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Home My WebLink About20142816.tiffDATE TO: FROM MEMORANDUM May 8. 2015 Barbara Kirkmever, Chair, Board pf C unty6o ssioners Judy A. Grieco. Director. HumaASersic s Depa RE: Weld County Department of Human Services Child Protection Agreement Extension/Renewal with Various Providers Enclosed for Board approval is the Department of Human Services Child Protection Agreement Extension/Renewal with Various Providers. These renewals were reviewed under the Board's Pass -Around Memorandum dated May 4, 2015. and were approved for placement on the Board's Agenda. The below parties agree to extend the term of their original agreement, in accordance with the conditions of the original agreement, under the standard form for renewals. The standard form was approved as new business on March 9, 2013 The renewal terms are as follows: No Original Contractor Renewal Tennti Agreement Tyler Number I 2014-3046 Transitions Psychology Group, LI C June . 2 2014=2816 Devereux Colorado June 3 2014-2816 ` Griffith Centers for Children June 4 2014-2476 Leahy Neurofeedhack DBA Den\ er June Neurofeedback 5 2014-2816 life Recovery Center June 6 2014-2476 Larry P. Kerrigan, Ph.D June iv 7 1 2014-2816 IDEA Forum, Inc. ' June 8 ' 2014-2476 ~Intervention, Inc. June 201-1-2816 I Arapahoe House, Inc. June -* 10 ' 2014-2816 Collaborative Services for Chance. PC' June I II 2014-2476 Knipscheer and Associates Pohgraph June Services 12 l 2014-2816 , Michael A. Lazar, Attorney -at -Lau Bute 13 2014-2476 I Goldschmidt and Associates June 14 2014-2476 Crossroads Counseling. [LC tune d If sou has:2 y iestion; pleasegise me a c;dl al evtensi,m t,, I n 6, l-JSIcit 1, 2013 to May 31, 2016 I, 2015 to May 31, 2016 , 2015 to May 31. 2016 I, 2015 to May 3I. 2016 I, 2015 to May 31, 2016 1, 2015 to May 31, 2016 1, 2015toMay 31,2016 1, 2015 to May 31. 2016 . 2015 to May 31, 2016 ,2013t)Max31,2016 , 2015 to May 31, 2016 ,2015toMay 31_2016 2015 to May 31.2016 201 to Ala,. 31. 2016 • 09 ry-adl6 )-{R00S5 CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND DEVEREUX COLORADO(Core) This Agreement Extension/Renewal ("Renewal"), made and entered into day of 2015, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services,('hereinafter referred to as the "Department", and Devereux Colorado, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as Document Number 2014-2816 approved on 9/15/2014. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance wit^ the terms of the Original Agreement, which is incorporated by reference herein, as wel' as the terms provided herein. NOW THEREFORE, in consideration of the premises, the part es hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2015. • The parties agree to extend the Original Agreement for an addit;onal one (1) year period, which will begin June12015, and will end on May 31, 2016. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. None 2. None • All other terms and conditions of the Original Agreement rema n unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST WAirditeA) Weld County -rk to the Board BY: Deputy Clerk OVED AS TO F Controller APPROVED AS TO FORM. Director of General Services County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Pro—Tem MAY 2 0 20i) APPROVED AS TO SUBSTANCE: DEVEREU/WC ry W May, Execut.ve Di, c>76/1- 6O (I) AGREEMEN' EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTERS FOR CHILDREN (Core) This Agreement Extension/Renewal ("Renewal"), made and entered Int� _ day o the Board of Weld County Commissioners, on benalf of the We County Department of Human Service the "Department", and Griffith Centers for Children, nereina°ter referrec to as the "Contracto-". 2015 by and between ereina'ter referred to as WHEREAS the parties entered into an agreement )the' Ong.na. Agreement") ident ed cy the Weld County Clerk to the Board of County Commissioners as Document Number 2014 2316, aooroved on (3/12(2,14 WHEREAS the parties hereby agree to extend the term o' the Or gral Agreement n accorda-ce wi to the terms of the Original Agreement, which is incorporated by reference herein as we.' as the terms orov:ded here:-. NOW THEREFORE, in consideration of the premises, the parries hereto covenant anc agree as follows. • The Original Agreement will end on May 31, 2015 The parties agree to extend the Original Agreement for an acdt onal one )11 year ocr od, v n'cn wilt oegm Jun>e11 2015, and will end on May 31, 2016_ The Renewal, together with the Original Agreement, const'M.es the eet re understanding cetween the parties The following change is nereby made to the Contract Documents. None 2. None • Ad other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have du y executed the Agreement as of the nay, montn and yea' ` rst above writtec. ATTEST V:ha '�^'�� Weld Coun BY to the Board Deputy Cle APPROVED AS TO F Controller _A PROVED AS TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WEI. I) COUNTY COI ORAJO Mike Freeman, Pro—Tem WV 2 0 2015 APPROVED AS TO SU3STAVCE: Lt121.��--(L� C ecr'1B c al br Depart -it': : Head D rector of General Services O26/* a P/C, 62) AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND LIFE RECOVERY CENTER (NON -CORE) This Agreement Extension/Renewal ("Renewal"), made and entered into day of 2015, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, ereinafter referred to as the "Department", and Life Recovery Center, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as Document Number 2014-2816 approved on 9/15/2014. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2015. • The parties agree to extend the Original Agreement for an additional one (1) year period, which will begin June 1, 2015 and will end on May 31, 2016. The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. None 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. ATTEST: Weld Cou BY: dirityv .:0e y Clerk to the Board a i BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Deputy Clef to the Board Mike Freeman, Pro —Tern �PFRLZV^ED ASTO ,FUND NG: /'�'l ��/U�X�SGI� Controller APPROVED AS TO FORM: APPROVED AS TO SUBSTANCE: i EIettdd Official or Depa County Attorney LI . RECOVERY CE. R MAY 2 0 2015 y Monaghan, MA, NCC, CCMHC, MAC, LPC, LAC der/Lead Clinician o2U/47-,77-‘16 (5) AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND IDEA FORUM, INC. (NON -CORE) 7� v This Agreement Extension/Renewal ("Renewal"), made and entered Intor day of AI�l , 2015by 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 IDEA Forum, Inc., hereinafter referred to as the "Contractor'. WHEREAS the parties entered into an agreement (the "Original Agreement") Identified by the Weld County Clerk to the Board of County Commissioners as Document Number 2014-2816, approved or 115/2014. WHEREAS the parties hereby agree to extend the term of the Original Agreement In accordance with the terms of the Original Agreement, which is incorporated by reference herein, as we i as the terms provided herein, NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Or glnal Agreement will end on May 31, 2015. • The parties agree to extend the Original Agreement for an additional one (1) year period, which will beg'n June 1, 2015, and will end on May 31, 2016. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. None 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 writte'. ATTEST: dd.G/tet) '-C. rA BOARD OF COUNTY COMMISSIONERS Weld County .ert • the Board WELD COUNTY. COLORADO BY: Deputy Clerk t �VED ASSTTOJ�FU. NG. Controller APPROVED AS TO FORM: County Attorney -mAta„ Mike Freeman, Pro-Tem mg 2 4 ZQ',5 APPROVED AS TO SUBSTANCE: , _ fi(. (x ( L� l Eleckea Official cr Departure t Head I IU jfl Director of General Services DEA FORUM, INC. LM1% Varce a PaIz, Chief Executive Officer i e74--1/6, 6/) AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND ARAPAHOE HOUSE, INC. (NON -CORE) This Agreement Extension/Renewal ("Renewal"), made and entered Into day of / 2015 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, erelnafter referred to as the "Department", and Arapahoe House, Inc., hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") Identified by the Weld County Clerk to the Board of County Commissioners as Document Number 2014-2816, approved on 9/1S/2014. WHEREAS the parties hereby agree to extend the term of the Original Agreement In accordance with the terms of the Original Agreement, which is Incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, In consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2015. • The par -ties agree to extend the Original Agreement for an additional one (1) year period, which will begin June 1, 2015, and will end on May 31. 2016. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. None 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. ATTEST: Weld County ' err to the Board WELD COUNTY, COLORADO BY: ddracti adAO:1,k. Deputy Clerk t VED ASTOFU Controller APPROVED AS TO FORM: L County Attorney BOARD OF COUNTY COMMISSIONERS -Mike Freeman, Pro-Tem MAY 2 0 Z015 APPROVED AS TO SUBSTANieeE r �i,,t jL- Eletted Officil or Department Head L; , (' N rfl Director of General Services ARAPAHOE HOUSE, INC. Arthur J. Schut, �ief Executive Offi cer o264 cZi/06-) AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND COLLABORATIVE SERVICES FOR CHANGE, PC(Core; T^is Agreement Extension/Renewal ("Renewal"), mace and entered into day of 2015, by and between the Board of Weld County Commissioners, on beha'f of the Weld County Department of Human Services, ereinafter referred to as the "Department", and Collaborative Services for Charge, ?C, hereinafter referred to as the "Contractor'•. WHEREAS the parties entered into an agreement (the "Original Agreement") dentified by the Weld County Clerk to the Board of County Commissioners as Document Number 2014.2816, approved on 9/15/2014. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accorcance with the terms of the Original Agreement, which is incorporated by reference herein, as we as the terms provided herein NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows? • The Original Agreement will end on May 31, 2015- • The parties agree to extend the Original Agreement for an additiona ore (1) year period, which will bin June 1, 2015, and will end on May 31, 2016- • The Renewal, together with the Original Agreement, const.tutes the entire understanding between ti,cparties. The fol;owing change is hereby made to the Contract Documents 1 None 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 ATTFS' doderif411) (1• r� BOARD OF COUNTY COMM:SSIONERS Welc County erk to the Board / WE, COUNTY. COLORADO By. Deputy Clerk t APPROVED AS TO FU Co^t crier APPROVED AS TO FORM: r g / .7� County Attorney Mike Freeman, Pro-Tem APPROVED AS TO SUBSTANCE,. t41 L' a C • L ( f1 Fleck Official or fepartment• ead y MAY 2 0 2015 Director of General Sery ces COLLABORATIV SERVICES FOR CHANGE, P Marc. Br .1 .eff Kt'.ir.k,. C CSW, c pr, 'ca. Directrr Co Ow ^ Jai ¢- o2iiG () AGREEMENT EXTENSION/RENEWAL REP/VEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MICHAEL A. LAZAR, ATTORNEY AT -LAW (CORE) This Agreement Extension/Renewal ("Renewal" ), made and enteiec into aay of the Board of Weld County Commissioners, on behalf of the Weld County Depa'tment of Human Services, the "Department's, and Michael A. Lazar, Attorney -at- Law, hereinafter re'e'recl to as the "Contractor'' 2015, by and between einafter referred to as WHEREAS the parties entered into an agreement Itbe "Ongina Agreement' ; ,dentified by the Weld County Clerk to the Board of County Commissioners as Document Number 2014-2616 )pproved on 9/15/2014 WHEREAS the parties hereby agree to extend the term of the Ong nai Agreement in accordance w:th the terms of the Orig'ca' Agreement, which is ncorporated by reference here n, as we':I a, trre teems provided nerein NOW THEREFORE, in conside-ation of the premises, the partes eereto covenant and agree as follows. The Origina Agreement wuJ. end on May 31, 2015 The parties agree to extend the OYginal Agr cement for an awft'onal one (1) yea' period, which w.11 begin tune 1, 2015, and will e'rd on May 312116 The Renewal, toeethe' with the Original Agreement, constir,.te', the ent re understand,ng between the parties. The following change :5 hereby made to the Contract Document, None None A.l other terms and conditions of the Original Agreement remain ,.ncnangeu. 'N W TNE55 WHEREOF, the parties her have duty executed the Agreement as of the day, monk, and year first above wr itten ATTEST', acacia) M• "viw;,`e^ Weld Coo^ Cirx to the Board BY Deputy Cle L9YY�JVED AS TOFU AG Controller A,JPROVED AS TO CORM County Attorney BOARD OF COUNTY COMMISS'ONERS WH D COUNTY, COLORADO Mike Freeman, Pro-Tem MAY % 0 2015 APPRO}rD AS TO SU-}STANC1, r / 1 Efe t , Official rI' Denartmen(!?-lead Jaz:e tc, n' General Services M/eAFL A. LAZAff, ATTC9iNF1f AT U}1M11 L P 'r hae A. LaL.as, Attorne 020 /ci atl6 (7) RESOLUTION RE: APPROVE FIFTEEN (15) CHILD PROTECTION AGREEMENTS FOR SERVICES WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN 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 fifteen (15) Child Protection Agreements 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 the providers listed within the memorandum marked Exhibit A, commencing June 1, 2014, and ending May 31, 2015, with further terms and conditions being as stated in said agreements, and WHEREAS, after review, the Board deems it advisable to approve said agreements, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the fifteen (15) Child Protection Agreements 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 the providers listed within the memorandum marked Exhibit A, be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreements. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of September, A.D., 2014, nunc pro tunc June 1, 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: Ll{fa` ,,,./ :ok Weld County Clerk to the Board BY: D AP ttorney illiam Prcia Date of signature: RiILD CC 4ttb (51) 4I(q y , P o (Il�c CC }Ae& d.1--)oug1 Rademacher, Chair e'r uk.otd.1/4tc,- arbara Kirkme -Tet C 2014-2816 HR0085 • w EXHIBIT I A MEMORANDUM DATE: September 11, 2014 TO: Douglas Rademacher, Chair, Board of ounty Comipssioners FROM: Judy A. Griego, Director, Human Se SUBJECT: Child Protection Agreements for Ser' ices between the Weld County Department of Human Services and Various Providers Enclosed for Board approval are Child Protection Agreements for Services between the Department and Various Providers. These Agreements were reviewed under the Board's Pass -Around Memorandum dated May 22, 2014, and approved for placement on the Board's Agenda. There are a total of 45 agreements with various providers; the following represent the next 15 agreements received leaving 17 agreements needing to be signed by the Board Chair. The major provisions of these Agreements are as follows: No. Provider Program Area/ Funding Source PY14-15 Rate(s) 1 Arapahoe House, Inc. 06/01/14 - 05/31/15 Monitored Sobriety Services CW Admin $2.50/Episode (UA Screen) $22.50/Episode (UA Screen -After Hours $3.00/Episode (BA Screen) $6.00/Episode (BA Screen - After Hours) $69.00/Episode (Hair Follicle Test) $44.00/Episode (Drug Patch and Initial Drug Screen) $30.00/Episode (UA Screen with EtG) $40.00/Episode (UA Screen with EtG - After Hours) $70.00/Episode (Synthetic Marijuana) $20.00/Episode (GCMS UA Confirmation - Each Drug) $30.00/Episode (GCMS Patch Confirmation Retest Patch) 2 Collaborative Services for Change, PC 06/01/14 - 05/31/15 Foster Parent Consultation Life Skills $120.00/Hour (Informed Supervision and Therapeutic Care. Agency Specific Consultation. Case Specific Consultation. Interventions for Sexually Abused Youth with Developmental Disabilities and/or Special Needs.) $100.00/Hour (Individual or Family Therapy, In -office. Therapeutic Visitation, In -office.) 2014-2816 • Mental Health Services Sexual Abuse Treatment Core $120.00/Hour (Individual or Family Therapy, In -home. Therapeutic Visitation, In -home.) $85.00/Hour (Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Meeting) $85.00/Month (Case Management) $100.00/Episode (Individual or Family Therapy, In -office., 50 -minute Session) $120.00/Episode (Eye Movement Desensitization and Reprocessing Therapy, In -office, 90 -minute Session) $85.00/Hour (Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Meeting) $85.00/Month (Case Management) $1,350.00/Episode (Offense Specific Evaluation) $100.00/Episode (Individual or Family Therapy, In -office, 50 -minute Session. Healthy Sexuality Curriculum/Boundaries Curriculum, 50 -minute Session.) $120.00/Episode (Eye Movement Desensitization and Reprocessing Therapy, In -office, 90 -minute Session) $85.00/Hour (Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Meeting) $85.00/Month (Case Management) 3 Devereux Colorado 06/01/14 - 05/31/15 Day Treatment Services Individual Transition Services Mental Health Services Core $95.00/Day (Day Treatment) $65.00/Day (Individual Transition Services) $90.00/Hour (Therapy, In -home) 4 Family Matters of Colorado, LLC 06/01/14 - 05/31/15 Life Skills $45.00/Hour (Safe Exchange - In -office) $75.00/Hour (Safe Exchange - Out -of -office) Monitored/Supervised Visitation, In -office) $105.00/Hour (Monitored/Supervised Visitation, In -home) $110.00/Hour (Therapeutic Visitation, In -office) $140.00/Hour (Therapeutic Visitation, In -home) $140.00/Hour (Parenting Skills, In -home) $110.00/Hour (Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Mental Health Services Core Meeting) $110.00/Hour (Individual or Family Therapy, In -office. Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $140.00/Hour (Individual or Family Therapy, In -ho 5 Griffith Centers for Children 06/01/14 — 05/31/15 Crisis Intervention and Stabilization Services Home Based Intensive Services Life Skills Mental Health Services Core $48.00/Hour (Crisis Intervention, Master's Level) $38.00/Hour (Crisis Intervention, Bachelor's Level) $15.00/Hour (Intensive Case Management) $25.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $48.00/Hour (Family Preservation Services) $25.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $36.00/Hour (Therapeutic/Supervised Visitation) $38.00/Hour (Life Skills, Parenting Skills) $25.00/Hour (Client "No -Show" — Up to two (2)) $25.00/Hour (Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Meeting) $52.00/Hour (Individual Therapy) $56.00/Hour (Family Therapy) $150.00/Episode (Mental Health Needs Assessment) $25.00/Hour (Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Meeting) 6 Idea Forum, Inc. 06/01/14 — 05/31/15 Anger Management/ Domestic Violence Evaluation and Treatment $57.00/Episode (DV Intake, Evaluation and First Session) $30.00/Episode (DV Group. Standard Group Therapy) $65.00/Episode (Individual Therapy) $25.00/Episode (Youth Group Therapy) $45.00/Episode (Youth Individual Therapy) $65.00/Episode (Family Therapy) $15.00/15 Minute (Case Management) $80.00/Episode (Eye Movement Desensitization and Reprocessing) $125.00/Episode (Anger Management Evaluation) e) Monitored Sobriety Services CW Admin $17.00/Episode (UA - 7 Panel with EtG) $120.00/Episode (UA - Steroids) $10.00/Episode (BA) $15.00/Episode (Swab Test) $50.00/Episode (Hair Test) 7 Lazar, Michael A. Attorney -at -Law 06/01/14 - 05/31/15 Mediation Core S $200.00/Hour (Mediation- All Inclusive) 8 Life Recovery Center 06/01/14 - 05/31/15 Anger Management/ Domestic Violence Monitored Sobriety Substance Abuse Evaluation and Treatment CW Admin $100.00/Episode (Anger Management Assessment with Intake if necessary and requested) $60.00/Episode (Anger Management Intake) $30.00/Episode (Anger Management or Domestic Violence Group) $25.00/Episode (Anger Management or Domestic Violence Second Contact Group) $100.00/Episode (Individual Counseling Session) $120.00/Episode (Domestic Violence Intake) $200.00/Episode (Domestic Violence Intake with Drug/Alcohol Evaluation) $250.00/Episode (Domestic Violence Intake with Drug/Alcohol Evaluation and Mental Health Assessment) $25.00/Episode (5 Contact Segments - Daily BA and Random UA) $20.00/Episode (Twice Daily BA) $3.00/Episode (One Time Breath Test) $15.00/Episode (UA 8 -Panel plus EtG) $25.00/Episode (Saliva Test 5 Drug Panel) $200.00/Episode (Drug/Alcohol Evaluation with Intake if necessary and requested. Domestic Violence Intake with Drug/Alcohol Evaluation. Mental Health Assessment.) $250.00/Episode (Domestic Violence Intake with Drug/Alcohol Evaluation and Mental Health Assessment) $25.00/Episode (5 Contact Segments - Daily BA and Random UA) $20.00/Episode (Twice Daily BA) $3.00/Episode (One Time Breath Test) $15.00/Episode (UA 8 -Panel plus EtG) $25.00/Episode (Saliva Test 5 Drug Panel) 9 Lucero-Haines, Carmen MA, LPC, CACTI, LLC 06/01/14 - 05/31/15 Life Skills Sexual Abuse Treatment Core $110.00/Hour (In -office. Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $115.00/Hour (In -home, 20 mile radius of Greeley) $120.00/Hour (In -home, outside 20 mile radius of Greeley) $110.00/Hour (In -office. Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $115.00/Hour (In -home, 20 mile radius of Greeley) $120.00/Hour (In -home, outside 20 mile radius of Greeley) 10 Milestones Counseling Services, LLC 06/01/14 - 05/31/15 Parent Consultation Life Skills Core $90.00/Hour (Foster Parent Consultation) $70.00/Hour (Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Meeting) $70.00/Hour (Supervised Visitation within 30 miles of Greeley. Court Facilitation/Court Staffing/ Family Team Meeting/Team Decision Making Meeting) $80.00/Hour (General Life Skills. Supervised Visitation outside 30 miles of Greeley.) $90.00/Hour (Therapeutic Visitation within 30 miles of Greeley) $100.00/Hour (Therapeutic Visitation outside 30 miles of Greeley) 11 Milestones Counseling Services, LLC 06/01/14 - 05/31/15 Home Studies/ Relinquishment Counseling CW Admin $1,000.00/Episode (Home Study within 30 miles of Greeley, 2 adults) $250.00/Episode/Per Person (Each Additional adult after two adults) $450.00/Episode (Home Study Update within 30 miles) $70.00/Hour (Partial Home Study rate after the first interveiw. Court Staffing/Court Facilitation/Family Team Meeting/Team Decision Making Meeting) $90.00/Hour (Relinquishment Counseling) $ .54/Mile (After first 30 miles) 12 Mount Saint Vincent Home 06/01/14 — 05/31/15 Day Treatment Services Core $105.00/Day (Day Treatment) 13 Stepping Stones, Inc. 06/01/14 — 05/31/15 Life Skills Core $55.00/Hour (Weld County Fort Collins, Loveland and Longmont) $85.00/Hour (Areas outside Weld County, Fort Collins, Loveland, and Longmont) $500.00/Month (Low Level - Up to 10 hours per month, pro -rated for partial month) $775.00/Month (Medium Level - Up to 15 hours per month, pro -rated for partial month) $1,050.00/Month (High Level - Up to 20 hours per month, pro -rated for partial month) 14 Strong Foundations, LLC 06/01/14 — 05/31/15 Home Studies/ Relinquishment Counseling CW Admin $950.00/Episode (Home Study, 2 adults) $425.00/Episode (Updated home study) $250.00/Episode/Per Person (Additional adult after two adults) $225.00/Episode (Partial Home Study rate after the first interview) $300.00/Episode (Interpretive Services -Family Home Study) $150.00/Episode (Interpretive Services -Individual Home Study) $ .54/Mile (after first 30 miles) 15 Strong Foundations, LLC 06/01/14 — 05/31/15 Foster Parent Consultation Core $100.00/Hour (Foster Parent Consultation) If you have any questions, give me a call at extension 6510. PY-14-15-CPS-0134 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND ARAPAHOE HOUSE, INC. This Agreement, made and entered into the[ day oft/; 2014, 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 Arapahoe House, Inc., hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration funding to the Department for Monitored Sobriety Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CPS-0134 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7`' of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CPS-0134 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CPS-0134 - 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. 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 Child Welfare Administration. 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 4 PY-14-15-CPS-0134 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. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101, et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 5 PY-14-15-CPS-0134 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Tunes of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; 6 PY-14-15-CPS-0134 - $50,000 any one fire; and - $500,000 errors and omissions. iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; - Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CPS-0134 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. Trainin Contractor maybe required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 8 PY-14-15-CPS-0134 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Angela Bornemann, Co -Director of Services 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 f970) 352-1551 18. Litigation For Contractor: Angela Bornemann, Co -Director of Services 8801 Lipan Street Thornton, CO 80260 (303-412-3695 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. 9 PY-14-15-CPS-0134 Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §524-10-101 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 10 PY-14-15-CPS-0134 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CPS-0134 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CPS-0134 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CPS-0134 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15-CPS-0134 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: APPITVO ASM-50RM: WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: County Attorney 15 BOARD OF COUNTY COMMISSIONERS ELD COUNTY, CO1 DRADO \ 1 ouglas)tademachr, Chair P 1 5 2014 ARAPAHOE HOUSE, INC. By: Akilikyk Art hur hut, Chief utive Officer &tya/& EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK'. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. 81400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5403 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Protect Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area a f ; `' Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area:,:,Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area stn Definition ':; �• ��.. Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND oCONTRACTORI» This Agreement, made and entered into the _ day of , , by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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. Contactor 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 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.. and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. 81400069 - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) o Combined single limit - $500,000.00 written on an occurrence basis. .. Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. o Certificate of Insurance to be provided to Weld County. o Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. 81400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator « RepFName» «RepLNamen, «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName», «Addressl», «Address2» «City», «State» «zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLNamen, «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No, B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. 81400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. i. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS .. Program Area, - M n. Definition 3r, Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area ,;': Definition - tax, .t,v Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area �_ :, Definition "��.._;. > Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» 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`" 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. 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. 