administrator") at or before the time of execution of this Agreement, and shall
keep in force at all times during the term of the Agreement as the same may be extended as
herein provided, a commercial general liability insurance policy, including public liability and
property damage, in form and company acceptable to and approved by said Administrator,
covering all operations hereunder set forth in the related Bid or Request for Proposal.
d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this
information to its insurance agent or broker, and shall have its agent or broker provide proof of
Contractor/Contract Professional's required insurance. County reserves the right to require
Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of
insurance as required by the County's Risk Administrator in his sole discretion.
e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability,
liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as
an additional insured as follows
f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer
shall waive subrogation rights against County.
B. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -
vendors, suppliers or other entities providing goods or services required by this Agreement shall
be subject to all of the requirements herein and shall procure and maintain the same coverages
required of Contractor/Contract Professional. Contractor/Contract Professional shall include all
such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds
under its policies or shall ensure that all subcontractors maintain the required coverages.
Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors,
independent contractors, sub -vendors suppliers or other entities upon request by the County.
A provider of Professional Services (as defined in the Bid or RFP) shall provide the following
coverage:
Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and
$2,000,000 aggregate limit for all claims.
10. Certification
Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all
necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies
covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the
Contractor prior to the start of any Agreement.
11. Trim
7
Contractor may be required to attend training that the request of the Department specific to services
provided under this Agreement. The Department will not compensate the Contractor for said training in
the form of registration fees, time spent traveling to and from training, attending the training or any other
associated costs unless otherwise agreed to by the Department.
12. Subpoenas
Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the
Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For
this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the
Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will
contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the
subpoena must be personally served.
13. Monitoring and Evaluation
Contractor and the Department agree that monitoring and evaluation of the performance of this
Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and
evaluation shall be provided to the Board of Weld County Commissioners, the Department and the
Contractor.
Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to
monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the
monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special
analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such
monitoring shall be performed in a manner that will not unduly interfere with the work conducted under
this Agreement.
14. Modification of Agreement
All modifications to this Agreement shall be in writing and signed by both parties.
15. Remedies
The Director of Human Services or designee may exercise the following remedial actions should s/he find
the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial
failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
- Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed.
- Deny payment or recover reimbursement for those services or deliverables, which have
not been performed and which due to circumstances caused by the Contractor cannot be
performed or if performed would be of no value to the Department. Denial of the amount
of payment shall be reasonably related to the amount of work or deliverables lost to the
Department.
- Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation
shall be recovered from Contractor by deduction from subsequent payments under this
Agreement or other agreements between the Department and Contractor, or by the
Department as a debt due to the Department or otherwise as provided by law.
8
16. Representatives
For the purpose of this Agreement, the individuals identified below are hereby designated representatives
of the respective parties. Either party may from time to time designate in writing a new or substitute
representative(s).
For Department: For Contractor:
Heather Walker, Administrator CONTRACTOR, TITLE
17. Notice
All notices required to be given by the parties hereunder shall be given by certified or registered mail to
the individuals at the addresses set forth below. Either party may from time to time designate in writing a
substitute person(s) or address to whom such notices shall be sent.
For Department:
Judy A. Grieco, Director
P.O. Box A
Greeley, CO 80632
(970) 352-1551
18. Litigation
For Contractor:
Contractor shall promptly notify the Department in the event that Contractor learns of any actual
litigation in which it is a party defendant in a case that involves services provided under this Agreement.
Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any Federal or State court or administrative agency, shall deliver copies of such
document(s) to the Director of Human Services. The term "litigation" includes an assignment for the
benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure.
19. Termination
This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the
individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an
obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise
appropriated in each succeeding year, as this Agreement is subject to the availability of funding.
Therefore, the Department may terminate this Agreement at any time if the source of funding for the
services made available to the Contractor is no longer available to the Department, or for any other
reason. Contractor reserves the right to suspend services to clients if funding is no longer available.
20. No Third Party Beneficiary Enforcement
It is expressly understood and agreed that the enforcement of the terms and conditions of this
Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the
undersigned parties and nothing in this Agreement shall give or allow any claim or right of action
whatsoever by any other person not included in this Agreement. It is the express intention of the
undersigned parties that any entity other than the undersigned parties receiving services or benefits
under this Agreement shall be an incidental beneficiary only.
21. Governmental Immunity
No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of
9
any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental
Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended.
22. Partial Invalidity of Agreement
If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held
or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions.
The parties hereto declare that they would have entered into this Agreement and each and every section,
subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more
sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional
or invalid.
23. Improprieties/Conflict of Interest
No officer, member or employee of Weld County and no member of their governing bodies shall have any
pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof.
The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department
when the Contractor also maintains a relationship with a third party and the two relationships are in
opposition. In order to create the appearance of a conflict of interest, it is not necessary for the
Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor
know that the two relationships are in opposition. During the term of the Agreement, Contractor shall
not enter into any third party relationship that gives the appearance of creating a conflict of interest.
Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the
Department, a full disclosure statement setting forth the details that create the appearance of a conflict
of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute
grounds for the Department's termination, for cause, of its Agreement with the Contractor.
Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of
Contractor, to any person for influencing or attempting to influence an officer or employee of an agency,
a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of an Federal contract, loan, grant, or cooperative agreement.
24. Storage, Availability and Retention of Records
Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during
business hours, have access to inspect and copy records, and shall be allowed to monitor and review
through on -site visits, all activities related to this Agreement, supported with funds under this Agreement,
to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and
evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The
results of the monitoring and evaluation activities shall be provided to the appropriate and interested
parties.
All such records, documents, communications, and other materials created pursuant or related to this
Agreement shall be maintained by the Contractor in a central location and shall be made available to the
Department upon its request, for a period of seven (7) years from the date of final payment under this
Agreement, or for such further period as may be necessary to resolve any matters which may be pending,
or until an audit has been completed with the following qualifications: If an audit by or on behalf of the
Federal and/or State government has begun but is not completed at the end of the seven (7) year period,
or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until
the resolution of the audit finding.
10
25. Confidentiality of Records
Contractor shall protect the confidentiality of all applicant records and other materials that are
maintained in accordance with this Agreement except for purposes directly connected with the
administration of Child Protection. No information about or obtained from any applicant/recipient in
possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's
parent or guardian unless in accordance with the Contractor's written policy governing access to,
duplication and dissemination of, all such information, in any form, including social networks. Contractor
shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality
requirements.
Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written
explanation of these confidentiality requirements before access to confidential data is permitted.
Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality
agreement and shall provide a copy of such agreement to the Department, if requested.
26. Proprietary Information
Proprietary information for the purposes of this Agreement is information relating to a party's research,
development, trade secrets, business affairs, internal operations and management procedures and those
of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third
parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither
party shall use or disclose directly or indirectly without prior written authorization any proprietary
information concerning the other party obtained as a result of this Agreement. Any proprietary
information removed from the Department's site by the Contractor in the course of providing services
under this Agreement will be accorded at least the same precautions as are employed by the Contractor
for similar information in the course of its own business.
27. Independence of Contractor: Not an Employee of Weld County
Contract Professional agrees that it is an independent Contract Professional and that Contract
Professional's officers, agents or employees will not become employees of County, nor entitled to any
employee benefits from County as a result of the execution of this Agreement. Contract Professional shall
perform its duties hereunder as an independent Contract Professional. Contract Professional shall be
solely responsible for its acts and those of its agents and employees for all acts performed pursuant to
this Agreement. Contract Professional, its employees and agents are not entitled to unemployment
insurance or workers' compensation benefits through County and County shall not pay for or otherwise
provide such coverage for Contract Professional or any of its agents or employees. Unemployment
insurance benefits will be available to Contract Professional and its employees and agents only if such
coverage is made available by Contract Professional or a third party. Contract Professional shall pay when
due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred
pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to
bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement.
Contract Professional shall have the following responsibilities with regard to workers' compensation and
unemployment compensation insurance matters: (a) provide and keep in force workers' compensation
and unemployment compensation insurance in the amounts required by law (and as set forth in Exhibit
provide proof thereof when requested to do so by County.
28. Entire Agreement
This Agreement, together with all attachments hereto, constitutes the entire understanding between the
parties with respect to the subject matter hereof, and may not be changed or modified except as state in
11
Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs,
legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or
obligations hereunder without the prior consent of both parties.
29. Agreement Nonexclusive
This Agreement does not guarantee any work nor does it create an exclusive agreement for services.
30. Warranty
The Contractor warrants that services performed under this Agreement will be performed in a manner
consistent with the professional standards governing such services and the provisions of this Agreement.
The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training,
diligence and judgment provided by highly competent individuals and entities that perform services of a
similar nature to those described in this Agreement including Exhibits A, B, C, and D.
31. Acceptance of Services Not a Waiver
Upon completion of the work, the Contractor shall submit to Department originals of all tests and results,
reports, etc., generated during completion of this work. Acceptance by Department of reports and
incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of
responsibility for the quality and accuracy of the services. In no event shall any action by the Department
hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or
default which may then exist on the part of the Contractor, and the Department's action or inaction when
any such breach or default shall exist shall not impair or prejudice any right or remedy available to the
Department with respect to such breach or default; and no assent, expressed or implied, to any breach of
any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a
waiver of any other breach. Acceptance by the Department of, or payment for, any services performed
under this Agreement shall not be construed as a waiver of any of the Department's rights under this
Agreement or under the law generally.
32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507
The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any
personal or beneficial interest whatsoever in the service or property which is the subject matter of this
Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which
would in any manner or degree with the performance of the Contractor's services and the Contractor,
shall not employ any person having such known interests. During the term of this Agreement, the
Contractor shall not engage in any in any business or personal activities or practices or maintain any
relationships which actually conflict with or in any way appear to conflict with the full performance of its
obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may
result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of
the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or
hold any such position which either by rule, practice or action nominates, recommends, supervises
Contract Professional's operations, or authorizes funding to the Contractor.
33. Board of County Commissioners of Weld County Approval
This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld
County, Colorado.
12
34. Choice of Law/Jurisdiction
Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation,
execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference
which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute
between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive
jurisdiction to resolve said dispute.
35. Subcontractors
Contract Professional acknowledges that County has entered into this Agreement in reliance upon the
particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any
subcontractor agreements for the completion of this project without County's prior written consent, which
may be withheld in County's sole discretion.
36. Attorneys Fees/Legal Costs
In the event of a dispute between County and Contract Professional, concerning this Agreement, the
parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs
incurred by or on its own behalf.
37. Ownership
All work and information obtained by Contract Professional under this Agreement or individual work order
shall become or remain (as applicable), the property of County. In addition, all reports, documents, data,
plans, drawings, records and computer files generated by Contract Professional in relation to this
Agreement and all reports, test results and all other tangible materials obtained and/or produced in
connection with the performance of this Agreement, whether or not such materials are in completed form,
shall at all times be considered the property of the County. Contract Professional shall not make use of such
material for purposes other than in connection with this Agreement without prior written approval of
County.
38. Interruptions
Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or
otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond
its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or
Governmental actions.
39. Severability
If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of
competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the
extent that this Agreement is then capable of execution within the original intent of the parties.
13
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first
above written.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY, COLORADO
BY:
Deputy Clerk to the Board , Chair
APPROVED AS TO FUNDING: APPROVED AS TO SUBSTANCE:
Controller Elected Official or Department Head
APPROVED AS TO FORM:
Director of General Services
County Attorney
CONTRACTOR
Contractor, Title
14
EXHIBIT B
CONTRACTOR'S PROPOSAL
PRIMARY CONTACT -E-MAIL ADDRESS
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REFFERAL CONTACT -FULL NAME (IF DIFFERENT THAN PRIMARY CONTACT)
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REFERRAL CONTACT- PHONE NUMBER
EXT.
PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld
County Department of Human Services
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AGENCY OR PR 'ATE PRACTICE l uv` !` ie TRAILS PROVIDER ID (If Known)
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PRIMARY CONTACT - FULL NAME
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PHONE NUMBER
PRIMARY CONTACT - TITLE
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EXT. FAX NUMBER
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AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE)
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REFERRAL CONTACT-E-MAILA DRESS
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 he bidstre-ee.Tyetitive in price and quality.
Signature of Authorized ' epres ntative:
Date of Signature:
April 24, 2017
CONTINUING OUR LEGACY
COLORADO BOYS RANCH FOUNDATION
Board of County Commissioners
Weld County Department of Human Services
Families, Youth and Children's Commission
RE: BID No: B1600047
CBR YouthConnect (CBRYC) is a current Weld County CORE provider of Preventative Aftercare (PAC) services. In
addition to PAC, this proposal offers additional CBRYC programs that fit the County's request for innovative CORE
services with proven impact. All programs and services can be blended. Scope of Services and rate information is
detailed for each program offering. CBRYC is fully able to deliver the services and comply with County
requirements. Documentation and communication is provided per county requirements.
Over 56 years, CBRYC has served more than 15,000 youth plus families. We have fully transitioned from
our history as a residential, group and foster care provider. Today, CBRYC exclusively provides an array of
unique and high -impact in -home and community -based core services. Our highly skilled, trauma -informed
social work approach includes strong clinical and educational capabilities and innovation. Services are
offered at intensive or less -intensive levels. They can be fully customized and "blended" together, as
needed. CBRYC ascribes to the NASW Code of Ethics and has received several awards.
CBRYC services are available in several Colorado counties and judicial districts from Weld to the Metro
area to Pueblo and rural SE Colorado. Over 2,100 youth/families were served in the past 6 years. There
are no offices or office appointments. CBRYC staff members "go to" the families, their schools, their
neighborhoods, and other special settings. Services emphasize family "empowerment, encouragement
and accountability". The goal is to achieve permanency while helping youth and family's transition from
county resources and develop of their own personal and community resources.
Our home -based staff are called "family service providers", not therapists. This approach helps build
positive relationships and engagement with youth and families. Staff credentials include
MSW/LSW/LCSW, MA/LPC and BA/BSW Level (supervised) plus special certificates. CBRYC staff is
available 24/7.
All services focus on child protection and family preservation; prevention of out -of -home placement; and
prevention of re-entry. We understand the dynamics of congregate care and are committed to helping
with family reunification. CBRYC is not a Medicaid provider.
Donor funds are available for special needs, supports and certain situations at our staffs' discretion. We
look forward to providing additional services to Weld County in 2016-2017.
Sincer
rles M. (Chuck) Thompson, LCSW
resident
Member of: Colorado Association of Family and Children's Agencies
www.CBRYoutllConnect.ory
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MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691.6095
BUSINESS OFFICE: P.O. Box 681 • La Junta, Colorado 81050
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CONTINUING OUR LEGACY
COLORADO BOYS RANCH FOUNDATION
SUMMARY OF PROGRAMS AND RATES
(SPECIAL NOTE: CBRYC is not a Medicaid provider)
PREVENTATIVE AFTERCARE (PAC and PAC-RT)
• $1,400 /month or a per diem rate of $46/calendar day for intensive level or $23.00 for less intensive.
