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CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND ST. VRAIN VALLEY SCHOOL DISTRICT
This Agreement, made and entered into the J$ day of SOO' , 2017, by and between the Board of Weld
County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as
the "Department' and St. Vrain Valley School District, 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, Scope of Services, and Exhibit B, Payment Schedule. Each of these
documents is attached hereto and incorporated herein by this reference.
WITNESSETH
WHEREAS, required approval, clearance and coordination has been accomplished from and with
appropriate agencies; and
WHEREAS, the County of Weld has provided Human Services fund resources for education, training,
and support services for Weld County's at -risk families; and
WHEREAS, positive youth development and the strengthening of families are major goals for Colorado
including Weld County; and
WHEREAS, meeting the needs of at -risk youth and their families in Weld County is a critical issue; and
WHEREAS, Human Services and Contractor agree to a common planning goal of "intervening
successfully with families in the least intrusive manner while maximizing safety before they enter the child
welfare and juvenile justice systems; and upon entry into the child welfare systems, to expedite the positive
resolution of their treatment or case plans"; and
WHEREAS, Human Services and Contractor agree that that a multi -disciplinary approach will
assist in building a strong collaborative system on behalf of at -risk youth and their families; and
WHEREAS, Contractor is dedicated to develop and participate in the Compass: Weld County Family
Support Team, hereinafter referred to as "Compass", with other agencies that are recognized experts in their
respective fields and that are contractors under Compass; and
WHEREAS, Contractor has the expertise and wishes to commit the appropriate staff and managerial
support on behalf of Compass to plan, collaborate, provide case management, and related services required of
Compass; and
WHEREAS, Human Services wishes to enter into an agreement and lease with Contractor to enable
Contractor facilitate the positive development of youth and the strengthening of families through Compass.
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.
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2. Scope of Services
Services shall be provided by the Contractor to any person(s) eligible for services in compliance with
Exhibit A, Scope of Services.
3. Payment
a. Payment shall be made in accordance with Exhibit A, Scope of Services and Exhibit B, Payment
Schedule, attached hereto and incorporated herein by reference, so long as services are
rendered satisfactorily and in accordance with theAgreement.
b. 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.
c. 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.
4. 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.
5. Payment Method
Unless otherwise provided in Exhibit A, Scope of Services, and Exhibit 8, 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
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.
6. 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
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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.1. 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.
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
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- 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.
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7. 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.
8. 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
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
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Agreement are the minimum requirements, and these requirements do not decrease or limit the
liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at
its own expense, any additional kinds or amounts of insurance that it may deem necessary to
cover its obligations and liabilities under this Agreement.
b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all
times during the term of any Agreement, insurance in the following kinds and amounts:
i.Workers' Compensation Insurance as required by state statute, and Employer's Liability
Insurance covering all of Contractor's Contract Professional's employees acting within
the course and scope of their employment. If Contractor is an Independent Contractor,
as defined by the Colorado Worker's Compensation Act, this requirement shall not apply.
Contractor must submit to the Department a Declaration of Independent Contractor
Status Form prior to the start of this agreement.
ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93
or equivalent, covering premises operations, fire damage, independent Contractors,
products and completed operations, blanket contractual liability, personal injury, and
advertising liability with minimum limits as follows:
$1,000,000 each occurrence;
$2,000,000 general aggregate;
$50,000 any one fire; and
$500,000 errors and omissions.
iii.Automobile Liability: Contractor/Contract Professional shall maintain limits of
$1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident,
and $1,000,000 for property damage applicable to all vehicles operating both on County
property and elsewhere.
iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor
liability and pollution liability must provide the following:
If any aggregate limit is reduce by twenty-five percent (25%) or more
by paid or reserved claims, Contractor shall notify County within ten (10) days
and reinstate the aggregates required;
Unlimited defense costs in excess of policy limits;
Contractual liability covering the indemnification provisions of this
Agreement;
A severability of interests provision;
Waiver of exclusion for lawsuits by one insured against another;
A provision that coverage is primary; and
A provision that coverage is non-contributory with other coverage or
self-insurance provided by County.
v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and
professional liability policies, if the policy is a claims -made policy, the retroactive date
must be on or before the contract date or the first date when any goods or services were
provided to County, whichever is earlier.
c. Contractors/Contract Professionals shall secure and deliver to County's Risk
Administrator ("Administrator") at or before the time of execution of this Agreement, and shall
keep in force at all times during the term of the Agreement as the same may be extended as
herein provided, a commercial general liability insurance policy, including public liability and
property damage, in form and company acceptable to and approved by said Administrator,
covering all operations hereunder set forth in the related Bid or Request for Proposal.
d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this
information to its insurance agent or broker, and shall have its agent or broker provide proof of
Contractor/Contract Professional's required insurance. County reserves the right to require
Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of
insurance as required by the County's Risk Administrator in his sole discretion.
e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability,
liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as
an additional insured as follows
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.
