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Home My WebLink About20150830.tiff :.... /� � 9 " ��" CONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES I � : ,� ". AND CENTENNIAL BOCES DBA SIERRA SCHOOL OF WELD COUNTY ( Core ) l—J This Agreement Amendment, made and entered into � 3�day of �(A,CI� 2016, 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 Centennial BOCES DBA Sierra School of Weld County, hereinafter referred to as the " Contractor" . WHEREAS the parties entered into an Agreement for Dav Treatment Services (the "Original Agreement" ) identified by the Weld County Clerk to the Board of County Commissioners as document � No . 2015-0830, approved on March 30 . 2015 . WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein . NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows : . The Original Agreement ended on Mav 31 , 2015 . • The Original Agreement was amended for an additional term of June 1 , 2015- Mav 31 , 2016 . This Agreement Amendment is identified by the Weld County Clerk to the eoard of County Commissioners as document No . 2015- 2199 approved on JuIY 20, 2015 . • The Amendment (s ) , together with the Original Agreement, constitutes the entire understanding between the parties . The following change is hereby made to the Contract Documents : 1 . Term � This agreement shall become effective on June 1 , 201�t upon proper execution of this Agreement and shall expire Mav 31 , 2017, unless sooner terminated as provided herein . �. 2 . None • All other terms and conditions of the Original Agreement remain unchanged . /� � � : �� C__ �n�.t ��'�- _ l _ �o oro,s- a 8 a 7 / l 3 7- �l - �<6 N/2oo 8� IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month , and year first above written . COUNTY: ATTEST: �/� �i . � ' t.C� BOARD OF COUNTY COMMISSIONERS Weld u t Clerk to the B ard WELD COUNTY, COLORADO By : ^I 11�Ixc, �`2�.2�---�� Deputy Cle t Mike Freeman , Chair �U� 1 1 2416 , 1861 � � CONTRACTOR: Centennial BOCES DBA Sierra School of Weld County 2020 Clubhouse Drive Greeley, Colorado 80634 (970) 352-7404 By : Jocel n Walters, Special Education Director Date : -�� Cp o2r�/� - � ��o � COLORADO SCHOOL DISTRICTS SELF INSURANCE POOI CERTIFICATE OF COVERAGE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE 06/08/2016 CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO7 AFFIRMATIVELY OR NEGATIVEIY AMEND, El(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER, AUTHORIZED REPRESENTATIVE THE CERTIFICATE HOLDER. MEMBER: CENTENNIAL BOCES Colorado School Districts Self ATTN: Shana Garcia lnsurence Pool,6857 South Spruce St. ADDRESS: 2020 CLUBHOUSE DRIVE Centennial,Colorado 80112 CITY,STATE ZIP: GREELEY,CO 80634 (303)722-2604 (303)722-7888 Fax POLICY NU MBER: 0705-15-00132 P0LICY PERIOD: 07/01/2015 to 07/al/2016 TH(S [S TO �.�FR?IPY THAT rHE PCLICv OF C6VERAl�E �ISTED 3ELOW HAS BEEN .SSULi) T� 1�,E ME;�BFF. ABOYE FCR ^•��E ?GLICY PERIOD INDICATEO NO?W:TNSTAND[NG ANY REGUI�2EMENT, T'ERM OR CONDIT?ON CF AP1Y C(�NTRACT OR 0?HER D0�'�MENT WIT-' RFSPF� Tf� �NHICH iH15 CERTiFICATE h1AY BE ISSUED OR MAv PERTAIN, THE COVFRAGE �lFFORDFD BY "E PO'_[.IES DESCRIBcD HERt:N LS SOB:ECi tC AI,L TH° TERM5, FXCWStGN5,DEPIPJITION5 AND CONDITION i�F SAID�0!ICI, UM(�S�NUINY MAY riAVE BEEN RE�!�C=D 8Y PA[D i.i_AiMS. TYPE OF COVERAGE LIMITS/DEDUCTIBLES SCHOOL ENTITY LIABILITY Occurrence Farm EACH OCCURRENCE,SCHOOL LEADERS WRONGFUL ACT $2,00Q,000 &EMPLOYMENT WRONGFUL ACT ANNUAL AGGREGATE LIMIT $5,000,000 MEDICAL EXPENSE(PER PERSONJPER ACCIDENT) $1,000/$10,000 SCHOOLAUTO Any Auto,Hired and Non-Owned LIMIT PER ACCIDENT $2,000,000 Medical Payments LIMIT PER ACCIDENTlPER PERSON $5,000 Auto Physical Damage Coverage AUTO PHYSICAL DAMAGE DEDUCTIBLE $500 PROPERTY Special Form BUILDINGIgUSINES5 PERSONAL PROPERTY LIMIT $9,007,897 DEDUCTIBLE $1,000 PR�PERTY DAMAGE TO PREMISES RENTED TO YOU $500,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES SPECIAtITEMS Certificate Holder has been included as an Additional Insured on the Member's School Entity Liability Coverage for "bodily injury", "personal injury" or "property damage" caused by the Member's negligence if required by written contract or agreement subject to the policy terms and conditions with respect to Day Treatment Services. CANCELLA7ION: �H�ULd THE A804c DFSCRIBED POt.ICY BE CERTIPICATE HOLDER: rsNcei_eo a�roRE �HE exatRn�tory ca�, we w�u eNOFavo� ?0 MA1l 30 DAYS W4IlTFN ND?iCE TC THE �ERTIF?CATE HQ�_[�ER NAMED TO (H� �EF�, BUT FAi!URt TO MA1L S�CH NOTiCE SHALL AL'CIt:TObI V2gt2Y IMPOSE NC OBLiGATIf�N 0(i LIABILPY OF ANY KINC1 UPON THE CONiPANY,i!"S A6GN 1"��H RE�RES�NTA iI JFS. Email:vegterta@weldgov.com Weld County Department of Human Sevices AUTHORIZED REPRESENTATIVE Division of Child Welfare { � F'_ _ _--� 315 North llth Ave. _._ � ��,,.��,.._ ` Greeley,CO 80631 ��__� �' ��i / RESOLUTION RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES AND AUTHORIZE CHAIR TO SIGN - CENTENNIAL BOCES, DBA SIERRA SCHOOL OF WELD COUNTY WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Child Protection Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Centennial BOCES, dba Sierra School of Weld County, commencing March 1, 2015, upon proper execution of signatures, and ending May 31, 2015, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Child Protection Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Centennial BOCES, dba Sierra School of Weld County, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of March, A.D., 2015, nunc pro tunc March 1, 2015. ATTEST: t Weld Count BY Deputy APPROVED AS TO FORM County Attorney Date of signature: £C:0Sb` 49-O BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Biiiarbara Kirkmeyef, Chair Mike Freeman, Pro-Tem zee', ulie A. Cozad Steve Moreno 2015-0830 HR0086 MEMORANDUM DATE: March 19, 2015 TO: Barbara Kirkmeyer, Chair, Board of County Cq{nrr sioners FROM: Judy A. Griego, Director, Humani RE: Child Protection Agreement for Se 'ices between the Weld County Department of Human Services and Centennial BOLES, DBA Sierra School of Weld County Enclosed