• Includes staff time, travel, client incentives, court , meetings, documentation and 24/7 availability
• Intensive level offers minimum 3/5 hours of direct contact per week; duration 3 to 4 months
• Intensity and length of services determined by the county; can be adjusted as needed
• Master's Level Clinician
SUPERVISED VISITATION
• $68/hour for all time related to providing the service including visitation session and documentation
• $40/hour for required transportation of the client
• Number of hours determined by the county and case plan
• Master's Level or BA/BSW Level with Master's supervision
SPECIALIZED MENTORING
• $52 per hour — county determines number of hours / month
• $80 per hour —sibling rate (when the request is for two siblings to receive mentoring simultaneously)
• Includes all time related to providing the service i.e. preparation, mentoring sessions, documentation,
travel to and from community -based interventions, activities and communications
• BA/BSW Level with Master's Level supervision
ANIMAL ASSISTED THERAPY
• $65 per hour for all costs of providing the service including therapy session, documentation and any
transportation of the client
• Number of hours determined by the county and case plan
• Master's Level
FAMILY CONNECTIONS AND RESILIENCE
• $576 Total (6 sessions of 2 hours at $48/hour)
• Includes all time and materials related to providing the service
• BA/BSW or Master's Level with Master's Level supervision
COMMUNITY CONNECTIONS (DRAFT)
• SPECIAL NOTE: Further details and rates TBD — (Per recent conversation)
• See attached "DRAFT description" that will be adapted to fit recently discussed needs
SPECIALIZED SMALL GROUP OPTIONS (DRAFT)
• SPECIAL NOTE: Further details and rates TBD — (Per recent conversation)
• See attached "DRAFT description" that will be adapted to fit recently discussed needs
CONTACT: Chuck Thompson LCSW,
President
chompson@youthcannect.org
719-469-3169
Member of: Colorado Association of Family and Children's Aycrxics
\Y '.V 'NC 13 R Youtls C on n do, y
MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 Phone 303.691.6095
BUSINESS OFFICE: P.O. Box 681 • Lo Junta, Colorado 81O5O
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CONTINUING OUR LEGACY
COLORADO BOYS RANCH FOUNDATION
PREVENTATIVE AFTERCARE (PAC)
Scope of Services
NOTE: PREVENTATIVE AFTERCARE (PAC) is the flagship program designed by CBR YouthConnect (CBR), in
collaboration with George Jr. Republic, to provide strength -based resources/support to safely preserve families
when children are at imminent risk of Out -of -Home (OOH) placement, in need of services to maintain a least
restrictive setting or reduce re-entry and promote permanency.
PAC is an established and growing CORE service for WELD County.
PAC strengthens families, monitors safety and addresses causes of family disruption. PAC improves family
protective factors; prevents children/youth from being removed from their homes; reduces length of separation
and placement; and facilitates family reunification following placement. PAC Family Service Providers offer
structure, support, supervision, and professionally skilled interventions within in the home, at school and in the
community for youth and family issues such as:
• Families with infants, young children and low protective factors
• Teen parenting skills and safe care support
• Special needs and handicapping conditions
• Family conflicts, dependency/neglect and child protection concerns
• Youth adjudication, homelessness and emancipation skills
• School truancy and drop -out prevention
• Prevention of out -of -home placement
• Transition and reunification from congregate care and foster placement
• Permanency preservation of Kinship and Foster Care placement
PAC is designed to serve all types of families with children/youth of all ages, abilities and disabilities. PAC is provided
is many counties across the state for a variety of youth and family circumstances. Highly skilled social work practice
and clinical interventions are involved.
PAC is also very collaborative and focuses on developing sustainable community supports and resource networks.
PAC APPROACH
Mobile PAC staff are called "Family Service Providers". This positive approach helps build relationships and
engagement with youth and families. This PAC involves 3-5 hours of frequent, weekly contact with clients/families
in their homes and places of convenience rather than office appointments. Caseloads are 7 to 10 families with
identified clients' ages ranging from infancy to age 21. Priorities include building concrete supports in times of
need and establishing reliable social and community connections.
PAC Family Service Providers make at least weekly contact with referring colleagues; court/team meeting
appearances; actively network within the community for on -going resources and supports; and are available 24
hours for crises.
The intensity of services (contact time, frequency and duration) can be adapted to fit specific needs or changing
conditions with the youth and family. Step-down or step-up options are discussed with the county representative
as part of the case plan and permanency plan.
PAC Family Service Providers give guidance and support for managing family dynamics; addressing conflicts and
special needs. Providers also teach family life skills and routines; help the family access medical and mental health
services; bridge with the school systems to help youth stay in school and avoid delinquency; and address
2
confounding issues that stress the youth and family. PAC services focus on empowerment, encouragement and
accountability.
PAC Family Service Providers document all direct contacts with the youth, family and community supports; attend
staffings and court sessions; maintain weekly contact with the referring agency; network with and develops
community resources; and make every attempt to help locate a youth
htf AWOL.
Feedback from clients, families,
schools, and served agencies Is collected and used for on -going quality Improvement.
Extras: CBR donors contribute funds specifically to the PAC program for youth/family resources "above -and -
beyond" the norm such as music and art equipment and lessons, school and athletic supplies, tickets and
transportation costs for family activities related to the case plan.
HISTORY AND BACKGROUND
Preventative Aftercare (PAC) in -home, community-based
the PAC approach has served overt 8,000 youth in 6 statein 1993 by Gorge Jr. s.
(GJR) of Grove City, Pennsylvania. Since then,
In 2009, CBR and GJR collaborated to bring Preventative Aftercare to Colorado. Over 2,100 Colorado families in 17
counties, statewide DYC and certain judicial districts, have now received Preventative Aftercare services. Formai,
independent research was conducted by Edinboro University, including Colorado data. This is available as
requested. Preventative Aftercare is deemed a promising practice with considerable practice -based evidence. The
CBR and GJR collaboration remains strong and creative.
STAFF
PAC Family Service Providers have LSW/LCSW or MA/LPC credentials.
SUPERVISION
All program supervision is provided by a Master's Level Licensed Professional Counselor (LPC), a Licensed Social
Worker (LSW) or Licensed Clinical Social Worker (LCSW). The supervision ratio does not exceed 1:10. Supervision
involves frequent communication and oversight via monthly (or more frequently as needed), in -person ride-alongs,
documentation review, case consultation and periodic evaluations. On -going staff training, peer
interaction/support/collaboration and employee feedback is always encouraged.
RATE
•
•
•
•
$1,400 /month or a per diem ra
Includes staff time, travel, die
Intensive level offers minimu
Intensity and length of servic
of,$46.00/calendar day for intensive level or $23.00 for less intensive.
tives, court , meetings, documentation and 24/7 availability
urs of direct contact per week; duration 3 to 4 months
fined by the county; can be adjusted as needed
CONTACT INFORMATION: Regional Supervisor —Amanda Bicker, M.A., LPC. 303-905-4109
Regional Director— Dan Baker, M.A. 724-866-1389
Member of Colorado Association of Family and Children's Agencies
MAIN OFFICE: 14M3 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691.6095
BUSINESS OFFICE: P.O. Box 681 • La Junta, Colorado 81050
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CONTINUING OUR LEGACY
COLORADO BOYS RANCH FOUNDATION
PREVENTATIVE AFTERCARE (PAC-RT)
Scope of Services
REUNIFICATION / TRANSITION FROM CONGREGATE CARE
NOTE: PAC-RT is part of an array of programs designed by CBR YouthConnect (CBR) to provide strength -based
resources/support to safely preserve families when children are at imminent risk of Out -of -Home (OOH)
placement, in need of services to maintain a least restrictive setting or reduce re-entry and promote
permanency.
PAC-RT involves initiating PAC program services while the youth is still in congregate care placement and
continuing the services to insure successful reunification and transition to family and community.
Strategically blending Specialized Mentoring (SM) services with PAC-RT after reunification is a powerful option
and offers high impact.
DURING PLACEMENT
During placement, PAC Family Service Provider meets with all providers and fully reviews the goals of the
permanency plan. The PAC Family Service Provider coordinates in -home and community based supports
including school, mental health, medical and other special needs. This involves meeting with
parent/guardian in their home to assess safety needs; meeting with the youth and staff at the facility; meeting
with school personnel; and other community providers. These communications continue as often as needed to
help everyone prepare for the youth's return home.
PAC Family Service Provider helps coordinate home visits; monitors and provides counseling during the visit;
and obtains feedback after the visit. PAC Family Service Provider initiates, schedules and coordinates a
meeting with the home school district to insure enrollment in an appropriate education setting. This includes
prompting school officials to provide transcripts if the youth is going to a new school.
PAC Family Service Provider probes for key information re: confounding medical, psychiatric and trauma issues;
learning styles, intrinsic interests, skills and giftedness that naturally motivates the youth. PAC Family Service
Provider works with family and others to coordinate the approach to reunification.
FOLLOWING PLACEMENT (During Reunification)
PAC services continue after returning home. The PAC Family Service Provider implements the plans for
aftercare and permanency and collaborates with youth, family and community providers to establish the
best services and supports for successful reunification. The PAC-RT approach involves a three -step process:
• Help the youth/family discuss and assess their interests and needs, then set personal goals
• Coordinate with system -of -care providers and introduce the youth/family to various
individuals/groups/organizations in the community that offer resources and opportunities that fit
the interests/needs
• Help the youth/family develop a plan for taking advantage of the community supports/resources
Benefits of Blended Services Option
As the PAC Family Service Provider works to help strengthen the entire family, focusing on fragile family
dynamics, confounding issues and developing concrete supports for special needs, the Specialized Mentor
works to specifically strengthen the youth by focusing on essential life skills, personal aspirations and healthy
social and community connections.
HISTORY AND BACKGROUND
Preventative Aftercare (PAC) in -home, community -based services were originated in 1993 by George Jr.
Republic (GJR) of Grove City, Pennsylvania. Since then, the PAC approach has served over 18,000 youth in 6
states.
in 2009, CBR and GJR collaborated to bring Preventative Aftercare to Colorado. Over 2,100 Colorado families in
17 counties, statewide DYC and certain judicial districts, have now received Preventative Aftercare services.
Formal, independent research was conducted by Edinboro University, including Colorado data. This is available
as requested. Preventative Aftercare is deemed a promising practice with considerable practice -based
evidence. The CBR and GJR collaboration remains strong and creative.
Preventative Aftercare (PAC) in -home, community -based services were originated in 1993 by George Jr.
Republic (GJR) of Grove City, Pennsylvania. Since then, the PAC approach has served over 18,000 youth in 6
states.
in 2009, CBR and GJR collaborated to bring Preventative Aftercare to Colorado. Over 2,100 Colorado families in
17 counties, statewide DYC and certain judicial districts, have now received Preventative Aftercare services.
Formal, independent research was conducted by Edinboro University, including Colorado data. This is available
as requested. Preventative Aftercare is deemed a promising practice with considerable practice -based
evidence. The CBR and GJR collaboration remains strong and creative.
STAFF
PAC Family Service Providers have LSW/LCSW or MA/LPC credentials.
SUPERVISION
All program supervision is provided by a Master's Level Licensed Professional Counselor (LPC), a Licensed Social
Worker (LSW) or Licensed Clinical Social Worker (LCSW). The supervision ratio does not exceed
1:10. Supervision involves frequent communication and oversight via monthly (or more frequently as needed),
in -person ride-alongs, documentation review, case consultation and periodic evaluations. On -going staff
training, peer interaction/support/collaboration and employee feedback is always encouraged.
RATE
• $1,400 /month or a per diem rate of $46.00/calendar day for intensive level or $23.00 for less
intensive. a`
• Includes staff time, travel, cli nt incenties, court , meetings, documentation and 24/7 availability
• Intensive level offers minim m 4/5 ho s of direct contact per week; duration 3 to 4 months
• Intensity and length of sery ces deter ined by the county; can be adjusted as needed
CONTACT INFORMATON Regional Supervisor — Amanda Bicker, M.A., LPC 303-905-4109
Regional Director — Dan Baker, M.A. 724-866-1389
President — Chuck Thompson, LCSW 719-469-3169
Member of: Colorado j .ssociofion of Family and Children's Agencies
MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691,6095
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SUPERVISED / THERAPUETIC VISITION (SV)
Scope of Services
NOTE: SUPERVISED VISITATION (SV) is part of art array of programs designed by CBR YouthConnect (CBR) to
provide strength -based resources/support to safely preserve families when children are at imminent risk of
Out -of -Home (OOH) placement, in need of services to maintain a least restrictive setting or reduce re-entry
and promote permanency.
SUPERVISED VISITATION services provide a safe environment for children to spend time and interact with
their parent(s) through supervised visits or therapeutic supervised visits. Our goal is to observe, mend and
preserve the parent -child relationship.
Supervised Visitation is conjoint parent -child interaction training and therapy conducted by a credentialed
professional trained to provide supervised visitation. The role of the visitation supervisor is the same as a
family therapist and uses therapeutic modalities to address parent -child interactions.
This level of service includes both the direct observation/documentation of visits as well as therapeutic
intervention with parents to improve parenting skills, eliminate safety concerns and reduce the time in out -of -
home care. The visitation supervisor provides immediate support, feedback and interventions for parents
when interacting with their children. The trained supervisor remains present and an active participant
throughout the visit offering skills to build on the family's strengths and correct observed weaknesses.
The visitation supervisor also ensures that the guidelines set by the Court or referral agency are followed, and
submits progress reports and recommendations to the referral source as required. The focus is on Parenting
Skills Development in which families receive individual instruction with an emphasis on attachment and
bonding, alternatives to physical discipline, household management, consistent delivery of rules, effective
communication skills, consequences and rewards, knowledge of developmental milestones and nutrition.
Staff and Supervision
Staff are Master's Level or BA level with Master's Supervision. All program supervision is provided by a
Master's Level Licensed Professional Counselor (LPC), a Licensed Social Worker (LSW) or Licensed Clinical
Social Worker (LCSW). The supervision ratio does not exceed 1:10. Supervision involves frequent
communication and oversight, documentation review, case consultation and periodic evaluations. On -going
staff training, peer interaction/support/collaboration and employee feedback is always encouraged.
Rate
• $68/hour for all time related to providing the service including visitation session and documentation
• $40/hour for required transportation of the client
• Number of hours determined by the county and case plan
CONTACT INFORMATION
Regional Supervisor:
Regional Director:
Amanda Bicker, M.A., LPC 303-905-4109
724-866-1389
Dan Baker, M.A.
Member of: Colorado Association of Family and Children s Agencies
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MAIN OFFICE: 14143 Denver West Parkway, Suite 1OO • Golden, CO 8O4O1 • Phone 3O3.691.6O95
BUSINESS OFFICE: P.O. Box 681 • La Junta, Colorado 81O5O
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SPECIALIZED MENTORING (SM)
Scope of CORE Service
NOTE: Specialized Mentoring is part of an array of programs designed by CBRYouthConnect (CBR) to provide
strength -based resources/support to safely preserve families when children are at imminent risk of Out -of -
Home (OOH) placement, in need of services to maintain at least restrictive setting or reduce re-entry and
promote permanency.
Specialized Mentoring is a highly skilled, trauma -informed process for inspiring and helping youth to build
resilience and positive character. Specialized Mentoring offers youth repetitive coaching and feedback;
normalized socialization; purposeful community experiences; and opportunities to explore their interests,
their talents, values and beliefs.
Specialized Mentoring was developed following a multi -year demonstration project of the STORY Program
funded by the DANNIELS FUND involving 25O risk -laden youth from alternative schools, day treatment centers,
dysfunctional families, juvenile diversion and homelessness.