30 EXHIBIT B CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL Arapahoe House Proposal WCHSD Bid No. B1400070 Proposal: Proposed Service: Weld County Human Services Department Crisis Intervention and Stabilization Services Arapahoe House Substance Use Monitoring Services A. A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications and staff. Over the past 38 years, Arapahoe House has been a champion for families and individuals with alcohol, drug and other behavioral health issues. We help people in our community, our friends, neighbors, siblings, parents and children find recovery. Presently, we help more than 15,000 members of our community find help, hope and healing from addiction every year. Our mission is to provide a continuum of accessible, affordable, and effective services for individuals and families with alcohol, drug and other behavioral health problems. Our 13 behavioral health care centers and more than 20 alcohol and drug treatment programs in Colorado were established in 1975 as a single non -medical, detoxification facility in Arapahoe County. The Arapahoe County League of Women Voters was instrumental in our formation, with initial funding derived from the Colorado Alcohol and Drug Abuse Division and Arapahoe County. Arapahoe House has a national reputation for innovative and effective treatment programs including substance use monitoring, residential, outpatient, detoxification and DUI services. Substance use monitoring services are available at five metro Denver area locations including Commerce City, Aurora, Thornton, Denver and Lakewood. For specific times and locations, please refer to section C. With nearly 30 years of substance use monitoring experience, Arapahoe House continues to provide effective and accessible monitoring services for several agencies including other county departments of human services (e.g. Arapahoe County, Adams County). As a result of these partnerships, Arapahoe House is well positioned to meet the needs of WCHSD. A full array of substance monitoring services are available to WCHSD including urinalysis (UA), breathalyzers (BA), hair samples and ETG. Arapahoe House staff and testing procedures have the ability to test for creatinine as well as all drugs, substances and drug classes, including but not limited to the following: amphetamines, barbiturates, benzodiazepines, cocaine metabolites, marijuana metabolites, methadone, opiates/expanded opiates, phencyclidine, and alcohol. Comprehensive policies and standard operating procedures which address issues such as observed UAs, interagency communication pathways, randomized testing, the provision of supplies/materials and chain of custody processes are already in place as are trained staff to ensure all policies and procedures are followed. Arapahoe House is licensed by the Office of Behavioral Health (OBH) through the Colorado Department of Human Services as a substance use disorder treatment provider and thus follows all related guidelines including those for staff qualifications and meets appropriate federal standards/regulations and any other relevant requirements for substance testing required by WCHSD. Any staff that may be involved in monitoring services is trained to these monitoring standards prior to providing a service. Of our 347 paid staff, more than 200 are dually licensed in substance abuse and mental health counseling. 1 Arapahoe Ilouse Proposal WCHSD Bid No. B 1400070 Proposal: Proposed Service: Weld County Human Services Department Crisis Intervention and Stabilization Services Arapahoe House Substance Use Monitoring Services A. A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications and staff. Over the past 38 years, Arapahoe House has been a champion for families and individuals with alcohol, drug and other behavioral health issues. We help people in our community, our friends, neighbors, siblings, parents and children find recovery. Presently, we help more than 15,000 members of our community find help, hope and healing from addiction every year. Our mission is to provide a continuum of accessible, affordable, and effective services for individuals and families with alcohol, drug and other behavioral health problems. Our 13 behavioral health care centers and more than 20 alcohol and drug treatment programs in Colorado were established in 1975 as a single non -medical, detoxification facility in Arapahoe County. The Arapahoe County League of Women Voters was instrumental in our formation, with initial funding derived from the Colorado Alcohol and Drug Abuse Division and Arapahoe County. Arapahoe House has a national reputation for innovative and effective treatment programs including substance use monitoring, residential, outpatient, detoxification and DUI services. Substance use monitoring services are available at five metro Denver area locations including Commerce City, Aurora, Thornton, Denver and Lakewood. For specific times and locations, please refer to section C. With nearly 30 years of substance use monitoring experience, Arapahoe House continues to provide effective and accessible monitoring services for several agencies including other county departments of human services (e.g. Arapahoe County, Adams County). As a result of these partnerships, Arapahoe House is well positioned to meet the needs of WCHSD. A full array of substance monitoring services are available to WCHSD including urinalysis (UA), breathalyzers (BA), hair samples and ETG. Arapahoe House staff and testing procedures have the ability to test for creatinine as well as all drugs, substances and drug classes, including but not limited to the following: amphetamines, barbiturates, benzodiazepines, cocaine metabolites, marijuana metabolites, methadone, opiates/expanded opiates, phencyclidine, and alcohol. Comprehensive policies and standard operating procedures which address issues such as observed UAs, interagency communication pathways, randomized testing, the provision of supplies/materials and chain of custody processes are already in place as are trained staff to ensure all policies and procedures are followed. Arapahoe House is licensed by the Office of Behavioral Health (OBH) through the Colorado Department of Human Services as a substance use disorder treatment provider and thus follows all related guidelines including those for staff qualifications and meets appropriate federal standards/regulations and any other relevant requirements for substance testing required by WCHSD. Any staff that may be involved in monitoring services is trained to these monitoring standards prior to providing a service. Of our 347 paid staff, more than 200 are dually licensed in substance abuse and mental health counseling. 1 Arapahoe House Proposal WCHSD Bid No. 31400070 B. Staff Credentials/Experience Arapahoe House proposes to provide affordable, accessible substance use monitoring services to WCHSD clients who are not participating in treatment and for clients who may have trouble accessing other monitoring services due to scheduling conflicts, transportation issues or other barriers. These services include urinalysis (UA) and breathalyzer (BA) as well as related support services provided in section C. Agency staff, particularly those who provide monitoring services, are trained to provide comprehensive care for all clients. Bilingual (English/Spanish) and multicultural staff are available at all locations to assist clients with any concerns and to ensure the provision of culturally informed care. We know from experience that some clients may present with language and cognitive barriers. As such, all staff receives ongoing training in culturally informed care. Arapahoe House's cultural services department will support staff and clients by offering an array of translation services (e.g Spanish, American Sign Language) to clients who need them. Staff use a multidisciplinary team approach to address the needs of people with cognitive disabilities. For example, a monitoring technician may enlist the aid of a primary counselor to explain any process and procedures that may present concerns. Arapahoe House's monitoring services are staffed by trained men and women who reflect multicultural diversity and who treat clients and the process with the highest degrees of professionalism. Clients are informed in writing of all policies and procedures relating to monitoring, client's rights and notice of privacy practices. Of particular importance for substance monitoring is the availability of same sex staff for observed UAs. Arapahoe House ensures that trained male and female staff members are available to observe UAs as needed and use trauma informed strategies in the monitoring process. Staff at Arapahoe House are experienced in mental health and substance use disorder treatment. The majority of clinical staff are certified addiction counselors who specialize in working with individuals and families who struggle with substance abuse and co-occurring mental health issues. Arapahoe House has been a leader in trauma -informed care for over a decade and in 2012, a larger staff training for a trauma -informed system of care was launched. Through this model, the agency continues to engage in a culture change, emphasizing core values of safety, trustworthiness, choice, collaboration, and empowerment in every facet of program activities, physical settings, and relationships. C. Substance monitoring services and fees, service locations/hours and logistics Arapahoe House can offer a full array of monitoring services including urinalysis (UA), breathalyzers (BA), hair samples and ETG. Arapahoe House staff and testing procedures have the ability to test for creatinine as well as all drugs, substances and drug classes, including but not limited to the following: amphetamines, barbiturates, benzodiazepines, cocaine metabolites, marijuana metabolites, methadone, opiates/expanded opiates, phencyclidine, and alcohol. At this time, Arapahoe House does not charge for "no-shows" or cancelled appointments. Fees for such services arc as follows 2 Arapahoe House Proposal WCHSD Bid No. BI400070 UA screen: UA screen (after hours)* BA screen BA screen (after hours)* Antabuse monitoring per month Hair follicle test Drug patch and initial drug screen UA screen with EtG UA screen with EtG (after hours)* Synthetic marijuana GCMS UA confirmation each drug GCMS patch confirmation/retest patch $12.50 $22.50 $3.00 $6.00 $15.00 $69.00 $44.00 $30.00 $40.00 $ 70.00 $20.00 $30.00 *After hours is generally weekdays between 8:00PM and 8:00AM and portions of weekends depending upon location (see table below). This is subject to enhancement depending upon client demand and needs. Given our experience with other county departments of humans services, we have well established procedures to receive and process daily referrals but not limited to: electronic/faxed authorizations, assigning collection site, ensuring appropriate and timely delivery of the specimen to the testing laboratory, verifying client identity, explaining processes, completing any necessary agreements and release forms, notifying WCHSD when a client's behavior is disruptive or threatening or when monitoring results arc positive so that the county can take appropriate action to mitigate child safety concerns. Arapahoe House will need minimal notice to begin providing services at the locations and times noted above. Arapahoe House will make a minimum of three attempts to contact clients and arrange services. The first attempt will occur in the first 24 hours from receiving the referral (excluding holidays and weekends). If after three attempts the client does not respond, Arapahoe House will contact the necessary personnel at WCHSD. Arapahoe House offers multiple locations where monitoring services can be provided to WCSHD clients with weekend and evening availability. In addition, after hours monitoring services may be available at the organization's detoxification facilities. The locations, days and the hours of operation are as follows: Address 2600 S Parker Rd, Aurora, CO 80014 Days Times Monday -Friday: f 8:00am-8:00pm Saturday: 7:30am-2:30pm Sunday: i 6:30am-2:30pm —5.5-W 5th Ave, Denver, CO 80204 —+ Monday -Friday i 12:00pm-6:00pm Saturday ' 9:00am-2:30pm 3 Arapahoe House Proposal WCHSD Bid No. B1400070 I 11495 W 8th Ave, Lakewood, Monday -Friday: CO 80215 Saturday: Sunday: 720 W 84th Ave, Thornton, CO 80260 r 7373 Birch St, Commerce City, CO 80022 T 8:00am-8:00pm 8:00am-2:30pm Closed Monday -Friday: Saturday: Sunday: Monday and Friday: Tuesday, Wednesday and Thursday: Saturday: Sunday: 8:00am-8:00pm 8:30am-3:30pm 9:30am-3:30pm 8:00am-5:30pm 9:30am-6:00pm 6:30am-1:30pm 8:30am-2:30pm As an experienced organization in substance use monitoring, established procedures for randomized testing are in place and include the following: Clients are required to call in seven days per week to verify if a screen is required for that day. At the time clients are placed on a random urine schedule, they are assigned a color code. Those color groups announced on the recording will be required to come in for monitoring. Clients are notified by staff in writing that they may be required to leave a urine sample more than one time weekly. On -demand testing services for clients referred for immediate, generally same day, testing is also available. Arapahoe House staff, particularly those who provide monitoring services, are trained to provide comprehensive care for all clients. Bilingual (English/Spanish) and multicultural staff are available at all locations to assist clients with any concerns, ensure the provision of culturally informed care and to minimize any language barriers. Arapahoe House also has experience following protocols for other testing activities (e.g. drawing blood for patient labs) and holds a CLIA waiver. Arapahoe House has a comprehensive policy and standard operating procedure for screening for specimen adulteration/validity, as appropriate. In addition, appropriate sample storage and chain of custody procedures are followed at all locations and monitored by the onsite program supervisor. As a long time partner of WCHSD, timely reporting procedures for missed tests, failed appointments and notification of test results to WCHSD staff while maintaining the highest level of confidentiality, integrity, and chain of custody rules, are already in place. All communications involving confidential information follows appropriate security protections and meets HIPAA and 42 CFR, Part 2 regulations and any other relevant requirements for substance testing required by WCHSD. Any staff that may be involved in monitoring services is trained to these monitoring standards prior to providing a service. Further, staff routinely provides WCHSD consultation on specific drug test results including possible influence of prescribed and over the counter drugs on drug test results. Expert witness testimony is available to verify and explain testing procedures and outcomes. Additionally, Arapahoe 4 Arapahoe House Proposal WCHSD Bid No. 81400070 House agrees to attend meetings (e.g. court facilitations, court staffing, family team meetings, team decision making meetings) when available and as requested by WCHSD. Currently. Arapahoe House is utilizing the Sentry system through Northern Lab for all probation clients. This system has an online referral and reporting system and the ability to grant access to results to approved parties. At this time, we are piloting its full use in one of our clinics and could provide this option for WCDHS clients if awarded. Arapahoe House requests a 60 day notification time for this option. 5 Lisa M. Clem►nts, PhO, Dlr►cier OFFICE OF BEHAVIORAL HEALTH Lori Banks, LCSW, Interim Deputy Director Community Programs 3824 W. PrinC.(0n C ride Denver CO 80238 Phone 3O3-8ee•74o0 Fares. 303888 74et. 303.888 7428 March 19, 2014 Mr. Arthur J. Schut Arapahoe House, Inc. 8801 Lipan Street Thornton, CO 80260 Dear Art, STATE OF COLORADO ©dhs Cotaradn Department of Human Service's mfi e'. p,rnple OFFICE OF BEHAVIORAL HEALTH John W Hlckentooper Governor Reggie Blchs Executive Dirodor This letter serves as the explanation concerning the license for Arapahoe House, Inc., all sites included by the Office of Behavioral Health (OBH). Arapahoe House, Inc. recently submitted an application to the Office of Behavioral Health, to renew its Substance Use Disorder Treatment License. Since the current OBH license for Arapahoe House Inc. expired on March 15, 2014, the OBH review has not been scheduled and/or completed. The application from Arapahoe House Inc., was received prior to the expiration date of the current license, which means the current license will remain in effect until the license visit can be completed. The Office of Behavioral Health does value the work and dedication of Arapahoe House, Inc. and the resulting quality of services provided. I hope this helps to clarify that Arapahoe House Inc. is still licensed by OBH to provide services although the current license they have has expired. Please contact Bennie Lombard, M.A., CAC Ill at (303) 866-7519 or hennie.lombardastate.co.us if you have any questions regarding this correspondence. Sincere Bennie Lombard, M.A., CA Manager, Offender Substance Use Disorder Programs Colorado Department of Human Services Office of Behavioral Health Or.r Mhs'on is to Design and Deliver Quabiy Human Services last Improve the Safety and independence of the Pecpte at Colorado PY-14-15-CPS-0134 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide timely and quality monitored sobriety services to male and female clients referred by the Department as follows: 2. Contractor will provide services at the following locations: Aurora Outpatient Clinic 2600 South Parker Road, Building 5, 2nd Floor Aurora, CO 80014 (303) 412-3791 Monday -Friday (8 a.m.-8 p.m.) Saturday (7:30 a.m.-2:30 p.m.), Sunday (6:30 a.m.-2:30 p.m.) Denver Outpatient Clinic 55 West 5th Avenue Denver, CO 80204 (303) 412-3861 Monday -Friday (12 p.m.- 6 p.m.) Saturday (9 a.m.-2:30 p.m.) Sunday (Closed) Lakewood Outpatient Clinic 11495 West 8`h Avenue, #102 Lakewood, CO 80215 (303) 412-3721 Monday -Friday (8 a.m.-8 p.m.) Saturday (8 a.m.-2:30 p.m.) Sunday (Closed) North Metro Outpatient Clinic 720 West 84th Avenue, #224 Thornton, CO 80260 (303) 412-3801 Monday -Friday (8 a.m.-8 p.m.) Saturday (8:30 a.m.-3:30 p.m.) Sunday (9:30 a.m.-3:30 p.m.) Washington House Outpatient Clinic 7373 Birch Street Commerce City, CO 80022 (303) 412-3970 Monday and Friday (8 a.m.-5:30 p.m.) Tuesday, Wednesday and Thursday (9:30 a.m.-6 p.m.) Saturday (6:30 a.m.-1:30 p.m.) Sunday (8:30 a.m.-2:30 p.m.) 3. Contractor will provide a qualified monitored sobriety collector for the times and locations noted above. 1 PY-14-15-CPS-0134 4. Contractor will confirm all positive and negative monitored sobriety results within 24 hours through a phone call, test result, e-mail and/or fax to the Department. Contractor may be able to offer access through the Sentry system through Norchem Lab during the term of this Agreement. 5. Contractor will submit an invoice and a result for each client with each monthly billing. 6. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 7. 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. 2 PY-14-15-CPS-0134 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department 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 $12.50/Episode (Urinalysis Screen) $22.50/Episode (Urinalysis Screen -After Hours) $3.00/Episode (Breathalyzer Screen) $6.00/Episode (Breathalyzer Screen- After Hours) $69.00/Episode (Hair Follicle Test) $44.00/Episode (Drug Patch and Initial Drug Screen) $30.00/Episode (Urinalysis Screen with EtG) $40.00/Episode (Urinalysis Screen with EtG — After Hours) $70.00/Episode (Synthetic Marijuana) $20.00/Episode (GCMS Urinalysis Confirmation -Each Drug) $30.00/Episode (GCMS Patch Confirmation -Retest Patch) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the 1 PY-14-15-CPS-0134 month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. C. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 Client#: 53066 ARAHO3 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 06/25/2014 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 INSURED Arapahoe House, Inc. 8801 Lipan Street Thornton, CO 80260 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEE INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEE LT R TYPE OF INSURANCE INSR SWVOUER! POLICY NUMBER IN R ADO SUBR' A GENERAL LIABILITY PHPK1195533 X COMMERCIAL GENERAL LIABIL-Y CV..VS-V; OE X OCC..R X BI/PD Ded:10000 CiOMEACT Jennifer Winter PHONEI FAX Eat)970 506-3206 alc_) . No '. 970 506-6846 (AIC, No, . I EMAIL JWi ADDRESS nter@floodpeterson.com _... INSURER(S) AFFORDING COVERAGE Philadelphia Indemnity Insuranc _ Pinnacol Assurance INSURER A INSURER B INSURER C INSURER D INSURER E INSURER F GEN'L AGGREGATE LIMIT APPLIES PFR PO'LICYI PRP X LCC A AUTOMOBILE LIABILITY X ANYAU'C -- ALL CANED AUTOS A B SCHFDDEED _ AUTOS NON CANED X HIRED AUTOS X , AUTOS UMBRELLA LIAB X CCCJR )( EXCESS JAB CLAIMSMADE DED X REP EN -,ON s10000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N 'NY PROPRIETOR/PARTNER/EXECUTIVE �x OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Il yes descr be wtler DESCRI— PIN CE ORE RAT.ONS he ow A Professional Liability NIA PHPK1195533 REVISION NUMBER: NAIc B 18058 141190 N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. N REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP LIMITS LMIDD/YYYY) (MMIDDIYYYY) 07/01/2014107/01/2015 EACH OCCURRENCE $1,000,000 AMA�ETOREINTED PR -MI SEE La occurenee) St000s000 . EC EXP.Any :Pe pe'sonl s20,000 PERSONAL & ADv rE IIRY $1,000,000 GENERAL AGGREGATE s3,000,000 PRODUCTS- COMPIOP AGG s3,000,000 07/01/201407/01/2015 E°aaX dErtS NGLE LIMIT I $1,000,000 PHUB464427 4157854 PHPK1195533 BODILY INJLRY !Pe. pe'TOnl '$ BODILY INJURY ,Per accident, PROPERTY DAMAGE (Per accident; 07/01/2014 07/01/2015 EACH OCCURRENCE CR=S E s5,000,000 s5,000,000_ 07/01/2014 07/01/2015 X ,TQRYTTJMLs i _rte E L EACH ACCIDENT $500,000 E L DISEASE EA EMPLOYEE s500,000 EL D SEASE - POLICY GM T , s500,000 07/01/2014 07/01/2015 $10,000 Deductible $3Mil Agg / $1Mil Ea DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Weld County, Colorado is listed as an Additional Insured as respects General Liability. CERTIFICATE HOLDER CANCELLATION Weld County Department of Human Services Division of Child Welfare 1150 O. Street Greeley, CO 80631 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 ACORD 25 (2010/05) 1 of 1 #S903792/M903781 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JZS PY-14-15-CORE-0135 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND COLLABORATIVE SERVICES FOR CHANGE, PC Jn This Agreement, made and entered into the)day of 7f 2014, 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 Collaborative Services for Change, PC, 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, Department's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Foster Parent Consultation, Life Skills, Mental Health Services, and Sexual Abuse Treatment. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015 unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or PY-14-15-CORE-0135 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7`h 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, Department's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0135 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, Department's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Fede-al 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 3 PY-14-15-CORE-0135 - 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. 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. 4 PY-14-15-CORE-0135 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0135 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of Genera: Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. 6 PY-14-15-CORE-0135 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; - Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CORE-0135 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 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. 8 PY-14-15-CORE-O135 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, o- by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Marci Brewer, LCSW, Co-Owner/Clinical Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Marci Brewer, LCSW, Co-Owner/Clinical Director 2480 West 26th Avenue, Suite 130-B Denver, CO 80211 (303) 433-0188 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. 9 PY-14-15-CORE-0135 Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 10 PY-14-15-CORE-0135 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CORE-0135 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, 12 PY-14-15-CORE-0135 reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 13 PY-14-15-CORE-0135 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: De uty Clerk to the Board APP.41(1,1) ASS• f('1"FQRM: unty Attorney WELD COUNTY DEPARTMENT OF HUMAN S RVICES By: 14 BOARD OF COUNTY COMMISSIONERS • W F,) LD COUNTY, COLORADO �. ( as Rademacher, Chair 1 5 2014 COLLABORATIVE SERVICES FOR CHANGE, PC By: ( ' Marci Brewer, LCSW, wner/ Clinical Dir By: Jeff W. K .ic i, ..wner Lcdtti a6''- a f/ EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. 61400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.Ins-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 1244 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. 81400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTOR1» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided «funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. 81400069 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability • As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. o Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» eRepLName», eRepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 J970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName», «Addressl», «Address2» «City», «State» «Zip» «Phone» 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 furding 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 informal on removed from the Department's site by the Contractor in the course of providing services 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director uSigFName» «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. I. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area' n Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition _ . Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. 