9. 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.
10. 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.
11. 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
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subpoena must be personally served.
12. 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.
13. Modification of Agreement
All modifications to this Agreement shall be in writing and signed by both parties.
14. 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.
15. 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 Bryan Krause, Executive Director of Student Services
16. Notice
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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
17. Litigation
For Contractor:
Bryan Krause, Executive Director of
Student Services
830 South Lincoln Street
Longmont, CO 80501
(303) 772-7700
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.
18. 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.
19. 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.
20. 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.
21. 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
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or invalid.
22. 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.
23. 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.
24. 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
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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.
25. 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.
26. 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 provide proof thereof
when requested to do so by County.
27. 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.
28. Agreement Nonexclusive
This Agreement does not guarantee any work nor does it create an exclusive agreement for services.
29. Warranty
11
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.
30. 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.
31. 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.
32. 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.
33. 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.
34. Subcontractors
12
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.
35. 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.
36. 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.
37. 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.
38. 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.
COUNTY:
ATTEST:
Weld C
By:
Deputy Clerk to
dirAvt) Jcido;ii
BOARD OF COUNTY COMMISSIONERS
my Clerk to the Board WELD COUNTY, 4 LORADO
e Board
14
Julie Cozad, Chair
CONTRACTOR:
St. Vrain Valley School District
830 South Lincoln Street
Longmont, CO 80501
By:
Date:
6 2017
Bryan Kruse, Executive Director of
Student Services
7)O117
02O/T- 357(
EXHIBIT A
SCOPE OF SERVICES
Human Services has the opportunity to continue developing a Compass: Weld County Family Support Team
program, hereinafter referred to as "Compass", through a collaborative partnership in the interest of positive
youth development and the strengthening of families eligible under Child Welfare programs.
1. General Description of Services
A. Contractor and Human Services collaboratively will develop and refine Compass quality services
and evidence -based practices and outcomes in the areas of:
1) A community -wide intensive case management system to meet the needs of families at
risk.
2) Specific family services plans that incorporate access to existing community services and
the development of new service alternatives to address:
drug and alcohol issues including utilization of Detox, youth services, education
groups, support groups, Alcoholics Anonymous, assessment and testing; and
mental health issues including assessment, individual treatment, medication
evaluations, psychological evaluations; and
mediation/mentoring issues including family group conferencing, mediation,
teen parenting classes; and
educational and employment issues including interfacing with schools and
facilitating extracurricular recreational activities; and
community issues including collaboration between various agencies and
coordination of mentoring, counseling and other activities especially for south
Weld County; and
juvenile delinquency issues including assessment, case management,
supervision, restorative justice, and other related activities.
3) Comprehensive case management services, as outlined in the Compass Operational
Manual; including interviewing, making appropriate home visits, accepting the
assignment of specific cases for purposes of connecting services outlined in the family
services plan for families and youth, reporting the outcomes of such treatment plans,
and identifying gaps, duplication, outcomes, and system modification needs. Updates
to the Compass Operational Manual will be sent out within 30 days of the respective
update.
4) Psychosocial educational groups that provide prevention messages around subjects such
as substances abuse, suicide, domestic violence, unhealthy lifestyles, child
maltreatment, and/or anger management.
5) Circle of Parent weekly support group for Compass clients to find and receive support.
The Compass Circle of Parent group would adhere to the guidelines set forth in the
Prevention Services Unit Circle of Parent group manual.
B. Contractor would be unable to provide full participation to this project without program
development funds to be made available under this Agreement. Resources from this Agreement
will allow Contractor to provide various levels of expertise from its organization to meet the
planning and implementation needs for this project.
C. The aforementioned Compass Operational Manual will be provided to the Contractor by the
Human Services Prevention Services Unit Manager at the onset of this Agreement.