Specialized Mentoring helps youth
• Learn and practice reciprocal relationships and regulation of emotional states
• Build essential adolescent life skills
• Develop a sense of accomplishment and mastery
• Gain new hope and positive energy for the future
NOTE: Specialized Mentoring is designed to fully integrate with PAC and PAC-RT. It is also a Stand-alone
service and can be customized to the ages and circumstances of the youth
Youth Who Benefit
• Youth ages 12-18
• In PAC or PAC-RT who need specifically targeted support in addition to family intervention
• Youth experiencing trauma and loss without a sufficient support system
• Youth who resist therapy and dislike being labeled as a "diagnosis"
• Youth facing issues/deficits that will be life-long challenges
• Youth who are Isolates and without friends or self-confidence
• Youth at -risk of placement, drop -out or homelessness
• Youth in placements who have" plateaued" and/or need support to transition home and sustain there
• Combinations of the above, plus
Mentoring Approach
Using social -emotional learning principles, the "Specialized Mentor" offers a neutral and supportive role; takes
the youth's lead; helps the youth explore their personal interests and aspirations; models and shares insights;
connects youth to community resources; and inspires hope. The focus is to grow a unique person not treat a
diagnosis.
Through conversations, purposeful community experiences and creative projects (including i-Pads with APPS
and other technologies), youth are encouraged to creatively express their own personal STORY and think
through the values and beliefs they want to live by. They are helped to discover their own power to live their
best personal story and guide their own lives no matter their personal circumstances.
The process takes their lead and moves at their pace. it involves friendliness -- food, nurturing, conversation
during projects and activities and candid sharing of viewpoints and life experiences. Session notes are written
in an interactive -conversational format, making it easy to track the youth's thoughts, interactions and views
on life.
The level of intensity (time, frequency, duration) ranges 3-6 hours per week based on the youth's lead and
the frequency of community experiences. SM can be flexibly adapted to fit a variety of schedules,
circumstances and conditions. Youth in placement can receive mentoring both on -site at their placement and
during off -site community -based experiences the build social skills and community connections.
Summary
• Focus is to grow a unique person not treat a diagnosis — their future STORY
• Mentor/Coach role is nurturing and non -judgmental — not a therapist or controlling adult
• Youth in placement or youth at home
• When possible, meet twice per week for about two hours each session —16 hours / month
• Conversation / food / projects / community experiences
• Take youth's lead and move at youth's pace re: what you do / talk about / when
• Include other people and have social experiences in the community
• Mentor shares some of their own life experiences and viewpoints when asked
• Documentation in an interactive/conversational format
History / Background
Specialized Mentoring (SM) was developed from "lessons learned" implementing the STORY program with
over 250 risk -laden youth from alternative schools, treatment centers, juvenile diversion, homelessness and
foster care settings. See DANIELS FUND EXECUTIVE SUMMARY 2014. SM is now being used by county child
welfare departments to address trauma assessment recommendations for youth pre and post OOHP.
Staff
BSW/BA level staff trained to interact as a mentor/coach not as a therapist or supervising adult. Supported by
a network of other individuals with specialties to assist with case needs. (Master's level supervised)
Supervision
All program supervision is provided by a Master's Level or Licensed Professional. Supervision involves
frequent communication and oversight via monthly (or more frequently as needed), in -person sessions and
documentation reviews and case consultation. On -going staff training, peer interaction/support/collaboration
and employee feedback is always encouraged.
RATE
• $52 per hour — county determines number of hours / month
• $80 per hour —sibling rate (when the request is for two siblings to receive mentoring simultaneously)
• Includes all time related to providing the service i.e. preparation, mentoring sessions, documentation,
travel to and from community -based interventions, activities and communications
REFERAL CONTACTS: Amanda Bicker, M.A., LPC abickerAvouthconnect,org 303-905-4109
Chuck Thompson, LCSW ethomnsonPvouthconnect.org 719-469-3169
Member of: Colorado Association of Family and Children's Agencies
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MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691.6095
BUSINESS OFFICE: P.O. Box 681 • Lo Junto, Colorado 81050
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ANIMAL ASSISTED THERAPY (AAT)
Scope of Services
NOTE: ANIMAL ASSISTED THERAPY (AAT) is part of an array of programs designed by CBR YouthConnect
(CBR) to provide strength -based resources/support to safely preserve families when children are at imminent
risk of Out -of -Home (OOH) placement, in need of services to maintain a least restrictive setting or reduce re-
entry and promote permanency.
AAT is offered as a stand -atone therapeutic intervention and also as an integrated "add-on" to our Preventative
Aftercare (PAC) home -based services. The physical and mental health benefit of human/animal interaction is well
researched and documented in our society. CBR YouthConnect (CBR) is nationally acclaimed for its 54 year history
involving human/animal interaction in the treatment and education of mentally -ill and at -risk youth and families.
AAT is a strategic, skill -based therapy requiring professional knowledge and experience to successfully enhance
individual, group and family therapies. The AAT therapist skillfully and thoughtfully involves the animal as a part of the
relationship building process; as a source of information about individual and family dynamics; as a partner in
providing feedback and insight to the client(s) relative to treatment goals; and as a motivator for change.
Therapy goals are tailored to fit the assessed therapy needs of the youth and family; the county case plan; and any
judicial directives. AAT professionals have a unique working relationship with their therapy animal(s), based on trust,
respect and compassion. Modeling this interaction between therapist and therapy animal often prompts a client's
insight, motivation and subsequent engagement in therapy.
The client is assessed for safety including prior history of animal cruelty, allergies and animal based fears. Frequency
of MT sessions can be adjusted based upon the therapist's assessment of client needs. AAT is offered flexibly in
homes and in appropriate community settings and can be arranged to fit family schedules. Documentation and
communication per county requirements.
Outcomes: Common objectives for child welfare youth and families include various social emotional learnings and
skills that help them buffer the risk factors in their lives and increase resiliency. Specifically, AAT is a good fit for
clients who have experienced physical, emotional or psychological hurt in human relationships. Examples of
treatment goals include developing various social/emotional skills such as frustration tolerance, impulse control, non-
verbal communication, assertiveness vs aggression, empathy, hygiene, sense of responsibility, self-confidence.
Staff and Supervision:
AAT providers are Master's Level professionals with AAT certifications and/or MT credentialed supervision.
They may be CBR employees or contractors. All program supervision is provided by a Master's Level Licensed
Professional Counselor (LPC) or Licensed Clinical Social Worker (LCSW). The supervision ratio under 1:10.
Rate:
• $65 per hour for all costs of providing the service including therapy session, documentation and any
transportation of the client
• Number of hours determined by the county and case plan
Contact Information: Chief Program Officer —Amanda Bicker, M.A., LPC. 303-905-4109
President — Chuck Thompson, LCSW 719-469-3169
Member of: Colorado Association of Family and Children's Agencies
MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 3O3.691.6O95
BUSINESS OFFICE: P.O. Box 681 • Lo Jun+o, Colorado 81O5O
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FAMILY CONNECTIONS & RESILIENCE
Scope of Services
NOTE: FAMILY CONNECTIONS & RESILIENCE is part of an array of programs designed by CBR
YouthConnect (CBR) to provide strength -based resources/support to safely preserve families when
children are at imminent risk of Out -of -Home (OOH) placement, in need of services to maintain a
least restrictive setting or reduce re-entry and promote permanency.
FAMILY CONNECTIONS AND RESILIENCE addresses the child welfare family's needs for inspiration,
hope and resilience. It is a social/emotional learning program designed to inspire and prepare youth
and families to navigate one of the most important steps in life: deciding for them what kind of
person/family they want to be. Youth and families acquire social/emotional skills needed
protections to buffer the risk factors in their lives, gain confidence to "keep trying when life knocks
you down."
In today's culture, youth and families are continually exposed to the turmoil of family disruption and
trauma plus the confusing impact of social pressures, the economy, job losses, the neighborhood,
work schedules, social media and more. Families need an opportunity to talk about, sort through
their lives together, decide on some goals and the values and beliefs that will guide them and
support them in times of stress.
The overall goal is to improve "resilience" and build protective factors, i.e. families and youth gain
new insights, skills and motivation to face and overcome adversity and are better able to recognize
and manage emotions; develop caring and concern for others; make responsible decisions; establish
positive relationships; and handle challenging situations more effectively
Family Connections and Resilience offers an enjoyable and engaging framework for families to think
through situations, interact, develop respect and concern for others and accept personal
responsibility for the well-being and future of their family.
FAMILY CONNECTIONS AND RESILIENCE APPROACH
The program occurs right in the home, around the kitchen table and the living room or during a
community -based activity. Sometimes, we will bring the mealit Over a six week period, with
guided reflection, the family completes several interesting exercises and projects that inspire
parents and their children to grow together as a family.
This family education approach utilizes treatment intervention techniques yet is not profiled as
therapy. It involves spending time reflecting on their personal stories and their family stories, i.e.
what they stand for, where they want life to be for them and what personal code of living is needed
to get there.
Family Connections and Resilience is offered flexibly in homes and community settings. It can also
be packaged to fit family schedules such as evenings and weekends. Training for individuals,
families or groups can occur during hourly or periodic sessions or as an all -day retreat. Family
Connections and Resilience can also be integrated with the CBR home -based program — Preventative
Aftercare.
Deliverables
• Completion of a Family Life Story project including goats and family code of values and beliefs
• Written commitment to achieving two family goats within four months
Staff and Supervision
Staff are Master's Level or BA level with Master's Supervision. Program supervision is provided by a
Master's Level staff. Supervision ratio does not exceed 1:10 and involves frequent communication
and oversight, documentation review, case consultation and periodic evaluations. On -going staff
training, peer interaction/support/collaboration and employee feedback is always encouraged.
Rate
• $576 Total (6 sessions of 2 hours at $48/hour)
• Includes all time and materials related to providing the service
Contact Information:
Regional Supervisor —Amanda Bicker, M.A., LPC. 303-905-4109
President — Chuck Thompson, LCSW 719-469-3169
Member of: Colorado AssociuHon of Family and Children's Agencies
MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691.6095
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COMMUNITY CONNECTIONS (CC)
Scope of CORE Service
• SPECIAL NOTE: Further details and rates TBD — (Per recent conversation)
• See below "DRAFT description" that will be adapted to fit recently discussed needs
NOTE: "Community Connections" is part of an array of services designed by CBR YouthConnect (CBR) to provide
strength -based resources and supports to safely preserve families when children are at imminent risk of Out -of -
Home (OOH) placement; in need of services to maintain at least restrictive setting; improve reunification; reduce
re-entry; and promote permanency.
Definition
Community Connections is a short-term, resource -generating service designed to promote "connectedness"
between a youth and their community during transitions home from OOH placement.
NOTE: Community Connections can be a stand-alone service or bundled with Specialized Mentoring and/or
Preventative Aftercare home -based service. It is preferred that Community Connections begins prior to discharge
from OOH placement in order to begin the search for community supports specific to the youth's needs and life
situation.
Rationale
Community Connections is a brief intervention that fills an important gap in services needed for successful
reunification to home/community from OOH placement. It does the problem -solving and connecting needed to
help reduce lengths of OOH placement, improve reunification; and reduce re-entry by establishing the community
connections needed for success.
Healthy and sustainable community connections are essential to preventing re-entry. During reunification to
home/community, there are many uncertainties. Youth often view themselves as disconnected or "on the fringe"
of their community. They need predictable and reliable community connections in their lives (adults and other
supports).
Congregate care providers offer short-term stabilization. And, multi -disciplinary review teams, navigators and
facilitators work hard to coordinate services during OOH placement. However, in both public and private sectors,
there is significant turnover in adult caregivers (staff and volunteers) and unclear accountabilities during the time of
transition. This disrupts the communication and coordination needed to organize the community supports that
prevent re-entry.
Community Connections helps identify and connect youth to sustainable community supports. In tandem with
Specialized Mentoring, the Community Connections service provides a powerful approach to engaging and inspiring
youth transitioning to home/community from OOH placement.
Description of Services
Community Connections is a brief service (60-90 days). A Community Connections Specialist identifies and develops
all types of "community connectedness" that fit the interests and life situation of the youth in transition.
• Connections to education, medical/mental health and community resources.
• Connections to community -based interest groups, volunteerism and opportunities for civic engagement.
• Connections to special need supports and advocacy
• Connections to post -secondary education
• Connections to employment opportunities
The permanency plan and court requirements drive the process. After referral, a Community Connections Specialist
will
• Help the youth/family discuss and assess their interests and needs for community support, then set
personal goals
• Coordinate with system -of -care providers and introduce the youth/family to various
individuals/groups/organizations in the community that offer resources and opportunities that fit the
interests/needs
• Help the youth/family develop a plan for taking advantage of the community supports/resources
The Community Connections process begins with an inventory of needs and interests plus an inventory of possible
contacts and resources. Next, potential matches in the community are coordinated and accountabilities are set.
Then, communication, coordination, cooperation occurs over and over and over again.
The Community Connections Specialist integrates resources and supports in two domains:
• Within the existing system -of -care such as: caseworkers, teachers, GALs, probation officers, mental health
therapists and school navigators.
• Within the community such as: community non -profits, local support groups, special interest and affinity
groups, potential employers, local support groups and more.
History / Background
Community Connections was developed from "lessons learned" implementing the Specialized Mentoring and STORY
programs with over 350 risk -laden youth from child welfare and DYC caseloads, alternative schools, treatment
centers, juvenile diversion, homelessness and foster care settings.
Staff
BA/BSW level or Master's with Master's Level supervision. (Other creative and engaging adults may be involved)
Supervision
Program supervision is provided by a Master's Level Professional. The supervision ratio does not exceed
1:10. Supervision involves frequent communication and oversight.
RATE
• LIFE SKILLS (short term) - Treatment Package Low : $TBD
• LIFE SKILLS (short term) - Treatment Package Moderate: $TBD
• Includes all time related to providing the service i.e. contact with youth/family, community connecting
functions, documentation, county collaboration activities, travel (within radius), phone and
communications
REFERAL CONTACTS:
Amanda Bicker, M.A., LPC abicker@vouthconnect.org 303-905-4109
Chuck Thompson, LCSW cthompson@vouthconnect.org 719-469-3169
Member of: Colorado Association of Family and Children's Agencies
www.CBRYouthConnecf.ol y
MAIN OFFICE: 14143 Deriver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691.6095
BUSINESS OFFICE: P.O. Box 681 • La Junto, Colorado 81050
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SPECIALIZED SMALL GROUP OPTIONS
Scope of Services
• SPECIAL NOTE: Further details and rates TBD — (Per recent conversation)
• See below "DRAFT description" that will be adapted to fit recently discussed needs
NOTE: SPECIALIZED SMALL GROUP OPTIONS is part of an array of programs designed by CBR
YouthConnect (CBR) to provide strength -based resources/support to safely preserve families when
children are at imminent risk of Out -of -Home (OOH) placement, in need of services to maintain a least
restrictive setting or reduce re-entry and promote permanency.
SPECIALIZED SMALL GROUP OPTIONS offers an array of CUSTOMIZED opportunities for children and
youth to improve developmental milestones, normalization skills, resilience and trauma impact highly
motivating and engaging small group experiences. These options are customized to meet the changing
flow of needs encountered by the county. The groupings can be designed to be on -going with entry and
exit as needed OR as a time -limited group (course) with an establish beginning and end to be
determined by the county.