for Board approval is a Child Protection Agreement for Services between the Department and Centennial BOCES, DBA Sierra School of Weld County. The agreement was reviewed under the Board's Pass -Around Memorandum dated March 10, 2015, and was approved for placement on the Board's Agenda. The major provisions for this agreement are as follows: No. [ Contractor/Term 1 Service/Funding 1 Centennial BOCES, DBA Sierra Day Treatment Services School of Weld County Upon proper execution of this Agreement — May 31, 2015 Core If you have questions, please give me a call at extension 6510. Rates $169.00/Day (Educational and Therapeutic Costs) $100.57/Day (Therapeutic Costs Only) $68.43/Day (Educational Costs Only) 2015-0830 HkOO CP CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND CENTENNIAL BOCES, DBA SIERRA SCHOOL OF WELD COUNTY This Agreement, made and entered into the&Uday of z(z{/.pe(',� 015, 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 Centennial BOCES, DBA Sierra School of Weld County, 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, Contractor's Proposal, Exhibit B, Scope of Services, and Exhibit C, 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 Day Treatment Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on March 1, 2015, upon proper execution of this Agreement and shall expire May 31, 2015, 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 A, Contractor's Proposal and Exhibit B, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7`H of the month, following the month of service, utilizing billing forms required by the Department. 1 Jo/5 ©f36) 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, Contractor's Proposal, Exhibit B, Scope of Services, and Exhibit C, 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 A, Contractor's Proposal, Exhibit B, Scope of Services , and Exhibit C, 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. 2 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. 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. 3 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 an 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 4 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 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 5 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 0110/93 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. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub - vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training 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 7 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: Heather Walker, Administrator 17. Notice For Contractor: Jocelyn Walters, Special Education Director 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, Colorado 80632 J970) 352-1551 18. Litigation For Contractor: Jocelyn Walters, Special Education Director 2020 Clubhouse Drive Greeley, Colorado 80634 j970) 352-7404 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. 9 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, 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 10 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 provide proof thereof when requested to do so by County. 11 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, and C. 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. 12 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability 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: �/• J;ti�-6 BOARD OF COUNTY COMMISSIONERS Weld - y erk to the Boar. WECOUNTY, COLOR oard OVED AS TO FU :DING• Controller AP V 0 A County Attorney Barba•a Kirkrreyer, Ch MA 3 0 2015 APPROVED AS TO SUBSTAN E: Ii 4( \ 1.L� Elect Official o Departme t Head �_N 1 A Director of General Services CONTRACTOR Jocelyn WaII'rrs, Special Education Director 14 EXHIBIT A CONTRACTOR'S PROPOSAL Weld County Department of Human Services Submitted by: Specialized Education Services, Inc. DBA: Sierra School of Weld County 385 Oxford Valley Road, Suite 408, Yardley, PA 19067 215-369-8699 C/O: Tobi Vegter vegterta@weldgov.com WCDHS/Resource Unit 315 North 11th Avenue, Building A P.O. Box A Greeley, CO 80632 1 Table of Contents Company Overview Location of Services Targeted Population Average Length of Stay IEP Requirements School Models page 3 page 3 page 3 page 3 page 3 pages 3-7 Curriculum Components/Therapeutic Modalities/Life Skills Components pages 8-9 Overall Daily Schedules/Routines Behavior Response Systems Behavior Management System Behavior Level System Transportation Options Availability of Bilingual Services Medicaid/Alternative Funding Options Goals of Program Anticipated Outcomes of Program Current Resumes Colorado Department of Education Licensing Certificate of Insurance page 9 page 9 page 10 page 10 page 10 page 11 page 11 page 11 page 12 pages 13-16 page 17 page 18 2 Company Overview Specialized Education Services, Inc. (SESI) partners with school districts across the country, providing customized services for special and alternative education students in grades K-12. We have proven expertise in effectively teaching and supporting students with learning disabilities, social emotional disabilities, autism spectrum disorders, and the most challenging at -risk behaviors. As a nationwide provider, SESI skillfully individualizes programs while fulfilling our mission to build student confidence and competence through personalized academic and behavioral interventions. We sincerely appreciate the opportunity to submit this proposal to the Weld County Department of Human Services and look forward to expanding our relationship with the Centennial BOCES. We are available to speak to you at any time to discuss the parameters herein. Location of Services Full -day, comprehensive services are provided at the Sierra School of Weld County, at the following address: 2040 Clubhouse Drive, Greeley, CO 80631. Targeted Population The Sierra School of Weld County serves both students with emotional disabilities and students on the autism spectrum in grades 6-12. The Sierra School of Weld County operates two separate