81400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 EXI IIBIT B CONTRACTORS RESPONSE TO THE REQUEST FOR PROPOSAL 2480 West 26th Avenue, Suite 130-8 Denver, CO 80211 Phone: 303-433-0188 Fax: 303-433-6145 3-17-14 To Whom It May Concern: This letter is to serve as a formal offer or bid to Weld County Department of Human Services to continue providing services for the upcoming 2014-2015 fiscal year. Because we are submitting our bid via email, we hereby waive the right to a sealed bid. Collaborative Services for Change, PC is a private S -Corporation with two owners, Marci Brewer, LCSW and Jeff Kisicki, LCSW, and there are no additional employees that would be involved in this potential contract for services. Collaborative Services for Change is committed to providing services to individuals, couples, families and youth, working to improve the quality of their relationships and ability to realize their full potential in daily functioning. Through a collaborative, culturally sensitive and holistic approach, we design personalized treatment plans, offering particular expertise in the areas of promoting healthy relationships, recovery from trauma and/or victimization, sexual abuse treatment, issues related to stress management, depression and anxiety, and supporting the development of life skills and behavior management for those with special needs. Our practice is centrally located in Denver, Colorado, in close proximity to 125, Rt. 6, and along the RTD Bus Routes. As our attached resumes will detail, both Marci and Jeff offer over 20 years' experience each, and are Licensed Clinical Social Workers. In addition, both Marci and Jeff are SOMB (Sex Offender Management Board) approved as Full Operating Treatment Providers, including a specialty in treating those with Developmental Delays, and both are Full Operating Evaluators for Juveniles. Collaborative Services for Change is also an approved CHIRP Medicaid Provider in the State of Colorado. Moreover, Marci is trained in EMDR (Eye Movement Desensitization and Reprocessing) Therapy, Levels I and II. Please see the attached materials. Thank you for this opportunity to continue our work with WCDHS. Respectfully submitted, Co -Owners: Marci Brewer, LCSW Clinical Director Jeff Kisicki, LCSW Executive Director 2480 West 26 Avenue, Suite 130-B Denver, CO 80211 Phone: 303-433-0188 Fax: 303-433-6145 SCOPE OF SERVICES AND RATES FOR 2014-2015 FISCAL YEAR: FOSTER PARENT CONSULTATION ALL SERVICES MAY BE CONDUCTED ON AN INDIVIDUALIZED OR GROUP BASIS, PROVIDED IN -OFFICE OR ON -SITE AS NEEDED :INFORMED SUPERVISION AND THERAPEUTIC CARE: Cost: $100/hour, for a personalized 2-3 hour training, scheduled in one block appointment, :OR via an on -site class format with power point presentation for arranged groups/agencies, Cost $120/hour :"TRAIN THE TRAINER" FOR INFORMED SUPERVISION: A training opportunity for professionals only who are interested in gaining the skills and curriculum necessary to teach their own Informed Supervision Classes. This is an intensive training based upon the Colorado Sex Offender Management Board Juvenile Standards for Informed Supervision as well as addressing fundamental clinical concepts related to the assessment, treatment and supervision of juveniles who have committed sexual offenses. Cost $120/hour :AGENCY SPECIFIC CONSULTATION Cost $120/hour i- CASE SPECIFIC CONSULTATION Cost $120/hour DEVELOPING INDIVIDUALIZED THERAPEUTIC INTERVENTIONS FOR SEXUALLY ABUSIVE YOUTH WHO HAVE DEVELOPMENTAL DISABILITIES AND/OR SPECIAL NEEDS: A training for professionals only, addressing the unique challenges and therapeutic approaches necessary for successful treatment of sexually abusive behaviors and boundary violations for those with the developmental disabilities or special needs. Cost $120/hour 2480 West 26'' Avenue, Suite 130-B Denver, CO 80211 Phone: 303-433-0188 Fax: 303-433-6145 SCOPE OF SERVICES AND RATES FOR 2014-2015 FISCAL YEAR: LIFE SKILLS ✓ INDIVIDUAL AND/OR FAMILY SERVICES: conducted in -home or in -office designed to teach "hands on" living skills, household management, effective access to community resources (Denver Metro Area) , parenting techniques, anger management, and family relationships Cost: $100 per hour in office or $120 hour in -home ✓ THERAPEUTIC SUPERVISED VISITATION Cost: $100 per hour in office or $120 hour in -home 2480 West 26'n Avenue, Suite 130-B Denver, CO 80211 Phone: 303-433-0188 Fax: 303-433-6145 SCOPE OF SERVICES AND RATES FOR 2014-2015 FISCAL YEAR: MENTAL HEALTH TREATMENT MENTAL HEALTH SERVICES TO ASSIST IN THE DEVELOPMENT OF FAMILY SERVICES PLAN, TO ASSESS AND/OR IMPROVE FAMILY COMMUNICATION, FUNCTIONING AND RELATIONSHIPS INCLUDING SERVICES FOR SPECIAL NEEDS AND DEVELOPMENTALLY DISABLED YOUTH, AND THOSE WITH DUAL DIAGNOSES INCLUDING TRAUMA RECOVERY INTERVENTIONS AND EYE MOVEMENT DENSITIZATION AND REPROCESSING THERAPY ✓ CHIRP FUNDED MEDICAID SERVICES are available when assessed as necessary for specific cases and approved accordingly. Current Rate by CO $121.04 per hour • INDIVIDUAL THERAPY ---50 minute individual psychotherapy sessions • FAMILY THERAPY ---50 minute family therapy sessions • GROUP THERAPY Cost: $100 per session Cost: $100 per session Cost: $70 per client ▪ EMDR: EYE MOVEMENT DESENSITIZATION AND REPROCESSING THERAPY: ---90 minute sessions Cost: $120 per session FIELD THERAPY IN THE COMMUNITY —sessions may be conducted in -home, in -school, or in the community as deemed appropriate per case, on a weekly to bi-monthly basis. Cost: $120 per 50 minute on -site sessions COUPLES COUNSELING: Cost: $100 per 50 minute session ✓ MULTIDISCIPLINARY TEAM MEETINGS OR STAFFINGS--- Cost: $85 per 50 minute meetings • CASE MANAGEMENT— Cost: $85, billed monthly on an as needed basis 2480 West 26th Avenue, Suite 130-B Denver, CO 80211 Phone: 303-433-0188 Fax: 303-433-6145 SCOPE OF SERVICES AND RATES FOR 2014-2015 FISCAL YEAR: SEX ABUSE TREATMENT SEXUAL OFFENSE SPECIFIC SERVICES FOR JUVENILES AND THEIR FAMILIES CONDUCTED BY SEX OFFENDER MANAGEMENT BOARD (SOMB) APPROVED FULL OPERATING TREATMENT PROVIDERS WITH DEVELOPMENTAL DISABILITY SPECIALTY, AND FULL OPERATING EVALUATORS OFFENSE SPECIFIC EVALUATIONS Cost: $1350 per evaluation • INDIVIDUAL THERAPY ---50 minute individual psychotherapy sessions Cost: $100 per session • FAMILY THERAPY ---50 minute family therapy sessions Cost: $100 per session GROUP THERAPY Cost: $70 per client HEALTHY SEXUALITY CURRICULUM/BOUNDARIES CURRICULUM Cost: $100 per session • CASE MANAGEMENT --- Cost: $85, billed monthly • INFORMED SUPERVISION TRAINING Cost: $100 per hour MULTIDISCIPLINARY TEAM MEETINGS OR STAFFINGS --- Cost: $85 per 50 minute meetings • COURT TESTIMONY Cost: $100 per hour TREATMENT FOR SEXUAL VICTIMIZATION AND/OR SEXUAL ABUSE PREVENTION ✓ CHIRP FUNDED MEDICAID AND/OR ADULT SERVICES are available when assessed as necessary for specific cases and approved accordingly. Current Rate by CO $121.04 per hour • EMDR: EYE MOVEMENT DESENSITIZATION AND REPROCESSING THERAPY: ---90 minute sessions Cost: $120 per session INDIVIDUAL THERAPY ---50 minute individual psychotherapy sessions Cost: $100 per session • FAMILY THERAPY ---50 minute family therapy sessions Cost: $100 per session • GROUP THERAPY Cost: $70 per client • HEALTHY SEXUALITY CURRICULUM/BOUNDARIES CURRICULUM Cost: $100 per session • CASE MANAGEMENT --- Cost: $85, billed monthly • MULTIDISCIPLINARY TEAM MEETINGS OR STAFFINGS --- Cost: $85 per 50 minute meetings ly COURT TESTIMONY Cost: $100 per hour 2 7E OF CO' ORADO ncles Department of Regulatory Division gfProtaysions and OccupationsPRINTED ON SECURE RAPE Mara Mandel Brower CO 8O271 Denver Division Dinette? Active GSM/ DI csWag99n9g Number "re . R N1slcki Leovor Sielt OI UUW1W-1U )epartmont of Regulatory Agencies ,Ion of Professions and Occupations NtW ON SECURE PAPE 09/012013 Issue Data Division Oirndor CO 80211 =Maid Expire Ogle Signature L99L9rE0L61:c'1 :'U3 o0:il:bl-61-:0 Jeff Kisicki, MSW, LCSW #992898 2480 W. 26th Avenue, Suite 130-B • Denver CO 80211 • 303-433-0188 )w) • 303-905-4143 (c) • wjkisicki@yahoo.com EDUCATION M.S.W., Masters of Social Work, University of Denver, Graduate School of Social Work Denver Colorado, June 1996 B.A., Psychology, Criminal Justice Minor University of Nebraska at Lincoln Lincoln Nebraska, December 1992 PROFESSIONAL LICENSURES & AFFILIATIONS Certified Licensed Clinical Social Worker (LCSW) 1998, License 14992298 Colorado State Sex Offender Management Board (BOMB) Listed Treatment Provider for Sexually Abusive Juveniles; July 2003 - Present Member of National Association of Social Workers (NASW); 1997 - Present EXPERIENCE Collaborative Services for Change PC, Denver, CO Executive Director and Co-owner, May 2004 - Present Private practice provides treatment programming for adults and adolescents who present with developmental disabilities, acute mental health issues, trauma history and problematic social conduct or sexual behavior. Conduct psychological testing, formulate and implement treatment plans and complete court ordered sexual offense specific risk evaluations for juveniles. Administer case coordination and collaboration among school, family, social support systems, social services and probation related to treatment interventions, including individual, group, and family therapy services. Economic Offense Treatment Services, Denver, CO Clinical Director, 2004 - Present Conduct intakes and provide CBT group therapy for the Denver County Adult Probation Department's economic offender program. This is a therapeutic intervention program designed for people convicted of specific financial criminal offenses. Sex Offense Resource Services, Denver, CO Lead Clinician, 2005 - 2012 Administer specialized program, Head Heart and Hands which is designed to meet the needs of convicted and registered adult sexual offenders who struggle in typical group settings. This includes, developmentally disabled, chronically mentally ill and homeless men. Resource Center for High Risk Youth LLC, Denver, CO Clinical Supervisor, BOMB Listed Provider and Evaluator, August 1995 - May 2004 Supervised and provided clinical supervision for MSW level staff, as well as developed and implemented treatment plans. Provided specialized community -based sexual offense specific treatment intervention with youth, families, and in group settings. Specialized in working with developmental disability population. The Boulder Resource Study Hall Program, Boulder, CO Program Supervisor, January 1998 —June 2003 Provided clinical intervention and conducted treatment with youth sentenced to Juvenile Intensive Supervision Probation in Boulder County. Collaborated with JISP probation officers and provided intensive cognitive restructuring and cognitive skills groups. PRESENTATIONS/TRAININGS Provide ongoing training and consultation services for the Department of Youth Corrections, Child Placement Agencies, and the Colorado Sex Offender Management Board (BOMB). I have presented for, The Association for the Treatment of Sexual Abuse (ATSA), and The National Adolescent Perpetrator Network (NAPN). "Detailed list of specific presentations and trainings available upon request. REFERENCES Available upon request Trainings Attended 1-21, 1-22-10 2-20-10 to 2-22-10 16 Hours New Frontiers in Trauma Treatment Bessel Van der Kolk, MD 20 Hours NAPN, National Adolescent Perpetrator Network, Denver Conference Neuroscience and the Brain Kevin Creeden, John Bergman Sexual Health: What is it? What's Normal? Loyd Sinclair Understanding/Managing Youth with Aggression/Impulsivity Problems Kevin Powell Teaching Self -Regulation: First Steps Treating Victims & Perpetrators David Fentress Art and Alchemy: Use of Art Therapy to Transform Deficits Miller/Rousch/Yerkley Research, Policy and Practice: What are we learning from research? J. Worling, Rich, Leversee Empathy Training / Empathy Fatigue: Cheryl Downey Treatment Outcomes: Use of Biofeedback/ Neurofeedback Kevin Creeden for R. Longo 1-28-11 8 hours Problematic Sexual Behavior in Children & Adolescents Craig Latham Ph.D. with Pervasive Developmental Disorders 10-18-12-10-20-12 19 Hours ATSA National Conference, Denver Risk Management in community program of persons with intellectual disabilities Assessment and treatment for individuals with Autism Spectrum Disorders and sexual behavior problems Developmental Models of Sexual Aggression Adult Love Relationships and Intimacy Deficits MARCI M. BREWER, LCSW EDUCATION Post -Graduate Clinical Training, September 1993 - September 1995 Colorado Institute for Marriage and the Family, Boulder, Colorado Master of Social Work, June 1991 University of Denver, Denver, Colorado Bachelor of Science in Social Work, May 1987 Bowling Green State University, Bowling Green, Ohio CREDENTIALS Licensed Clinical Social Worker Colorado License Number 991181, October 1993 Approved Full -Operating Treatment Provider, with Developmental Disability Specialty, and Full - Operating Evaluator specific to Juveniles via the Colorado Sex Offender Management Board, 2002 to present EMDR (Eye Movement Desensitization and Reprocessing) Trained: Level I and II, May 2012 EXPERIENCE Collaborative Services for Change, PC, Denver, Colorado Clinical Director and Co-owner, June 2004 to present • Develop and implement outpatient treatment programming that is sexual offense specific for juveniles, including the following services: o Offense specific evaluations o Intake assessments o Individualized treatment planning o Treatment for special needs youth, developmentally disabled youth and those with dual diagnoses who have evidenced sexually abusive acting out o Individual, group, and family therapy o Field therapy o Polygraph preparation o Healthy sexuality and boundaries curriculum o Informed supervision trainings o Case management, staffings and court testimony as needed • Provide holistic mental health treatment programming for special needs, developmentally disabled youth, and those with dual diagnoses • Provide outpatient mental health therapy for individuals, couples, youth and families focusing on a variety of presenting issues, utilizing a strength based, systemic and cognitive behavioral approach including: o Recovery from sexual victimization o Trauma recovery o Family issues and Parenting o Relationship improvement o Anger management Marci M. Brewer, LCSW Page 2 o Behavior disorders o Mood disorders o Issues with stress, anxiety and/or affect regulation o Life stage transitions o Social skills intervention o Teen parenting education • Provide EMDR (Eye Movement Desensitization and Reprocessing ) Therapy • Economic Offender Programming via Denver County Adult Probation • Provide on -site program consultation and foster parent training • Provide professional trainings The University of Denver Graduate School of Social Work Adjunct Professor, January 2012 • Taught graduate level course in: Cognitive Approaches to Social Work Practice Winter Quarter 2012 • Developed and designed curriculum for coursework • Facilitated an engaging learning environment and administered related assignments • Conducted student evaluation and grading The Resource Center for High Risk Youth, Denver, Colorado Clinical Supervisor, January 2003 — June 2004 Clinician, May 1999 — January 2003 • Completed sexual offense specific evaluations and risk assessments for juveniles • Completed thorough intake assessments for admission and developed personalized treatment plans • Provided outpatient, sexual offense specific family, individual and group therapy with both male and female clients of all ages, based upon the philosophy of Containment Theory • Facilitated containment staffings with related case management, report writing and court testimony as needed • Created and co -facilitated a Multi -family Group • Created and presented a hi -monthly psycho -education class on Informed Supervision and Therapeutic Care • Supervised clinicians and MSW Student Intern(s) • Assisted in administrative duties and agency program development Private Practice, August 1993 — June 2004 • Private practice on a part-time basis, conducting individual, family, marital and group therapy to a variety of outpatient clientele (2002 - 2004) • Conducted contract work with Therapeutic Alliance, including individual, family and group therapy (2001 -2004) • Conducted a six week Foster Parent Training seminar for Denver Area Youth Services (1997) • Facilitated a parent support group under contract for the Denver Family Therapy Center (1993) Marci M. Brewer, LCSW Page 3 Shiloh House, Inc., Littleton, Colorado Clinician, February 1997 — May 1999 • Provided family, group and individual therapy, within a continuum of residential, day treatment, in - home and community -based settings • Effective intervention with high risk clientele, including such populations as sexual offense specific, juvenile delinquency and emotionally disturbed children and adolescents • Conducted sexual offense specific evaluations and court reports • Performed ongoing assessment, case coordination and multi -disciplinary treatment planning • Facilitated a Multi -family Group • Conducted crisis intervention and behavior management for the programs, and clinical training for the staff Colorado Christian Home, Denver, Colorado Residential Unit Supervisor, April 1995 - December 1996 • Managed a residential treatment unit for severely traumatized children and their families • Facilitated individual and group supervision for a clinical staff of 18 • Provided family, group, and individual therapy with related case management • Created innovative residential programming based upon the concept of positive peer culture • Provided ongoing leadership through team process, training, and direct milieu management • Performed rotating emergency clinical supervision of entire residential agency • Responsible for overall operations including hiring, staff development, scheduling, evaluations, and financial budgeting Denver Children's Home, Denver, Colorado Family Therapist, After School and Day Treatment Programs, July 1991 - April 1995 • Assessed intensive outpatient clientele, and developed treatment plans accordingly • Provided family, marital, individual, and group therapy, with court reports and testimony • Coordinated all cases with multiple social agencies and schools • Conducted crisis intervention and behavior management • Supervised MSW Intern Bethesda PsycHealth System, Denver, Colorado Social Work Intern, August 1990 - June 1991 • Conducted family and marital therapy • Co -facilitated a parent support group and a women survivors of sexual abuse group • Presented school in -services Florence Crittenton Services, San Francisco, California Group Counselor, July 1989 - June 1990 • Provided individual counseling, group therapy, crisis intervention and parenting education for adolescent mothers and their children Marci M. Brewer, LCSW Page 4 Sunny Hills Children's Services, San Anselmo, California Residential Counselor, September 1988 - June 1990 • Conducted individual counseling and group therapy for severely disturbed adolescents Henry County Department of Human Services, Napoleon, Ohio Social Services Worker III, January 1987 - May 1988 • Provided counseling and case management services for protective and ongoing caseload • Investigated reports of child abuse, neglect and dependency, including court testimony • Organized and implemented a day care program • Conducted custody and friend of the court investigations • Co -facilitated a therapy group for both survivors and perpetrators of sexual abuse Henry County Court of Common Pleas, Napoleon, Ohio Guardian Ad Litem, December 1987 - May 1988 • Advocated for the best interests of alleged sexually abused children and provided court testimony accordingly CONFERENCES AND PROFESSIONAL TRAININGS • Co -facilitated a sexual offense specific conference for the Department of Youth Corrections (Denver, CO 2000) • Presented three, eight -hour conferences for the Colorado Sex Offender Management Board on: Informed Supervision and Therapeutic Care (2-18-03 Fort Collins, CO; 2-26-03 Colorado Springs, CO and 3-14-03 Grand Junction, CO) • Co -facilitated a 90 -minute conference for the Colorado Child and Adolescent Mental Health Coalition on: Sexually Abusive Youth: A Treatment Framework (3-14-04 Colorado Springs, CO) • Co -facilitated a one -day conference for the Colorado Sex Offender Management Board on: Individualized Treatment Planning and Intervention with Juvenile and Adult Sex Offenders (4-7-05 Denver, CO) • Co -facilitated a half -day conference sponsored by the Colorado Sex Offender Management Board Victim Advocacy Committee on: Victim Representation on Sex Offender Supervision Teams (10- 13-06 Denver, CO) • Provide ongoing Informed Supervision and Therapeutic Care Trainings for multi -disciplinary team members, to present • Presented a professional training for the Colorado Sex Offender Management Board on: Treatment Interventions for Juveniles Who Have Sexually Acted Out (4-28-11 Denver, CO) • Presented a professional training for the Department of Youth Corrections on: Building Victim Awareness: Being Victim Centered, Impacts to Victims, Clarification and Reunification Considerations (3-8-13) PUBLICATIONS • Chapter "Multi -Family Group Therapy for Sexually Abusive Youth" included in the Journal of Aggression, Maltreatment and Trauma, and in the book entitled identifying and Treating Juvenile Sex Offenders: Current Approaches, Research, and Techniques, Haworth Press, 2004. 2480 West 26th Avenue, Suite 130-B Denver, CO 80211 Phone: 303-433-0188 Fax: 303-433-6145 TRAINING RE: MARCI BREWER, LCSW 3-17-14 RE- APPLICATION FOR CONTINUED SERVICE PROVIDER FOR WELD COUNTY DEPARTMENT OF HUMAN SERVICES EFFECTIVE DATES: 2010 TO PRESENT NOTE: ITEMS DENOTED IN ITALICS INDICATES MARCI BREWER AS TRAINER DATES HOURS TITLE TRAINERS 1-21, 1-22-10 16 NEW FRONTIERS IN TRAUMA TREATMENT BESSEL VAN DER KOLK, MD 2-20 through 2-22-10 20 NATIONAL ASSOCIATION OF PERPETRATION NETWORK APPRECIATIVE INQUIRY: NEW LOOK AT CLARIFICATION/REUNIFICATION-TEDESCHI TREATING FEMALE OFFENDERS: RELATIONAL CONSIDERATION-ROBINSON SEXUAL HEALTH: WHAT IS IT?-SINCLAIR UNDERSTANDING AND RESPONDING TO SEXUAL BEHAVIOR IN CHILDREN-FITZGERALD TEACHING SELF -REGULATION: FIRST STEPS TO TREATING VICTIMS AND PERP-FENTRESS ART AND ALCHEMY: USE OF ART TX TO TRANSFORM DEFICITS -MILLER, ROUSCH, YERKLEY RESEARCH, POLICY AND PRACTICE: WHAT ARE WE LEARNING-WORLING THE AIM2 ASSESSMENT MODEL: EVALUATING CONCERNS AND STRENGTHS—McGRATH THERAPEUTIC OUTCOMES: USE OF BIOFEEDBACK/NEUROFEEDBACK-CREEDEN 1-20-11 8 SEXUAL OFFENSE SPECIFIC TRAINING WEISS; NAHUM; CERRETA-KESSIE; KISICKI AND BREWER EXECUTIVE FUNCTIONING AND INTELLIGENCE-CERRETA-KESSIE TREATING TRAUMA -BREWER ENCOPRESIS IN CHILDREN-NAHUM SPECIAL APPLICATIONS OF EMDR-WEISS COVERT DESENSITIZATION-WEISS EMOTIONAL REGULATION AND MINDFULNESS FOR AT RISK YOUTH--KISICKI 4-28-11 2 JUVENILES WHO HAVE SEXUALLY ABUSED: EVALUATION, BREWER TREATMENT AND INFORMED SUPERVISION 10-24-11, 10-25-11 16 BODY -CENTERED TRAUMA THERAPY ANA DO VALLE, OTR, SEP 12-1 through 12-3-11 24 EMDR: BASIC TRAINING LEVEL ONE JULIE GREEN, LPC 5-17 through 5-19-12 24 EMDR: BASIC TRAINING LEVEL TWO JULIE GREEN, LPC JANUARY - JUNE 2012 10 EMDR CONSULTATION MARSHA SAGE, LPC ONGOING TO EMDR CONSULTATION MARSHA SAGE, LPC PRESENT 10-18 through 10-20-12 20 ASSOCIATION FOR THE TREATMENT OF SEXUAL ABUSERS HOPE AND OPTIMISM-CAREY EVERYTHING YOU WANTED TO KNOW ABOUT PRISON AND THEIR EFFECT-GENDREAU JSOAP-II AND JSORRAT-II UPDATES-RIGHTHAND; HECKER; RALSTON; EPPERSON JUV. DELINQUENTS AND JUV. WITH SEXUAL BEHAVIOR PROBLEMS ---BURTON; LEIBOWITZ; BUTTERS: VANDERLOO; LIZON THE GERMAN DUNKELFELD PROJECT: PROACTIVE STRATEGIES TO PREVENT CHILD SEXUAL ABUSE AND THE USE OF CHILD ABUSIVE IMAGES-BEIER THE CHALLENGES OF PREVENTION-FINKELHOR FAMILY MATTERS FOR YOUTH WITH INTELLECTUAL DISABILITIES WHO HAVE SEXUAL BEHAVIOR PROBLEMS-BLASINGAME TREATMENT NEEDS, INTERVENTIONS AND RECIDIVISM-CALDWELL; RIGHTHAND; HECKER; DORE GETTING BETTER AT WHAT WE DO: WHAT SEPARATES THE BEST FROM THE REST?-DUNCAN CHANGING THE CONVERSATION ABOUT SEXABUSE--GANIM 1-31-13 3 EFFECTIVE INTERVENTIONS WITH CHILDREN LAUREN KERSTEIN, LCSW AND ADOLESCENTS WITH AUTISM SPECTRUM DISORDERS 3-13-13 3.5 THE DSM 5: CHANGES AND CHALLENGES 4-18-13, 4-19-13 NASW STAFF 16 ATTACHMENT -FOCUSED EMDR LAUREL PARNELL, PHD 2-18-14, 2-19-14 16 INTEGRATIVE TREATMENT OF COMPLEX BRIER AND LANKTREE TRAUMA FOR ADOLESCENTS ***NOTE: GIVEN THE LARGE AMOUNT OF TRAININGS, CERTIFICATES MAY BE PROVIDED UPON REQUEST SHOULD FURTHER DOCUMENTATION BE REQUIRED 2 PY-14-15-CORE-0135 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Foster Parent Consultation, Life Skills, Mental Health Services, and Sexual Abuse Treatment, to clients referred by the Department, in the Denver Metro Area. a. Foster Parent Consultation: Contractor will provide Informed Supervision and Therapeutic Care, Agency Specific Consultation, Case Specific Consultation, and Therapeutic Interventions for Sexually Abused Youth with Developmental Disabilities and/or Special Needs. b. Life Skills: Contractor will provide individual or family Life Skills, both in -office and in -home, that address living skills, household management, effective access to community resources in the Denver Metro Area, parenting skills, anger management, and family relationships. Contractor also will provide Therapeutic Visitation services both in -home and in -office. c. Mental Health Services: Contractor will provide individual or family therapy, and Eye Movement Desensitization and Reprocessing (EMDR), to address specific problematic issues that may include, but are not limited to, abuse recovery, anger management, trauma recovery, behavior disorders, mood disorders and social skills interventions. d. Sexual Abuse Treatment: Contractor will provide offense specific services to juveniles and their families, including Offense Specific Evaluations, Individual and/or Family Therapy, Healthy Sexuality Curriculum/Boundaries Curriculum. 2. All services will be provided by Marci Brewer, LCSW, and/or Jeff Kisicki, LCSW. Contractor is Sex Offender Board Management (BOMB) Full Operating Treatment Providers. 3. 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. 4. 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. 5. 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. 6. 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. 7. 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. 1 PY-14-15-CORE-0135 8. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 9. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 2 PY-14-15-CORE-0135 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 Foster Parent Consultation: $120.00/Hour (Informed Supervision and Therapeutic Care. $120.00/Hour (Agency or Case Specific Consultation) $120.00/Hour (Interventions for Sexually Abused Youth with Developmental Disabilities and/or Special Needs) Life Skills: $100.00/Hour (Individual and/or Family Life Skills, In -Office) $100.00/Hour (Therapeutic Visitation, In -Office) $120.00/Hour (Individual and/or Family Life Skills, In -Home) $120.00/Hour (Therapeutic Visitation, In -Home) $85.00/Hour (Court Facilitations/Court Staffings/Family Team Meetings/Team Decision Making Meetings) $85.00/Month (Case Management) Mental Health Services: $100.00/Hour (Individual or Family Therapy, 50 -minute Session) $120.00/Episode (Eye Movement Desensitization and Reprocessing, 90 -Minute Session) $85.00/Hour (Court Facilitations/Court Staffings/Family Team Meetings/Team Decision Making Meetings) $85.00/Month (Case Management) Sexual Abuse Treatment: $1,350.00/Episode (Offense Specific Evaluation) $100.00/Episode (Individual or Family Therapy, 50 -Minute Session) $100.00/Episode (Healthy Sexually Curriculum/Boundaries Curriculum, 50 -Minute Session) $120.00/Episode (Eye Movement Desensitization and Reprocessing, 90 -Minute Session) 1 PY-14-15-CORE-0135 $85.00/Hour (Court Facilitations/Court Staffings/Family Team Meetings/Team Decision Making Meetings) $85.00/Month (Case Management) 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`" 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 Account Number: CO COLL 2480 Date: 10/17/13 Initials: MCI CERTIFICATE OF INSURANCE AMERICAN HOME ASSURANCE CO. C/O: American Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 800-421-6694 This is to certify that the insurance policies specified below have been issued by the company indicated above to the insured named herein and that, subject to their provisions and conditions, such policies afford the coverages indicated insofar as such coverages apply to the occupation or business of the Named insured(s) as stated. THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE. Name and Address of Insured: COLLABORATIVE SERVICES FOR CHANGE PC 2480 W 26TH AVE STE 130B DENVER CO 80211 Type of Work Covered: PROFESSIONAL SOCIAL WORKER Location of Operations: (If different than address listed above) Claim History: N/A Additional Named Insureds: JEFF KISICKI MARCI MANDEL BREWER Coverages Policy Number Effective Date Expiration Date Limits of Liability PROFESSIONAL/ LIABILITY SWL-003200150 9/03/13 9/03/14 2,000,000 4,000,000 NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED ON THIS POLICY AND HE OR SHE SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF CANCELLATION. Comments: The following is an Additional Insured on this policy: DENVER OPTIONS, INC 9900 E ILIFF AVE DENVER CO 8023 This Certificate Issued to: Name: COLLABORATIVE SERVICES FOR CHANGE PC Address: 2480 W 26TH AVE STE 130B DENVER CO 80211 APA 00049 00 (05/2012) Aut orized Representative ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD/YYYY) 03/18/2014 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER INSURED Dodrill Insurance, Inc. 7807 W Mississippi Avenue Lakewood, CO 80226 Collaborative Services for Change PC 2480 W 26TH AVE STE 130B DENVER, CO 80211-5327 CONTACT Angela Aragon Mostek NAME ......_ . .-_9 -9_ -_ -.. PHONE !FAX ING.N0, E.AUI_A._.30398fi-7539 ) , (Ale Ho(; (303)989-8755 E-MAIL v an elart dodrillinsurance.com ADDRESS: angelar@dodrillinsurance.com. INSURER(S) AFFORDING COVERAGE INSURER A: Arm) Insurance Company19100 NAIC N INSURER B : INSURER C: INSURER D : INSURER E INSURER F •00009183-94 REVISION NUMBER: 3 y THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE POLICIES. AUDI.IS-11V11 INSR THE VA(O LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY EFF POLICY NUMBER rjMM10D1YYYY) POLICY EXP IMMIDD/YYYY) LIMITS A GENERAL LIABILITY —1 COMMERCIAL. GENERAL LIABILITY Y ACPBPO7591648867 09/04/2013 09/04/2014 EACH OCCURRENCE S 1,000,000 DAMAGE TO RE NTE D PREMISS IEa occurrence) S .300 000_ t I CLAIMS -MADE I X OCCIJR MED EXP (Any one person) S _ 1,000 GEML PERSONAL P. ADV d1JURY S 1 L00°, 000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER- POLICY I EO I .. .I Lac PRODUCTS - COMP/OP AGG : S 2,000,000 S A AUTOMOBILE _ _.- „,X LIABILITY ANY AUTO ALI OWNED I SCHEDULED AUTOS(Pei AUTOS ---'� IJONOANED )IIREOAUTOS X1 AUTOS ACPBPO7591648867 09/04/2013 09/04/2014 ca Iq Q jOSINGLF LIMIT 1,000L000 BODILY INJURY (Per person) S BODILY INJURY acudc:II) S PROPERTYIJAMAGE (Per �"ien() S - S UMBRELLA LIAR OCCUR EXCESS !JAB I CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S I DED I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIE IORIPARTNERIEXECUTIVE ❑ OFFICERR,IEMBER EXCLUDED? (Mandatory lnNH) H yyes, descnbe under UESCRIPI ION OF OPERATIONS below N!A I I IWC ATU- I I OER T RYI E L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E L DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (Anach ACORD 101, Additional Remarks Schedule, it more space is required) FOR INFORMATION ONLY ..... R##f##1#M,HfN# CERTIFICATE HOLDER CANCELLATION COLLABORATIVE SERVICES FOR CHANGE 2480 W 26TH AVE DENVER, CO 80211 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 (AAR) ACORD 25 (2010/05) u© 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Printed by AAR on March 18. 