These small group approaches were developed via multiple Daniels Fund grants (2011-2017). Over
1,200 risk -laden youth at alternative schools, treatment centers, homeless, foster care, child welfare and
juvenile diversion settings.
"Civic Engagement" such as volunteering, community service projects and citizenship skills are
included in the design. Examples of Specialized Small Group Options include:
o AFFINITY GROUPS — "Highly customized" small groups for children/youth with common life
experiences, interests and needs such as: sexual offenders, gender identity, homelessness, social
isolation, body image, trauma/separation/loss, and adoption adjustment. These group experiences
will also incorporate some animal assisted interventions, nature experiences.
o PAWSITIVE CONNECTIONS -- A highly successful, small group, animal -assisted social -emotional
learning environment where children and youth of all ages work interact with dogs and other
animals to learn and practice healthy relationships and emotional regulation while also practicing
character traits such as respect, responsibility and empathy. Over 900 children/youth served to
date.
o "STORY" -- A motivating small group approach where youth are inspired to be all they can be. Youth
to reflect on their personal story, values and beliefs and also the stories of those around them. They
express their story and goals through creative projects using iPad technologies i.e., visioning boards,
journaling, music, art, story boarding and movie making. Over 350 children/youth served to date.
o OTHER — Small Group Options can be customized for any and all types of issues and needs
The small group designs are built upon social -emotional learning principles; life skills for adolescents;
multiple -intelligence learning theory: and trauma informed principles. The focus is on bulding
protective factors and resilience. Amidst their confusion and life turmoil, children and youth are
vulnerable to the negative influences of our culture and social media. Yet, they are starving for
meaningful conversation and reflection on what is important to them. They want to talk about their life,
their personal aspirations and express their personal story.
The Specialized Small Group Options inspire youth to be all they can be and offer safe and uplifting
opportunities for them reflect on their lives and the stories of those around them. Youth learn to
discover and express themselves through creative projects, community involvement and helping others.
Group sessions can occur as frequently as needed and in a variety of community locations. The
approach also fits the social media driven world in which these youth live and interact daily.
Groups can also be structured as "courses" a graduation/celebration session where youth receive
certificates of completion and a gift certificate.
Youth Who Benefit
• Children/Youth of all ages (groups can be clustered by age ranges)
• Children/Youth experiencing trauma and loss without a sufficient support system
• Children/Youth facing issues/deficits that will be life-long challenges
• Children/Youth who are isolates and without friends or self-confidence
• Children/Youth at -risk of placement, drop -out or homelessness
• Children/Youth who have risk -laden lifestyles and need confidence
Staff
BA/BSW level with Master's Level supervision. (Other creative and engaging adults may be involved)
Supervision
Program supervision is provided by a Master's Level Professional. The supervision ratio does not exceed
1:10. Supervision involves frequent communication and oversight.
RATE
•
•
$TBD
Includes all staff time for preparation, documentation, travel and communications
Minimum two youth per group
REFERAL CONTACTS: Amanda Bicker, M.A., LPC abicker@vouthconnect.org 303-905-4109
Chuck Thompson, LCSW cthompson@vouthconnect.org 719-469-3169
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MAIN OFFICE: 14143 Denver West Purkwoy, Suite 1OO • Golden, CO 8O4O1 • Phone 3O3.691.6O95
BUSINESS OFFICE: P.O. Box 681 • La junta, Colorado 81O5O
April 12, 2017
County of Weld
1150 O Street
Greeley, CO 80631
Re: CBRYC Employee Listing
Listed below are employees who will be providing services:
1. Emily Case
2. Jonathan Femiick
3. Samantha Gardiner
4. Rand Good
5. Laura Jakiel
6. Jodi Jones
7. Casey Lucarelli
8. Maren Safran
9. Brianna Seaman
10. Danny Sturtevant
11. Erica Vasquez
12. Andrea Coleman-Wangaard
13. Kaitlyn West
les M. Thomon
resident/CEO
CONTINUING OUR LEGACY
COLORADO BOYS RANCH FOUNDATION
Member of: Colorado Association of Family and Children's Agencies
MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691.6095
BUSINESS OFFICE: P.O. Box 681 • La Junta, Colorado 81050
CHARLES M. THOMPSON, L.C.S.W.
COLORADO BOYS RANCH FOUNDATION
D.b.a. CBR YouthConnect
Licensed Clinical Social Worker (L.C.S.W.)
State of Colorado #876521
PROFESSIONAL EXPERIENCE
President/CEO
Provided clinical and executive leadership for an award winning human service organization offering
JCAHO accredited psychiatric residential treatment (PRTF) plus home and community based
programs for troubled children and their families in Colorado and across the nation. The organization
helps children and families acquire the insight and social emotional skills for healthy relationships,
reunification and functioning in homes, at school and in local communities.
• Administered Psychiatric Residential Treatment to over 7000 youth from 33 states
• Maintained 94% aggregate JCAHO Accreditation rating over a 20 year period
• Administered home -based and re -unification services to over 2100 youth in Colorado
• Achieved certifications and licenses from numerous state and regulatory entities
• Transitioned the organization to a full array of in -home, community -based services
Key Accomplishments
• Received the Samaritan Institute Award for Non -Profit Ethics
• Twice received the El Polar Outstanding Youth Organization Award for Excellence in
Colorado Youth Services
Employment History
• President / CEO (1987 -- Present)
Colorado Boys Ranch Foundation
D.b.a. CBR YouthConnect
• Clinical Director (1981-1987)
Colorado Boys Ranch / Residential Treatment Center
La Junta, Colorado
• Private Practice (1979 — 1981)
Denver, Colorado
Licensed therapy, consultation and team building for county child welfare departments
• Adjunct Faculty Member (1976 —1981)
Metropolitan State College
Department of Psychology
Denver, Colorado
• Clinical Supervisor / Program Development (1972 — 1979)
Tennyson Center for Children
Denver, Colorado
EDUCATION
• On -Going — Symposiums, workshops and conferences related to child and family functioning
that are certified for state licensure
• 2004 — Executive Program for Non -Profit Leaders
Stanford University
Graduate School of Business
Stanford, California
• 1970 — Master of Social Work Degree
University of Illinois
Jane Adams Graduate School of Social Work
Chicago, lllinois
• 1968 — Bachelor of Arts Degree
Phillips University
Enid, Oklahoma
COMMUNITY INVOLVEMENT
• Current Board Member — Colorado Association of Family and Children's Agencies (CAFCA)
• Past President — National Association for Children's Behavioral Health (NACBH)
• Past President — Arkansas Valley Chapter, National Management Association
• Past Board Member — CACI Education Foundation for Youth Training
• Recipient — Distinguished Alumni Award: "50 for Colorado" Leadership Program
• Recipient — Leadership Award: National Association for Children's Behavioral Health
• Recipient — Community Service Award: La Junta Chamber of Commerce
SELECT PUBLICATIONS AND PRESENTATIONS
• Assisted with published research studies by Edinboro University and Colorado State
University
• Featured speaker and trainer on trauma informed care, resilience and related topics
• National presentation regarding the benefits of human/animal bond on Nightly News, Animal
Planet, Discovery Channel, PBS Nature Series, The History Channel, major news networks
and assorted magazine and newspaper articles
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Licensee Information
This serves as primary source verification* of the license.
*Primary source verification: License information provided by the Colorado Division ofFrofesstons and Occupations,
established by 24-34-102 CRS'.
Name
Public Address
Charles M Thompson
Lakewood, CO 802285012
Credential Information
License
Number
License
Method
License
Type
License
Status
Original
Issue Date
Effective
Date
Expiration
Date
CSW.00876521
Examination
Licensed
Clinical
Social
Worker
.=‘,(i i\ t
01/12/1977
09/01/2015
08/31/2017
Board/Program Actions
Discipline
There is no Discipline or Board Actions on file for this credential.
Generated on: 3/23/2016 3:13:27 PM
https://www colorado.gov/dora/licensing/Lookup/PrintLicenseDetails.aspVcreel=88273881... 3/23/2016
Amanda K. Bicker, MA, LPC
Licensed Professional Counselor
Child/Adolescent Specialist
7425 S. Norfolk St.
Aurora, CO 80016
303.905.4109
abicker@youthconnect.org
OBJECTIVE
I am a motivated, energetic, and hardworking, socially engaged and organized licensed mental health
professional who is dedicated to performing at an above average level towards the well being and
enrichment of young children, youth, and their families. I strive to effect meaningful change in lives of
all with whom I work.
Colorado State University
Bachelors of Science in Psychology
GPA 3.3/4.0
EDUCATION
Colorado State University
Bachelors of Science in Human Development/Family Studies
GPA 3.75/4.0
Honors: Academic Enrichment Award for breadth of education
The Chicago School of Professional Psychology
Fully Accredited M.A. Program
Masters Degree in Clinical Counseling, Child/Adolescent Specialization
GPA 4.0/4.0
August 2003 — December 2007
August 2003 — May 2008
Degree Conferred August,
2010
CURRENT PROFESSIONAL WORK
2000+ professional/supervised hours accrued
MR Youth Connect -Preventative Aftercare
March
Family Service Provider/Regional Supervisor 2011 -Present nver Metro Aa
• Offers preliminary mental health assessments Including attachmServing ent, t, intake, and screening
appraisals
• Provides intensive, non -therapeutic home -based interventions, family services and life
skills to risk youth and families in their own homes or community environments
• Possesses knowledge of community resources, parenting techniques, basic household
management techniques, and basic knowledge of family conflict management and child
development
Marillac Social Center August 2009 - June 2010
Clinical Counselor Chicago, IL
• Advocated for a traditionally underprivileged, urban, minority population
• Customized individual and group counseling to promote optimum mental health
• Facilitated counseling for issues related to: behavior management; social skills; emotion
regulation; violence prevention; family, parenting, and marital problems; suicide; stress
management; problems with self-esteem; and issues associated with aging and mental and
emotional health
• Developed and instructed a parent education training group
• Educated and motivated education and empowerment groups for teen mothers
PROFESSIONAL INTERNSHIP
1018,5 Total Hours
LEARN Elementary Charter School August 2009 - June 2010
School Counselor Chicago, IL
• Provided conflict -resolution and violence prevention sessions
• Designed and Implemented individualized behavior modification treatment plans
• Advocated for student needs
• Produced and facilitated social skill training groups focused on Emotion Regulation and
Friendship/Bullying
• Consulted with students, teachers and parents to identify developmental needs and design
prevention or intervention activities in order to guide students on a healthy academic and
personal path
RELATED PROFESSIONAL EXPERIENCE
Columbine Health Care Systems Nursing Home 08/03-12/03
Assistant Living Aid Fort Collins, Colorado
• Responsible for visiting with various patients and engaging patients in conversation and activities
during my weekly visits.
• Assisted in coordinating developmentally and physically appropriate activities for the patients
and participating in the activities with the patients.
• Responsible for watching over the patients in the Alzheimer's Ward of the nursing home by
making sure they did not venture out of their side of the home and escorting them on walks
through the garden.
Colorado State University Early Childhood Center
Assistant Pre -School Teacher
01/07-05/07
Fort Collins, Colorado
• Assumed responsibility for children 2.5 to 4 years of age for three hours twice a week
• Designed and coordinated developmentally appropriate activities for the preschool learner.
• Responsible for communicating effectively with both preschoolers and their parents of our
expectations, concerns, and weekly goals for the children.
• Observed and recorded developmental and academic achievement and progression of children
over the course of the semester.
VOLUNTEER EXPERIENCE
ERIE House Team SS
Tutor and Mentor for eighth and ninth graders Chicago, IL
Chicago, IL
• Attend weekly, Monday night sessions with eighth and ninth grade boys and girls to work on
homework and discuss any issues they may be experiencing in their daily lives.
• Provide friendship and support for adolescents who live in impoverished and challenging
neighborhoods.
• Gain experience interacting with a diverse Latino population.
• Advocate for environmentally disadvantaged youth.
Rachel Carson Elementary School 09/08- Present
StoryWorks, Teacher for an after school program Chicago, IL
• Work with a group of 12 third and fourth grade elementary school children on Friday afternoons
after school.
• Lead introduction to and discussions related to a weekly theme (i.e. feelings, emotions, family,
culture, self-esteem, respect, etc...) in an attempt to educate children about the theme.
• Read books to and with the children, in small groups, that are relevant to the weekly theme.
• Design and help children do an art project appropriate for the weekly theme.
• Display compassion and encouragement towards children struggling to survive in an extremely
hostile and impoverished neighborhood located in the south -side of Chicago, Illinois.
ERIE House Reads Program
Assistant Teacher
12/08 -Present
Chicago, IL
• Meet twice a week with groups of children, grades 1-S to work on reading skills.
• Engage children in reading activities and lessons designed to improve children's literacy skills -
specifically vocabulary, phonics and reading comprehension.
• Creatively present the material to the children in an attempt to foster a love of reading.
Certifications/Trainings
• Trauma Focused Cognitive Behavior Therapy
• Dr. Henry's Trauma Training and Trauma Informed Care
• Motivational Interviewing
• Autism and Sensory Processing Disorder: Over 75 Proven Strategies for Social Skills,
Behavior & Learning
• Strengthening Families
• Pyramid Plus Parenting
• Parenting with Love and Limits
• Gang Prevention Summit
COLORADO
Department of
Regulatory Agencies
Division of Professions and Occupations
Congratulations! Below are your electronic wallet cards to use as proof of your license.
You can also print your license at any time through your Online Services account by visiting
our homepage at www.dora,coiorado.gov/professions and clicking on the "Print your License" link under
the label "Quick Links".
if you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org
and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also
contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org.
Should you have questions about your credential, or need other information, please contact our
Customer Service Team at 303-894-7800 or dora_registrations@state.co.us.
Colorado Department of Regulatory Agencies
Division of PrcfessionsandOccupations
LicensedProfessional Counselor Examiners Board
Amanda Kristine Bicker
Licensed Professional Counselor
LPC.0011813 09/01/2015
Number luue Date
Active 08/31/2017
Credential Status Expire Date
Verify this credential at: www.dora.colorado.eovlorofession s
Ion Director: Lauren Larson Credential Helder Signature
Uion Director Lauren Larson Credential Holder Signature
Cut along the One
Colorado Department of Regulatory Agencies
Division of Professions andOccup ations
Licensed Professional Counselor Examiners Board
Amanda Kristine Bicker
Licensed Professional Counselor
09/01/2015
issue Date
08/31/2017
LPC,0011813
Number
Active
Credential Status Expire Dote
Verify this credential at: www.daro.colpradorroviorofesslong
1560 Broadway, Suite 1350, Denver, CO 802O2 P 303.894.7800 F 303.894.7693 www.dora.colorado.gov/professions
Emily A Case, MSW, LSW
11918 Madison Place, Thornton, CO 80233
573-202-8496
emilyannecase@gtnail.coin
Professional Profile
Highly organized, detail -oriented, independent self-starter; skilled communicator able to exemplify cultural
sensitivity, show empathy and establish rapport with members of diverse groups; able to institute structure in
chaotic, fast -paced environments while remaining flexible.