classrooms: one for students with emotional disability eligibilities and one for students with autism exceptionalities. Average Length of Stay The Sierra School of Weld County opened in July 2014 with an extended school year (ESY) program. The regular school year (RSY) began in August 2013. Given this limited timeframe, determining an average length of stay is not feasible at present. As an organization, SESI fully believes in returning students to the least restrictive environment (LRE) at the appropriate time based on the Individualized Education Plan (IEP) team's decision. Ultimately, all of our special education and alternative education programs and services aim to produce observable positive outcomes. Year after year, in school after school, SESI's results -driven approach keeps our focus on qualitatively and quantitatively measuring the effectiveness of our academic, behavioral, and therapeutic interventions. IEP Requirements The certified teachers and/or director of the Sierra School of Weld County compose, implement, and track all students IEPs. All services are provided to students as dictated by their IEPs. 3 School Models Model for Students with Autism When a student is enrolled in a SESI classroom designed for students with autism, we begin the process of integration by interviewing the parents and/or guardians, to gain perspective into the child's pertinent diagnostic history and learn their goals for the student. It is important to discover what applications are functional in their lives, as the practices selected for the classroom must be reinforced across all environments. Subsequently, we utilize our professional knowledge to design a program that will create the greatest opportunities for success, based on the premise of continuity in all settings. The goal is always to create a skill set of independence, which the student and family can use to establish a functional path for their future. In order to establish a complete representation of the student, we couple the interview process with formal assessment. Through examination, we determine a functional living, language, and academic (if applicable) skill set using the Assessment of Basic Language and Learning Skills, Revised (ABLLS-R) and Assessment of Functional Living Skills (AFLS). The interview and assessment results, together, allow SES1 to develop and adopt the most proper program for growth. Programming We strive to build strong foundation skills in the areas of: • Language (imitation, receptive, expressive, and intraverbal) • Visual performance • Fine and gross motor skills It is common to discern defined splinter skills in children and adolescents with autism. Likewise, a common trend is a large "gap" between receptive and expressive language, which hinders social abilities and is often the antecedent to maladaptive behaviors. Consequently, we begin programming for these breaks in the language continuum, building a strong linguistic foundation that results in faster acquisition of all skills and an increase in awareness of the student's surroundings. Implementation Rotations: Each student moves about the building or classroom to specific learning modalities. This model diversifies their setting and supports quick generalization. The rotations consist of the following modules: o Discrete Trial Training I DTT): An intense 1:1 learning environment where students are engaged in trials of demands which focus on expanding the repertoire of language development. The session consists of a combination of current target interventions and mastered skills that use motivational operations to keep the students engaged and the session quick -paced. 4 o Social Skills Lab: A small -group opportunity for social skills application. Students engage with a teacher and peers in an interactive activity that requires them to use greetings, requesting, and sharing skills in order to complete an activity or age -appropriate game in a contrived setting. o Independent Play and Leisure: An independent station where students are required to stay in a designated area and engage themselves with an age - appropriate item for a duration of time. This session looks to increase their ability to learn a variety of functionalities within the activity or item while maintaining independence. o Natural Environment Teaching (NETT: A small -group setting in which students learn to put their greetings, requesting, sharing, play, and leisure skills to use in a less contrived setting. o Activity Schedules: An activity whereby students are required to independently complete visual performance and fine motor tasks when guided by a visual schedule. The aim is to increase the number of completed tasks, duration of the tasks, and difficulty level of the tasks, ultimately preparing the students for an academic or workplace setting. o Life Skills: An individualized plan of skills focusing on everyday functional activities to increase successful home and community generalization. o Motor Lab: A sequence of progressive skills, which increase fine and gross motor abilities. Implementation Explanation Each rotation is centered on the student's individual skill set and is consistently monitored to increase the individualized skill and expand it to larger group or environment, constantly generalizing it across their day. Consequently, each rotation is designed to progressively build into the next level of skills (for example, what is taught in DTT serves as a building block for the Social Skills Lab, which is generalized into the NET room, which is generalized into routine components of the day [recess, lunch, transitional times] and eventually to real -world encounters). The progression of skills is focused on gaining a premise of language, leading to two long-term goals: the ability to participate, function, and demonstrate independence in the general public, and the ability to transition to an academic setting. A visual model is below: 5 Intake General Program Features: • Program Supervision by Board -Certified Behavior Analyst (BCBA) • Small