2014 at 01:05PM ® ACORD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CERTIFICATE OF LIABILITY INSURANCE DATE IMMlUOlYE YI 03/18/2014 PRODUCER Dodrill Insurance, Inc. 7807 W Mississippi Avenue Lakewood, CO 80226 INSURED Collaborative Services for Change PC 2480 W 26TH AVE STE 130B DENVER, CO 80211-5327 CONTACT NAME' PHONE _IAC.. ND. Enn E NAIL ADDRESS Angela Aragon Mostek (303)986-1539 angelar dod rillinsuran ce.com I LAIC No) FAR (303)989-8755 INSURER(S) AFFORDING COVERAGE _ NAICP INSHRERA Amco Insurance-CQmpany - _. — 19140_ INSURER e'. INSURER C INSURER D INSURER E INSURER F ED • REVISION NUMBER: 1 L,V THIS INDICATED_ CERTIFICATE EXCLUSIONS lniFI ILIIHUCO ,.. Ll'.li ivr... ...-.—... IS TO CERTIFY TI TAT TILE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED NOTWITHSTANDING ANY REQUIREMENI, TERM OR CONDITION OF ANY CONTRACT MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN TO THE INSURED NAMED OR OTHER DOCUMENT POLICIES DESCRIBED HEREIN REDUCED BY PAID CLAIMS POLICYEFF • POLICY EXP RdAIIDIW DVVI )MM/DOIYTYYYYI ABOVE FOR THE POLICY WITH RESPECT TO IS SUBJECT TO ALL THE LIMITS PERIOD WHICH THIS IFRMS, TYPE OF INSURANCE ADDL SUSHI INSR MD POLICY NUMBER A • I �— A GENERAL _. GFRI LIABILITY CC `:.4 Rcl GENESIS TILE Lis( L MS MACE • X .'CJR _ -. I • ACPBP07591648867 09104/2013 09/04/2014 CACH OCCURRENCE rJ� 1'-_S'Eav J I5_ 1,000,00071 _ $. 1,000 11 f ESP (Any On I '` PERSONA- & AD: won,/ GLNFTTAI AGGREGATE I RonucTs.COMP/Or AT -. $ 1,000,000 2,0001000 2 000,000 AGGREGATE'LIMIT AVPLPS PER. Poucr PI Ilor, IrRot AUTOMOBILE LIABILITY ALAUTO ALL J AUTOS AULD'SI.LC AUTO$ 1 N 'WNED X: HIRED AUTOS -X A AUTOS C 09/04/2013 109/04/2014 �OMmderen BINFIJ SINGLE TRAIT (I a 0u-4enPBPO7591648867 UgUILI 'LIP-IR,' IPer pe60nl j 1900000 S HU.Y �IIJtIRY 'Per a('.Pnenn HULL PROICR'Y DAMAGE the^I` 5 S ,. _ UMBRELLA LIAR I OCCUR EXCESS LAB I I CI AIMS -MADE FACE OCCURRENCE 5 !LUCHFGATE S DEC RETENTIONS S WORKERS COMPENSATION ANDEMPLOYER$ LIABILITY YIN ANY PRGP _'TOR' PR TNEF•E.(EC'UTIVE I OFFICER; 1 MBER ESCI LOLLY' I (Mandatory in N HI • I'ye, Eescroe unde, RFC('RIPTION OF DUEPAT DNS I ci NIA NC STAI U- 0TH- TONY LIMITS _EN EL EACH ACCIDENT — - - F I D SF ADE -EA' PLO'E CL C`E45F-P000V JIdi o ❑ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAttach ACORD 101, AddilionaI Remarks Schedule Jr mom space isl requFedl CERTIFICATE HOLDER CANCELLATION Weld County Department of Human Services 315B N 11th Ave P.O. Box A Greeley, CO 80632 ACORD 25 (2010/05) 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 41, Off /712 y� (AAR) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Printed by AAR on March 18, 2014 at 02'.01 PM PY-14-15-CORE-O218 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND DEVEREUX COLORADO This Agreement, made and entered into then day of,°/J{yj, 2014 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 Devereux Colorado, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Day Treatment Services, Individual Transition Services and Mental Health Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CORE-0218 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" of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7" of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0218 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et, seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0218 - 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. 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. 4 PY-14-15-CORE-O218 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 states 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. 5 PY-14-15-CORE-0218 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional, Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. H. 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. 6 PY-14-15-CORE-0218 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CORE-0218 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 $2,000,00D 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 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. 8 PY-14-15-CORE-0218 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Perry W. May, Executive Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Perry W. May, Executive Director 8405 Church Ranch Boulevard Westminster, CO 80021 J303-438-2202 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. 9 PY-14-15-CORE-0218 Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 remain ng 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 theft 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 10 PY-14-15-CORE-0218 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, continua:ion, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CORE-0218 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CORE-0218 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CORE-0218 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15-CORE-0218 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: arttA 167 Deputy Clerk to the Board y Attorney WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: 15 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO <�lLv Douglas R4demacher, Chair SEP 1 5 2014 DEVEREUX CO By: / Perry W. May, Ex: utive Director aG/4 a(1/th IfSI IIBIT A WELD COLIN l Y'S REQUEST FOI( PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11°i Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing, When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. 1. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A'A/Ill 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. i. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No, B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTORI» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7`h 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. Contactor 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability As required by State statute including occupational disease, covering all employees at the work site. - General Liability (PL and PD) (Minimum) Combined single limit - $500,000.00 written on an occurrence basis. Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 1970)352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName» «Addressl»,«Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By'. Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director 13 «SigFName» «SigLName», «Title» Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11`h Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCKI. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 EXHIBIT B CONTRACTOR'S RESPONSE TO REQUEST FOR PROPOSAL Devereux rorosnm March 17, 2014 Tobi Vegter CORE and Service Contract Coordinator Weld County Department of Human Services 315 A N. 11" Avenue Greeley, CO 80632 Re: Weld County Department of Human Services Core Services, Request for Proposal, Program Year 2014-2015 Dear Tobi Vegter and The Families, Youth and Children's Commission: The following Request for Proposal for a CORE service contract with Weld County Department of Human Services is being submitted on behalf of Devereux Colorado, 8405 Church Ranch Boulevard, Westminster, CO 80021. Devereux Colorado is a private, non-profit behavioral healthcare organization specializing in the treatment of psychiatric, emotional, behavioral, and developmental problems in children and adolescents. Since 1943, our organization has worked in partnership with our clients, their families, and professionals to improve the quality of life for at risk and special needs youth. The mission of Devereux Colorado is to inspire growth and foster human potential in the lives of those we serve. By partnering with Weld County Department of Human Services and utilizing positive dynamic approaches to individualized, evidence -based, outcome oriented services, we can work together to promote health and success for the youth and their family. We believe that working with families in a strength based approach promotes placement stability and insures that the youth will remain in the home environment. Because we believe in partnering, every effort is made to wrap other conununity resources around the family unit. Devereux Colorado uses a trauma informed care approach to identify individualized treatment needs and interventions. Devercux Colorado is proposing to contract for Individual Transitions Services as part of the Aftercare Services program area. The following proposal outlines the description of our Individual Transition Services, how the service function to prepare youth to return to their family or find permanent placement, and the rate schedule for this service. Thanks for taking the time to review the proposal and please feel free to contact Perry May, Assistant Ex 'ye Director, at 303-438-2202 or myself with any additional questions. Since P44 May, Ass. tant Executive Director evereux Colorado 303-438-2202 8405 Church Ranch Blvd Westminster, CO 80021 Devereux COIDHADO Weld County Human Services Request for Proposal Day Treatment Program Devereux is currently the largest, private, non-profit provider of behavioral health care services in the United States and we are nationally known for having a very broad and robust continuum of care. Our current local resources include both residential and community based services, access to short and long term out of home services and, if necessary specialized treatment. The array of services in both our residential and community based programs makes us uniquely positioned to effectively support families and youth. Devereux Colorado is submitting the request for proposal to contract with Weld County Department of Human Services for our Day Treatment Program. Service Grid Day Treatment Services Master 's Level Teacher Bachelor's Level Paraprofessional • Individual, group, family therapy • Six hours of academic instruction • Education evaluation • Psychiatric evaluation and medication monitoring • Substance abuse evaluation and treatment if needed e Recreation therapy • Independent living instruction (youth 16 yrs older) Description: The Day Treatment Program is for children and adolescents whose behaviors are preventing them from attending public schools. This program will accept both regular and special education students. The staff will complete an evaluation of specific academic areas in order to earn specific credit from their home school district. For non -special education certified youth, staff will expedite the process for special education certification by completing special education assessments acceptable to the home school district within the first forty-five days from admission. Services Provided: 1. Individual, group, and family therapy on a weekly basis or as determined by the Multi Disciplinary Team. 2. Therapy services maybe provided in -home and in facility, as determined by the Multi Disciplinary Team. 3. Six (6) hours of academic instruction in a structured therapeutic environment 4. Educational Evaluation, if needed, including assessment for special education services. COLORADO 5. Psychiatric evaluation and treatment including medication monitoring, if applicable to the client 6. Substance abuse evaluation and treatment if indicated 7. Sexual offender treatment for adjudicated sexual offenders and youth who have been identified to have sexual perpetration and/or victim issues 8. Recreation therapy, structured on/off grounds 9. Independent living instruction for youth ages sixteen (16) and older 10. Transition services for return to public school, if application Daytreatment Program Rate: $95 day (Devereux to:�tAi Weld County Human Services Request for Proposal In -Home Therapy Services Devereux is currently the largest, private, non-profit provider of behavioral health care services in the United States and we are nationally known for having a very broad and robust continuum of care. Our current local resources include both residential and community based services, access to short and long term out of home services and, if necessary specialized treatment. The array of services in both our residential and community based programs makes us uniquely positioned to effectively support families and youth. Devereux Colorado is submitting the request for proposal to contract with Weld County Department of Human Services for In -Home Therapy services: Service Grid In Home Therapy Master's Level Licensed Therapist with bachelor level support • CBT • DBT • Assessments: CBCL, parent stress indicator, trauma system checklist, , Beck Depression Inventory, Beck Anxiety Inventory, Kaufinen Brief Intelligence Test (KBIT), Preparing Adolescents for Young Adulthood (PAYA), UCLA PTSD Trauma Screening • Applied Behavioral Assessment/ Analysis • Concepts from major research based models Description: Devereux Colorado provides individual and family treatment to facilitate the entire family staying together in the community. The models that our clinicians are trained to use are CBT (Cognitive Behavioral Therapy), DBT (Dialectical Behavioral Therapy) and ABA (Applied Behavioral Analysis) as well as general concepts from the major research based in -home therapy models. In -Home Therapy through Devereux Cleo Wallace begins with an assessment using the Child, Adolescent Needs and Strengths (CANS) tool. The approach or approaches used will be dictated by the youth and his/her family's needs and strengths and what approach is believed to have the best chance of helping the youth and family be successful These services are geared towards the identified youth being as young as 12 years old up to 21 years old but would not exclude a family with younger children in the home. We can offer 1-4 hours per week of therapy, depending on the agreed upon treatment plan. These hours can be utilized in any Devereux CQ��o combination of individual and family therapy. If transition services are indicated, the clinician and transition specialist will function as a team to serve the youth and family. How services may function: • Services begin with the therapist meeting the youth and family and conducting an assessment. A treatment team meeting is then set up and an In Home Therapy plan is developed • Monthly treatment team meetings will be held • Weekly contact with the caseworker will occur • Services will typically last a minimum of 90 days but can go on for as long as it is determined to be necessary. The length of stay will be determined through discussions with the treatment provider and the caseworker. Locations Served: neighboring towns along the Hwy I-25/Hwy 85 corridor up to Fort Collins and as far east as Greeley. In l tome Therapy Services Rate: $90 Hour Devereux CAIARADO Weld County Human Services Regyest for Proposal Independent Living Program Devereux is currently the largest, private, non-profit provider of behavioral health care services in the United States and we are nationally known for having a very broad and robust continuum of care. Our current local resources include both residential and community based services, access to short and long term out of home services and, if necessary specialized treatment. The array of services in both our residential and community based programs makes us uniquely positioned to effectively support families and youth. Devereux Colorado is submitting the request for proposal to contract with Weld County Department of Human Services for the Independent Living Program: Service Grid Independent Living Program Bachelor's Level Specialist • Individualized transition coaching • Housing support • Educational Support • Overnight safety monitoring • Family reunification support • Employment/vocational support • Community resource identification and connection Description: Devereux's independent living program provides youth the opportunity to learn independent living skills while residing in a supportive environment. By providing stable housing and life skills coaching, each youth will acquire the necessary skills to be independently successful in the community. The overall program goal is to reduce homelessness amongst youth in the Denver Metropolitan area during their transition from the child welfare system to the adult protective services system by providing supportive housing and life skills training. This program is geared towards youth ages 17 to 21 years old, transitioning out of the human services system, custody of human services or enrolled in CORE services. The youth will not be supervised while in the apartments but coached and supported by Transition Coordinators. The program structure will include different levels of support based on frequency of checks and meetings with the Transition Coordinator. How Services May Function Devereux C0WR.AD0 • Services will start with the Transition Specialist meeting the client and conducting the Ansel] Casey assessment. A treatment team meeting will then be set up and the transition plan will be developed. • Each youth resides in their own completely furnished apartment (towels, dishes, furniture, lamps, food etc.) • Each youth is paired with a transition specialist to help with all their daily transitional needs through life skills coaching and assisting the youth with identifying and enrolling in community support programs. • Monthly meetings will be held with the treatment team to determine progress, new goals, and timeline for the youth to move out to their own apartment or reunify with a family member. • The average length of stay is three to four months before the youth transitioning to independence. Location: 3715 Pierce St Wheat Ridge 80033 Independent Living Program Rate: $9o/day Or $600 stipend plus transition services package • 12-15 hrs/week $648.00 • 9-12 hrs/week $508.00 • 6-8 hrs/week $336.00 1Oevereux COLORADO Weld County Human Services Request for Proposal Individual Transition Services Devereux is currently the largest, private, non-profit provider of behavioral health care services in the United States and we are nationally known for having a very broad and robust continuum of care. Our culteut local resources include both residential and community based services, access to short and long term out of home services and, if necessary specialized treatment. The array of services in both our residential and community based programs makes us uniquely positioned to effectively support families and youth. Devereux Colorado is submitting the request for proposal to contract with Weld County Department of Human Services for Individual Transition Services: Individual Transition Services Bachelor's Level Specialist • Resource Identification and Connection • LTA's • Independent Living Skills Development • EmploymentNocational Support • Educational Support • Housing Support • Restorative Justice • Family Intervention • Mentoring Description: Devereux's Transition Services provide support to youth and their families to prevent out of home placement, placement disruption or to help youth make the transition from placement to home. The type of youth served in this program are ages 14 to 21 that are currently in the human services system and need guidance and support connecting to resources and activities or are in the process of transitioning out of the human services system and need additional resources and skills to transition out of the human service system successfully. The focus of these services is to build skills, supports, activities and guidance to facilitate the youth functioning successfully within their community. Services may include: resource identification and connection, UA's, independent living skill development, employment/vocational support, educational support, housing support, restorative justice (as indicated), family intervention, and mentoring. Individual Transition Services Description: • Resource Identification and Connection: Each Transition Specialist has comprehensive knowledge of resources in specific regions that youth or families may need. These resources include mental health resources, free/discounted healthcare, drug/alcohol groups, after school activities sports teams/activities, social groups/activities, crisis support. Devereux COLORADO • UA's: Transition specialists are trained to administer UA's and submit to the laboratory. The nursing department at Devereux Cleo Wallace will interpret and report the results. • Independent Living Skills DevelopmentlVocational Support: The Transition Specialist will complete the Anse11 Casey Assessment with the youth as well as discuss goals/areas of need with the treatment team to determine the vocational support/independent living skills needed for the youth to be successful in the community. The vocational support/independent living skills curriculum will be based on the Tri-County Youth Council "Get a Life" curriculum which is categorized into the followings domains: o Housing: The Transition Specialist will assist with finding the youth an appropriate residence within the community by researching low income housing, completing applications for financial assistance, filling out the appropriate paperwork to lease a residence, assisting the youth with purchasing furniture/supplies, and teaching the youth the necessary skills needed to be a reliable tenant. o Employment: The Transition Specialist will assist the youth with finding employment in the community by completing a career assessment to learn the youth's career interests, searching for potential job placements, assisting the youth with filling out applications and preparing for a job interview, teaching the youth the skills necessary to be successful in their place of employment, and providing job coaching to the youth once the youth obtains employment. o Education: General school support: The Transition Specialist will provide support, and mentoring to ensure the youth's success in the school setting. This will include the Transition Specialist facilitating meetings with teachers and school staff, checking in with youth and when necessary problem solving difficult situations. Check -ins will include going over current functioning in school, homework completion, checking online (Infinite Campus) if available and checking in with teachers to ensure the youth is successful in school. • Post -secondary educational support: Post -secondary educational support will be provided to youth who have graduated from high school or who have a GET). Transition Specialists will help youth begin a post -secondary education program or enroll in a vocational program. This includes helping the youth identify potential schools, filling out applications, and coordinating transportation. • Adult Life Functioning: The Transition Specialist will assist the youth in developing the following skills if indicated: daily living skills, cooking and nutrition, banking, budgeting, credit/debt skills, Devereux leisure activities, communication skills, interpersonal relationship skills, transportation options, and buying a car • Health & Safety: The Transition Specialist will assist the youth with learning the following skills if indicated: The domain includes: finding insurance, locating doctor/dentist/psychiatrist/therapist, where to get medications, enrolling in SSI and attending to all other medical needs. In the event that individual or family therapy is indicated, those services can be provided by Devereux Cleo Wallace. • Family Intervention: Transition Specialists are bachelor level staff who are not trained to do individual or family therapy. However, with the relationship that they develop with the youth and family they can help navigate problem situations and crisis as it may arise. If individual and or family therapy appear to be indicated, the Transition Specialist will work with the case worker to determine if and how these services should be provided. • Mentoring; Developing relationships with healthy, adult role models can be crucial to helping youth be successful in their community. Transition Specialists will work towards identifying mentors for youth, ideally by helping the youth to identify interests and preferred activities and work towards connecting them with a mentor in these areas. How services function: Services will start with the Transition Specialist meeting the client and conducting the Ansell Casey assessment. A treatment team meeting will then be set up and the transition plan will be developed. The Transition Specialist will then executc the plan according to the MDT prioritization • The Transition Specialist will make at least weekly contact with the case worker • Services will continue until determined by the MDT. • A frill caseload for a Transition Specialist will be 6 youth (6.5 hours dedicated per youth per week: equates to approximately 5 hours of face to face time per week, depending on need) Monthly treatment team meetings will be held Expected length of services is 5 months for youth transitioning from placement (60 days of services prior to transition and 90 days of service after transition). For services that start while the youth is at home, expected length of services is 3 months. The length of stay will be determined through discussions with the treatment provider and the caseworker. Locations Served: neighboring towns along the Hwy I-25/Hwy 85 corridor up to Fort Collins and as far east as Greeley. Devereux COLORADO Individual Transition Services Rate: $65 Hour (face to face time with clients) *don't bill for transportation time Devereux CUU AIY1 Devereux Colorado Community Based Services Staff list (2014): • Megan Vogels, Community Based Service Clinical Manager • Michael Hernandez, In -home therapist • Judiann Bryant, In -home therapist • Amity King, In -home therapist • Amber Clift-Willoughby, In -home therapist • Cori Woodland, In -home therapist • Matthew Zenger, Independent Living Program Supervisor • Jessica Borunda, Transition Specialist • Aaron Winkelman, Transition Specialist *Devereux Staff receive Trauma Informed Care Training within 90 days of being hired. The following staff were hired within the last 90 days so will be receiving Trauma Informed Care Training when they have been here for the 90 day period: Michael Hernandez, Judiann Bryant, Amity King, and Amber Clift-Willoughby. Certificates can be sent once the training is completed. Megan Gak ota Vog&s, MAy L,i v 1320 West l33`s Way Westminster, CO 80234 • (303) 993-9564 • megamvogels@gmailcorn WORK EXPERIENCE Treatment Leader of Community -Based Programs Du;wr Children's Flame, Denver, CO (Clinical Swpervisar of Intensive In -Home Program: Jah 7007- October %010; Treatment Index of Cmnmv-vey Based Programs: November 2010- Septembr 2012) Acted as one of 8 members of the Leadership Team at Denver Children's Home directly involved in fund-raising, strategic planning, revising polities and procedures, reviewing compliance with state regulations, managing personnel issin care ues, and monitoring clinical issues that impact the entire agency of over 1(10 staff members and 80 childre iliac and Ifamilies ain vesIn-HomeTherapy Conceptualized and impinmectcd new polities and procedures to create 3 community p g Program, Outpatient Therapy Program, and Family Resource Center at Denver Children's Home and interns Supervised the programmatic and clinical work of as many as 13 master's level therapists, bachelor's level counselors, at the same time Reunite/d, hired, and trained new staff members for the community programs and assisted in the hiring of staff across the agency Managed monthly billing, balanced program budgets, and tracked services Provided home -based and outpatient family and individual therapy for children and adolescents Provided individual, family, and group therapy to adolescents in Day Treatment and Residential Programs Implemented and facilitated parenting classes for parents with children ages 0- 5 years -old Performed diagnostic assessments and client intakes, identifying treatment needs and providing recommendations Provided after-hours crisis intervention and safely planning services for clients and families treatment plans, monthly reports, client files by completing intake paperwork, consents and releases, progress diagnostic assessments, and discharge reports Home -Based Family Therapist, Riverside Family Partnership Program Rivuside Cammnni& Care, Needham, MA Gaming 2005- Jane 2007) Provided family, individual-, and couple's therapy to children, adolescents, and their families in their homes and communities Provided 24/7 crisis intervention sen-ices for all families receiving services in the Fa rrJy Partnership Program • Created detailed written treatment plans for frunilies utilizing their strengths to address needs • Advocated alongside families for educational, legal, financial, medical, and mental health services • Supported clients in the Riverside Day Treatment Program • Participated in minting an aftercare program that allowed families to interact with other families, obtain resources and information, and take part in entertaining and relationship building aclivrties • Provided case management for clients and families• resources, acrd support Presented cases and collaborated with a multi -disciplinary team for treatment planning, ▪ Maintained client files by completing all required clinical documentation, contact notes, and treatment reports FST Therapist June 1607) Collaborative Assessment Program, Needham, MA (ju ,h 2005- J and crisis sKWization services Co families cooperating in • Provided home -based family, individual, and couple's therapy independent biopsrchosotial assessments to determine mental health, community, and educational needs along with detailed treatment recommendations ore to families • Developed treatment plans, crisis plans, and provided emergency su pp • Collaborated with other treatment providers in communicating treatment recommendations and making referrals for community - based wrap -around services Therapist, Metro Assessment Unit nhrn. 24Egust 2003- May 2004; Full -Time: Afar 2004- October 2004) Marsachruetts Department of Youth Sways, Dorchester, MA (1 8a Identified individual treatment needs for male adolescent offenders in a secure facility • Completed diagnostic assessments assimilating family involvements and and a reviewtional of rash factorst prm criminal trecord, ding presence or absence of substance abuse, medical and psych[ history, Provided short .teen individual therapy and family therapy implemented weekly bibliotherapy, art therapy, and talk therapy groups for all clients or. the unit Conducted home visits and offered community referrals for family members Presented cases to a multi -disciplinary team in weekly internal Census and Review Meeung EDUCATION Boston College, Chestnut Hill, Massachusetts Ljoch School of Eda+...Jion, May 2.004; MA in Counseling Psychology (Mental Health Track) • Crvrm/ative GPA: 3.92/4.0 • Honorr: Graduate Assistantship Boston University, Boston, Massachusetts Co/%e ofArrr and Sdawres, May 2002; BA in Psychology (German Minor) • Cumulative GPA: 3.38/4.0 • Notion: Boston University Giant, Dean's List, Coventry High School Grant SKILLS • Certified Level T and II Eye Movement Desensitization and Reprocessing (FMDR) 'Therapist G Advanced Trainer of Patenting with Love and Logic (13 hours) Certified in Dr. Bruce Perry, MD, PhD's Neurosequential Model of Therapeutics (NAfI) ((i8 hours) Certified in CPR and First Aid Certified in Therapeutic Crisis Intervention (FCI) Trained in Dialectical Behavioral Therapy (DBT), Play Therapy Techniques. Trauma and the Developing Brain, Supervision for Success, Child and Adolescent Needs and Strengths Assessment (CANS), Motivational Interviewing (Mu), Cognitive Behavioral Therapy (CBT), Treating Insomnia, and Traumatic Brain Injury Proficient in Windows, MS Word, MS Excel, MS PowcrPoint, MS Outlook, and SPSS Conversational in German PROFESSIONAL AFFILIATIONS Member of the American Counseling Association (ACA) since 2002. o Member of the FMDR International Association (EMDRIA) since 2008 LICENSES 4. Licensed in Colorado as a Licensed Professional Counselor (LPC): License # 4659 (expires 08/31/2013) OTHER RELATED EXPERIENCES • Graduate Assistant at Boston College's BCTV Department, 2002-2004 • Resident Assistant of the Boston University German House, 2000- 2002 Secretary of the Boston University German Club, 2000- 2002 Volunteer at Bird Street Community Center's Connections to College Program, 1999- 2000 PROFESSIONAL REFERENCES Stephanie McDonough, LMI-IC (978) 501-7841 119 Russell St. Littleton, MA (Pi]"Lvc.