Education
University of Missouri, Columbia, MO
Masters of Social Work
Clinical Concentration
December 2014 - 4.0,ba
Professional Experience
CBR YouthConnect — Denver, CO
February 2015 --- Present
Family Service Provider
• Provide in -home, community based services to youth and families including using interventions on the
individual and family level as well as by offering support in the school and community during 3-5 hours
of contact a week.
• Manage caseload of 7 to 10 youth ranging in age from infancy to 21 years old and their families.
Southwest Baptist University, Bolivar, MO
B.A. Intercultural Studies
December 2004
Magna Cam Lamle
• Provide Therapeutic Supervised Visitation services for children and their non-residential parent(s).
Lutheran Family Services Rocky Mountains Refugee and Asylee Programs - Denver, CO
June — October 2014
Family Stabilization Intern
• Managed case load of refugee clients including several clients experiencing suicidal ideation, one time -
intensive child welfare case, and several survivors of domestic violence.
• Connected clients to appropriate resources and supported them at various appointments such as
medical appointments, court hearings, meetings with lawyers, supervised visits with children, etc....
• Completed bio-psycho-social assessments with all clients, conducted risk assessments when
appropriate, and supported a few clients on an ongoing basis informally using psychotherapy
interventions.
University of Missouri Counseling Center - Columbia, MO
January 2012 — May 2014
Administrative Assistant
• Provided administrative support for the Director of Clinical Services, Director of Training and the
Programming Coordinator in a fast paced, client centered environment.
• Oversaw the daily operations at the front desk including coordinating front desk coverage and
provided functional supervision for three office support staff.
• Assisted staff and trainee selection committees with logistics including preparing documents for review,
scheduling interviews, and coordinating travel arrangements.
Rainbow House -- Columbia, MO
May — July 2013
Children's Emergency Shelter Intern
• Co -facilitated a body image group for adolescent girls and a parenting class for parents of teenagers,
completed parenting class intakes, and observed a parenting class for court mandated parents.
• Completed developmental assessments of children in the Crisis Children's Shelter, completed
administrative tasks for the Shelter Director and Clinical Coordinator, and organized educational
activities for the children.
• Observed Forensic Interviews and Case Review meetings at the Child Advocacy Center.
Emily A Case • 573-202-8496 • ernilvannecase(%I;mail.com page 2 of 2
Samaritan's Purse: Operation Christmas Child — Overland Park, KS
June — November 2011
Church Relations Associate
• Developed relationships with churches in areas where no Church Relations volunteers were in place to
encourage and provide support, primarily through telephone and email contact.
• Oversaw the dissemination of information regarding material orders, fulfilled requests for urgent
resource needs, and supported Church Relations volunteers with information to facilitate their local
relationship building efforts.
International Justice Mission — Bangalore, India
June 2009 — June 2011
Executive Assistant to Field Office Director
• Managed the director's calendar including scheduling appointments, prioritized the director's emaiis and
tasks to ensure appropriate and timely follow-up, recorded minutes at meetings, wrote and edited reports,
gathered and analyzed statistics, completed expense reports for the director and verified that staff finance
reports were correct.
• Coordinated logistics and served as the point of contact for trainings, staff retreats, and donor visits.
• Prepared new interns and fellows pre -arrival in India, assisted with visa applications and housing,
coordinated orientation, and ensured that each intern's unique skills were being used appropriately.
• Trained staff to use SharePoint more effectively for casework management and oversaw data accuracy
for reporting needs.
BTS Group, Inc. — Ozark, MO
May 2008 — May 2009
Eligibility Specialist Support Staff
• Assisted clients on the telephone seeking medical financial assistance, entered data of new client referrals,
distributed mail, reviewed, copied, and mailed applications for medical financial assistance, initiated
correspondence with new clients, and assisted with invoicing.
• Prepared data for transfer and educated other employees in how to use the company's new database.
Cassil's Coffee Caf� - Springfield, MO
October 2007 -- April 2008
Shift Supervisor
International Mission Board — Himachal Pradesh, India
August 2005 - September 2007
Journeyman — 2 year volunteer
• Conducted ethnographic research, studied Hindi, assisted local organizations with community projects
including writing and recording indigenous music and tutoring children.
• Expanded the work of the organization among the Kullui people by supervising teams of college
students and composing job requests for additional personnel.
BTS Group, Inc. — Rolla, MO
January 2005 -July 2005
Office Support Staff
Chiang Mai University — Chiang Mai, Thailand
August 2004 — December 2004
Volunteer English as a Foreign Language Teacher
• Designed and taught English lessons which included conversational, listening, reading, writing, and
grammar practice for classes of undergraduate and graduate level architecture students, architecture
professors, and administration office employees.
References are available upon request.
COLORADO
Department of
Regulatory Agencies
Division of Professions and Occupations
Congratulations! Below are your electronic wallet cards to use as proof of your license.
You can also print your license at any time through your Online Services account by visiting
our homepage at www.dora.colorado.gov/professions and clicking on the "Print your License" link under
the label "Quick Links".
If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org
and selecting the "Colorado License Cards" link on the left hand side of the page. if you prefer, you can also
contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org.
Should you have questions about your credential, or need other information, please contact our
Customer Service Team at 303-894-7800 or doraJegistrations@state.co.us.
Cut along the line
Colorado Department of Regulatory Agencies
Division of. Professions' andOccupations
'Social Work Examiners Board
Emily Anne Case
Licensed Social Worker
LSW.0009921194
Number '
Active
Credential Status.
1'i
08/09/2016
issue Date
08/31/2017
Expire Date
Verify this credential at: wivw.dora.colorado.gov/profession s
1
ision Director: Lauren Larson Credential Holder Signature
Colorado Department of Regulatory Agencies
Division of,Professions and; Occupations
Social Work Examiners Board
Emily Anne Case
Licensed Social Worker
LSW.0009921194 08/09/2016
Number issue Date
Active /08/31/2017
Credential Status Expire Date
Verify this credential at: svNnv.dora,colorado.R ov/profession s
ision Director: Lauren Larson Credential Holder Signature
1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 wvw.dora.colorado.gov/professions
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Jonathan Fennick
3994 Wampum Mt Air Rd.
New Galilee, PA 16141
jfenn586@gmail.com
724-510-5155
OBJECTIVE
To obtain an occupation as a police officer.
SUMMARY
Takes pride in any type of work situation as looking at it as a representation of myself.
Comfortable in almost any situation. Extensive experience with working with others. Highly
motivated and respected for integrity. A professional and team player. Excel in leadership
skills.
EDUCATION Thiel College, Greenville, PA
B.A., Criminal Justice, May 2016
AWARDS
• Chi Alpha Epsilon Honor Society Member.
• Deans List Fall 2015.
• Deans List Spring 2016.
• 2015 Edition of Who's Who Among Students in American Universities and Colleges.
• Presidents Athletic Conference Fall 2015 Academic Honor Roll.
• Presidents Athletic Conference Spring 2016 Academic Honor Roll.
LEADERSHIP
• President of Outdoors Club - 1 year.
• Thiel Student Support Network member.
Member of the Thiel College Senior Class Gift Committee 2016.
Sigma Phi Epsilon VP of Recruitment! Year, Homecoming Chair 2016, Standards
Board Member 2 Years.
Inter Fraternal Council member -1 year.
Kicker for Thiel College Varsity Football Team -2012-2014.
Member of the Thiel College Football Leadership Council -2013-20I4.
3 Year Thiel College Varsity Soccer Player.
I Year captain of the Thiel College Varsity Soccer Team.
Thiel College Varsity Tennis Player -2014-2016.
CERTIFICATIONS
Safe Crisis Management -Theory- Provided by George Junior Republic.
• Physical Assessment and Skill Out- Provided by George Junior Republic.
• Fire Safety, Disaster Preparedness, Safety, and Security- Provided by George Junior
Republic.
Cardiopulmonary Resuscitation (CPR), Automated External Defibrillator (AED), First
Aid, Universal Precautions, and Hazard Communications- Provided by George Junior
Republic.
• Medication Administration- Provided by George Junior Republic
Recognizing and Reporting Child Abuse- Provided by University of Pittsburgh School
of Social Work.
EXPERIENCE
Specialized Mentor
Colorado Boys Ranch Youth Connect, Denver, CO, November 2016 to Current Position.
Utilizing social -emotional learning principles in a mentoring format, individual
youth are helped to build resilience and positive character via repetitive coaching and feedback;
normalized socialization; purposeful community experiences; and opportunities to explore
interests, talents, values and beliefs. The position helps youth in the following areas of personal
growth:
• Learn and practice reciprocal relationships and regulation of emotional states
• Build essential adolescent life skills
• Develop a sense of accomplishment and mastery
• Gain new hope and positive energy for the future
Clinical Manager
George Junior Republic, Grove City, PA, June 2016 to November 2016.
The Clinical Manager is the primary child-care personnel for the delinquent youth placed in
Special Needs Units. This position is designed to provide the daily services of security safety
and structure to the residents. The care, custody and supervision of the youth are primary
concerns of the job.
Recreational Supervisor
George Junior Republic, Grove City, PA, December 2015 to May 2016
Provided supervision to the delinquent youth during scheduled activity times. This job includes
the monitoring of behaviors as well as f mctioning in the capacity of the director of the assigned
activity. Assisted the youth in their participation of the activity by encouraging and teaching the
skills necessary to enjoy or at minimum learn the rules and guidelines of the sport or
recreational activity.
Special Events Coordinator
Thiel College Special Events, Greenville, PA, May 2015 to August 2015.
Worked 30 plus hours a week tending to the needs of special guests at Thiel College. Held team
meetings to discus issues that needed to be addressed in order to keep guests satisfied
SKILLS
• Leadership
• Communication
• Strategic Reasoning
• Trained in Emergency Safety Physical Intervention
INTERESTS
Hunting, Fishing, Down Hill Skiing, Coaching, Cooking
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SAMANTHA M. GARDINER
13540 Garfield Street Thornton CO. 80241 (303) 358-8265 smgardiner4@gmail.com
SUMMARY OF SKILLS
• Excellent communication to deliver and present personal growth effectively
• Leadership abilities and teamwork philosophy
• Positive, energetic, and outgoing in daily interactions and work responsibilities
• Responsible, reliable, dedicated to creating an optimal work/developing environment
• Child and parent oriented
• Experienced in lesson planning and lesson facilitation
• Proficient in Word, Excel, PowerPoint
• CPR & First Aid certified
• Can create an enthusiastic environment to encourage a happy journey among children
• Creative and imaginative, which helps in delivering impactful lessons
• Have a caring attitude and strong desire to work with children
EDUCATION:
Bachelor of Science in Human Development and Family Studies
Concentration In Child Development
Colorado State University Fort Collins, CO
fay, 2006
Masters of Arts in Clinical Mental Health Counseling
University of Phoenix
BXPEREINCE:
Family Service Provider
CBR YouthConnect
Denver, CO
November 2011 -March 2015
Golden, CO.
June 2015- Present
• Regular and designed contacts with children, youth, families and schools and community
supports at varying times and places during a seven-day week
• Monitor for safety and risks and provide early intervention as needed
• Structure, support and treatment of family needs
• Weekly contact with the referring agency and participate in case stagings
• Court appearances whenever necessary
• 24 hour availability for crisis management
• Emancipation assistance
• Activity and special need funds to children, youth and families for basic needs and as
positive reinforcement, motivation
Lead Teacher
Goddard Schools
Erie. CO.
• Develop culturally appropriate ro October 2011- Present
programs and activities
• Assist in children's developing language and vocabulary; improve fine motor, self-help
skills, and instructing basic science and math concepts
• Nurture children to encompass all aspects of development: social, emotional, cognitive,
and physical
• Integrate enrichment programs into each day to foster students' self-esteem and set the
foundation for a well-rounded, healthy lifestyle.
Lead Teacher
Primrose Schools Highlands Ranch. CO
• Create and conduct educational lessons February, 2008,hr1y20l1
• Provide a safe and creative learning environment
• Observe and evaluate formai assessments of students in academic and social
development
Server/ Trainer
Chill's Grill & Bar Westminster, CO
• Participated in employee/managerial training January, 20pb- January, l0/2
• Provided exceptional customer service in a high pace environment
• Implemented quality assurance
• Trainer of new hires
Server/ Trainer
Ramono's Macaroni Grill
• Completed employee/managerial training
• Implemented quality assurance
• Assured guest satisfaction
• Excelled in a high paced environment
Jnternshins
Teacher Assistant
Lab School for Creative Teaching
• Tutored Elementary students with reading and math
• Prepared and implemented lesson plans
• Graded papers and assisted with the evaluation of students
Practicum -Teacher Assistant
Early Childhood Center
• Executed prearranged activities and lesson plans
• Organized field Trips and Outdoor Events
• Observed and evaluated student behavior
Fort Collins, CO
July, 2003 —January. 2006
Fort Collins, CO
December, 2004
Fort Collins, CO
May. 2004
Rand V. Good
(720) 254-7144 Mobile
randvgood@gmail.com
SUMMARY
Enrolled in Masters in School Counseling program at University of Northern Colorado. Solid leadership skills with great
ability to connect and build relationships. Strong work ethic, sense of humor, and drive. Contributed to college funding with
various jobs in youth leadership, banquet service, retail cashiering, childcare, and landscape maintenance.
LEADERSHIP PROFILE
• Senior Internship for Campus Corps, managing and training mentors for a program serving at -risk youth
• Ram Welcome leader for CSU (Fall 2014); helped new students transition into college life
• Established, recruited, and led intramural teams in multiple sports (won several championships)
• Voted "Top Pin" for fraternity pledge class in recognition of leadership role (Pi Kappa Phi)
• Head Counselor/Counselor assignments in several summer and school -year camp programs
WORK EXPERIENCE
CBR YouthConnect — Golden, Colorado Spring 2017 — Present
Meets one-on-one with referred youths to teach and practice reciprocal relationships and regulation of emotional states.
Helps clients build essential adolescent life skills, develop a sense of accomplishment and mastery, and gain hope and
positive energy for the future. Using a neutral and supportive approach, helps clients explore personal Interests, share
insights, and connect to community resources.
Synergy Home Care — Longmont, Colorado Fall 2016 — Present
Provides in -home companionship and assists in non -medical daily living needs of elderly clients. Drives clients to
appointments and errands, including physical therapy and exercise programs.
Camp California — Pakostane, Croatia Summer 2016
Led the baseball activity at this kids' summer camp located on the Dalmatian Coast. Assisted with snorkeling, American
football, basketball, kayaking, musical performances, and comedy skits. Camp attracted approximately 200 kids from over
30 countries per session. Emphasis on sports and English as a second language. Cabin counselor for ages 5 through 14.
CSU Sports Camp — Fort Collins, Colorado Summers 2014 & 2015
Selected out of 800+ applicants to supervise children ages 4 to 13 during summer day camp. Promoted to Coordinator for
2015 session.
Private Childcare — Fort Collins, Colorado 2014 — 2015
Hired by a CSU professional to care for two boys, ages 6 and 8, after school. Picked up boys from school, assisted with
homework, and provided meals and supervised activities until parents returned home from work.
Marriott Hotel —Fort Collins, Colorado 2013 — 2014
Part-time banquet server. Assisted with food service set up, serving, clearing, and clean up. Interacted with guests to ensure
good service and respond to special requests.
