HomeMy WebLinkAbout20162718.tiff5/1)rO u9cra-
MEMORANDUM
D \ IL: July 26, 2016
TO: Board atCounty Commissioners — Pass -:Around
FR; Judy \. Griego, Director, I luman Services
RF: Weld County Department of Human Services' Child Welfare
2016-2017 Respite Care Provider Renewals
Please review and indicate il'you would like a work session prior to placing these items on the
Board's agenda.
Request Board Approval of the Renewal for Respite Services between the Department and
Various Providers. The Department's Division of Child Welfare contracts annually with
individuals and couples. primarily Weld County certi tied foster parents. for respite care services.
Respite care is limited to four (4) hours per week per child. The hours or -care may be provided in
any combination throughout a month, but may not eyceed 16 hours per month. Payment is $16.75
per each four hour period, hut may not exceed $67.00 per month for 16 hours. The list of providers
that would like to renew for the term of July I. 20I 6 through June 30, 201 7, are as follows:
Brown
Rachel
Greeley
Irwin
Kasi (Jeremiah)
Severance
Koep
Jenna (Kristopher)
Fvans
Maronek
Patricia (Dennis)
Greeley
Miller
Pamela
Greeley
Ripka
Gary Steven
ft. Collins
Stone l
Mary Kay tJamie David)
Greeley
Tauber Nicole (Jon Wright)
Greeley
Tavita
Jacquelyn (Bruce)
Greeley
Van Den Llien
Dawn
Greeley
Walker
Jennifer Lynne
Ft. Collins
Walker
Renac
Windsor
Workman-Wurti
Kathryn
Greeley
do not recommend a Work Session
Sean Conway
Steve Moreno
Barbara Kirkmeyer
Mike Freeman
Julie Co/ad
I recommend approval of these Renewals.
Approve Reoest
BOCC Agenda Work Session
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2016-2718
Page 1
CONTRACT AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND KATHRYN WORKMAN-WURTZ (NON -CORE)
XYJI/I Ayr
This Agreement Amendment, made and entered into day of J, 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 Kathryn Workman-Wurtz, hereinafter
referred to as the "Contractor".
WHEREAS the parties entered into an Agreement for Respite Care Provider Services, (the
"Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as
document No. 2015-0302 approved on January 28, 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 June 30, 2015.
The Original Agreement was renewed for the term of July 1, 2015 -June 30, 2016. The
Agreement Amendment is identified by the Weld County Clerk to the Board of County
Commissioners as document No. 2015-2197(2), approved on July 20, 2015.
• The Amendment, 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 July 1, 2016 upon proper execution of this
Agreement and shall expire June 30, 2017 unless sooner terminated as provided herein.
2. None
• All other terms and conditions of the Original Agreement remain unchanged.
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day,
month, and year first above written.
OC UNTY:
ATTEST: 2. it{i / `Zo'ck BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY, COLORADO
B
12
eputy Clerk to the Board
Mike Freeman, Chair
CONTRACTOR:
AUG 2 2 2016
athryn Workman-Wurtz
901 15th Street
reeley, CO 80631
816) 309-37
By:
K
Date:
thryn Workman -W
IFICATION CARDS Mum VOL
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FOLD TOP AND BOTTOM OF CARD ON PERFORATION
Stole F.iry r COLORADO
a.23 INSURANCE CARD
CIOISIRMEMIMINg
INSURED WURTZ, DREW & KATHRYN
MUTL
VOL
POLICY NUMBER 368 3856-E26-068 EFFECTIVE
YR 2008 MAKE HONDA. MAY 26 201610 NOV 26 2016
MODEL ODYSSEY VIN 5FNRL389786077447
AGENT RICK WALLACE INS AGENCY INC
PHONE (970)356-8237 NAIC 25178
THE COVERAGE PROVIDED BY THE POLICY MEETS THE
MINIMUM LIABILITY LIMIT$$ PRESCRIBED BY LAW.
A BODILY INJURY/PROPERTY DAMAGE LIABILITY
C MEDICAL PAYMENTS
D 500 DEDUCT COMPREHENSIVE
G `500 DEDUCT COLLISION
H,
•
SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION
IN YOUR CAR.
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