Class Size • High Staff -to -Student Ratios • Personalized Instruction • Assistive Technology • Year -Round Classes • Evaluation & Consultation Services Communication Development: • Curriculum -Based Instruction • Auditory Processing • Expressive & Receptive Language Development • Group & One -on -One Sessions • Software Applications • Picture/Object Exchange for Communication Social Skills Development: • Systematic Instruction Procedure • Pre -Teaching Strategies • Social Stories & Scripting • Coping Strategies, Anxiety Reduction & Anger Management • Relationship Development • Peer/Age- Appropriate Social Skills • Group & Interactive Play • Incidental Teaching Behavioral Development: • Functional Behavior Assessment (FBA) • Behavior Intervention Plan (B1P) • Applied Behavior Analysis (ABA) • Positive Behavior Support • Rewards -Based Incentive Systems (e.g., tokens, colorized levels, school privileges) • Behavioral Rating Scales 6 Related Services/Supports: • Speech -Language Therapy • Occupational Therapy • Adaptive Physical Education • Music Therapy • Family Support Services 7 Model for Students with Emotional Disabilities The SESI academic model offers personalized, interactive instruction and flexible curriculums within the basic skills domains. Students advance at their own pace guided by teachers familiar with a range of learning styles and instructional methods. Features of the program model to be implemented are: • Research -based, standards -aligned curriculums featuring integrated technology/data-driven instructional software • Small class sizes and a low student -to -faculty ratio • Classroom methodology developed in our schools based on 30 years of experience • Targeted therapeutic interventions • Highly qualified staff • Safe, structured, positive learning environment that builds self-esteem and encourages achievement Each student receives individual or dyad -based "tutorial" sessions in English/language arts, math, and reading depending on their skill level, as well as on individual learning pace and style. Lesson plans are driven both by information garnered from Renaissance Learning STAR Enterprise assessments and by the teachers' observations and understanding of each student's unique situation. The teacher and teaching assistant (TA) meet with each individual student for tutorial instruction a minimum of three sessions daily to: • Provide direct instruction (teacher) • Review material (teacher or TA) • Reinforce skill development (teacher or TA) • Prepare for an exhibition, test, or mastery -of -material assessment (teacher) A visual of this rotational model is below: 8 Curriculum Components/Therapeutic Modalities/Life Skills Components Because not all students learn the same way, we offer flexible curriculums that allow us to customize our programs for the individual child. We draw from a rich and varied inventory of curricular materials, selected specifically for each student. Our reading and math curriculums, for example, include Wilson Reading, S.P.I.R.E., Lexia Reading, TouchMath, Second Step, and On Cloud Nine, which are particularly useful for meeting the needs of at -risk students and learning- and/or language -disabled students. Our teachers regularly attend in-service training sessions and the SESI Summer Reading Institute to ensure that they stay on the cutting edge of educational developments and pedagogy. These efforts are driven by SESI's in- house team of experts, led by Dr. Ellen Gaske, Doctor of Education from Johns Hopkins University, and Dr. Melissa Fischer, Ph.D. in Cultural and Educational Policy Studies from Loyola University. In addition to their work at SESI, Drs. Gaske and Fischer have over 51 years of combined experience at educational programs, including the Academy for Urban School Leadership (AUSL). Curricular decisions are aimed at increasing the student's ability to gain mastery of concepts, information, skills, and knowledge, rather than at content coverage alone. Curricular decisions and materials selection in the basic domains (reading, math, and language arts) can be aligned to Common Core State Standards and modified as determined by the teacher and supervisor according to the following student criteria: • Fund of general information • Motivation and interest • Skills and abilities (levels) • Learning style and pace of instruction • Assessment -based learning maps Students are placed in reading and math programs that vary from traditional eclectic approaches to student -specific programs modified to compensate for significant learning deficits. A sequential, comprehensive, and appropriate curriculum forms the basis of the individualized education program. Each child performs at a different developmental and educational level on each subject area. Depending on individual needs, certain curricular elements will take on greater or lesser emphasis. For purposes of planning, teaching, and evaluation, the curriculum is frequently presented as a sequence of information and skills through which the student advances. This should not be misconstrued as a rigid, lock -step curriculum program requiring strict adherence and mastery. Instead, acquisition of skills and knowledge along the curriculum sequence will proceed at the student's own pace and in the order most appropriate for the individual. As counseling is recognized as an important attribute for this project, individual and/or group counseling will be provided by SESI. Individual counseling will be provided as prescribed by the student's IEP. In addition, parent workshops and family counseling will be offered on an as -needed basis in an effort to increase communication between family members and to facilitate healthy dynamics within 9 the family unit. Parents will be encouraged to become part of the learning process and be instructed on behavioral and academic protocols that may be used at home. Monitoring of relationships and dynamics in each family will occur regularly in an effort to provide the most comprehensive counseling services. A full spectrum