Serendipity Summer Camp — Sarasota, Florida Summer 2013
• Emerged as the go -to Head Counselor for children, parents, and staff. Multiple endorsements from parents resulted in
standing offer of employment from camp management.
• Instructed between 8 and 20 campers aged 5 to 13 in various athletic activities (tennis, swimming, baseball, basketball,
soccer, and football).
Circle K Convenience Stores — Littleton, Colorado Summer and Winter Break 2012
• Worked cash register in high -traffic gas station, car wash, and convenience store
• Assisted in store maintenance, inventory, stocking, and merchandising
• Provided excellent customer service; successfully passed in-store spot checks
• Re -hired on the spot for 6 -week Winter Break 2012
Other Part -Time Employment 2008 - 2011
Covered for busy lawn -mowing business (15 - 20 yards per day) as needed.
Official Umpire for Jefferson County Junior Baseball League for two seasons. Maintained composure while handling
pressure situations involving emotional parents and coaches.
EDUCATION
University of Northern Colorado, Greeley, Colorado
Masters in School Counseling Program. Anticipated graduation in 2019.
Colorado State University, Fort Collins, Colorado
Bachelor of Science, Human Development and Family Studies, May 2015.
• Minor in Business Administration
■ Completed courses in Business Computing Concepts and Applications/Calculus in the Management Sciences
Chatfield High School, Littleton, Colorado, May 2011.
Rand V. Good ■ randvgood@gmail.com • (720) 254-7144 ■ Page 1 of 2
Laura A. Jakiel
(716) 880-4975
lajakiel@gmail.com
www.linkedin.com/in/lajakiel
EDUCATION
University of Denver, Denver, CO June, 2015
Master of Social Work
Concentration: Children and Youth: Risk and Positive Development
Certificate: Animal Assisted Social Work
Relevant Coursework: Law of Family and Child; School Social Work Interventions; Mental Health Interventions
with Children; Child and Adolescent Trauma
Canisius College, Buffalo, NY
Bachelor of Science
Psychology
Animal Behavior, Ecology and Conservation
Minor: Anthrozootogy
RELEVANT EXPERIENCE
May, 2012
CBR YouthConnect, Golden, CO June, 2015- Present
Family Service Provider
• Perform biopsychosocial assessments for clients to identify presenting problems and strengths
• Maintain a case load of 6 to 11 families involved with DHS to facilitate family preservation and reunification
• Develop individualized service plans to address client and family needs as well as OHS goals
• Act as a liaison between biological and foster families, DHS, therapists, etc. to ensure continuity of care
• Maintain appropriate and timely documentation of interactions with families and professionals
■ Connect individuals and families with appropriate community resources for sustainable support
Compassion Road Academy, Denver, CO August, 2014 -June, 2015
Mental Health Team Intern and Teen Parent Liaison
• Address social and psychological needs of students in order to foster academic functioning and achievement
• Assess student and family needs in response to staff and outside agency referrals
Provide ongoing individual counseling services to a diverse group of 18 adolescents at a DPS Pathways school
■ Act as a liaison between the school and outside agencies to ensure continuity of care
• Design, implement and evaluate an animal assisted social skills group for 5 adolescent students
Laura Jakiel, pg 1 of 2
Aurora Mental Health Center, Aurora, CO September, 2013 -May, 2014
Fostering Healthy Futures Mentor
• Mentored two youth ages 9 to 11 in foster care placements
• Identified goals, created and implemented intervention strategies to help youth achieve their goals
• Acted as a liaison between DHS, foster parents, therapists and youth to ensure continuity of care
• Supplemented CBT group work through individual activities with clients
■ Attended weekly seminars on youth development, risks and interventions
People Incorporated, Buffalo, NY August, 2012- August, 2013
Individual Residential Alternative Specialist
• Communicated with professionals and outside agencies in order to support individuals
• Provided direct care for six adults with developmental disabilities
• Assisted with daily implementation of plans to help individuals reach their goals
• Provided supports to promote success for individuals in an accepting society
St. Luke's Mission of Mercy, Buffalo, NY August, 2011- May, 2012
Volunteer Coordinator for Soup Kitchen
■ Recruited, trained and supervised volunteers for direct service in the soup kitchen
• Communicated the Mission's needs to outside funding sources
• Assisted with coordinating services for individuals being served by the Mission
• Fostered an environment of service and social justice
Canisius Ambassadors for Conservation, Buffalo, NY March, 2011- June, 2011
Group Leader
• Led groups of 10 to 15 students from inner-city schools on experiential trips through a wildlife refuge
• Educated students on conservation efforts and their ability to positively impact the world
• Facilitated learning through the use of interactive games and activities in order to engage students
• Provided resources to schools for further learning opportunities
VOLUNTEER EXPERIENCE
Herding Rescue Dogs of Wyoming, Gillette, WY October, 2015- Present
Volunteer/ Foster Home
Communicate with rescue staff and potential adopters to coordinate successful placement of animals
• Provide appropriate medical, behavioral and emotional care for animals coming from shelter placements
• Maintain records and documentation regarding medical procedures and adoptions for animals in care
Promise Ranch Therapeutic Riding, Franktown, CO September, 2014- August, 2016
Volunteer
• Provide support to physical and occupational therapists and instructors during lessons
■ Support clients with physical and developmental disabilities in reaching their goals
• Assist with fundraising activities and community engagement to promote Promise Ranch
Laura Jakiel, Page 2 of 3
Canislus College Community Service, Buffalo, NY
Service Trip Student Leader
■ Coordinated with agencies in order to plan service trips and volunteer work
• Educated student participants about the agencies, their missions and the populations served
• Promoted the cornerstones of social justice, community, simplicity and spirituality
• Participated in direct service for individuals in Buffalo, NY, New Orleans, LA and Salem, WV
PRESENTATIONS
January, 2010- May, 2012
Evidence Supported Animal Assisted Social Work Poster Session
The Animal Connections Program at Compassion Road Academy:
Protocol and Program Evaluation
ignatian Scholarship Day
The Healing Power of Non -Human Animals:
A Critical Look at Animal -Assisted Therapies and Interventions
AWARDS AND MEMBERSHIPS
March, 2015
April, 2012
NASW Member
Alumni Scholarship Recipient
Kristin M. Brady Award for Excellence in an Honors Thesis
Psi Chi international Honors Society in Psychology
Canlsius College: All College Honors Program
ignatian Scholarship Recipient
References available upon request
March, 2015- Present
September 2014- Present
May, 2012
January 2011- Present
August, 2008- May, 2012
August, 2008- May, 2012
Laura Jakiel, Page 3 of 3
08/2013 to 1/2016
06/2012 to 06/2013
JODI JONES
3463 S. Akron St. Apt.67,Denver, CO 80231 I C: 303-335-6848 I mrsjodijones@gmail.com
PROFESSIONAL OVERVIEW
Ambitious social work professional with desire to creatively educate, intervene, and empower youth to
reach their fullest potential.
KEY SKILLS
EDUCATION
2017
• Team player with ability to build
rapport with diverse populations
• Life-long learner who is eager to
grow and expand knowledge
Master of Arts: Social Work
Metropolitan State University - Denver, CO
Aug. 2015 -May 2017: MSW graduate
2012 Bachelor of Arts: Social Work
University of Sioux Falls - Sioux Falls, SD
Minors: Spanish, Biblical Studies
EXPERIENCE
• Creative mind that adapts
material to better empower
others
• Exceptional communicator who
effectively conveys information
verbally and in writing
3/2016 to Present CBR YouthConnect (Community Service Provider)
• Actively promote educational stability, build community connections and
resources, promote resiliency, and help children and adolescents build essential
life skills through specialized mentoring.
• Experienced in teaching the Story Program to high school students. This is a highly
motivating, small group approach to social emotional learning that inspires
youth to be all they can be. It offers a safe and uplifting opportunity for youth to
reflect on their personal story and the stories of those around them.
• Knowledgeable in working with families through supervised visits where I
objectively observed parent -child interactions in a department approved
controlled or community -based setting. As a visitation supervisor, I ensured that
the guidelines set by the Court or referral agency were followed, and submitted
progress reports and recommendations to the referral source as required.
Denver Public Schools (Special Education Paraprofessional and Math Fellow)
High Tech Elementary and Florida Pitt Waller k-8- Denver, CO
• Experienced in non-violent crisis intervention by using de-escalation
strategies with children who show anxiety
• Taught Read -Well and Imagine -It curriculum to students reading at
below grade level and integrated activities to target multiple learning
styles
• Empowered small groups of 6th and 8th graders who were below grade
level in mathematics through teaching multiple problem solving
strategies and encouraging math conversation
• Edited and created lesson plans from Math Navigator Curriculum to best
meet students' needs
• Participated in a weekly professional development course to enhance
instructional delivery, public speaking, relationship building, and
data -driven decision making
Youth Intern/Whiz Kids Coordinator
Denver Rescue Mission (The Crossing) - Denver, CO
• Tutored and built relationships with diverse homeless children ages 3-18
• Entered youth records into Denver Rescue Mission's database called
Scribe to better analyze youth attendance and trends
• Coordinated Whiz Kids Tutoring by matching kids with tutors, organizing
events, and orienting new tutors
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Casey Lucarelli, LSW
4070 N. Albion St. #104 Denver, CO 80216 ' (203)-305-8816 • clucarel616@gniail.com
EDUCATION
Metropolitan State University of Denver, Denver, CO
Masters in Social Work- Concentration Adult Mental Health
Metropolitan State University of Denver, Denver, CO
Bachelors in Social Work
Naugatuck Valley Community College, Waterbury, CT
DARC (Drug and Alcohol Recovery Counselor)
PROFESSIONAL EXPERIENCE
2015-2016
2012-2015
2011-2012
CBR YouthConnect , Golden, CO 2016 -Present
Family Service Provider- Preventative Aftercare
• Provide guidance and support for managing family dynamics.
• Address conflicts and special needs within families.
• Facilitate family meetings to teach life skills and routines.
• Establish reliable social and community connections.
The Mental Health Center of Denver, Denver, CO 2015-2016
Clinical Student Intern- Residential Services
• Provide individual psychotherapy with consumers to provide support and insight.
• Facilitate group therapy sessions within the house.
• Coordinate clinical care with case management services and other services both inside and outside
of MHCD.
• As part of a multi -disciplinary system, help facilitate the treatment and continuity of clinical care.
• Complete necessary clinical documentation.
• Advocate for acceptance and integration of individuals with mental illness within the
neighborhood and community in which they live.
The Bridge Project, Denver, CO 2014-2015
Group Facilitator
• Assessed needs of emotionally disturbed youth with severe behavior and learning needs.
• Provided educational groups for youth.
• Expanded knowledge of community resources; make referrals.
• Worked with the recreation program; tutor pre -teens.
Wellmore Behavioral Health, Waterbury, CT 2010-2012
Counselor Aide
• Provide client services, assistance and support as necessary to professionals like certified counselors,
social workers, and therapists.
• Provide client(s) with a detailed description of Release(s) of Information for consent to treatment
• Supervise urine drug screens for female client(s).
• Prepare and maintain patient case files.
ACTIVITIES
• Volunteers of America -Volunteer
• Drug and Alcohol Awareness -Volunteer
• Special Olympic -Volunteer
• National Association of Student Social Work
• Vice President for The Recovery Society
4
]
Maren Rael Safran
1538 S. Lincoln St. Denver, CO 80210.720-839-7072 • msafranl@msudenver.edu
Objective: To continue working with diverse client populations using evidence -based interventions and practices that
focus on strengths and empowerment
Education Experience 2015 - present
Metropolitan State University of Denver - Denver, CO
Master of Social Work- older adults track
• GPA 4.0
2011- 2012
Regis University — Denver, CO
Bachelor of Applied Science: Interdisciplinary Studies in Psychology, Communication, and Religious Studies
• GPA 4.0 Spring 2012
Capstone Community Project Coordinator
• Created and implemented accessible, interpreted material for deaf and hard of hearing (DHH) children who do
not share common communication methods with their guardians. Distributed the material to the cataloging
department at the Aurora Public Library.
Front Range Community College - Westminster, CO
2006 - 2009
Associate Degree in Interpreter Preparation
• Coursework focusing on intercultural communication.
Work Experience
CBR Youth Connect - Denver, CO
Community Service Provider Intern
• Provide family unit supervision and guidance to children who have been removed from the custody of their
primary caregivers
• Documents and maintains progress reports on clients
Lutheran Family Services Rocky Mountains - Denver, CO
Fall 2015 - Spring 2016
School Programs Intern
• successfully navigated the school registration process at 5 Metro Denver school districts for refugee families
within 30 days of their arrival. Enrolled 65 students.
• Provided access to educational support programs for refugee students, including advocacy with interdisciplinary
teams.
• Partnered with district family liaisons to find needed resources for families experiencing financial hardships,
including clothing and transportation. Enroll families in services afforded by Mckinney Vento Act.
• Developed a mentorship program between older and younger refugee students at Aurora Central High School anc
Crawford Elementary School.
• Successfully changed a policy within a school district to provide meal services during the registration process.
Fall 2009 - Spring 2015
Aurora Public Schools - Aurora, CO
Educational Sign Language Interpreter
• Collaborated with the Interdisciplinary Team (IDT) during Individual Educational Program (IEP) meetings to
develop a Service Plan and implement interventions and strategies that met the diverse needs of individual
students.
• Shared student's progress towards goals with the IDT using a collaborative software program.
• Taught and encouraged self -advocacy skills to students that were developed during IEP meetings in order tc
empower students with intellectual and developmental disabilities.
Fall 2016 - Spring 2017
• Tutored and mentored students who had a wide range of cognitive and linguistic abilities during both small group
and individual tutoring sessions, which accommodated different learning styles and academic levels.
• Led an elementary school team of five interpreters and maintained a schedule for site based extracurricular
events, activities and meetings so that all students and staff members received access to equal communication.
• Served communities of low-income families, undocumented immigrant families, refugee families, and children
from at -risk environments.
• Prepared for and interpreted curriculum and social interactions for deaf students in preschool through high
school setting as well as interpreted weekly, biweekly and monthly professional meetings for a deaf employee.
• In 2011, planned and scheduled two professional development workshops for fifteen Aurora Public Schools
educational interpreters, which provided updated information regarding techniques and strategies used to
effectively communicate with individuals from diverse backgrounds and cultures.
Summer Magic Camp — Aurora, CO Summers 2012 -
Trip Leader and Volunteer 2015
• Provided a fun, safe atmosphere for 6-10 adult campers ages 19 to 45 with intellectual disabilities and encourage
interaction between Summer Magic Campers and campers from a traditional summer camp.
Volunteer/Internship Experience
Lutheran Family Services Rocky Mountain — Denver, CO
Refugee Department- Job Club Volunteer Summer 2015
• Taught basic job readiness skills to refugees, victims of trafficking, secondary migrants, asylum seekers, and other
individuals fleeing persecution.
Aurora Public Schools — Aurora, CO Summer 2013
Volunteer Mentor
• Became a positive adult role model in a 8 -year -old deaf child's life by modeling appropriate social interaction in
the community so that the child developed self confidence using her language and interacting with community
members
Jewish Family Service — Denver, CO
Jewish Disabilities Advocates Buddy Volunteer Summer 2012 - 2014
• Attended social and cultural events with my adult buddy, who has Down's syndrome, and other clients with
intellectual disabilities so that all participants could share enjoyable and memorable experiences.