2. Scope of Services
At a minimum, Compass, through its collaboration between Contractor and Human Services, will
document if:
A. The project successfully reduced the number of open cases in the child welfare system or
adjudicated youth in the juvenile justice system.
B. The project successfully reduced high cost services, such as out -of -home placement, detention,
or DYC Commitment.
C. The project successfully focused resources within Human Services and Contractor to continue the
Compass project.
D. The project successfully developed a better system design to meet the needs of the youth and
families in regards and, at a minimum, to:
1) Keep families together through a better utilization of existing community resources to
avoid the opening of a case in the child welfare and juvenile justice systems.
2) Increase families' protective factors.
3) Improve the ability of families to access and maintain services as documented
by outcomes of treatment plans.
3. Youth and Families to be Served
Contractor agrees to serve an average caseload of up to fifteen (15) families monthly, unduplicated, per
FTE, through case management services unless Contractor does not provide a full year of services or
provides a partial FTE. Contractor also agrees to facilitate one (1) to two (2) groups either monthly or per
curriculum, per FTE. The number of eligible youth and families will be prorated based on the time period
that Contractor provided Compass services and/or the corresponding FTE.
4. Eligibility for Funding
Human Services shall be responsible for identifying and referring families who are eligible for the project.
The eligible families include:
A. Families who are not involved with child welfare or the juvenile justice system, with
children/youth currently enrolled in school if 18; or
B. Families, with children/youth ages 6-19, who require intervention that focuses on the family unit,
as well as the needs and aspirations of the family.
C. Families who meet the eligibility requirements of Program Area Three (PA3), Program for
Children and Families at Risk of Involvement with Child Welfare, under Volume 7.200 (12 CCR
2509-3).
D. Families who meet the rules and requirements governing the specific funding stream utilized.
5. Role of Human Services and Lease of Office Spaces
A. Human Services will administer, organize the planning and implementation of the programs to be
offered, provide written policies as approved by the Board of County Commissioners, and
document the outcomes of the project.
B. Human Services will assign its Manager(s) to assist in the development and implementation of
the assessment team and assignment of cases for Contractor.
C. Human Services will be responsible for the identification and referral of youth and families and
assignment of cases to Contractor.
D. Human Services will meet as needed with assigned contracted staff. Human Services will manage
weekly team meetings to be held at Human Services. Human Services will manage at least
quarterly meetings to be held between the assigned Contractor managerial/supervisory staff
person with Human Services Manager(s) to promote quality communication and resolve
implementation issues.
E. Human Services will administer and provide funding for direct services to Compass clients, as
authorized by Human Services, and which are not duplicative of existing community resources,
identified as a result of the Compass recommended treatment plan options.
F. Human Services, as the Lessor, will provide "Office Space", located in the Weld County
Department of Human Services Building at 315 North 11`h Avenue, Greeley, Colorado, hereinafter
referred to as "the Premises," until such time that Human Services no longer offices at 315 North
11th Avenue, as follows:
1) Human Services, as the Lessor, will provide one shared work space to Contractor, as
Lessee, which will be located at the 315 North 11th Avenue and will provide one work
space to be located at the Premises, until such time that Human Services no longer
offices at 315 North 11th Avenue.
2) In consideration of leasing of the aforesaid, the parties covenant and agree as follows:
a. Human Services will charge no rent to Contractor for use of the Office Space;
b. Contractor agrees to use ordinary care when using the Office Space;
c. Contractor may not sublet any part of the Office Space;
d. Contractor may not use the Office Space for any purpose other than conducting
the business and duties under this Agreement;
e. Contractor shall keep the Office Space clean and in sanitary condition;
f. Contractor shall allow Human Services any reasonable hour of the day to enter
into or upon the Office Space.
g. Contractor shall be responsible for loss or damage of equipment. Any time a
Laptop Computer that is assigned to a Contractor staff member, who is acting
in his or her capacity as a Compass worker, is lost or damaged, the situation will
be assessed on a case -by -case basis with regard to whether the Compass
worker will be issued another Laptop Computer and/or whether Contractor will
be required to reimburse the County for the lost or damaged equipment.
h. Human Services shall pay all utilities and trash removal expenses.