of supportive and supplementary services —including group counseling, community immersion initiatives, extracurricular activities, active parental involvement, social skills and life skills training, and college and career readiness —are infused into the student's day. These services focus on supplementing academic skills acquisition with additional abilities and proficiencies that will lead students to thrive not just in school, but also at home and in the community. Overall Daily Schedules/Routines Please see the sample daily schedule below depicting the Sierra School of Weld County's two classrooms: Classroom Eligibility Focus = ED 8:30 Advisory 1(morning meeting and journal) 9:00 Math 10:20 Social studies 11:00 Lunch 11:30 Advisory 2 (recess) 12:00 Elective 1:00 Language arts 2:00 Science Classroom Eligibility Focus ■ AUT 8:30 Motor lab 9:00 Language skills (Discrete Trial Training, activity schedule, designated academics) 10:20 Social skills 11:00 Lunch 11:30 Recess 12:00 Elective 1:00 Language skills (Discrete Trial Training, activity schedule, designated academics) 2:00 Vocational skills Behavior Response Systems The concept of positive reinforcement drives our behavioral model. Moreover, SESI utilizes a schoolwide token economy system, with corresponding levels. Students earn points throughout the day for initiating various positive behaviors and following teacher direction. These points are converted to levels (red, yellow, green, blue, and gold). As students move up in level, the number of privileges increases. For students who require a more structured behavioral support system, special contracts are designed to support students to gain mastery in developing skills that promote sage behavior and self-confidence. For teachers, this model allows them to manage behavior within the classroom, thereby maximizing learning time. For students, the model provides a nurturing environment that holds them accountable and reinforces appropriate behavior. This promotes a new relationship between the 10 teacher and the student that ensures a healthy balance between empathy and accountability. Behavior Management System Frequently occurring behavior difficulties are dealt with within the classroom. An appropriate behavior management program is set up whereby the teacher has established specific target behaviors and subsequent interventions. Whenever possible, a "no -intervention, ignoring" technique is used to decrease undesirable behavior. At the same time, we employ positive reinforcement to increase desired behavior. The most effective type of reinforcement depends on the child's responsiveness. The following order of implementation is typically used for younger students: • Social reinforcement - praise, smile, nod, tap on back, hug. If these reinforcers are not strong enough by themselves to produce desired results, use with: • Object reinforcement - including stars, points, happy faces, tokens, tickets, etc. • Activity reinforcement - toys, puzzles, coloring, painting, water play, iPad use, computer time, etc. • Primary reinforcement - food, snacks, treats, etc. Behavior Level System To promote good behavior, SESI utilizes a token economy system based on points. Throughout the school day, students receive points as they exhibit positive behavior. In turn, these points are translated into levels defined by the colors gold, blue, green, yellow, and red, each of which have corresponding privileges. Below is a sample point sheet: 'Blue Level Student Name Personal Goal Date DAY Student Behaviors 8:30 9:00 9:30 10:00 10:30 :1:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 Die. Follow Directions Remain on Task Stay in Assigned Area Appropriate Language at r hill I')11 ((�� Show Respect to Others Personal Goal Staff Initials Total Points 1-2 minuses— One point 3 or more minuses— Zero point (4-) Met behavioral objective (-) Did not meet behavioral objective Bonus Point Total Points Transportation Options For the current students at the Sierra School of Weld County, their sending district provides transportation. 11 Availability of Bilingual Services Currently at the Sierra School of Weld County, we do not have any students who are in need of bilingual services. Should this need arise, SESI will accommodate this need and provide appropriate services. Medicaid/Alternative Funding Options Currently, SESI contracts directly with the Centennial BOCES for its comprehensive services. We recommend the Weld County Department of Human Resources contact the Centennial BOCES for placement options and information. Contact Information: Jocelyn Walters 970-352-7404, ext 1104 jwaltersC@cboces.org Goals of Program Goals for our students: • To acquire academic skills in reading and writing • To acquire skills in obtaining and managing information, solving problems, thinking critically, and communicating effectively • To acquire specific information concerning the principles of the physical and biological sciences • To understand specific events and the broader context of social studies, the historical record of human achievements and failures, and current social issues • To become an effective and responsible contributor to the political decision - making processes of the community, state, country, and world • To play a greater role in his/her educational environment • To acquire an awareness of career opportunities and to acquire knowledge necessary for further education • To acquire an understanding of and the ability to form responsible relationships with a wide range of people • To acquire the capacities for playing satisfying and responsible roles in family life • To acquire the knowledge, habits, and attitudes that promote personal and public health, both physical and mental • To acquire the ability and the desire to express himself/herself creatively in one or more of the arts, as well as in other educational disciplines, and to appreciate the creative expressions of other people • To acquire an understanding of ethical principles and values and the ability to apply them