• Discussed new interests and hobbies with my adult buddy in order to plan and coordinate activities and outings.
Administrative Volunteer Summer 2013
• Worked in the Senior Solutions program to support the volunteer coordinator by starting a paperless volunteer
and client database file system that modernized operations; produced PDF instructions in order to handoff
management of the database.
• Maintained and updated pertinent information in Volgistics, a volunteer database system, so that volunteer and
client needs and concerns were monitored and met.
Colorado Jr. Wheelchair Sports Camp — Aurora, CO Summers 2010 - 2013
Volunteer interpreter and Adaptive Activity Volunteer
• Offered support in a variety of adaptive activities and maintained a safe environment for over 100 participants
who use wheelchairs and were between the ages of 5 to 18 so that all participants had an opportunity to explore
their capabilities and interests.
• Encouraged positive relationships between peers, while respecting individuals' independence.
Professional Affiliations and Honors
• Max Frankel Volunteer of the Year Award, Jewish Family Service
• Summa Cum Laude, Regis University
June 23, 2014
Spring 2012
• Dean's List Recognition, Regis University June 13, 2012
• Authorization Educational Interpreter, Colorado Department of Education October 2010-2015
Interests
• Beekeeping, international travel, mindfulness meditation, hiking, and drawing
•
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Brianna J. Seaman
970.372-8686 brianimal3@yahoo.com 716 10th Street, Windsor, CO 80550
Profile
Competent, resourceful, and detail -orientated college student looking to further my knowledge in the field of clinical
mental health counseling.
Experience
COMMUNITY SERVICES SPECIALIST, GOLDEN CBR YOUTHCONNECT - SEPTEMBER 19, 2016 TO PRESENT
Services are targeted toward promoting educational stability, building community connections and resources, promot-
ing resiliency and building essential adolescent life skills. Contractor's staff will use teachable moments to build life
skills to include but not be limited to: personal motivation, executive functioning, academic skills, emotional aware-
ness and regulation, social and relationship skills, personal health and integrity/character skills and those opportunities
to provide "normalization" experiences.
LEAD SALES ASSOCIATE, LOVELAND JAX MERCANTILE - JUNE 20, 2015 TO SEPTEMBER 8, 2016
Responsible for ordering products from different distributors. Complete daily cleaning tasks. Expected to put away
weekly freight and feed. Responsible for tending to animals for sale. Responsible for customer load outs. Responsible
for preparing and charging customer deliveries. Responsible for excellent customer service, answering phone calls,
taking messages and cashiering. Expected to have knowledge of several different computer programs. Expected to
have knowledge on all salable products. Responsible for driving the forklift and using a pallet jack.
INTERN, GREELEY PERKLEN CENTER OF PSYCHOTHERAPY - AUGUST 24, 2015 TO DECEMBER 3, 2015
Responsibilities included answering phone calls, checking and taking messages, and checking clients into group ther-
apies. Expected to make copies, transmit faxes, calculate interest on client accounts, and fill out general client informa-
tion on monthly progress reports. Privileged to sit in on therapy sessions including domestic violence sessions, phase I
sex offender sessions, phase III/IV sex offender sessions, caring dads classes and female domestic violence sessions.
CASHIER/FREIGHT PROCESSOR, WINDSOR DOLLAR TREE — DECEMBER 2, 2014 TO AUGUST 5, 2015
Responsible for cashing customers out in a respectable and appropriate manner. Expected to unload the delivery truck
every week. Responsible for stocking merchandise every day in a efficient way. Responsible for cleaning the store dur-
ing closing shift and throughout the day while cashiering.
GROUNDS CREW, FORT COLLINS TRIPLE CROWN SPORTS - MAY 5, 2013 TO JULY 30, 2014
The responsibilities of safely driving two different mowing apparatuses in a safe, efficient, and appropriate manner.
Expected to mow acres of land efficiently with outstanding quality. Expected to trim edges after mowing with a weed
trimmer. Responsible for cleaning the mowing and trimming equipment. Expected to prepare softball fields for prac-
tice and prepare the softball fields before games by painting the lines on the field and putting the bases on the field.
Completed other miscellaneous tasks that were ordered in a efficient manner. Responsible to pick up trash on the
property daily.
Education
The University of Northern Colorado, Greeley, CO
Clinical Mental Health Counseling, MA
Graduate in Spring of 2019
The University of Northern Colorado, Greeley, CO
Undergraduate in Psychology
Graduated May 7, 2016
Eastern Florida State College, Palm Bay, FL
Associates in Arts
Will be attending August 22, 2016
August 14, 2014 to May 7, 2016
August 15, 2012 to May 24, 2014
Graduated May 10, 2014
Windsor High School, Windsor, CO
General Studies/Diploma
Graduated May 20, 2012
Skills
August 5, 2009 to May 20, 2012
Able to communicate and appropriately articulate information. Able to work with mathematical concepts. Able to
facilitate positive job attitude and practice sound judgement. Consistently able to demonstrate planning and organiza-
tional competencies.
References
MR. ED PANES
HEAD SOFTBALL COACH, EASTERN FLORIDA STATE COLLEGE
FIRE ENGINEER, PALM BAY FIRE DISTRICT, FL
3383 ARECA PALM AVE
MELBOURNE, FL, 32901
(321) 288-1952 - CELL
DR. STEPHANIE BUCHHOLTZ
VETERINARIAN, SHEEP DRAW VETERINARY HOSPITAL
851 RIDGE WEST DRIVE
WINDSOR, CO 80550
(970) 674.1077 - CELL
Daniel Sturtevant
dannyjs42 u,mail.com
Phone: (979) 595-6240
3330 11' Ave. Apt. 917
Evans, CO 80620
Work Experience
CBR YouthConnect, Weld County, co
Specialized Youth Mentor
• Mentored youth age 7-17
• Utilized a Narrative approach to foster growth
• Attend Team Meetings with Weld County
• Collaborate with mental health professionals on youth's team
• Transport youth to events and activities
• Gained Informed Supervision Training
Utah Valley University, Orem, UT
Institutional Research Call Center Assistant Supervisor
• Monitor and evaluate callers for interview quality
• Track employee hours and call statistics
• Train new employees
• Facilitate daily call center tasks
Student Consultant on Teaching (SCOTs)
• Observe instructor teaching methods
• Conduct classroom focus groups
• Compose class evaluation reports for faculty
• Conducted study of faculty satisfaction with program
Financial Aid Call Center Employee
• Familiar with intricate rules and regulations of financial aid
• Deliver friendly customer service to students
• Advise students concerning financial aid questions
• Adept at deescalating heated conversations
Target, American Fork, UT
Team Member
• Promoted to Electronics Team Member
• Oversaw team on closing nights
• Arranged product for display
• Trained new team members
Expressions Music and Dance Studio, College Station, TX
Music Instructor
• Facilitated ten weekly lessons to train students for a recital and competition
each semester
• Communicated with parents to help students succeed
• Instructed students on cello, guitar, and piano
• Developed individual lesson plans for students ages 4 - 40
• Handled roughly half of the studio's clientele (20-25 students per semester)
Jul. 2016 -Present
Aug. 2015 -Jul. 2016
Aug. 2014 -Aug. 2015
Aug. 2014 -Aug. 2015
2012-2014
2008-2012
Texas A&M University Library, College Station, TX Jan -Jul 2012
Interlibrary Loans Assistant
• Organized book loans to be sent out to patrons
• Operated university vehicle for courier service between libraries
Volunteer Service
Friday's Kids Respite, Multiple Locations in Utah 2013-2014
• Supervised special needs children
• Maintained peacefiil environment
• Adapted play to child's needs
Education
University of Northern Colorado, Greeley, CO May 2019
• MA — Clinical Mental Health Counseling
• Current GPA 4.0
• Anticipated graduation: May 2019
Utah Valley University, Orem, Utah May 2016
• BS in Integrated Studies
• Emphases in: Psychology, Music, and Philosophy
• Cumulative GPA 3.86
• Graduated Magna Cum Laude
Publications and Presentations
Integrated Studies Capstone Thesis Defended
• Working Title: A Hertneneutical Approach to Applied Technology in Therapy Apr. 14, 2016
Teaching as Relationship: Dialogical Ethics in Pedagogy Sep. 24, 2015
• Co -Presenter
• Ethics Awareness Week at Utah Valley University
Phenomenology of the Story in Dialogue Awaiting
• Co-Author/Co-Researcher Publishing
A Reframing of `Be Ye Therefore Perfect' for Counselors Helping Mormon Clients
Struggling with Perfectionism Jan. 23, 2015
• Co-Author/Co-Presenter
• Presented at the Utah Valley University Mental Health Symposium
An Interpretivist Introduction to the Bio-Criminology and Critical Criminology Debate Jan. 7, 2015
• Co -Author
• Published in the Journal of Theoretical and Philosophical Criminology
The Artifice Mar -Sep 2015
• Contributing Writer
• Editor
Harpoon, Matrix Games Nov. 2010
• Composer — original soundtrack
• Naval warfare computer game
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Erica Vasquez
500 W. Prospect #25-E
Fort Collins, CO 80526
(325) 200-2827
egv13a@acu.edu
EDUCATION:
Doctor of Philosophy in Social Work, August 2016 — May 2020
Colorado State University — Fort Collins, CO
Master of Science in Social Work, May 2014
Abilene Christian University, 450 Intern hours - Abilene, TX
• Published Thesis: "Fighting Human Trafficking through Prevention"
• Presented thesis at National Association for Hispanics and Latinos Studies International Research
Forum in South Padre Island, TX in October 2015
• Published in the National Association for Hispanics and Latinos Studies monograph series in
November 2015
Bachelor of Arts in Social Work, An A & AM System University, August 2012
Tarleton State University, 450 Intern hours - Stephenville, TX:
• Student Social Work Association President: Fall 2011 -Spring 2012
• Student Social Work Association Member: Fall 2010 - Spring 2011
• Distinguished Student: August 2009, August 2011, & May 2012
• A Honor Roll: August 2012
Associate in Health Science, December 2008
Howard Payne University- Brownwood, TX
SOCIAL WORK EXPERIENCE
Family Service Provider, August 2016- Present
CBR YouthConnect, Greeley, CO
• Provides individual and family counseling for all ages
• Provides structure, support, supervision, and professionally skilled interventions within in the
home, at school and in the community for youth and family issues
• Provides support in strengthening families, monitors safety and addresses causes of family
disruptions
• Improves family and placement; and facilities family reunification following placement
Graduate Research Assistant, August 2016- December 2016
Colorado State University, Fort Collins, CO
• Assisted the Director of the PhD. Social Work Program with data entry, data cleaning, data
transcribing, and preliminary data analysis
• Performed clerical duties and proof read over the instrument used in a research project conducted
by professor
• Reviewed literature review requested by professor
Clinical Social Worker Provider, January 2016- July 2016
Cross Timbers Health Clinics, Inc. FQHC, Brownwood, Stephenville, and De Leon, TX
• Provided individual, family, and group counseling for all ages
• Provided individual assessments, interviews, and crisis services to clients
• Provided resources for clients within the community and surrounding areas
• Developed and creates policies and procedures for the social work services for all three clinics
Director of Social Services & Volunteer and Bereavement Coordinator, July 2015- December 2015
Comanche Community Health Care, Comanche, TX
• Provided counseling for families and individuals in home health, hospice, and palliative care
• Coordinated, developed, and managed Volunteer and Bereavement Program
• Provided individual interviews, intake assessments, and crisis services
• Identified and linked clients with resources
Child and Adolescent Case Manager, January 2015- July 2015
Center for Life Resource, Brownwood, TX
• Provided individual screenings, intake assessments, and crisis services
• Developed, monitored, and evaluated service plans
• Provided resources available in the community
• Provided individual and family counseling ages 3-17 years' old
Director of Social Services, July 2014- December 2014
Senior Behavioral Health Services at Brownwood Regional Medical Center, Brownwood, TX
• Coordinated, developed, and evaluated evidence -based programs and activities
• Provided individual, family, and group counseling for ages 65 and older
• Provided interviews, intake assessments, and crisis services
• Assisted families in understanding the implications and complexities of the patient's medical
situation
Family Case Manager, December 2012- July 2014
New Horizon S.T.A.R. Program, Brownwood, TX
• Provided individual, family, and group counseling for at risk youth aged 0-17 years' old
• Linked clients to community resources
• Provided community presentations to local areas
• Created, monitored, and evaluated strength -based case plans
VOLUNTEER EXPERIENCE
Volunteer Grant Scorer, February 2016- Present
Public Transportation Divisions- Brownwood District, Brownwood, TX
• Determine application's score for the Section 5310 Enhanced Mobility for Seniors and
Individuals with Disabilities Program
• Assist applicants with other resources provided
• Coordinate and organize applicants with other grant scorers
Volunteer Child/ Adult Advocate, November 2010- June 2013
The Ark Domestic Violence and Sexual Assault Shelter
• Provided direct care
• Organized, coordinated, and developed fundraisers
• Participated in public awareness events
• Educated community about services provided
AFFLIATIONS
Community Resource Coordination Group for Families (CRCGF)
• Co -Chair/ Chair Member, Coleman, TX, March 2015- June 2016
• Member, Brownwood, TX, December 2012- July 2014
Resume of Professional Qualifications
Andrea Wangaard, LSW
Family Service Provider
Northern Regional Supervisor
Preventative Aftercare
CBR YouthConnect
Contact Information:
Phone: 303-945-9372
Mailing Address:
14143 Denver West Parkway
Suite 100
Golden, Colorado 80401
Education:
Master of Social Work- Metropolitan State University of Denver 2012
Bachelor of Social Work- Metropolitan State College of Denver 1997
Licensing:
LSW- License #0009921079
Work History:
CBR YouthConnect
Preventative Aftercare
Northern Regional Supervisor
August 2016- current
CBR YouthConnect
Preventative Aftercare
Family Service Provider
March 1, 2011- current
Adams 12 Five Star Schools
BASE Programs
Program Director for the last 13 years of employment
Program Leader and Aide for the first 6 years of employment
July 1, 1991— December 11, 2010
Professional Skills:
*Experience working with people from a variety of professional fields in a systems approach
*Able to work collaboratively with others to create appropriate, achievable treatment plans
*Effectively works with children of all ages, families, and individuals as clients with a wide range of
needs
*Experience working with offenders
*Knowledge of, and ability to identify, community resources
*Ability to quickly establish rapport with clients
*Ability to deal with abusive and aggressive clients
*Can effectively manage a large caseload and manage time accordingly based on level of priority
*Highly effective communication skills with people from diverse backgrounds
*Experience supervising and collaborating with staff in a multidisciplinary approach
Lookup VetaitView
Licensee Information
This serves as primary source verification* of the license.
*Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established
by 24-34-102 C.R.S.
tion
Name
Public Address
Andrea Rae Wangaard
Thornton, CO 80602-8798
License NumberLicense
Method
License Type
License
Status
Original
Issue Date
Effective
Date
Expiration
Date
LSW.0009921079
Examination
Licensed Social
Worker
Active
03/23/2016
03/23/2016
08/31/2017
Board/Program Actions
Discipline
There is no Discipline or Board Actions on file for this credential.