3) Furthermore, the parties hereto agree as follows:
a. That no assent, express or implied, to any breach of any one or more of the
covenants or agreements hereof shall be deemed or taken to be a waiver or any
succeeding or other breach;
b. That, to the extent permitted by law, Contractor agrees to indemnify, save, and
hold harmless Human Services from any and all loss, injury, or damage
whatsoever, to all office equipment, furniture, equipment, office supplies and
other personal property owned by Contractor or its employees as the result of
fire, flood, inclement weather, or other casualty, other than by negligence of
Human Services;
c. That Human Services shall own and maintain the filing cabinets and computer
systems including computers, modems, printers, and associated computer
equipment, used in the Office Space, unless provided by Contractor;
d. That Contractor's employees shall escort all Compass clients to and from the
Office Space and reception area;
e. Human Services shall pay for the use of the telephones and all miscellaneous
office supplies used by Contractor, including photocopying for purposes of
Compass functions only, while the Contractor is on Human Services premises.
f. Contractor shall pay for the use of the telephones and all miscellaneous office
supplies used by the Contractor's employee, including photocopying and mailing
for purpose of Compass functions only, while the Contractor's employee is on
Contractor's premises.
4) Human Services will provide training to the Contractor Compass Employee, and their
supervisor, regarding the operations manual, the database, case documentation,
treatment planning, community resources, team building and intervention skills.
Training be conducted through a mandatory orientation hosted by the Department to
be held at the beginning of the agreement term.
6. Role of Contractor
A. Contractor agrees to participate in the four functions of the project as follows:
1) As a policy and program developer and planning partner for the project by attending
meetings or utilizing other forms of communication at least monthly with assigned
Human Services Manager(s).
2) The supervisor for the assigned or selected FTE will attend and participate in the
mandatory quarterly program collaboration meeting.
2) As a member of Compass to enter into a Memorandum of Understanding with Human
Services outlining how its employees will meet the expectations of the Compass
Operational Guidelines, as revised, and to develop appropriate treatment plans for
youth and families through FTE commitment by Contractor. Contractor agrees to
comply with the Compass Operational Guidelines, as revised, and Compass participation
standards through a Memorandum of Understanding with Contractor through its
assigned supervisor/manager and employee(s).
3) As a case manager to provide intervention, connection skills for program services and
post -participation services, as appropriate and recommended by Compass. Contractor
assigned employees will assist clients in finding counseling, basic needs and other
related family support information and services. This may include information on
linkages, primarily in South Weld County, to other organizations providing community
resources and family support.
4) As a community resource for appropriate services, including Medicaid services, to meet
the requirements of treatment plans.
B. Contractor agrees to serve an average caseload of up to fifteen (15) families monthly,
unduplicated, per FTE, through case management services unless Contractor does not provide a
full year of services or provides a partial FTE. Contractor also agrees to facilitate one (1) to two
(2) groups either monthly or per curriculum, per FTE. The number of eligible youth and families
will be prorated based on the time period that Contractor provided Compass services and/or the
corresponding FTE.
C. Contractor agrees to assign staff to be housed at the Department who will be familiar with and
review with the Compass worker the Compass Operational Procedures. Contractor will also
provide the Compass worker with the updates of changes to the Procedures as provided by
Human Services. Contractor agrees to ask the Human Services manager for clarification
regarding any policy or procedure that is ambiguous.
D. Contractor agrees to provide one work space, which will be located on the Contractor's premises,
for use by the assigned FTE, or partial FTE.
E. Contractor agrees that the assigned or selected FTE will complete the Strengthening Families'
Protective Factors Framework training online through the National Alliance of Children's Trust
and Prevention Funds, as required by the Colorado Community Response, upon award of
contract.
F. Contractor agrees that the assigned or selected FTE will attend scheduled Family Team Meetings,
Team Decision Making Meetings, and Group Supervisions as assigned by the Prevention
Programs Supervisor or other Human Services management.
G. Contractor agrees to assign an immediate supervisor to the assigned or selected FTE for purposes
of direct supervision and oversight of caseload. Contractor agrees the immediate supervisor will
meet with the assigned or selected FTE a minimum of twice per month. Contractor agrees that
bimonthly supervision will include, at a minimum, the following:
a. Staffing of all current cases.
b. Review of documentation related to each case.
c. Review of ClientTrack report and associated benchmarks at least monthly.
d. Follow-up with Program Supervisor regarding questions and/or concerns (as needed).
e. Review of program checklist (developed by the Department).
7. Weld County Families, Youth, and Children Commission:
Human Services and Contractor agree to assign oversight responsibilities to the Weld County Families,
Youth, and Children's (FYC) Commission to evaluate the implementation of the Compass program.