to his/her own life • To develop an understanding of his/her own worth, abilities, potential, and limitations • To enjoy the process of learning and to acquire skills necessary for a lifetime of continuous learning and adaptation to change 12 Anticipated Outcomes of Program SESI has an impressive track record (93-100% success rate) of effectively transitioning students back to the school district's mainstream environment whenever applicable. Special education students typically gain from 1 to 3 years of academic growth in reading and math in the span of a single school year. Students in SESI's IDC (In -District Classroom) Program average an 81% pass rate in required courses. School districts also benefit from a dramatic reduction in, if not elimination of, student suspensions; of S00 IDC-enrolled students, SESI has experienced only one student in need of suspension. The staff at the Sierra School of Weld County will deliver the following services in each classroom: • Personalized, tutorial -based targeted and interactive instructional approaches to meet all student IEP goals are provided by one certified teacher and an instructional aide per classroom. • Classroom utilization of high -end, award -winning technology to supplement teacher -guided instruction, including Voyager, Odysseyware, PEG Writing, IXL Math, Lexia Reading, and Newsela. Additionally, desktop computers equipped with word recognition and speech -to -text software, AlphaSmart keyboards, iPads, and large -screen calculators are provided as necessary. • An intensive behavior modification system designed to minimize classroom disruptions and maximize learning is implemented, supported by positive reinforcement techniques and student incentives. • Social skills training is infused throughout the school day, to teach students the aptitudes and self-confidence needed to function well interpersonally and intrapersonally. • A flexible curriculum, focused on holistically educating challenging students while conforming to sending district's unique curriculum and instruction standards, is utilized. • Renaissance Learning STAR Assessments are given and used to both progress monitor and inform daily instruction. • Expansive array of transition services are provided, including the use of a Transition Planning Inventory; training in financial independence/ management and the use of transportation resources; the development of good work habits; community involvement for the purposes of career readiness, exposure to occupations/industries, and volunteer activities; and exploration of and preparation for postsecondary educational opportunities. End -of -year outcomes measurements relating to pre- and post-test academic achievement, attendance, behavioral level summary, standardized test scores, and positive trends working toward LRE and IEP progress are provided to sending districts. 13 • Current Resumes Meghan Day — Classroom Teacher 2415 Rocky Mountain Ave. #102 Loveland, CO 80538 858-335-6193 MDay@sierra-school.com Profile: Bachelor of Science in Kinesiology, as well as a minor in Psychology at Westmont College. Currently holds a Special Education Credential from Point Loma College for both mild/moderate and moderate/severe disabilities. Presently working in Greeley, CO, as a classroom teacher at the Sierra School of Weld County, a nonpublic school for students with special needs. Career goal is aimed at early childhood special education. Education: Aug. 2003 —June 2007 Aug. 2007 —May 2011 Aug. 2012 —May 2014 Work History: June 2014 —Present Oct. 2011 —May 2014 Oct. 2010 —June 2011 June 2010 -Aug. 2010 June 2010 -Aug. 2010 Poway High School GPA: 3.9 Westmont College GPA: 3.3 Major: Kinesiology; Minor: Psychology Point Loma Nazarene University GPA: 3.9 Major: Master of Arts in Special Education Concentrations: Special Ed. Mild/Mod and Mod/Severe Classroom Teacher Sierra School of Weld County • High School Special Day Class Assistant Teacher Sierra Academy of San Diego • Middle School Special Day Class Therapeutic Equestrian Riding Volunteer Hearts Therapeutic Equestrian Center • Grooming/tacking of the horses • Side walking alongside the riders • Leading the horses by lead rope around arena Office Assistant Daylight Solutions, Poway, CA • Receptionist responsibilities; HR work Aquatic Therapist Assistant North County and Escondido Physical Therapy Assisted Beth Hibert, MPT, in the water with a wide spectrum of ages (infant -elderly) and disabilities Jan. 2010 -Apr. 2010 Nanny 14 Employed by Mike and Wanda Hayes; Santa Barbara, CA 15 Emmie Swift — Classroom Teacher 1219 Davidson Drive, Unit R4 Fort Collins, CO 80526 808-782-8932 emmlar88@gmail.com Certification: Colorado Provisionary Special Education Generalists Education: Iowa State University, May 2012 • Major in Elementary Education • Minor in Social Studies Student Teaching: Crestridge Magnet School, Omaha, NE • January 2, 2012— March 2, 2012 • 5th Grade • Cooperating Teacher: Craig Wiles Crestridge Magnet School, Omaha, Nebraska • March 5, 2012 —May 2, 2012 • 2nd -Grade Dual -Language Classroom • Cooperating Teacher: Mary Riha Professional Experience: Hansen Elementary, Cedar Falls, IA — 2008 • Practicum in a 6th -grade classroom • Observed and taught science lesson three days a week for one semester McKinstry Elementary, Waterloo, IA — 2009 • Tutoring in a kindergarten classroom • Read aloud to students daily in a one-on-one selling Crestview Elementary, Clive, IA — 2011 • Practicum in 2nd -grade classroom • Observed the teacher and students • Taught a reading and writing lesson • Helped with classroom management Samuelson Elementary, Des Moines, IA — 2011 • Practicum in 5th -grade classroom • Observed classroom teacher and students 16 • Taught reading, writing, and science lessons Windward Nazarene Academy, Kaneohe, HI — 2012-2013 • Long-term substitute assistant teacher in a kindergarten classroom • Corrected assignments and submitted grades • Worked with a small group of students who had behavioral issues and needed extra help on their assignments