-1 nr.')t'1 Dr. Jerry Yager, PsyD Denver Children's Advocacy Center (720) 261-6109 2149 Federal Blvd Denver, CO 80211 cry Melody Brown, LMT UCD Student and Community Counseling Center (303) 548-4435 1200 Latimer St., North Classroom 4030 Denver, CO 80217 Bryq,ri!!nr'('T nv!-r.esj STATE OF COLORADO Department of Regulatory ndaS Division of Professions and ations PRINTED ON 6ECURE PAPER us.mwaaa 09,092013 Number Issue Date Megan Oelada Vooda Westminster CO D[vrion Director a'1/2n18 Ire Date endure 217919 Tti ,Lt .v arsd lhdsld4Wndillsw4a/ MWt,B esad 6$Itfy The rree '°'d ms for cr Sod r I O14 mad aurae,. fue Pr finks profs dldg wdlf m,dte.rflO f$tieAnBldg- gp1p '-a6opfsdo 'Sims toiapdarltleMst 4larsslYanay w,tpQ!e5. You may aew draerprrofwfo0g0►,. ,. .ynat t11a cdnrado9P)rofs®6rylral 404ted a t-@�-o2sa2Y7 - VI thE°eti nrles Ir+d UhhU�N governing youryGeose>n Colmsd'. . AO r vebatt l ofgated sou 1 rtis a antlnunp.ft Ii your rnmPN to llsapquroRla advised of .your rapieet address. You ate nisponsibla for OurMdbtte Ka gated source for this Rdorma6on:.ttp YWr1eaP°A�ddy -. . Seeping your Odense Ctment pied renewing It before the eayirotlon date. i Colorado has a medical and public health volunteer systelo for persons who era Interested in assisting during an emeroancy or disaster. To participate, register at hUpsJfavolunteensslNl.a:us. To Remove Document Fold and Tear Along This Perforation Licensed Professional Counselor - Board' Licensed Pr°e°a"e C°"eee EAT r' . LPC Number *s° Mail Correspondence to: Home Business (Circle one) City. State and Zip Code: ♦ Use the Area above for any ADDRESS Change • THIS IS YOUR WALLET CARD SEE REVERSE SIDE FOR OPENING INSTRUCTIONS STATE OF COLORADO DEPARTMENT OF Division Of Professions and Occupations RY AGENCIES S Suite 1350 1560 Broadway Denver, CO 80202-5146 362800110 ENCLOSED MeganMegan Galeota Vogels 1320 West 133rd Way Westminster, CO 80234 C+IZOTVJ 80234 PRESORTED FIRST-CLASS MAIL U.S. POSTAGE PAID II Denver, Colorado PermIt No. 738 d!hh!HH'flIl!hl!'!i nr1Pr!n!^'!nl!141uhn!P►Nln!ih► 1 Michael A. Hernandez 3858 S. Quatar St. — Aurora, Colorado 80018 (720) 357-4767 (cellular) perspective5000@yahoo.com OBJECTIVE / QUALIFICATIONS: Seeking long-term opportunity that will enable me to utilize my experience as a Doctorate Level clinician and post graduate education, as well as develop my personal growth. EXPERIENCE Restoration Counseling Services, LLC — Private Practice Counselor / Therapist (Individual -Family -Marriage) July 2008 - Present Provide individual and family therapy to include monolingual in Spanish clients, provide mental halth assessments and evaluations for individuals, children/adolescents, and marriage therapy, specialized with PTSD clients utilizing EMDR (I & II) treatment; formulate m monitoring on and havioral health interventions ent plans. appropriate to a primary care setting and assist with implementation Aurora Mental Health — Aurora, Colorado LPC — Bilingual Therapist July 2012 - Present Provide individual and family therapy to include monolingual in Spanish clients, provide mental health therapeutic services for the center's adult team. Services provided include superviissiin unlicensedts, nlp� r level clinicians, provide bi-weekly intake and assessments for new incoming pa ng, coordinating services with center psychiatrist for optimal med management care, provide marriage and family therapy in English / Spanish, coordinate intake services to insure efficient care, facilitate Healthy Relationships weekly group. Colorado Christian University Adjunct Faculty Instructor — Psychology March 2009 — Present Facilitate In -Class / Online coursework for graduate / undergraduate psychology classes as well as practicum course guidance and licensure supervision as needed. Cedar Springs Hospital — Colorado Springs, CO LPC Therapist — Child & Adolescent Unit March 2010 — March 2011 individual and family Provided residential clinical services for child and adolescent team providing clinical services; created and maintained clinical treatment plan working with patient's probation s assperigned as psychiatrist, medical treatment team, social services and/or city/county/juvenile uvenileapplicable; facilitated weekly family sessions as required by residential services agreement; met weekly with residential clinical team to discuss patient care, progress, and amend treatment modality / medication as needed. Michael A. Hernandez EXPERIENCE CON"TLNUED Aspen Pointe —Colorado Springs, CO Clinician III June 2008 — August 2009 Provided individual therapy to include monolingual in Spanish clients, facilitate couples and group therapy on an array of subjects to include drug and alcohol therapeutic services; construct and complete intake process, service planning and psychosocial assessments to monitor treatment goals; work with multicultural committee to insure cultural competency and awareness within the center; facilitate training for Masters / Bachelor level interns. Larimer Center for Mental Health / Fort Collins, Colorado Bilingual Therapist / Cultural Competency Director May 2007 — May 2008 for offices in Fort Collins , Manage caseload to include English and Spanish speaking as necessary Loveland , and Estes Park . Responsibilities entail processing and maintaining bilingual / bicultural clients from intake, psychosocial assessments and ongoing therapy. I also managed cultural competency program for center responsible for creating cultural competency trainings, program specialties as they apply to cultural competency, and individual clinical training for center clinicians. North Range Behavioral Health / Greeley, Colorado Project Coordinator / Bilingual Therapist August 2006 to May 2007 Oversee bilingual/bicultural internship program and selected students/candidates in order to provide ongoing training and eventual placement throughout treatment center; establish and maintain working relationships with various civic and social organizations in order to meet program directives, establish and promote cultural competency program as coordinator throughout organization to include contracting outside facilitators; maintain clinical caseload of multicultural clients, lxl, family, group therapy, crisis management as needed El Paso MHMR Qualified Mental Health Professional (QMHP) - Case Worker IB / Psychological Evaluator (Intake) — April 2005 to July 2006 Provide individual therapy for adult, adolescent and children who experience major depression, schizophrenia, or bipolar disorder by conducting home visits and addressing symptom management as necessary, facilitate family sessions as requested in order to provide conducive environment for client. I also assess clients who are either self -referred, legally detained or in emergency crisis for psychological commitment, referral, or continued services within our organization. West Texas Community Supervision and Corrections Department Counselor (Substance Abuse) January 2004 — December 2004 provide individual and group therapy for court referred substance abuse clients; develop trea and maintain planning and clinical reviews and assessments. Develop psychosocial assessment planning case management for assigned probation officers for judicial aspects of client, develop and implement life topics for group and individual treatment, crisis intervention when necessary. Facilitate family therapy as it pertains to drug and alcohol therapy. EDUCATION / CERTIFICATIONS Ph.D — Psychology (ABD) Capella University - Minneapolis, Minnesota Master of Arts in Counseling — 2005 Webster University — Ft. Bliss Magna Cum Laude— (GPA 3,7) Bachelor of Science — Social Psychology 2003 Park University — Ft. Bliss , Texas Summa Cum Laude graduate — (GPA 3.94) Pi Gamma Mu International Honor Society Pinnacle National Honor Society Licensed Professional Counselor — (LPC) Colorado & 7 exas State Board Certified EMDR Certification (Level I & II) - Eye Movement Desensitization & Reprocessing - 2007 QMHP - Qualified Mental Health Professional Certification — EPMHMR - 2005 Drug & Alcohol Matrix (Evidence Based Model) National Certification — 2011 Advanced Family Law Mediation — Lubbock Dispute Resolution Center— 2004 Family Law Mediation — El Paso County Rio Grande County of Government with County Dispute Resolution Center - 2004 Basic Mediation Certification — Abridge Institute 2003 Certified Mediator — Advanced Family Law Mediation - El Paso, Texas Member of the American Association of Christian Counselors PUBLICATIONS Houston, Texas Published Book, Inspirations (Iarksdale Publishing1994) References furnished upon request To Remove Document Fold and rear Along This Perforation Attire LPC T STATE OF COLORADO Depert1ert,ofRegulatoryAgencies Division of Professions and Occupations PR3P TED OH SECURE PAPER tPCt1000tie . .Ahanber.. leAile Ode . Michael Anthony Heinandez - ' . Aurora CO 80018 Division Director 08/31116 Fire Date Signature I:c eased professional Counselor Board: Licensed Profe4*i nd CoUTetla Elgyp': Mail Correspondence to: Home (Circle one) G Number. 51°15 Home Phone Business Businept' phone: • Pia* to: Street Address: City, State and Zip Code: A Use the Area above for any ADDRESS Change A THIS IS YOUR WALLET CARD Judie.__, S. Bryant, MA, LPC, LCAS-A (cno.n tastiest) 10507-D West Maplewood Drive, Llttleton,CO 80127 iudi brvantAiuno.co 268 303-971-0072 -5504 Experience Appalachian Community Services August 2012- October 2013 (North Carolina! intensive In -home Lead Therapist/ OP therapist • Family and individual therapy, in home therapy, (age 2- to seniors) • Population with significant end inter -generational trauma, SA, abuse, neglect and dyareguletion using TF- CBT,FCT,DBT,Emotionally focused therapy, EMDR and hypnosis • Parenting training,anger management, emotional regulation, social skills. Attaehment,probiem solving and other life skills training • Case coordination with providers, DSS, schools and agencies as well as connecting families to resources and services • Comprehensive clinical assessments, crisis dseacalation, screenings, and threat of harm and violence assessments ,iackson County Pavchooglcel Services August 2011- August 2012 Intensive In -home Lead Therapist/ OP therapist A Family and indMdual therapy in home, office and community • Develop and Implement in home service, person centered plans, family driven solutions, and therapeutic goals A Parenting training,anger management, emotional regulation, social skills. problem solving and other life skills training A Case coordination with providers„ DSS, schools end agencies as well as connecting families to resources and services A Comprehensive clinical assessments, screenings, and threat end violence assessments Families Together March 2011-Juhr 2011 111 -IS Lead McDowell County • Family and person centered therapy in home and community • Develop and implement In home service, parson centered plans, solutions, and goals • Parentirg,anger management, emotional regulation, social skills. problem solving and other life skills training • Case coordination with NJ, DSS, schools and agencies A Comprehensive clinical documentalion,relmbursemem and assessments • Team coordination and family and client visit scheduling Fairview Red Wing Hospital Jan 2010. Doc.2010 Diet AS • Accurately receive and process diet orders, changes, event orders and requests from nursing units and staff. • Prepare end correct menus, orders, event setups end nourishment • Food preparation assistance as required per shift Protect Pathfinder July 2009 -October 2009 Counselor• II Provided indMdual therapy for clients In sex offender treatment to insure progress toward progam's goals • Co -Led group therapy sessions for diverse individuate and offenses held in both urban and rural areas • Conducted intakes and other interviews as required • Completed program reporting. documentation and monitoring • Provided psycho -educational Information as needed people Inccmorated Jan 2009-ADr1! 2009 Mental Health Practitioner Adult Foster Care • Work together with individuals with severe and persistent mental illnesses to develop life sklls. • Assist in variety of tasks and provide support necessary to Increase self sufficiency; including documenting medical concerns, IndMdual progress and assisting in implementing behavioral treatment plans. • Advise and discuss with residents their vocational, social, problem resolution, decision making, Interpersonal, and emotional regulation concerns- both Individually and in gr• oup. psycho-medical education as required Provide medication management assistance and • Certified in basic first aid and CPR and medication administration Kahn and Associates October 2007- October 2008 Schoo/ counselor K -B and OR 7-12 • Vocational/career counseling • Educational presentations (stress, coping, self esteem, social skills, conflict, builying,safety) • Individual and group counseling, peer mediation • Referral for services and evaluations, ADHD, ASD,EBD,LD • Parent student and teacher communications Sheathrd Center Cannon Pali ac 2004 -May 2009 Community Volunteer • Presented lunch and learn workshops on life review narratives to seniors • Established a respite program and trained volunteers jlAagie Lodge Center' Cannon Falls Feb 2007 -Ma 2007 life Sk10s Adviser Collaborate with in?rviduals to dehieoptitsakills. Population indudesbrain Injured -individuals, andindMduawM h severe and persistent mental illnesses such as schizoafectve disorders. Assist in variety of rehabilitation tasks and provide support necessary to accomplish rehabilitation; including documenting progress and Implementing neurobehavioral treatment plans. Counseling residents on vocational, social, problem resolution, decision making, interpersonal, and emotional regulation skills. • Provide medication management assistance and psycho -medical education as required practicing InfarnshlatNeuroohvelolocical lestkute 5212 Abercrombie Drive. Edina. MN Oct 2000 to Mav 2007 Counseling Intern • Work together to develop life akfils with brain injured Individuals, developmentally disabled indMduals, those on social security disability as well as those in the workforce program to readjust, and find employment. • Conduct indMdual psychotherapy for adult clients with mood disorders, personality disorders, PTSD, and severs and persistent ML Attend hearings and assist clients In understanding and complying with legal processes Teach and help clients to apply self regulation strategies for regulating physiological arousal such as autogenic training, progressive muscle relation, diaphragmatic breathing, brain wave entrainment end neurofeedback, practicum Intemshlc: in Biofeedback Training end Treatment Canter of MN lanai Biofeedback Intern • Completed Internship In biofeedback training using temperature and Muscle tene1on(EMG) feedback Including understanding how to Interpret metrics. Weir Natwo*: May 2005- Jan 2007 Coordinator for Goodhue County Peer Counseling Program • Recruiting volunteers and teaching 14 week workshops covering active listening, peer support and life transitions • Introducing peer counseling programs to local providers, clients and referral sources Consulunn Company Owner/ Compute Professional 1982 -October 2004 Worked as a computer professional in a variety of responsible positions with large health care organizations such as Blue Cross and United Healthcare and a variety of counties and service providers. This Includes six years running my own consulting business. Technology taught me many methods for managing change effectively, observing, measuring, analyzing data to arrive at problem Insight, as well as teething me much about cognitive programming, supporting people in adapting to change, arriving at consensus, and the importance of building rapport during any transition. Education Licensed Pm6ufonal Counselor/r PCI In NC In Mi nesotaa /2007.20101 NCC nassed(June 2007) St. Mary's University of MN Sept 2007- 2009 for Graduate certificate in Marriage and Family St Mary's University of MN Aug 2004 -May 2007 MA Master's in Counseling and Psychological Services 'A' average. May 8v', 2007 conferral date Continuing Education: EMDR trained Hypnosis certification CH completed May 2013 registered LCAS-a, 1`h 1000 hours completed Motivational Interviewing, Family Centered -Therapy PCP,TF_ Beyond the Yellow Ribbon Veteran Readjustment workshop Eric Jensen Workshop for ADHD,TBI,Autism Vince Monastra Seminar at St. Olaf: March 2007 Literacy Tutor training Zumbro Valley Mental Health Center Workshops: Brown Institute Colorado College CBT, PCT,SOC,NCI,CPR,FA,BBP, TF-CBT :2011 VA In St, Cloud June 2008 Fragile Brain Learning Recover seminar 2008 Neurobehavioral Treatments for ADHD MN Literacy Council Meichenbaum on PTSD and Aggression Padesky on CBT average in COBOL, Fortran, Assembler and RPG BA. Business Administration G.P.A 3.5 Active LPC r STATE • COLORADO Department of Regulatory Agencies Division of Professions and Occupations PRINTED ON SECURE PAPE LPCA011e% Number 1Ctt82C13 issue Date Judlann Suchomel Bryant Waynesville NC . 28786-8042 Ifs Division Director Signature OW312o15 Expire Date AMITY KING, LPC 3183 East Long Circle Centennial, Colorado 80122 303-564-5998 EDUCATION: University of NorthernColorado M.A., Community Counseling, emphasis in Marriage and Family Therapy, 2003. Metropolitan State College of Denver, B.A., major in Psychology; minor in Parenting Education, 1998. SUMMARY: Experience in providing intensive therapeutic services for families with children ages birth to 18 years old who are demonstrating behavioral, mental health, substance abuse, sexual offending and delinquency issues by implementing MST and cognitive behavioral models. Experience in trauma -focused therapy for children and caregivers, specifically AF-CBT and CPP. Experience providing individual and group counseling to dually - diagnosed adults in a residential facility. Extensive case management experience coordinating with numerous internal and external departments to facilitate chart audits and organize medical, psychiatric, education, legal and billing needs of clients.Experience managing on -call crisis services.Experience with supervising therapists, interns and volunteers. RELATED EXPERIENCE: LIFESUPPORT BEHAVIORAL INSTITUTE 5/10 -current Englewood, Colorado Clinical Supervisor/Intake Coordinator. Responsible for scheduling clients, gathering paperwork and biopsychosocial evaluation, assessing clients for appropriate services and securing authorizations from insurance companies. Facilitate team meetings to review cases and arrange monthly trainings. Provide individual and case supervision. Conduct internal chart audits. Provide in -home and outpatient counseling for clients. Develop use of effective parenting skills, positive communication skills, conflict resolution skills and drug and alcohol counseling implementing cognitive behavioral principles and trauma - focused therapy. Liaison between caseworker, probation, GAL, psychiatrist and school.Offer on -call crisis therapy services. GRIFFITH CENTERS FOR CHILDREN 2/10-7/11 Westminster, Colorado Provided in -home counseling\for families.Developed use of effective parenting skills, positive communication skills, conflict resolution skills and drug and alcohol counseling implementing cognitive behavioral principles.Offered on -call crisis therapy services.Contributed to biweekly team meeting and quarterly development plan supervision. 10/06-6/10 CHERRY CREEK FAMILY COUNSELING Centennial, Colorado Provided in -home services to families and couples focusing on positive communication, constructive conflict resolution and effective parenting skills implementing MST and cognitive behavioral principles. AMITY KING, LPC SHILOH HOUSE, INC. 1/09-10/09 Littleton, Colorado Residential Clinician.Provided individual and group therapy to increase positive communication skills, anger management skills, social skills and empathy for adolescent boys with mental health and sexual offense issues.Provided family therapy to increase use of setting limits, rewards/consequences, positive communication skills and anger management skills.Facilitated reunification with victims and relapse prevention planning in anticipation of the offender returning to the community. Extensive internal coordination for medical, psychiatric, education, legal and billing needs for clients. Frequent external communication providing case status and organizing monthly meetings between caseworker, probation, GAL and other interested parties.Managed on -call crisis center for three campuses and families.Contributed to weekly team and supervision meetings. JEFFERSON CENTER FOR MENTAL HEALTH 7/07-1/09 Lakewood, Colorado Certified MST Therapist.Provided intensive in -home counseling for families with adolescents experiencing mental health and delinquency issues.Developeduse of effective parenting skills, setting limits, implementing rewards/consequences, positive communication skills, conflict resolution skills and drug and alcohol counseling.Liaison between caseworker, probation, GAL, psychiatrist and school.Provided on -call crisis therapy services for MST team.Contributed to weekly team, consultant and individual meetings, monthly development plan supervision, quarterly booster conferences and annual regional conference. Facilitated team meetings.Managed 9News Health Fair booth. UNIVERSITY OF COLORADO -SYNERGY 3/04-8/07 Denver, Colorado Certified MST Therapist.Provided intensive in -home counseling for families with adolescents experiencing mental health, substance abuse and delinquency issues.Developed use of effective parenting skills, setting limits, implementing rewards/consequences, positive communication skills, conflict resolution skills and drug and alcohol counseling.Liaison between caseworker, probation, GAL, psychiatrist and school.Provided on -call crisis therapy services for all MST teams and day treatment clients.Contributed to weekly team, consultant and individual meetings, case conferences, quarterly booster conferences and annual regional conferences.Facilitated team meetings.Supervised interns and newly -hired therapists. ARAPAHOE/DOUGLAS MENTAL HEALTH NETWORK 10/03-6/07 Littleton, Colorado Clinician. On -call clinician for dually -diagnosed adults in short- and long-term residential treatment centers. Conducted group and individual counseling sessions for mentally ill adults. F.A.C.E.S. 1/03-9/03 Denver, Colorado In -Home Family Counselor Intern.In-home counseling for parents with children birth to 12 years oldfocusing on parenting skills, positive communication skills, budgeting, appropriate development and behavior for children, boundaries and resources available in metro Denver.Facilitated teen mothers parenting group and homeless mothers parenting group.Contributed to weekly team meetings and presented for case conferences. AMITY KING, LPC HOSPITAL SHARED SERVICES 9/02-3/03 Denver, Colorado Mental Health Worker. On -call counselor for dually -diagnosed adults in residential treatment facilities and adolescents in juvenile detention centers. Provided individual sessions focusing on goals and achievements. 