Generated on: 10/12/2016 7:20:41 PM
Colorado Department of Regulatory Agencies Colorado Department of Regulatory Agencies
Division of Professions and Occupations Division of Professions and Occupations
Social Work Examiners Board
Andrea Rae Wangaard
Licensed Social Worker
ISW.0009921079 03/23/2016
Number Issue Date
Active 08/31/2017
Credential Status Expire Date
Verify this credential at: wv w,dora,color do.gov rolession s_
ision Director: Lauren Larson `Credential Hdtder9lgnature
Social Work Examiners Board
Andrea Rae Wangaard
Licensed Social Worker
LSW.0009921079
Number
Active
Credential Status
Verify this credential at: wvw.dora
03/23/2016
Issue Date
08/31/2017
Expire Date
do. : ov
KAITLYN WEST
5770 29th Street, Greeley, CO 80634
Phone: 203.360.2245
kwest Ovouthconnect.org
westkaitlyni 4@gmail.coni
Professional Summary
Reliable and energetic mentor with a motivation to be an agent of change for people in need. Strong organizational
and prioritization abilities. Areas of expertise include strong communication, problem -solving, and active team
member with natural leadership abilities.
Skills
-Active Listener
-Critical Thinker
-Active Learner
Experience
-Socially Perceptive
-Complex Problem Solver
-Strong Judgment and Decision Making
Specialized Mentor January 2017 - Present
Colorado Boys Ranch YouthConnect
-Provide mentoring services children between the ages of eleven and seventeen
-Create a meaningful relationship with client while focusing on growth and goals
-Complete documentation after each client meeting
-Report progress and concerns to Weld County Department of Social Services
Bartender/Server December 2015 - January 2017
Grand Lake's 16th Street Tavern - Greeley, CO
-Clean glasses, utensils, and bar equipment.
-Check identification of customers to verify age requirements for purchase of alcohol.
-Collect money for drinks served.
-Balance cash receipts.
-Attempt to limit problems and liability related to customers' excessive drinking by taking steps such as
persuading customers to stop drinking, or ordering taxis or other transportation for intoxicated patrons.
Intensive Autism Paraprofessional July 2015 - May 2016
Weld County School District 6 - Greeley, CO
-Develop and implement strategies to meet the needs of students with a variety of disabilities.
-Observe and evaluate students' performance, behavior, social development, and physical health.
-Organize and supervise games or other recreational activities to promote physical, mental, and social
development.
-Teach students personal development skills, such as goal setting, independence, and self -advocacy.
-Encourage students to explore learning opportunities and persevere through challenging tasks to prepare
them for later grades.
Education
Bachelor of Science: Psychology
University of Northern Colorado - Greeley, CO
Master of Arts: School Counseling
University of Northern Colorado - Greeley, CO
Currently Pursuing MA degree in School Counseling
GPA 3.9
May 2015
Current Student
EXHIBIT C
SCOPE OF SERVICES
1. Contractor will provide Home Based Intensive Services (Preventative Aftercare Services, Preventative
Aftercare Services-Reunification/Transition, Specialized Mentoring, and Family Connections & Resilience)
and Life Skills (Supervised/Therapeutic Visitation) to children, youth, and families, as referred and
authorized by the Department.
2. Contractor will provide Preventative Aftercare Services to youth, ages birth to 21. Services are flexible
and adaptable to a wide range of child welfare needs to stabilize, strengthen and protect children and
families experiencing traumatic situations, losses, abuse, neglect, school disengagement or other special
needs. These services are most effective for:
o Families with infants and young children
o Teen parents
o Special needs or handicap situations
o Family conflicts, Dependency and Neglect, and Child Protection
o Youth adjudication
o School truancy and drop -out prevention
o Prevention of out -of -home placement
o Transition and reunification from congregate care and foster placement
o Permanency preservation of Kinship and Foster Care placement
• The primary goal of services is to prevent out -of -home placement; support a transition home
from placement; reduce police contact involving the referred client and their family; give
encouragement and support to parent(s)/caregiver(s); positively impact the siblings if applicable;
assist with emancipation; and reduce the overall dependency of referred client and family on
state and private social services organization.
• Each referred client will be assigned a Family Service Provider (FSP). The FSP is a Master's level
clinician.
• The referred client will receive a minimum of four (4) to five (5) hours of direct contact per week
for a duration of three (3) to four (4) months. Intensity and length of service can be adjusted to
meet the needs of the referred client.
• Each referred client will receive guidance and daily support, or as needed. The FSP will assist the
youth in evaluating how he/she affects their various environments and how the environments
affect them. The FSP will also help the youth plan, organize and structure their time each week
with constructive relationships and activities being emphasized, including family activities. The
referred youth will also participate in group activities as scheduled by the FSP.
• Family members will be expected to participate in weekly family support meetings per the case
plan at which time expectations of each family member will be discussed along with an emphasis
on communication and relationships.
• The FSP will have direct personal contact with the youth at a frequency specified in the case plan.
These contacts will occur at various times of the day and evening.
• The FSP will be on call 24/7 for crisis or emergency needs.
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3. Contractor will provide Preventative Aftercare-Reunification/Transition services to youth still placed in
congregate care to ensure successful reunification and transition to family and community, followed by
Preventative Aftercare following return home.
• During placement, Contractor's Family Service Provider (FSP) will:
o Meet with all providers and fully review goals of the permanency plan. Contractor will
coordinate in -home and community -based supports including school, mental health,
medical and other special needs, including meeting with parent(s) or caregiver in the
home to assess safety needs; meeting with the youth and staff at the placement facility;
meeting with school personnel; and other community providers/resources. These
meetings continue as needed to prepare for return home.
o Help coordinate home visits; monitor and provide counseling during visits; and obtain
feedback following visits.
o Initiate, schedule and coordinate a meeting with the home school district to ensure
enrollment in an appropriate school setting. This will include prompting school officials
to provide transcripts if the child or youth is attending a new school.
o Obtain key information related to confounding medical, psychiatric and trauma issues;
learning style, intrinsic interests, skills and giftedness that serve as natural motivators
for the child or youth.
o Work with family and others to coordinate the approach to reunification.
• Following placement (during reunification), Contractor's Family Service Provider (FSP) will:
o Implement Preventative Aftercare services and continue with permanency plan.
o Help the child or youth and family discuss and assess their interests and needs, and then
set personal goals
o Coordinate with systems -of -care providers and introduce the child or youth and family
to various resources in the community that fit the interests and needs of the family.
o Help the child or youth develop a plan for taking of the community supports and/or
resources.
• The goal of Preventative Aftercare-Reunification/Transition is to help strengthen the entire
family, with a focus on fragile family dynamics, confounding issues and developing concrete
supports for the interests and needs of the family.
• The referred client will receive a minimum of four (4) to five (5) hours of direct contact per week
for a duration of three (3) to four (4) months. Intensity and length of service can be adjusted to
meet the needs of the referred client.
• The FSP will be on call 24/7 for crisis or emergency needs.
4. Contractor will provide Supervised/Therapeutic Visitation that includes parent -child interaction training
and therapy conducted by a Master's Level trained staff trained in supervised/therapeutic visitation, or a
Bachelor's Level trained staff supervised by a Master's Level. Services include:
• Direct observation/documentation of visits as well as therapeutic intervention with parents to
improve parenting skills, eliminate safety concerns and reduce the time in out -of -home
placement.
• Immediate support, feedback and interventions to parents as they interact with their children.
Contractor's staff will remain present and actively participate throughout the visit offering skills
to build upon the family's strengths and correct observed weaknesses, with a focus on individual
instruction, attachment and bonding, alternatives to physical discipline, household management,
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consistent delivery of rules, effective communication skills, consequences and rewards,
developmental milestones, and nutrition.
5. Contractor will provide Specialized Mentoring to youth, ages, 12-18. Services will include repetitive
coaching and feedback; normalized socialization; purposeful community experiences; and opportunities
for youth to explore interests, talents, values, and beliefs.
• Youth experiencing the following, or any combination of the following, would benefit from
Specialized Mentoring:
o PAC or PAC-R/T participants who need to specifically targeted individual support
(Specialized Mentoring is designed to fully integrate with PAC or PAC-R/T)
o Youth experiencing trauma and loss without a sufficient support system
o Youth who resist therapy and dislike being labeled as a "diagnosis"
o Youth facing issues/deficits that will be life-long challenges
o Youth who isolate, lack friends and/or self-confidence
o Youth at -risk of out -of -home placement, drop -out or homelessness
o Youth in placement who have "plateaued" and/or need support to transition home and
sustain there
• Contractor will help youth:
o Learn and practice reciprocal relationships and emotional states
o Build essential adolescent life skills
o Develop a sense of accomplishment and mastery
o Gain new hope and positive energy for their future
• Contractor utilizes social -emotional learning principles. Contractor will offer a neutral and
supportive role to referred youth and will help the youth to explore their personal interests and
aspirations; role model and share insights; connect the youth to community resources; and
inspire hope. Contractor's focus is to grow a unique person not treat a diagnosis.
• Service intensity is available at 3-6 hours per week.
• Youth in placement can receive Specialized Mentoring both on -site at their placement and off -
site through community -based experiences.
6. Contractor will provide Family Connections and Resilience. Family Connections and Resilience addresses
the family's needs for inspiration, hope and resilience. It is a social/emotional learning program designed
to inspire and prepare youth and families determine the type of family they want to be. Youth and
families acquire social/emotional skills needed to buffer the risk factors in their lives and gain confidence
to continue moving forward.
• The overall goal of services is to improve family resiliency and build protective factors through
new insights, skills and motivation to help the family face and overcome adversity. This is done
through learning to better manage emotions; developing care and concern for others; making
responsible decisions; establishing positive relationships; and learning to handle challenging
situations more effectively.
• Services occur in the family home or through a community -based activity, and may include a
meal. Sessions occur for two hours, one time per week for six weeks.
• Family members will be guided to reflect on their personal stories, their family story, what they
stand for, where they want life to be for them, and what personal code of living is needed to get
there through exercise and projects.
3
• Families will be asked to complete a Family Life Story project that includes family goals and a
family code of values and beliefs, and commit to achieving two family goals within four (4)
months.
7. Programs are supervised by a Master's Level Licensed Professional Counselor (LPC), a Licensed Social
Worker (LSW) or a Licensed Clinical Social Worker (LCSW). Contractor will not exceed a 1:10 supervision
ratio.
8. 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.
9. 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.
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 (FIDOS), 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 agrees to attend meetings when available and as requested by the Department. Such
meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making
meetings. Services are inclusive of attendance. Contractor may appear by phone.
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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
$1,400.00/Month (Preventative Aftercare or Preventative Aftercare-Reunification/Transition)
$46.00/Day (Per Diem -Intensive, Preventative Aftercare or Preventative Aftercare-
Reunification/Transition, 4-5 Direct Contact Hours/Week)
$23.00/Day (Per Diem -Less Intensive, Preventative Aftercare or Preventative Aftercare-
Reunification/Transition, Less than 4 Direct Contact Hours/Week)
$576.00/Episode (Family Connections and Resilience Package, 6-2 Hour Sessions)
$48.00/Hour (Family Connections and Resilience, Hourly Rate)
$52.00/Hour (Specialized Mentoring, Individual Rate, Custom Hours/Month)
$80.00/Hour (Specialized Mentoring, Sibling Rate -2 Siblings Together, Custom Hours/Month)
$68.00/Hour (Supervised/Therapeutic Visitation. Includes visitation session and documentation.)
$40.00/Hour (Transportation - With Visitation ONLY)
Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is
responsible, but which a particular client refuses or fails to pay.
Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment
received on the monthly billing.
3. Submittal of Vouchers
Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if
applicable, certifying that services authorized were provided on the date(s) indicated and the charges
made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A.
Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the
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
ACO UR
THI�TIFICATE 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 pollcy()es) must have ADDITIONAL INSURED provlstons or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require en endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endACT
li..
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER Lockton Companies
8110 E Union Avenue
Suite 700
Denver CO 80237
(303) 414-6000
INSURED Colorado Boys Ranch
1031807 14143 Denver West Parkway, Suite 100
Golden, CO 80401
COVERAGES CERTIFICATE NUMBER: 13389649
THIS IS TO CERTIFY THAT THE POLICIES OF
INSURANCE
NED ABOVE FOR THE POLICY PERID
A
D CATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER VE BEEN ISSUED TO THE RDOCED UMENT 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.
No, Ext):
t't%ss:
I DATE (MWDDIYYYY)
4/1/20183/31/2017
INSURERISI AFFORDING COVERAGE
INSURER A : Philadelphia Indemnity Insurance Co.
INSURER B: Pinnacol Assurance
INSURER C :
INSURER D :
INSURER E :
INSURER F :
NMCI
18058
A
A
A
A
B
A
X
TYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
I CLAIMS -MADE [] OCCUR
X Prof Liab Claim Made
X.. 10 00o fled
GEM AGGREGATE LIMIT APPLIES PER:
POLICY f JEC7 I i Loc
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
X
X
X
X
AUTO ONLY
AUTOS ONLY
$500 Comp
UMBRELLA LIA8
EXCESS LIAR
X"ED
twa
X $1,000 Coll
X
OCCUR
CLAIMS -MADE
D£D I X I RETENTIONS 10,000
WORKERS CO PENSATION
AND EMPLOYERS' LIABILITY
VE
OOFFICCEERA EEMB RAE CLUDED7EC�
(Mandatory in NH)
II yyetL� a�e TION undo
DESCRIPTION OF OPERAIIONS blow
Property, RC, Incl. Theft
YIN
N
Y
N
N
NIA
N
N
N
N
N
N
POLICY NUMBER
PHPK1632618
$1 MM EA Acc.fS3 MM AGG.
PHPK1632618
PHUB578365
451672
PHPK1632618
t Al I WOlY11Y yu
4/1/2017
4/1/2017
4/I/2017
4/1/2017
4/1/2017
RIM
4/1/2018
4/1/2018
4/1/2018
4/1/2018
4/1/2018
REVISION NUMBER: XXXXXXX
LIMITS
EACH OCCURRENCE
WESMs ° RENTEoaxrenoel
MED EXP (My one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMPIOP AGO
COMBINED SINGLE LIMIT
rD
BODILY INJURY (Per person)
BODILY INJURY (Peracddent
EACH OCCURRENCE
AGGREGATE
s 1,000,000
s 1,000,000
s 20,000
s 1,000,000
s 3,000,000
a 3,000,000
X I STATUTE I DOER
EL EACH ACCIDENT
E.L DISEASE - EA EMPLOYEE
EL DISEASE -POLICY IOW
Contends: 310,000' tied. $1,000
BI: S300,000; Ded. 72 lira
S
s 1,000,000
S XXXXXXX
SXXXXXXX
sxxxxxxx
s xxX)XXX
s 4,000.000
S 4,000,000
$XXXXXXX
s 500,000
s 500,000
$ 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, AddIional Remarks Schedule, may be attached if more apses is required)
Professional Liability Retroactive Data 4/1/2002; Sexual Abuse Liability— Polley Number PHPK1632618, Effective 4/1/2017-2018 - SIM limit.
CERTIFICATE HOLDER
13389649
County of Weld
1150 O' Street
Greeley, CO 80831
ACORD 25 (2016103)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
®Citks8 2016 ACORD CORPO TION. All rights reserved
The ACORD name and logo are regIstered marks of ACORD
1 INC, No):
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