Hawaii DOE, Windward District, Oahu — 2013-2014 • Substitute teacher in elementary schools in the Windward District • Long-term substitute teacher in kindergarten classroom at Kainalu Elementary Related Experience: Food for the Hungry Missions — 2009 • Missions trip to Mozambique, Africa • Visited schools and churches around the area • Built relationships with mothers and children in the area Hudson Middle School After -School Program, Hudson, IA —2009-2010 • Tutored 6th -8th graders in math, science, social studies, and reading • Mentored troubled students Best Buddies, University of Northern Iowa — 2009-2011 • Mentor and friend to women with mental disabilities • Planned community outings and social activities Health Resources, Honolulu, HI — 2013-2014 • Mentor and tutor to middle -school and high-school aged students with learning disabilities • Planned community outings and social activities • Helped students with homework and social difficulties 17 STEPHANIE MARSHALL — Program Director 432 Noquet Ct. Fort Collins, CO 80524 417-425-2196 smarshall@sesi-schools.com EXPERIENCE Specialized Education Services, Inc. Program Director Sierra School of Weld County Rivendale Institute of Learning and Center for Autism February 2012 —Present Rivendale Institute of Learning and Center for Autism, Springfield, MO Lead Teacher May 2009—Feburary 2012 • Determined educator responsible for implementation of individualized and group Applied Behavior Analysis therapy for students between the ages of 3 and 9 • Innovative creator and implementer of lesson plans designed to engage children in handwriting, reading, spelling, mathematic, and group learning • Dynamic individual responsible for daily maintenance of updating, organizing, and collecting data to coordinate with individual children's therapy goals • Strong leader responsible for training new employees and continued training of current employees on daily tasks, data collection, behavioral intervention, sensory integration, academic progress, and language therapy concepts • Active incorporator of sensory integration tools and techniques into daily therapy Rivendale Institute of Learning and Center for Autism, Springfield, MO ABA Therapist October 2009 —May 2009 • Determined therapist responsible for conducting an initial screening to evaluate individual levels of language, academic, social, and self-help skills for children between the ages of 3 and 9 • Author and implementer of individualized language, academic, and behavioral therapy goals • Innovative coordinator with parents to assist in behavioral and language training techniques to assist their child in a home setting 18 Colorado Department of Education Licensing Currently, the Sierra School of Weld County contracts solely with the Centennial BOCES and does not require certification from the Colorado Department of Education. We recommend the Weld County Department of Human Resources contact the Centennial BOCES for placement options and information. Contact Information: Jocelyn Walters 970-352-7404, ext 1104 jwalters@cboces.org 19 EXHIBIT B SCOPE OF SERVICES 1. Contractor will provide Day Treatment Services to students with emotional disabilities and students on the autism spectrum in grades 6-12, as referred by the Department. Students with emotional disabilities and students on the autism spectrum will receive services in separate classrooms set up specifically for their needs. 2. Model for Students with Emotional Disabilities. Each student shall: • Receive individual or dyad -based "tutorial" sessions in English/Language Arts, Math, and Reading based upon their skill level, as well as their individual learning pace and style. Receive a minimum of three (3) sessions daily with the student, teacher and/or teaching assistant to provide direct instruction, review material, reinforce skill development, and prepare for an exhibition, test or mastery -of -material assessment. Rotate through independent work, teacher -directed tutorials, technology -based activities and small group reinforcement sessions. Receive curriculum aligned with the Common Core Standards. Receive Individual and/or group counseling will be provided as prescribed by the student's IEP. 3. Model for Students with Autism. Each student shall participate in: • Discrete Trial Training (DTT): An intensive 1:1 where students are engaged in trails of demands which focus on expanding the repertoire of language development. • Social Skills Lab: A small group opportunity for social skills application utilizing an interactive activity that requires them to use greetings, requesting, and sharing skills in order to complete the activity. Independent Play and Leisure: An independent station that allows students to engage in an age - appropriate item for a set duration of time to increase their ability to learn a variety of functionalities and maintain independence. Natural Environment Teaching (NET): A small group setting in which students have an opportunity to practice their greetings, requesting, sharing, play, and leisure skills to use in a less contrived setting. Activity Schedules: An activity that requires students to independently complete visual performance and fine motor tasks when guided by a visual schedule in order to prepare students for an academic or workplace setting. Life Skills: An individualized plan of skills that focuses on everyday functional activities to increase successful home and community generalization. Motor Lab: A sequence of progressive skills, which increase fine and gross motor abilities. 