11/98-8/99 ARAPAFIOE ROUSE New Directions for Families Littleton, Colorado Parenting Educator.Facilitated parenting education classes for mothers and their children at a residential drug and alcohol rehabilitation center. Developedchildren ages themes and activities to for children ages two to 12. Conducted one-on-one play therapy six. Organized activities, community resources and guest speakers for families.Participated in weekly team meetings.Supervised volunteers. AMBER CLIFT-WILLOUGHBY MA, LPC, RPT, CSST acw013110@gmail.com (720) 495.0148 EDUCATION University of Colorado at Denver and Health Sciences Center Master of Arts in Counseling Psychology/Counselor Education (May, 2008) The Colorado School of Family Therapy Certification in Systemic Play Therapy (December, 2007) Certification in Systemic Sandplay Therapy (April, 2009) Binghamton University Bachelor of Arts in Psychology (January, 2002) PROFESSIONAL SKILLS Teaching/Mentoring/Coaching > Teaching Adults in areas of ESL acquisition, Early Childhood Education and Parenting Classes > Teaching Children and Adolescents > Mentoring/Coaching Adolescents and Adults Supervisory/Managerial > Leadership and Management > Conflict Resolution ➢ Professional Development > Peer Support Counseling/Direct Client Contact > Counseling Children, Adolescents, Families, Couples and Individual Adults ➢ Assessment within DSM Diagnostic Criteria ➢ Treatment Planning/ Case Management > Case Presentation and Peer Consultation > In -Home, Community -Based, Crisis Intervention PROFESSIONAL EXPERIENCE Jefferson Center for Mental Health Early Childhood Mental Health Consultant Community Reach Center Home Team Therapist Savio House Individual and Family Therapist- MTFC (Multidimensional Treatment Foster Care) Comitis Crisis Center Program Counselor Denver Public Schools Substitute Teacher- Elementary Cerebral Palsy of Colorado, Inc/Creative Options Head Supervising Teacher/ Site Director (10/2010.06/2013) (10/2008- 2/2010) (10/2007- 10/2008) (5/2007-10/2007) (9/2005-9/2006) Start (10/2003-9/2005) TRAINING CERTIFICATION Cerebral Palsy of Colorado, Inc. (2004) Management Immersion Training, DECA, Leap Frog Literacy National Association for the Education of Young Children- NAEYC Conference (2005) Raising a Leader Seminar Colorado Association for Play Therapy- I 1 M Annual CAPT Conference (2005) On Beyond Play Therapy, Traumatized Children in Experiential Play The Colorado School for Family Therapy (2006/2007/2008/2009) Play Therapy: Cultural Issues; The Culturally Competent Counselor In the Addictions Counseling Context, Body Centered Somatic Play Therapy, Expressive Arts Therapy, Family Art Therapy, Sandplay Therapy I,ll, III Judi's House (April 2007) Grief and Loss Training DSM IV- Community Reach Center (2008) Training in Mood Disorders, Bipolar Disorder in Children and Adolescents Psychopharmacology- Community Reach Center (2008) Vicarious Trauma Training- Margarlte McCormick (2009) Dialectical Behavioral Therapy- Linehan and Moonshine (201 1) DC 0-3 - JFK Partners (201 1) Buddha's Brain- Rick Hanson (2012) Second Step Program (2012) VOLUNTEER EXPERIENCE Judi's House (2007) Co -Facilitator of Adult Grief and Loss Support Groups La Clinica Tepeyac (2007/2008) Counselor for Individuals and Families Family Tree (2007) Group Co -Facilitator for Child Survivors of Domestic Violence University of Colorado at Denver (2007) Counselor for Children, Individuals, Couples and Families The Colorado School for Family Therapy (2007/2008) Counselor: Home -Based Therapy- Couples and Families (References Available Upon Request) Active LPC STATE OF COLORADO Department of Regulatory Agencies Division of Professions and Occupations eferms] ON SECURE P LPC woe= Number osotrzots issue Date CC31/20te Expire Date Amber Lauren CGft-Willoughby Denver CO 80222 Division Director CORI WOODLAND MA, LPC, LAC 2908 Iola St • Denver, CO 80238 cori.woodland®gmail.com • 720.285-7342 PROFESSIONAL COUNSELOR, ADDICTION COUNSELOR Dedicated to providing the highest -quality care to clients with a broad range of co-occurring conditions and family -systems dynamics. Conduct thorough client assessments, document information, perform evidence -based interventions, and coordinate necessary follow-up care. Skilled in combining intensive case management with individual, group, and family therapy sessions. Effective in both collaborating as a member of a team and working independently. Expertise using and implementing Electronic Medical Records (EMR) systems, including updating client charts and notes, as well as training other users. Experience working with children, adolescents, and families since 2001. Clinical experience with adults since 2008. Supervisory experience starting in 2003. Enjoy training staff, clinical supervision, and program development opportunities. PROFESSIONAL EXPERIENCE NEW DIRECTIONS FOR FAMILIES, ARAPAHOE HOUSE — Littleton, CO Primary Therapist II, 8/2010 to Present Provide residential and outpatient treatment services at at family -focused facility treating women and their children. Primary focus is to assist mothers with maintaining or regaining custody of their children by providing intensive case management plus individual, group, and family therapy sessions which focus on mental health, trauma, addiction recovery, life skills, and connecting clients to community resources. On a very regular basis I provide crisis intervention for mothers and children as well as coordinate with community partners and referral sources such as child protection agencies and probation officers. I conduct DSM-IV diagnosis and assessment, collaborate with psychiatric providers regarding medication therapies and support medication adherence. Additional Contributions: Clinically supervise master -level interns and support staff. Oversee the transitional residential treatment and outpatient continuing care programs. Provide on -call supervisory coverage for facility programs, as requested. Provide in-house trainings on trauma interventions, DBT, and mind -body approaches. Selected as a "super -user" for implementing an electronic records system. Selected as a member of the agency "disaster response team" due to proficiency in trauma interventions. • Selected as a member of agency "EMDR workgroup" for utilizing EMDR within the agency. • Lead weekly trauma -sensitive yoga group for mothers, children, and staff. ...continued... CORI WOODLAND • Page 3 LAC, Licensed Addiction Counselor #230, COLORADO DORA EDMR, Basic Training, THE EMDR INSTITUTE: John Hartong, PsyD DBT, Advanced DBT Workshop: Cathy Moonshine Experience as member of DBT consultation group 5 years experience leading DBT Skills groups CYT, Certified Yoga Teacher (200 hour), TILLAI UNIVERSITY: Shannon Paige Schneider Certified Trauma -Sensitive Yoga Instructor (40 hour), THE TRAUMA CENTER AT JUSTICE RESOURCE INSTITUTE: Bessel van der Kolk and David Emerson WFR, Wilderness First Responder, WILDERNESS MEDICINE INSTITUTE BLS/CPR, Basic Life Support, AMERICAN RED CROSS NPI, National Provider Number 1356694939 ADDITIONAL TRAINING AND EXPERIENCE: MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIOR THERAPY, SEEKING SAFETY, NURTURING PARENTING, EMOTION COACHING, HEARrMATH BIOFEEDBACK PROFESSIONAL REFERENCES Kelsie Wylie, LMFT, CACIII • Former Family Services Supervisor, New Directions for Families • 325-668-6735 Avant !Alger, LPC, DMT, CACIII • Consulting Supervisor • 303-859-5778 Perri Corvino, LSW . Former Therapist, New Directions for Families • 303.859-7630 Ann Bortz, Licensed Psychologist . Yoga Therapy Mentor . 303-503-3291 C 1C is t a, m E u 0 E cc O a 2 0 z Y cc 0 ID tu a a • O I < U Z 6 a 9z TYiisW -4, aNWA �.....�.[3it�. rya u:. _ ,r :. a_t...•rrs6+�"`—'_ .:^�.. MMWF.. 'U'� ' i 1i y X rtJ u waj _do Dm:0 0 14.ECL AS logai > Wx hi. aWRYaSSA.iifibN:.3.MX11i/N:011- MINT 43) Mleaci Nakt, Sad CLJ Cal L.L. % 1 O O C=5-1 CLJ G t I 11 I 2,. ,..... ow.e:.f.::,. MATTHEW ZENGER 10555 West Jewell Ave. Apt 22-208 Lakewood, Colorado 80232 matthewzenger@amail.com (716) 998-3881 EDUCATION RELATED EMPLOYMENT Sept. 2011 - Present Mercyhurst College, Erie, PA Bachelor of Arts: Criminal Justice Bachelor of Arts: Sociology Graduation: May 2011 Overall GPA: 3.5 Youth Track Work & Learn, Denver, CO Youth Counselor • Monitor clients with various behavioral issues, working to build lifestyle stability and emotional well being • Advise and assist youth concerning education, vocational training, life skills, career building, and transitioning into the community • Provide support pertaining to substance abuse, treatment programs, and rehabilitation • Compose reports concerning the progress of the clients on a daily basis Jan. 2012 — Present Intervention Inc., Golden, CO Probation Case Manager • Manage caseload of low risk offenders • Refer clients to treatment programs, monitored sobriety, and substance abuse education • Advise clients on locating community resources independently • Attend court hearings and testify regarding recommendations pertaining to client performance June 2010 — May 2011 United States Probation, Erie, PA Intern Attended training sessions (July 2010; Pittsburgh, PA) in Search and Seizure Training (US Probation Search Team), OC Spray Training, and Firearms Training Used computer programs to monitor status of caseloads for multiple officers (PACTS, Microsoft Excel, online resources) • Carried out home visits in the field to see the offenders in the community • Aided offenders concerning Workforce Development issues Oct. 2008 — Dec. 2010 Esper Drug/Alcohol Treatment Center, Erie, PA Urinalysis Technician • Guided patients through the process of providing a specimen • Monitored the TASC, Drug Court & OCY clients while providing a sample to ensure it is not fraudulent, and maintain chain of custody of the specimen Jessica Borunda 5310 west 804 Ave 203D Arvada, CO 80003 720.427.2781 jborundaar devereW.arg Objective A challenging and rewarding opportlJflity working with at riskyouT in a setting that promotes personal growth and development. Employment History Transition Coordinator 2012 -Current Devereux Colorado, Westminster, CO • Utilize a professional approach to engage youthlyith transition planning. • Assist youth reach their goals through assessment, monitoring and evaluation. • Provide direction, guidance and support to youth by modeling responsible adult behavior and independent living skills Youth Security Officer 2011-2012 State of Colorado PVYSC, Lakewood, CO • Ensure the safety and security of Clients and other corrections employees • Responsible for conducting headcounts and safely moving Ciien from place to place • Supervising youth who have been arrested and are awaiting trial or who have been convicted of a crime Behavior Modification Coach 2008-2011 Jenca. Public School (S.pR?es,l ) Lakewood, CO • Provide direct supervision of assigned clients during on and off campus activities • Utilizes crisis physical intervention techniques appropriate to the degree of threatto the safety of the client • Analyze problems and teach strategies that change behavior in youth Education 2007-2009 University of Phoenix, Westminster, CO • Masters in School Counseling 2001-2005 University of Northern Colorado, Greeley, CO • Bachelors In Journalism and Sociology I Aaron J. Winkelman Work Experience • Devereux Cleo Wallace: March 2011 -Present Positions Held- Paraprofessional- licensed substitute teacher, GED prep, behavior management, IEP support Job Coach- train youth in multiple career fields, resume development, teach interviewing skills Work Internship Specialist- develop business internships, case manage multiple interns, assist with job searching for long term employment Employment Specialist for the Developmentally Disabled- assists DD clients with applications, interviewing, job sculpting, transportation planning, employment paperwork Current- Transition Specialist- case management, UA testing, employment support, life skill teaching, apartment monitoring, community resource acquisition, transportation planning Certifications Motivational Interviewing Trauma Informed Care National Certificate in Employment Services Training Education • Metro State College: Continuing education with a focus in counseling • Johnson &Wales University: Credit towards Bachelors of Arts in Food & Beverage Management PY-14-15-CORE-0218 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Day Treatment, Individual Transition, and Mental Health services to youth, at their families, as referred by the Department. Office -based services will be provided at 8405 Church Ranch Boulevard, in Westminster. In -home services are available in the Denver Metro area, as well as the neighboring towns along the Interstate 25/Highway 34 corridor up to Fort Collins and as far east as Greeley including the towns of Firestone, Evans, La Salle, Windsor, Johnstown, and Eaton. a. Day Treatment: Services are available to youth who reside in the Denver Metro area, as well as the neighboring towns along the Interstate 25/Highway 34 corridor. Transportation is available up to Fort Collins and as far east as Greeley including the towns of Firestone, Evans, La Salle, Windsor, Johnstown, and Eaton. Services are targeted at youth who exhibit behaviors which prevent them from attending public school. Contractor will accept both regular and special education youth. Contractor will complete an evaluation of the referred youth's academic areas in order to earn specific credit from their home school district. For non -special education certified youth, Contractor will expedite the process for special education certification by completing special education assessments acceptable to the home school district within the first forty- five (45) days from admission. Services within the Day Treatment Program include: i. Weekly individual, group, and family therapy or as determined by the Multi - Disciplinary Team. Therapy services may occur in -home or at the facility, as appropriate. H. Six (6) hours of academic instruction daily in a structured therapeutic environment. iii. Educational evaluation, if needed, including assessment of special education services. iv. Psychiatric evaluation and treatment including medication monitoring, if needed. v. Substance abuse evaluation and treatment if needed. vi. Sexual offender treatment for adjudicated sexual offenders and youth who have been identified to have sexual perpetration and/or victim issues. vii. Structured recreation therapy on and off site. viii. Independent living instruction for youth ages sixteen (16) and older. ix. Transition services for return to public school when youth is deemed appropriate. b. Individual Transition Services: Services are available to youth ages 14 to 21 and their families who are currently involved with Child Welfare, and require guidance and support connecting to resources and activities, or are in the process of transitioning back to their community. The goal of services is to build skills, supports, activities and guidance to faciftate the youth 1 PY-14-15-CORE-0218 functioning successfully within their community. Referred youth will receive approximately five (5) hours face-to-face time per week for three (3) to five (5) months dependent upon whether or not the youth is transitioning from placement and the specific needs of the youth. Individual Transition Services include: i. Resource Identification and Connection: Identification of specific resources that the referred youth and/or family may need. Resources may include, but are not limited to, the following: 1. Mental health resources 2. Free/discounted healthcare 3. Drug/alcohol groups 4. After school activities/sports 5. Social groups/activities 6. Crisis support U. Urinalysis: Collection and processing of urinalysis samples on site by qualified staff. Hi. Independent Living Skills Development/Vocational Support: Completion of the Ansell Casey Assessment with the referred youth, as well as discussion with the treatment team, to determine vocational and independent living needs and goals to ensure the youth's success in the community. The vocation support and independent living skills curriculum is based on the Tri-County Youth Council "Get a Life" curriculum which includes the following categories: 1. Housing: Contractor will assist you in finding appropriate housing within the community, including researching low-income housing, assisting with the completion of applications for financial assistance, filling out lease paperwork, assisting with the purchase of furniture and supplies, and teaching youth the necessary skills to be a reliable tenant. 2. Employment: Contractor will assist the youth in finding employment by completing a career assessment to learn the youth's career interests, searching for potential job placements, assisting with the completion of applications, interview preparation, resume development, and teaching/coaching the youth about skills necessary to be successful in the workplace. 3. Education/General School Support: Contractor will provide support and mentoring to ensure the youth's success in school. This will include facilitating meetings with teachers and school staff, checking with the youth and assisting with issue resolution. Check -ins will include going over current functioning at school, homework completion, checking online (Infinite Campus) if available, and checking in with teachers. If youth has graduated from high school or earned a GED, services will include assisting youth with enrollment in a post -secondary vocational program through identification of potential schools, completion of applications and coordinating transportation. 4. Adult Life Functioning: Contractor will assist the youth with developing daily living skills, cooking and nutrition, banking, budgeting, credit/debit skills, leisure activities, communication skills, interpersonal relationship skills, transportation options. 2 PY-14-15-CORE-0218 5. Health and Safety: Contractor will assist the youth in finding health insurance, locating healthcare providers, obtaining medications when necessary, enrolling in SSI and attending to medical needs as they arise. 6. Family Intervention: Contractor will assist the youth in navigating situations and crises that may arise. If therapy is indicated, the Contractor will work the Department to determine how best to facilitate services. 7. Mentoring: Contractor will identify appropriate adult role models and mentors for youth to assist in the development of skills necessary to be successful in their community. Adult role models will be paired with youth based upon youth's interest and preferred activities when possible. c. Mental Health Services: Home -based therapy services are available to youth ages 12 to 21, and their families. Contractor will consider families with younger children on a case -by -case basis. Contractor will conduct an assessment on each family utilizing the Child, Adolescent Needs and Strengths (CANS) tool. Contractor utilizes Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Applied Behavioral Analysis (ABA), as well as research based concepts from major in - home therapy models. Depending on the needs of the family, Contractor will provide one (1) to four (4) hours of therapy per week. Services can include a combination of individual and family therapy. 2. 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. 3. 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. 4. 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. 5. 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. 6. 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. 3 PY-14-15-CORE-0218 7. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 8. 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 at staffings, Family Team Meetings (FTM) and/or Team Decision Making (TDM) meetings. Contractor can attend by phone. 4 PY-14-15-CORE-0218 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 $95.00/Day (Day Treatment Services) $65.00/Hour (Individual Transition Services) $90.00/Hour (Mental Health Services - In -Home Therapy Services) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the 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 PY-14-15-CORE-0218 b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 ,4 v® CERTIFICATE OF LIABILITY INSURANCE 6/27/2014 ' 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ECBM LP 300 Conshohocken State Rd Suite 405 West Conshohocken PA 19428 CONTACT Barbara Shaw NAME: PHONE INC. No. Extl; a No), (610) 668-7100 I r°X (6:0)667-2208 ADDREss,bshaw@ecbm.cora INSURER(SI AFFORDING COVERAGE NAIC N INsuRERA:Homeland Insurance Co. of DE 14231 INSURED Devereux Foundation 2012 Renaissance Boulevard King of Prussia PA 19406 INSURER El:ZUri.Ch American Ins Co 16535 INSURER C: INSURERD INSURER E : INSURER F: CERTIFICATE NUMBER:14-15 M ALL EXCL LIMB REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE I.ISTFD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADOL INSR SUBR MD POLICY NUMBER POLICY EFF (MM!DDNYYY) POLICY EXP IMM/ODIYYYY1 LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY MPP-6333-14 7/1/2014 7/1/2016 EACH OCCURRENCE $ 10,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) S I CLAIMS -MADE X OCCUR PERSONAL & AD'! INJURY S 10,000,000 X Sexual Abuse/Molestation GENERA: AGGREGATE S 18,000,000 PRODUCTS - COMP/OP AGG S 18,000,000 GEM_ AGGREGATE LIMIT APPLIES PER. PRO - POLICY I —I JtCT — I..00 S B AUTOMOBILE X LIABILITY ANY AUTO Al I C'MIFD _ SCHEDULED AUTOS NON-OVeNED AUTOS BAP02936363-14 7/1/2014 7/1/2015 COMBINED SINGLE LIMIT tEa acridenll BODILY INJURY (Per person.) $ 1,000,000 BODILY INJURY (Per accident) $ PROPERTY DAMAGE jPer acoicen() $ I UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE CACH OCCURRENCE S AGGREGATE $ $ DED I I RFTENTIONS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER;EXECUT. VE OFFICERIMEMBER EXCLUDES? (Mandatory in NH)E If yes, describe ❑nder DESCRIPTION OF OPERATIONS OelOw Y ! N N ! A MC 2936362-14 7/1/2014 7/1/2015 i WC I TORSI ATUS • I I IO R E L. EACH ACCIDENT S 1,000,000 I. DISEASE - EA EMPLOYEE $ 1,000,000 E L. DISEASE • POLICY LIMIT S 1,000,000 A Professional Liability hIPP-6333-14 7/1/2014 7/1/2016 FachClam' $10,000,000 Aggregate $18,000,000 DESCRIPTION OF OPERATIONS! LCCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Devereux Cleo Wallace Foundation is covered under the above Devereux Foundation policies. CERTIFICATE HOLDER CANCELLATION Devereux Cleo Wallace Foundation 8405 Church Ranch Blvd. Westminster, CO 80021 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 J Shefsky, CPCU, ARM/ ACORD 25 (2010/05) INS025 1201C05).o1 © 1988-2010 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD EMPO RTANT If the ,-Jn=trce ha'der is an ADDTIONAL INSURED, the po6ry(1es) mils be endwrswrr A statement or this carrincata does not cvnfe' rights to the certifiaholder in ke1: of sin': andorsemant(s). If SUBROGATION IS WAIVED, sur at to the terms and conditions of the pofvry, certain pak es may require an endo:serner& A stathmerd on this ceriifi.ac des not confer rightE to the arts to holder n Geu of sum endorsems1t(s). 41 DISCLAIMER This Getiflcate of Insiana does not wnstita e a IL cad between the i>sung insurer(s), authorized represe atrve or produ;2r, and the certivate holder, nor does r anrm:afiveiy a' nacacveiv amend, extend.or aite 7r coverage affordeJ by the porides fisted the xr. A.�JRL Zi (ZDCa/D1) INSC2i milman PY-14-15-CORE-O198 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND FAMILY MATTERS OF COLORADO, LLC +h '� , This Agreement, made and entered into theQ day of.]�r�Yt, 2014 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 Family Matters of Colorado, LLC, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITN ESSETH 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 Life Skills and Mental Health Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014 upon proper execution of this Agreement and shall expire May 31, 2015 unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a- Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CORE-0198 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0198 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0198 - 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. 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. 4 PY-14-15-CORE-0198 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(h). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0198 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. li. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. 6 PY-14-15-CORE-0198 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, oy 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. 7 PY-14-15-CORE-0198 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 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. 8 PY-14-15-CORE-0198 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Belinda McKenna, MA, NCC, LPC, Owner/Therapist 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Belinda McKenna, MA, NCC, LPC, Owner/Therapist P.O. Box 337351 Greeley, CO 80633 1970) 576-2906 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. 9 PY-14-15-CORE-0198 Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §524-10-101 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 10 PY-14-15-CORE-0198 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CORE-0198 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 simila- information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees it is an independent contractor and that its officers and employees do rot become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Ag-eement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CORE-0198 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CORE-0198 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15-CORE-0198 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written ATTEST W-ted1N/ l..v. -I .[.voile Weld County Clerk to the Board By: A AM t ia Diputy Clerk to the Board APP 6AS unty Att6rney WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: 15 BOARD OF COUNT COMMISSIONERS WELD COUNTY, COLORADO r ' A7[1 L L..� ,\\K-` Douglas Rademacher, Chair SEP 1 5 2014 FAMILY MATTERS OF COLORADO, LLC By. rGG74..Nrte,CP� Be.inda McKenna, MA, NCC, LPC, Owner/Therapist ac/Y a 2/ 6 EXHIBIT A WELL) COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. i. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. 81400069 $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. ii. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Protect Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. 81400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area ,; Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTORI» This Agreement, made and entered into the _ day of , by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITN ESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided «funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. 81400069 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. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services„ Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.' and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101, et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. 81400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) o Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. o Certificate of Insurance to be provided to Weld County. o Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator (<RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 1970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLNamen, «Addressl», «Address2n «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. 81400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR])) OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigEName> «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. H. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. 81400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Fk4'. Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. 81400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» 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. 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. 30 EXHIBIT B CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL FAMILY MATTERS OF COLORADO PO Box 337351, Greeley, CO 80633-0623 140 Denver Avenue, Ft. Lupton, CO 80621 1120 38th Avenue, Suite 3, Greeley, CO 80634 Phone: 970-576-2906 Fax: 970-330-7032 March 18, 2014 Ms. Tobi Vegter Weld County Department of Human Services 315-A North 11 Avenue Greeley, CO 80632 RE: Contract for Services Proposal Dear Tobi: Enclosed is the completed packet to be considered for the 2014-15 year as a contract provider with Weld County. I hereby waive my right to a sealed bid. As you know, I have two locations to better serve clients' needs. In Ft. Lupton, my new address is 140 Denver Avenue, Ft. Lupton, CO 80621. My Greeley office is still located at 1120 38th Avenue #3, Greeley, CO 80634. My qualifications are outlined on my enclosed resume. Briefly, I am a Licensed Professional Counselor who has been seeing clients since 2005. I have been in private practice since December 2010, and my scope of practice includes working with individuals, couples and families who have experienced trauma and/or abuse. I am in the process of becoming a registered play therapist for children. I was a child welfare caseworker for 2 years and am familiar with the adjudicatory process as well as have experience testifying in court. At the current time, I have one associate who works with me. Jackie Holien's current resume is also included with this packet. Thank you for your consideration of my proposal. Please let me know if you have any questions. Bet regards, it'4, Aide, LA_ Belinda McKenna, MA, NCC, LPC Owner/Therapist of Family Matters of CO, LLC SCOPE OF SERVICES (LIFE SKILLS) Will provide in -office and in -home Life Skills services to individuals and families referred by the Department. In office visitation services will be provided at 140 Denver Avenue, in Fort Lupton, Colorado, or 1120 38`h Avenue, Greeley, Colorado. Will utilize therapy models that include, but are not limited to, Structural, Integrated, SolutionFocused, and Cognitive Behavioral, as well as the Satir Communication Model. 