At a minimum, the FYC Commission will document and review, at least at the end of each program year
the outcomes identified in Exhibit B, Item 2, Scope of Services.
EXHIBIT B
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 in Trails by the Department after May 31,
2018.
Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department
expenditures and shall not be reimbursed by the Department.
Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the
continuing availability of said funds for the purposes hereof. If 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. Match Requirement
Contractor shall provide a 20% match in the form of in -kind and/or cash match. The match requirement is
20% of the award amount. Contractor shall provide the Department with acceptable written evidence of
compliance with this requirement prior to any work being completed under the Agreement.
3. Fees for Services
Human Services agrees to pay Contractor a maximum of $48,105.48 per Full Time Employee (FTE) for one
(1) 40 -hour FTE, or pro -rated for partial PTE. This reimbursement to Contractor will be made in twelve
(12) monthly installments of $4,008.79 per FTE, if Contractor substantially meets the requirements of full
participation on a monthly basis, as follows:
A. The assigned Contractor supervisor/manager or designee will have contact at least once per
quarterly with Human Services Manager(s) responsible for the Compass program to actively
participate in the planning and implementation of Compass.
B. The supervisor for the assigned or selected FTE will attend and participate in the mandatory
quarterly program collaboration meeting.
C. Contractor assigned employees who comprise the FTE, and are participating in the required
activities of Compass as demonstrated by time sheets.
D. Contractor assigned employees are providing quality data entry into the Compass data system to
document progress in serving an average caseload of up to fifteen (15) families, unduplicated,
per FTE through contacts, follow-up and case management services, on a monthly basis.
E. Contractor facilitated one (1) to two (2) groups per month, or as determined by curriculum, and
as verified by Human Services.
4. Submittal of Vouchers
Contractor agrees to bill Human Services monthly. Billing shall be submitted to the Human Services
Prevention Services Unit Manager by the 3rd day of the month following the month in which the expense
was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment.
07/01/2017
MEMBER:
ATTN:
ADDRESS:
CITY, STATE ZIP:
POLICY NUMBER:
POLICY PERIOD:
COLORADO SCHOOL DISTRICTS SELF INSURANCE POOL
CERTIFICATE OF COVERAGE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON
CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND
ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. THIS CERTIFICATE OF INSURANCE DOES
CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER, AUTHORIZED REPRESENTATIVE
CERTIFICATE HOLDER.
ST VRAIN VALLEY SCHOOL DISTRICT RE -1J
Damon Brown
395 SOUTH PRATT PKWY
LONGMONT, CO 80501
0701-17-00177
07/01/2017 to 07/01/2018
Colorado School Districts Self
Insurance Pool, 6857 South Spruce St.
Centennial, Colorado 80112
(303) 722-2600
(303) 722-7888 Fax
THE
OR
NOT
THE
THIS IS TO CERTIFY THAT THE POLICY OF COVERAGE LISTED BELOW HAS BEEN ISSUED TO THE MEMBER ABOVE FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS, DEFINITIONS AND CONDITIONS OF SAID POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF COVERAGE
LIMITS/DEDUCTIBLES
SCHOOL ENTITY LIABILITY
Occurrence Form
EACH OCCURRENCE, SCHOOL LEADERS WRONGFUL ACT
& EMPLOYMENT WRONGFUL ACT
ANNUAL AGGREGATE LIMIT
MEDICAL EXPENSE (PER PERSON/PER ACCIDENT)
$10,000,000
$10,000,000
$1,000/$10,000
SCHOOL AUTO
Any Auto, Hired and Non -Owned
Medical Payments
Auto Physical Damage Coverage
LIMIT PER ACCIDENT
LIMIT PER ACCIDENT/PER PERSON
AUTO PHYSICAL DAMAGE DEDUCTIBLE
$2,000,000
$5,000
$1,000
PROPERTY
Special Form
BUILDING/BUSINESS PERSONAL PROPERTY LIMIT
DEDUCTIBLE
PROPERTY DAMAGE TO PREMISES RENTED TO YOU
$815,566,965
$50,000
$500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
For Information Only
CERTIFICATE HOLDER:
For Information Only
CANCELLATION: SHOULD THE ABOVE DESCRIBED POLICY BE
CANCELLED BEFORE THE EXPIRATION DATE, WE WILL ENDEAVOR
TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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