4. Services shall include: Development, implementation and tracking of Individualized Education Plan (IEP). Personalized, tutorial -based target and interactive instructional approaches to meet all student IEP goals provided by one certified teacher and an instructional aide per classroom. • Classroom utilization of technology to supplement teacher -guided instruction. Classroom desktop computers are equipped with word recognition and speech -to -text software, and AlphaSmart keyboards. iPads and large screen calculators are provided as necessary. • An intensive behavior modification system designed to minimize classroom disruptions and maximize learning is implemented, supported by positive reinforcement techniques and student incentives. • Social skills' training is infused throughout the school day, to teach students the aptitudes and self-confidence needed to function well interpersonally and intrapersonally. A flexible curriculum, focused on holistically educating challenging students while conforming to the home district's unique curriculum and instruction standards, is utilized. 1 • Renaissance Learning STAR Assessments are used to both monitor progress and inform daily instruction. • An expansive array of transition services are provided, including the use of a Transition Planning Inventory; training in financial independence/management and the use of transportation resources; the develop of good work habits; community involvement for the purposes of career readiness, exposure to occupations/industries, and volunteer activities; and exploration of and preparation for postsecondary educational opportunities. End -of -year outcomes measurements relating to pre- and post -text academic achievement, attendance, behavioral level summary, standardized test scores, and positive trends working toward LRE and IEP progress are provided to referral entity. 5. Contractor strongly encourages parental involvement in the learning process and will instruct parents on behavioral and academic protocols that may be used at home. Contractor will regularly monitor relationships and dynamics in each family to provide the most comprehensive counseling services. 6. Contractor can accommodate students who require bilingual services. 7. Contractor is sensitive to family ethnicity, culture, values and beliefs 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 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. 10. 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. 11. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 12. 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. 13. 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. 14. Contractor understands that the Department does not reimburse for cancelled appointments, either on the part of the client or the Contractor. 2 15. 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 and contractor may appear by phone. 3 EXHIBIT C 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, 2015. 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 $169.00/Day (Day Treatment — Educational and Therapeutic Costs) $100.57/Day (Day Treatment —Therapeutic Costs Only) $68.43/Day (Day Treatment — Educational Costs 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 7`h day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. 1 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. Certificate of Insurance CERTIFICATE OF LIABILITY INSURANCE DATE ,MM,D YVYI 10/20/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: II the certificate holder is an ADDITIONAL INSURED, the policylies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Assurance Agency, Ltd 1750 E Golf Road Suite 1100 Schaumburg IL 60173 INSURED SPECEDU-01 Specialized Education Holdings Inc. Specialized Education of Colorado, Inc. 385 Oxford Valley Rd. Yardley PA 19067 COVERAGES THIS IS TO CERTIF" THAT THE POLICIES OF INSURANCE LISTED BEI OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCUMENT WITH RESPECT IC WIIICII II115 CERTIFICATE MAY BC ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE PO1 ICIFS DESCRIBED HEREIN IS SUBJECT TO ALL I HE TERMS EXCLUSIONS AND CONDITIONS or SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS POLICY EFF POLICY ESP LTYPE OF INSURANCE NMI D R MVO NUMBER IMMNDIVYYVI IRIMIDOPYYVI LIMITS rR ARF GENERAL LIABIOTV SHE: 5245257 II TV20Ta 7lamtsbaba art liiiabNcib 01000. COO ' COMnERJwA. _ NI _AS. RN .. ncc t ,, 2500002 CIAIVGMADE X SCSSIS MFIHS .Mr nn.p•F+m 81 SHOO PERu.tiu AAUR N,uRY 21 UDu call GENERAL_ ACCUSE SAIL DO 0011000 OFNI .A50RFG Ap..F-HER IRO]Ucrs GDMP.JP AAA 113 GOO COO r .17IFTI X LJ.. $ A AuromosibE upewTY AHC-A34625150 r„¢0t4 nvz01 FOt?IN, YiNGLE M1 52520 CaD ALITOS Au Luc X HIDEDn�,• v o A'OS X ANDS O FU' HaaHaan.A.,,' A X UMBRELLALIAB occLR UHC-A34ELRREn nvml4 7nlmis FAG., GfC,RRT OTT 520.000 000 EXCESS LIAR C AIMS -MADE ICUREUAII 2211.000 sou OED X RbiabiiCNSIH.SSo T B WORKERS COMPENSATION 07:035155/1]nfilzo-4 ]n sack x WRv STATIC Vp Dab La AND ANmEHP EMSEEH aN c NERD EXECUTIVE ti ° IA F. Fu.I AL.IDFNT 51 000000 ryannabrym NRR E L m0- EASE ?LMHI °CFA 51 COO aOE 'I1fSLP FTOVO oE=BATO55 aemw L Dlafise AoLIOYL Mr STE0ua0U A Educators P1015ssloral Liability ZHC-943462690C 7n2o14 7lvzols Occurrence 5',000,000 Reim Dale nil :TS Aggregate 53,005.150 DESCRIPTION PEPpilOH5/LOCATIONSI VEHICLES mm IAACORO ICI. Add,nnn.l Remarks Schedule. ,r [nom space iv.S,UdI It is agreed that the Certificate Holder is added as Additional Insureds. when required by written contract on the General Liability cn a primary and noncontributory basis with respect to operations performed by the Named Insured A Waiver of Subrogation in favor of the Additional Insureds applies to the General Liability and Automobile liabilry policies, when required by written contract and where allowed by law. 30 Days Notice of cancellation applies for the General and Automobile liability CERTIFICATE HOLDER Weld County Department of Human Services 315 North 11th Avenue. Building A P.O. Box A Greeley CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE >-',..,„.,,,,./ x r;,,,.,, CONTACT NAME NAMShawna OeFalco PHONE No. allx(847) 797-5700 :pic, 90 (847) 440-9127 ErMAoalE AD ss sd efalcu@assuranceagency. corn ERISI AFFORDING COVERAGE r xs R rvuc INSURER A Hanover Insurance Co. 10212 INSURER B /OBE Insurance Corp INSURER C INSURER e. I INSURER E I INSURER F CERTIFICATE NUMBER: 488963712 REVISION NUMBER: CANCELLATION ACORD 25 (2010/05) :0 1988-2010 ACORD CORPORATION. All rights reserved. The ACORO name and logo are registered marks of ACORD 20 Hello