1. Services include the following: a. Safe Exchanges — Supervised exchange of children for the purposes of parenting time where each parent or guardian shall have pick up and drop off times that will prevent face-to-face contact between the parties. b. Monitored/Supervised Visitation —Supervision of family visits, both verbally and physically, for positive and appropriate interactions. The supervising staff member shall be within sight and sound of all participants at all times and will intervene on a limited basis as necessary to ensure the safety and supervision of the child(ren). Supervision of family visits that include a competency -based nurturing program to meet the assessed needs of families. The supervising staff member will provide coaching and skills training to parents. Parents are then given the opportunity to practice new skills during visitation time. Emphasis will be placed on families completing the areas of greatest need first and progressing through the program accordingly. c. Therapeutic Visitation - An enhanced supervised visitation program that incorporates concepts from a variety of therapeutic disciplines such as individual, couples and family therapy, parent - child interactional therapy and parenting skills education. This blended approach is utilized to develop individualized interventions for the family. d. Parent Coach (In -home) — In -home support/coaching to teach parenting and household management skills in order for parents to become better caregivers for their children. Skills taught can include, but are not limited to, physical care of children, child development, discipline, nurturing, nutrition, relationships, budgeting, educational, medical, and safety. 2. All services will be provided by Belinda McKenna, MA, NCC, LPC and/or master's level or higher therapist for therapeutic visitation and parent coaching. For monitored/supervised visitation or safe exchanges, a trained, competent employee may provide this lower level of service. FEES FOR SERVICES (LIFE SKILLS) Fees for Services $45.00/Hour (Safe Exchange -In Office) $75.00/Hour (Safe Exchange, Out -of -Office) $75.00/Hour (Monitored/Supervised Visitation - In Office) $105.00/Hour (Monitored/Supervised Visitation, In Home) $110.00/Hour (Therapeutic Visitation, In Office) $140.00/Hour (Therapeutic Visitation, In Home) $140.00/Hour (Parenting Skills) $110.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $150.00/Hour (Court Testimony) SCOPE OF SERVICES (MENTAL HEALTH) Will provide in -office and in -home Mental Health Services to individuals and families referred by the Department. In office services can be provided at 140 Denver Avenue, in Fort Lupton, Colorado, or 1120 38`° Avenue, Greeley, Colorado. Will utilize therapy models that include Solution Focused, Narrative, Structural, Cognitive Behavioral, as well as the Satir Communication Model. 1. Services include the following: a. Individual Therapy —Services are available for adults and adolescents and are designed to address a wide variety of issues that impact the individual and family. The goal of the service is to remove any barriers to safety and well being in the home which may include, but are not limited to, behavior problems, depression, anxiety, stress, trauma, grief and loss, health, self- image, character and treatment compliance. b. Family Therapy —Services are available to families to address communication, togetherness, flexibility, family structure, family lifecycle, and multi -generational issues. Family interactions and resiliencies also are assessed and treated. 2. All services will be provided by Master's, or higher, level therapists. FEES FOR SERVICES (MENTAL HEALTH) Fees for Services $110.00/Hour (Therapy - Individual or Family — In Office) $140.00/Hour (Therapy - Individual or family — In Home) $110.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $150.00/Hour (Court Testimony) SCOPE OF SERVICES (LIFE SKILLS) Will provide in -office and in -home Life Skills services to individuals and families referred by the Department. In office visitation services will be provided at 140 Denver Avenue, in Fort Lupton, Colorado, or 1120 38th Avenue, Greeley, Colorado. Will utilize therapy models that include, but are not limited to, Structural, Integrated, SolutionFocused, and Cognitive Behavioral, as well as the Satir Communication Model. 1. Services include the following: a. Safe Exchanges —Supervised exchange of children for the purposes of parenting time where each parent or guardian shall have pick up and drop off times that will prevent face-to-face contact between the parties. b. Monitored/Supervised Visitation — Supervision of family visits, both verbally and physically, for positive and appropriate interactions. The supervising staff member shall be within sight and sound of all participants at all times and will intervene on a limited basis as necessary to ensure the safety and supervision of the child(ren). Supervision of family visits that include a competency -based nurturing program to meet the assessed needs of families. The supervising staff member will provide coaching and skills training to parents. Parents are then given the opportunity to practice new skills during visitation time. Emphasis will be placed on families completing the areas of greatest need first and progressing through the program accordingly. c. Therapeutic Visitation - An enhanced supervised visitation program that incorporates concepts from a variety of therapeutic disciplines such as individual, couples and family therapy, parent - child interactional therapy and parenting skills education. This blended approach is utilized to develop individualized interventions for the family. d. Parent Coach (In -home) — In -home support/coaching to teach parenting and household management skills in order for parents to become better caregivers for their children. Skills taught can include, but are not limited to, physical care of children, child development, discipline, nurturing, nutrition, relationships, budgeting, educational, medical, and safety. 2. All services will be provided by Belinda McKenna, MA, NCC, LPC and/or master's level or higher therapist for therapeutic visitation and parent coaching. For monitored/supervised visitation or safe exchanges, a trained, competent employee may provide this lower level of service. FEES FOR SERVICES (LIFE SKILLS) Fees for Services $45.00/Hour (Safe Exchange -In Office) $75.00/Hour (Safe Exchange, Out -of -Office) $75.00/Hour (Monitored/Supervised Visitation - In Office) 5105.00/Hour (Monitored/Supervised Visitation, In Home) $110.00/Hour (Therapeutic Visitation, In Office) $140.00/Hour (Therapeutic Visitation, In Home) $140.00/Hour (Parenting Skills) $110.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) $150.00/Hour (Court Testimony) JACLYN R. HOLIEN 2852 40th Avenue Court Greeley, Colorado 80634 Tel: (970)475-4845 Cell: (970)576-6725 Email: bubbellarae iii yahoo.cont WORK IIIS liar ?012 to Present Feb 2013 to Present Court Mandated Visitation Supervisor I nmil r .flutters 0/ ('ol orado Greelrr. Co_ 80634 Supervise non -therapeutic visitations between parents and their children. Responsibilities include documenting observations made during visits and maintaining case files for court proceedings. Serve as a witness for the County of Weld during parental rights'termination hearings. Assistant Funeral Director Service Corpora/ion International- Stoddard Funeral home & ,Sunset Alernarial Gardens Greeley, Co. 80634 Assist funeral directors with service arrangements at time of need and assist with preparing the deceased for burial. Service responsibilities include meeting with families. writing obituaries. creating memorial folders, and removal of deceased persons. Administrative ditties include preparing death certificates, filing pre -need and at need service agreements, and answering calls. oil 201 /CNA/PCP to Groclot I'oiler fin. Indepenalrnee. S7ephen'c Farm ( Jan 2012( ;reeky. Co. 80634 Stephen's Farm is a division of the Greeley Center for Independence (GC) which houses individuals who have suffered traumatic brain injuries and require varying levels of assistance for daily living. Among these residents. I was responsible for providing their basic care and assisting them with different tasks such as laundry and cooking. I also worked alongside their personal doctors, nurses and family members as part of their care plans. • Earned a certificate in First .Aid/CPR/Universal Precautions • Attended and completed crisis prevention training administered by ('I'I • Obtained Qualified Medication Administration Person (QMAP) certification lien ?(1(161.ead Teacher to I .wrote Chri.r(iun Childcare Center nee (;reeler. Ca. 80634 2011 I began my employment with Victory Christian Childcare Center as a teacher's assistant in 2006. After acquiring the required state accreditation. I became a lead teacher in 2007 and taught a class of 4-5 year old preschoolers. Limn earning a nursing assistant certificate in 2009. I became toddler room qualified and began assisting the lead toddler teacher in the afternoons. I maintained these positions throughout my tenure at the lieility. • Created schedules for classroom activities • Coordinated and held conferences between myself and the parents of my students • Participated in continued annual training in areas such as Child Development and Learning .Approaches • On -going training and certification in Mandated Child Abuse Reporting • Recorded detailed information about student progress and areas of concern • Provided feedback to parents as well as the Center Director EDUCATION University of Northern Colorado /1achelar of / xt c hologr .Minor in Criminal Justice I am currently completing a research project on mandatory arrests as a result of property damage in domestic violence situations. I will complete and present the data at a conference this summer. I will graduate in May 2014. • Became a member of the English Honor Society in 2009 • Earned a Nursing Assistant certification in 2009 • Became a member of the Ronald E. McNair Scholars program in 2013 • Conducted and presented original research to be published MEM BERSIIIPS • English Honor Society (Sigma Kappa Delta) • McNair Scholars • American Psychological Association SOF-I \\ ARE/S\ SEEM SKILLS • Microsoft Office (Word. Excel) • Typing Speed: 50wpm REFERENCES • Susan Moreno- Director. Victory Childcare Center. (970) 351-8400 • Pastor Brian Severin- Senior Pastor. Victory Christian Fellowship. (970) 351-8300 • Shelby Atasden- C'NA, Stephens Farm Brain Injury Campus. (970) 590-9374 • Alex Drayer- Professor of Criminal Justice, University of Northern Colorado. (970)351-2749 BELINDA C. MCKENNA, MA, NCC, LPC 140 ever Avewue, Ft. L.uptow, CO 80621 110 38t" Avewue, #3, Greeley, CO 80634 PD BOK 337351, Greeteu, CO 80633 beti,wda@fainCLuvu.attersco.covu. OBJECTIVE: To provide professional, comprehensive mental health and life skills services for individuals, couples and families in Weld County, Colorado. QUALIFICATIONS: I am a Licensed Professional Counselor with a master's degree in community counseling. I have been self-employed at Family Matters of Colorado, LLC, since 2009. Additionally, I have two years' experience working as a child protection caseworker and over two years' experience working as a therapist for a non-profit agency specializing in child abuse and trauma issues as well as working with juveniles who have sexually offended. ED I.ICATI O N : • University of Northern Colorado, Master of Arts degree in Community Counseling with a marriage and family emphasis. • UNC, Bachelor of Arts degree in Business Administration. • Aims Community College: Conversational Spanish I and II. LICENSES AND PROFESSIONAL TRAININ%: • Licensed Professional Counselor, Colorado license #5559 • Nationally Certified Counselor, #220122 • Experiential Play Therapy Workshops with Dr. Byron Norton • Completed Core I, II, and III training for caseworkers • Completed Specialized Interviewing Skills training for caseworkers • Completed 8 hours training for child fatality and serious injury • Completed 8 hours training for methamphetamine use/lab identification • Completed all the prerequisites for associate level provider for the state of Colorado for working with juveniles who sexually offend. I have completed 72 hours of training in areas including child and adult victimology, effects of trauma on the brain, typology of sex offenders, juvenile sex offenders, female sexual abuse offenders, developmentally disabled sex offenders, working with incestuous families, domestic violence, substance abuse and the adjudication process. • Completed most recent trainings for trauma issues in 2013 and 2014. • Completed ASIST training for suicide intervention. • Ongoing professional training and seminars in relevant areas such as child sexual abuse, domestic violence issues, substance abuse issues, complex trauma and abuse, attachment and bonding issues and others. WORK EXPERIENCE: • Therapist: I am in private practice at Family Matters of Colorado, LLC with offices in Ft. Lupton and Greeley. I contract with Weld County to provide mental health and life skills services (including therapeutic supervision and parenting skills) to individuals and families involved with the Department of Human Services, and I am a provider for the victim's compensation program and several insurance panels. I enjoy working with children, adolescents, adults, couples and families to help them work through trauma, stressors, crises and other issues that keep them from fully enjoying their lives and realizing their full potentials. • Caseworker: I worked for Weld County Department of Human Services from 2007-2009. My work in Child Protection intake and ongoing services helped me gain a comprehensive understanding of the system from beginning to end, and I worked with many different families to secure the best -possible options for safety, permanency and well-being. This unique perspective aids in my ability to work therapeutically with families and individual family members in order to maximize successful outcomes. As a former caseworker, I have prior experience providing supervised parenting time for families, and I am familiar with the expectations of both the Department of Human Services and the Court in this capacity. • Therapist/treatment provider: I worked at ChildSafe from 2005 to 2007 as a victim therapist and as a treatment provider working with juveniles who have sexually offended. This work provided me with challenging and invaluable experiences working with individuals and families in crisis as well as persons and families who have gone through the healing process. My work included assessing juveniles for mental health and sex offense specific evaluations, treating juveniles who have sexually offended, working with child and adult victims of abuse and trauma, and administrative duties such as supervising an assistant, writing grants, program development, corresponding with and maintaining professional relationships, attending staffings and multidisciplinary team meetings. I also led or assisted with victim groups, juvenile groups and parent groups. PROFESS I O NAL AFFILIATIONS: • Current member of the American Counseling Association • Clinical supervision provided by Byron Norton, Ed.D for play therapy • Currently belong to three consultation groups with peer counselors • Past board member for A Kid's Place VOL.14.NTEER EXPERIENCE: • Assisted with fundraising projects for A Kid's Place • Worked at a suicide hotline as an undergraduate student at UNC • Helped to feed homeless people at Lincoln Park on a regular basis • Delivered Meals on Wheels for two years • Sunday school teacher and church group volunteer for several years PY-14-15-CORE-0198 EXHIBIT C SCOPE OF SERVICES 1. CONTRACTOR will provide in -office and in -home Life Skills and Mental Health services to individuals and families referred by the Department. In -office services will be provided at 140 Denver Avenue, in Fort Lupton, Colorado, or 1120 38`' Avenue, #3, in Greeley, Colorado. a. Life Skills: Services include Safe Exchanges, Monitored/Supervised Visitation, Therapeutic Visitation and Parent Coaching. i. Safe Exchanges — Supervised exchange of children for the purposes of parenting time where each parent or guardian shall have pick up and drop off rimes that will prevent face-to-face contact between the parties. ii. Monitored/Supervised Visitation —Supervision of family visits, both verbally and physically, for positive and appropriate interactions. The supervising staff member shall be within sight and sound of all participants at all times and will intervene on a limited basis as necessary to ensure the safety and supervision of the child(ren). Supervision of family visits that include a competency -based nurturing program to meet the assessed needs of families. The supervising staff member will provide coaching and skills training to parents. Parents are then given the opportunity to practice new skills during visitation time. Emphasis will be placed on families completing the areas of greatest need first and progressing through the program accordingly. Hi. Therapeutic Visitation - An enhanced supervised visitation program that incorporates concepts from a variety of therapeutic disciplines such as individual, couples and family therapy, parent -child interactional therapy and parenting skills education. This blended approach is utilized to develop individualized interventions for the family. iv. Parent Coaching — In -home support/coaching to teach parenting and household management skills in order for parents to become better caregivers for their children. Skills taught can include, but are not limited to, physical care of children, child development, discipline, nurturing, nutrition, relationships, budgeting, educational, medical, and safety. Contractor will ensure that all contact between the parent and the child is structured to provide for the safety and well-being of the children, and allows the parents the opportunity to learn and practice positive parenting, while maintaining the continuity of family relationships. Contractor will continually assess parents regarding their capacity to appropriately care for their children. b. Mental Health: Services include in -office and In -home individual and family therapy. Contractor utilizes therapy models that include Solution Focused, Narrative, Structural, Cognitive Behavioral, as well as the Satir Communication Model. i. Individual Therapy — Services are available for adults and adolescents and are designed to address a wide variety of issues that impact the individual and family. 1 PY-14-15-CORE-0198 The goal of the service is to remove any barriers to safety and well being in the home which may include, but are not limited to, behavior problems, depression, anxiety, stress, trauma, grief and loss, health, self-image, character and treatment compliance. ii. Family Therapy— Services are available to families to address communication, togetherness, flexibility, family structure, family lifecycle, and multi -generational issues. Family interactions and resiliencies also are assessed and treated. 2. All therapeutic and parent coaching services will be provided by Belinda McKenna, MA, NCC, LPC and/or a master's level or higher therapist. Lower -level visitation services (Safe Exchanges and Monitored/Supervised Visitation may be provided by a Bachelor's level therapist. Contractor currently employees one (1) employee, Jaclyn R. Holien. 3. Contractor can provide transportation when needed. 4. Contractor will ensure that all contact between the parent and the child is structured to provide for the safety and well-being of the children, and allows the parents the opportunity to learn and practice positive parenting, while maintaining the continuity of family relationships. 5. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 6. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 7. 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. 2 PY-14-15-CORE-0198 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 Life Skills: $45.00/Hour (Safe Exchange - In -Office) $75.00/Hour (Safe Exchange — Location other than office) $75.00/Hour (Monitored/Supervised Visitation, In -Office) $105.00/Hour (Monitored/Supervised Visitation, In -Home) $110.00/Hour (Therapeutic Visitation, In -Office) $140.00/Hour (Therapeutic Visitation, In -Home) $140.00/Hour (Parenting Skills, In -Home) $110.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) Mental Health Services: 5110.00/Hour (Individual or Family Therapy, In -Office) $140.00/Hour (Individual or Family Therapy, in -Home) $110.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) 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 1 PY-14-15-CORE-0198 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`' 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 Print Date 11106/2013 CNA Producer Branch Prefix 018098 970 HPG Named Insured and Address: Belinda McKenna Po Box 337351 Greeley. CO 80633-0623 Medical Specialty: Licensed Professional Counselor HEALTHCARE PROVIDERS SERVICE ORGANIZATION PURCHASING GROUP Certificate of 31n5urante OCCURENCE POLICY FORM Policy Number 0421413297 OHPSO Policy Period from 11119/13to 11/19/14 at 12:01 AM Standard Time Program Administered by: Healthcare Providers Service Organization 159 E County Line Road Hatboro, PA 19040-1218 1-800-982-9491 wwAv.hpso.corn Code: Insurance is provided by: 80723 American Casualty Company of Reading, Pennsylvania 333 S. Wabash Avenue. Chicago. IL 60604 Professional Liability Your professional liability limits shown above include the following. ' Good Samaritan Liability - Malplacement Liability Personal Injury Liability • Sexual Misconduct Included in the PL limit shown above subject to $ 25,000 aggregate sublimit Coverage Extensions License Protection Defendant Expense Benefit Deposition Pe; resentation Assault Includes Workplace Violence Counseling Med cal Payments Firs: Air: Damage to Property of Others Information Privacy (HIPAA) Fines and Penalties General Liability General Liability Fire & Water Legal Liability Personal Liability Total:$ 492.00 $1,000,000 each claim S 3,000,000 aggregate S 25,300 S 1,030 S 10,000 5 25,070 per proceeding per day limit ner deposition per inc dent S 25,000 per person 3 10 500 per incident 0 10,000 per incioent S 25,000 per incident 5 25.005 S 25 000 10.000 0 21 300 S 100 000 S'0000 S 73 000 5 25,000 aggregate aggregate aggregate aggregate aggregate aggregate aggregate aggregate $1,000 000 each claim / $1,000,000 aggregate Included in the GL limit shown above subject to $250,000 aggregate sublimit $1,000,000 aggregate Base Premium S492.00 Premium reflects Self Employed , Full Time Policy Forms & Endorsements(Please see attached list for a general description of many common policy forms and endorsements.) G -121500-D GSL15565 G -121504- C G -121501-C GSL17101 GSL-5587 G -145184-A GSL13424 G -147292-A GSL15563 GSL15564 G -123846 -COS GSL3886 GSL3908 Medical Speciality is amended to include Consulting Services (GSL-5587) Chairman of the Board G -141241-B(03/2010) bk Secretary Coverage Change Date. Keep 'his document in a safe place 't and proof of payment are your proof of coverage. There is no coverage in force unless the premium i's paid in full In order to activate your coverageplease remit premium in full by the effective date of this Certificate of Insurance Master Policy # 188711433 Endorsement Change Date. For NJ residents: For KY residents. For WV residents For FL residents. POLICY FORMS & ENDORSEMENTS The list below contains general descriptions of the policy forms and endorsements that may or may not apply to your professional liability insurance policy. Please refer to your Certificate of Insurance for the policy forms & endorsements specific to your state and your policy period. Coverages. rates and limits may differ or may not be available in all states. All products and services are subject to change without notice. i .a, I. C eea —expanded definitions and copies of these policy forms and endorsements are available online at www.hpso.com/policyforms COMMON POLICY FORMS & ENDORSEMENTS FORM # G -121500-D G -121501-C G -145184-A G -147292-A GSL15563 GSL15564 GSL15565 GSL17101 GSL13424 G -123846-005 GSL3886 GSL3908 DESCRIPTION Common Policy Conditions Occurrence Policy Form Policyholder Notice - OFAC Compliance Notice Policyholder Notice - Silica. Mold & Asbestos Disclosure Information Privacy Coverage Endorsement HIPAA Fines, Penalties & Notification Costs Sexual Misconduct Sublimits of Liability Professional Liability & Sexual Misconduct Exclusion Healthcare Providers Professional Liability Assault Coverage Exclusion of Specified Activities Reuse of Parenteral Devices and Supplies Services to Animals Colorado Cancellation and Non -Renewal Coverage & Cap on Losses from Certified Acts Terrorism Nolice - Offer of Terrorism Coverage & Disclosure of Premium OPTIONAL ENDORSEMENTS FORM # G -121504-C GSL-5587 DESCRIPTION General Liability Form Consulting Services Liability Endorsement PLEASE REFER TO YOUR CERTIFICATE OF INSLRANCE FOR THE POLICY FORMS & ENDORSEMENTS SPECIFIC TO YOUR STATE AND YOUR POLICY PERIOD. The PLIGA surcharge shown on the Certificate of Insurance is the NJ Property & Liability Insurance Guaranty Association. The Surcharge shown on the Certificate of Insurance is the KY Firefighters and Law Enforcement Foundation Program Fund and the KY LGPT is the KY Local Government Premium Tax which includes charges at a municipality andior county level. The surcharge shown on the Certificate of Insurance is the WV Premium Surcharge. The FIGA Assessment shown on the Certificate of Insurance is the FL Insurance Guaranty Association - 2012 Regular Assessment. Form# G -141241-B(03/2010) Master Policy#. 188711433 Policy#- 0421413297 Named Insured: Belinda McKenna PY-14-15-CORE-0183 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTERS FOR CHILDREN it This Agreement, made and entered into the �5 day of''""�014, 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 Griffith Centers for Children, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services fund ng to the Department for Crisis Intervention and Stabilization Services, Home Based Intensive Services, Life Skills, and Mental Health Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside toe 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 1 PY-14-15-CORE-0183 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d, Contractor agrees to submit a monthly report with the billing statement by the 7'° of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0183 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of al'. 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 3 PY-14-15-CORE-0183 - 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. 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. 4 PY-14-15-CORE-0183 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0183 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. 6 PY-14-1S-CORE-0183 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CORE-0183 A provider of Professional Services (as defined in the Bid or RIP) 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 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. 8 PY-14-15-CORE-0183 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Christina Murphy, Director of Community Programs 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Christina Murphy, Director of Community Programs 1724 Gilpin Street Denver, CO 80218 (720) 425-5510 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. 9 PY-14-15-CORE-0183 Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §524-10-101 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 10 PY-14-15-CORE-0183 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CORE-0183 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CORE-0183 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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, 13 PY-14-15-CORE-0183 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14.15-CORE-0183 IN W ITNFSS WHEREOF, Slit• parties hi —on have duly executed the Agroenu'nt as of the day, manth, ,ind yer first above wri;ton ATTEST Wadescv idio4 Weld County Clerk to the Board WELD COON Y DEPARTMENT OF HUMAN SERVICES by 15 HOARD OI COUNTY COM MI SSICN E RS 'LLD COUMY. COLORADO Douglas ademocher, Clair SEP 1 5 2014 GRIFFITH CEN IERS FOR C By: f . l Christina Murphy, Dict( Community sanityPrograms,/ DREN aoi aS/co LXI II BIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK'. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter, Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. Al corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services, This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. 81400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTORI» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 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 se -vices 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) Combined single limit - $500,000.00 written on an occurrence basis. Additional insurance required if claims reduce the annual aggregate below $500,000.00. Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400060 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName> «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName», «Addressl», «Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et sea. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR10 OF HUMAN SERVICES By By: Judy A. Griego, Director 13 «SigFNameo «SigLName», «Title» Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. 81400069 Except where exempted by federal law and except as provided in C.R.S. 24-76,5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County, County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area • Definition'- Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordnator. 3. Contractor will make at least three (3) attempts to contact the client and set up services. The first attemat 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month fo lowing the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 Bid No. B1400070 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: CRISIS INTERVENTION AND STABILIZATION SERVICES B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11`h Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Crisis Intervention and Stabilization Services. B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400070 INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400070 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400070 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400070 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400070 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. I. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400070 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400070 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400070 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking Crisis Intervention and Stabilization Services. Crisis Intervention and Stabilization Services are defined as services that provide an immediate, in-person/in-home response to families, youth and children, in crisis, 24 hours a day, seven (7) days a week. A "crisis" is further defined as a situation or circumstance, usually acute (recent) in nature, which breaks down the normal functioning of an individual and/or family, and results in the inability of the individual and/or family to resolve the crisis through normal coping behaviors, or without immediate intervention. The primary goal of services is to prevent out -of -home placement of youth and/or child(ren) and provide families with the services they need to maintain their youth and/or child(ren) in their home. Services may also be utilized for crises occurring during reunification. At a minimum, a bidder must include the following in a proposed service package: • Crisis Response, inclusive of in-person/in-home crisis intervention and stabilization, and safety planning (24 hours a day, 7 days a week) • Solution -focused, strength -based short term interventions to assist the family in mitigating or eliminating the crisis (45-60 days maximum) • Case management • Referral to additional services • Access to community resources to ensure sustainability of progress post -crisis • Collaboration with WCDHS and other agencies, including courts and school Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 3) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all Page 9 Bid No. 81400070 bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 4) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 5) A bidder must demonstrate the knowledge, training and expertise to conduct Crisis Intervention and Stabilization Services. 6) Bidder acknowledges that all Crisis Intervention and Stabilization workers must retain a Bachelor's degree or higher. A bidder must provide a current resume, proof of licensure, and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) A bidder must demonstrate familiarity with Trauma Informed Care, Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 8) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 9) A bidder must agree to enter into a contract, attached as Exhibit A, with Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Page 10 Bid No. B1400070 Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 1) Completed Provider Information Form with original signature of authorized representative. 2) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 3) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 4) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 5) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 6) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 7) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 8) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Page 11 Bid No. B1400070 Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 12 Bid No. B1400070 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTOR1» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided «funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400070 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" of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7t° 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400070 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c, Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et seq.• and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400070 - 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. 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 «funding». 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. 4 Bid No. B1400070 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400070 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability c As required by State statute including occupational disease, covering all employees at the work site. - General Liability (PL and PD) (Minimum) o Combined single limit - $500,000.00 written on an occurrence basis. c Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. o Certificate of Insurance to be provided to Weld County. c Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. - Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400O70 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. 7 Bid No. B1400070 - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName», «Addressl»,«Address2" «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400070 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400070 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 possessior 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 10 Bid No. B1400070 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400070 32. Employee Financial Interest/Conflict of Interest. C.R.S. _§§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400070 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By. Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR!» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLName», «Title» 13 Bid No. B1400070 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400070 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: CRISIS INTERVENTION AND STABILIZATION SERVICES B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Crisis Intervention and Stabilization Services. B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400070 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. 15 Bid No. B1400070 H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 3041-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years 16 Bid No. B1400070 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, 17 Bid No. B1400070 Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express 18 Bid No. B1400070 intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent 19 Bid No. B1400070 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; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. Hi. 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. 20 Bid No. B1400070 iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400070 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking Crisis Intervention and Stabilization Services. Crisis Intervention and Stabilization Services are defined as services that provide an immediate, in-person/in-home response to families, youth and children, in crisis, 24 hours a day, seven (7) days a week. A "crisis" is further defined as a situation or circumstance, usually acute (recent) in nature, which breaks down the normal functioning of an individual and/or family, and results in the inability of the individual and/or family to resolve the crisis through normal coping behaviors, or without immediate intervention. The primary goal of services is to prevent out -of -home placement of youth and/or child(ren) and provide families with the services they need to maintain their youth and/or child(ren) in their home. Services may also be utilized for crises occurring during reunification. At a minimum, a bidder must include the following in a proposed service package: • Crisis Response, inclusive of in-person/in-home crisis intervention and stabilization, and safety planning (24 hours a day, 7 days a week) • Solution -focused, strength -based short term interventions to assist the family in mitigating or eliminating the crisis (45-60 days maximum) • Case management • Referral to additional services • Access to community resources to ensure sustainability of progress post -crisis • Collaboration with WCDHS and other agencies, including courts and school Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form and W-9. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 3) A bidder must submit sufficient information concerning the proposed services for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Bidders should avoid elaborate artwork, graphics, binding, presentation or 22 Bid No. B1400070 other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct Crisis Intervention and Stabilization Services. 5) Bidder acknowledges that all Crisis Intervention and Stabilization workers must retain a Bachelor's degree or higher. A bidder must provide a current resume, proof of licensure, and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. 23 Bid No. B1400070 Submittal Requirements for All Proposals: A bidder must submit one (1) original and one (1) copy by the identified deadline. Proposals will only be accepted in hard copy. All proposals must contain the following specific information: 1.) Completed Provider Information Form with original signature of authorized representative. 2) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 3) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 4) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 5) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 6) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 7) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 8) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. 24 Bid No. 81400070 Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 25 Bid No. B1400070 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 26 Bid No. B1400070 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 27 Bid No. B1400070 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 28 EXHIBIT B CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL Griffith LenEer Chile lrt.11 ( I1I\.l I' Griffith Centers for Children has been serving Weld County for approximately 4 years, during that time we have grown to serve most of Weld County, including South County. We have expanded our services to further meet the needs of Weld county families as we have added Medicaid as a (under. Currently, GCC has Five Master Level providers who offer a verity of services which include: Intensive Family Preservation Therapy (Home -Based), Supervised and Therapeutic Visitation, Mental Health Assessments, Individual Therapy, Family Therapy, and Life/Parenting Skills. All services can be home based as needed. We will also be adding BA level workers to meet the need for Crisis Intervention/Stabilization. We look forward to working with Weld County in the future. Thank you, Christina Murphy, MAC, LPC Director of Community Programs Griffith Centers for Children 1724 Gilpin Street Denver, Co 80218 720-425-5510 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 Crisis Intervention and Stabilization Description of Services: • First appointment will be within 24 hours of referral, regardless of day of the week. • Crisis response will be in persoMin-home, school or other location as needed to provide service. • Availability 24 hours a day, 7 days a week. • Solution -Focused plans and interventions to stabilize the family within 60 days. • Intensive Case management services. • Referral to additional resources, including hands on assistance for services attainment. • Facilitate access to community resources to ensure post crisis stability. • Collaboration with WCDHS and other agencies as needed to support the family. • Referral will be assigned to BA level or MA level, as appropriate. Proposed Cost: Crisis Intervention/Stabilization, MA Level Crisis Intervention/Stabilization, BA Level Intensive Case Management $ 48/hour $ 38/hour $ 15/hour 1 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 Home -Based Intensive Services (Program Area) FAMILY PRESERVATION (Service): Description of Service: • Home -based intensive therapeutic service for high -risk families designed to prevent out - of -home placement or prepare a family for reunification • GCC - Chins Up family preservation services are modeled after the National Family Preservation Network's definition of Intensive Family Preservation Services - IFPS • "IFPS services are designed to support families in crisis in which children are either at imminent risk of placement or have been placed out of the home. The services are for birth and adoptive families and arc effective as reunification services as well as for placement prevention." • The goal of intensive family preservation services (IFPS) is to keep children safe and avoid both unnecessary removal and long separations from family in out -of -home care • Recent research about intensive family preservation services is very supportive of this type of intervention. In two different research studies, IFPS was effective in reducing the number of placements and improving family functioning. IFPS was significantly more effective than traditional child welfare services and most effective with the highest risk families Program Aspects: • This service is flexible and individualized to each family • The home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur - in home, school, and community settings • Availability 24 hours / 7 days per week • 3-6 hours/week in the home, intensity can be increased in response to the need • Appointment times are flexible and based on the family's needs, including evenings and weekends • Stabilize family functioning and address safety risks • 'leach families to work with community agencies, assist in teaching parenting skills, stress reduction, problem -solving, and communication skills • Target length of treatment is 2 to 6 months • Coordination and advocacy with school systems, court, and social services • Follow-up services available for one year after discharge, to aid in long-term success • Services are delivered with a sensitivity to the family's ethnicity, culture, values and beliefs Intervention Strategies: • Treatment goals to be mutually agreed upon by the family, FP specialist, and other professionals (i.e., caseworker, probation officer) • Interventions may be aimed at the individual, entire family, or appropriate community members. • A strengths -based psycho -educational model that focuses on skill -building • Other skills areas include anger management, problem -solving, home management, and accessing community resources. Population Served: 1 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 • Families who are in crisis or experiencing major struggles in functioning • Families with youth in the home who are acting out behaviorally or sexually • Children ages 0-17 • Children who arc at risk for out -of -home placement, or transitioning back home from foster care, residential treatment, youth corrections, etc. • Family Preservation can also be utilized to work with foster parents to stabilize a child(ren) in foster care • Family preservation can work with parents, relatives, guardians, and foster parents Client No Show Procedure: • Client No -Shows twice in a row, GCC will contact caseworker about no-shows and make a formal request for compensation. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email. Proposed Cost Family Preservation Services: Client No -Show Cost $ 48/hour $ 25/Flour 2 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 Life Skills (Program Area) LIFE SKILLS/PARENTING SKILLS (Service): Description of Service: • Intensive home -based model focusing on improving parenting skills, increasing safety and stability • Aid in reunification of parents and children following out of home placement • Parenting skills arc taught with an emphasis on the child's developmental needs • Life skills are taught with an emphasis on the parent achieving self-sufficiency • I,SP assists parents/caregivers with basic parenting skills, household management, budgeting, organizational skills, and other day-to-day issues that impede the care and development of children The LSP specialist teaches, models, and coaches parents to help them learn new skills identified in the initial needs assessment. Program Aspects: • This service is flexible and individualized to each family. • Each client receives a LSP specialist who is trained and specializes in parenting, child development, and life skills. • A home -based model of service delivery is utilized to overcome barriers to access and to provide treatment where the problems occur — in the home, school, and community settings • Coordination and advocacy with school systems, court, and social services • Availability 24 hours / 7 days per week • 3-4 hours/week in the home, intensity can be increased in response to the need • Flexible appointment times based on the family's needs, to include evenings and weekends • The LSP specialist will immediately address all safety risks and work to stabilize the family. • The LSP specialist will teach the family to work with community agencies, assist in teaching ongoing parenting skills, as well as helping the parent(s) with stress reduction, problem -solving, and communication skills. • Target length of treatment is 3 to 5 months • Thorough assessment of parent and children strengths/needs • Individualized approach with the family, based on ethnicity, culture, and lifestyles • Interventions may be aimed at the individual, entire family, or appropriate community members • GCC - Chins Up provides follow-up services for up to one year after discharge Intervention Strategies: • Treatment goals to be mutually agreed upon by the family, visitation worker, and other professionals (i.e., caseworker, probation officer). • Interventions and parenting skills based on the established programs of"Love & Logic", "Nurturing Program", and "Common Sense Parenting". • Teach the parent skills individually, as well as coach and model with the children present. 1 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 • Aid parent in learning life skills to become self-sustaining long-term. Population Served: • Parents or primary caregivers who need in -home instruction with parenting skills, household management, and accessing community resources • Parents with children (ages 0-17) who are at risk of out of home placement • Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care • Children who are transitioning back home from out of home placement PARENTING SKILLS GROUP (Service): • The Parenting Skills group is based on the Nurturing Parenting Program. • Nurturing Parenting Program Group Facilitator Qualifications: Christina Murphy, MA, LPC, is a trained Nurturing Program Facilitator and has delivered the program with success to several different agencies and programs. The Nurturing Parenting Program has several levels of prevention including: • Prevention Program (Primary Prevention) Example: Pre -parent stage, Prenatal Stage. • Intervention Programs (Secondary Prevention) Programs are designed to "intervene" to prevent further escalation of the early stages of maltreatment. Also for families labeled as "at -risk". • Treatment Programs (Tertiary Prevention) Programs are designed to "treat" families identified by social services for child abuse and/or neglect. • The Nurturing Parenting Programs are evidenced -based parenting programs that can be offered in a group setting for cost effective delivery. • The flexibility within the structure of the programs allows facilitators to ensure the specific needs of families are being met. • The nurturing philosophy of non-violent parenting focuses on the development of empathy, self-worth, self-awareness, empowerment, and discipline with dignity, appropriate family roles and age -appropriate expectations of children's development. Duration of the Parenting Group • The group is 10 weeks in duration • It is an open-ended group, so clients can enter at any time. • Parent (s) must attend 8 out of the 10 groups to successfully complete the group Client No Show Procedure: • Client No -Shows twice in a row, GCC will contact caseworker about no-shows and make a formal request for compensation. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email. 2 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 Proposed Cost Life Skills/Parenting Skills: $ 38/hour Parenting Skills Group: $ 30.00/hour/family or $ 45.00/1.5 hour /family (Six group family minimum) Client No -Show Cost $ 25/hour 3 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services I'Y2014-15 THERAPEUTIC/SUPERVISED VISITATION (Program Area): Description of Service: • l Lome -based model (can be flexible to the needs of each individual case -visits can occur safely in the community, DHS building, Westminster GCC office location, local library, etc.) that's primary goals are to assess the parent's/caregiver's parenting abilities during the visitation time and to teach appropriate skills in order to meet the needs of the children. • The objectives are to ensure child safety during the visit; to closely monitor all parent - child interaction to ensure the appropriateness of the interactions; and to improve parenting skills. • Parenting skills focus on learning and effectively meeting the developmental needs of the children (Nurturing model). • Life skills focus on achieving self-sufficiency through empowerment and accountability. • Redirection given when appropriate. • A visitation log (see attachment) is filled out after each visitation and is reviewed with the parendcaregiver in order to make progress consistently. • The parent/caregiver is responsible for signing each form to recognize strengths and needs of each visit and overall parenting/life skills. Intervention Strategies: • Treatment goals to be mutually agreed upon by the family, LSP specialist, and other professionals (i.e., caseworker, probation officer). • Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program", and "Common Sense Parenting". • LSP specialist will teach the parent skills individually, as well as coach and model with the children present. Population Served: • Parents or primary caregivers who's children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. • Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. • Children who are in out of home placement and/or transitioning back home from out of home placement. Client No Show Procedure: • Client No -Shows twice in a row, GCC will contact caseworker about no-shows and make a formal request for compensation. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email. Proposed Cost: Therapeutic/Supervised Visitation: $ 36/hour 1 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 Mental Health Services (Program Area) INDIVIDUAL/FAMILY THERAPY (Service): Description of Service: • Individual and family therapy for adults and children, spanning all ages and circumstances related to the child welfare system • This service can be utilized to address mental health and behavior issues, as well as issues around abuse/neglect, reunification, trauma, etc. • Sessions can occur in the office or a client's home/community, to reduce barriers such as transportation • Can be utilizes in conjunction with or as a follow-up to in -home services (Life Skills/Parenting, Family Preservation, Multisystemic Therapy and The Family Violence Group) • If client(s) have received previous services through Chin Up, they can remain with the same provider for continuity • Therapy conducted by a Master's level mental health professional • Contact is weekly, unless higher frequency is needed • 24 hours / 7days per week pager access Intervention Strategies: • Behavioral, Cognitive -Behavioral, Family Systems, Play Therapy • Brief and present -focused MENTAL HEALTH NEEDS ASSESSMENT (Service): Description of Service: • A pre-treatment assessment used to get an initial picture of the mental health functioning of an individual • Conducted by a licensed mental health professional in the office setting or at client's home • Recommendations for immediate interventions/goals are made • 1-2 sessions of one hour each Proposed Cost: Individual Therapy: Family Therapy: Mental Health Needs Assessment: S 52/hour $ 56/hour $ 150/assessment 1 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 Truancy Intervention: Description of Services: • Services Begin within 72 hours of Referral- Referrals are responded to and families are seen within 72 hours of referral. Once the referral is made a clinician is usually assigned by the end of the working day. They will make contact with the family within 24 hours and schedule them within 72 hours. • Parental Engagement- Parents are empowered through Family Therapy sessions and Individual Parenting Education to manage the student's behavior while at home. The interventions begin to repair the relationship between the parent and the student, which is foundational to positive parental influence and school attendance. • Individual Support- The student will be given Individual Therapy sessions to bring in added support emotionally and academically. Communication skills are taught and overall mental health is evaluated. Referrals for medication management are made as needed. • Court Support- The family will be supported and the therapist will attend court hearings as an added layer of engagement, and provide education through modeling. • School Support- The therapist will work closely with the parents, family and school to get reasonable educational goals met. Modeling is used to engage parents in the student's academics. With an advocacy approach rather than a punitive one, the therapist is able to gain commitment that has been otherwise lost. • Teacher Support- The therapists are available to work directly with the student's individual teachers to stabilize the student while they are at school. The therapist is able to come to the school and assess the child and be involved in the Behavior Modification Plans, and Individual Educational Plans. An added layer will include the therapist working on the goals of the school in Individual Therapy Sessions. • Accountability- All layers of intervention focus on the families' ability to improve their situations; the therapist will model and engage family in interventions that promote accountability and long lasting solutions; while providing them with support and ideas on how to move forward and not stay stuck. • System Supports- The therapist will work closely with other professionals involved such as Social Services, Truancy Case Mangers, Court System professionals, and Probation Officers. • 24/7 Crisis Interventions- Each family has access to their therapist 24/7 to allow for crises to be handled in the moment. This allows an opportunity for the therapist to model and empower the parent during high stakes emotional situations, while limiting the harm through inappropriate words or actions. 1 Griffith Centers for Children, Chins Up Weld County Core and Contracted Services PY2014-15 Proposed Cost: Truancy Intervention Services $ 36/hour, can also be funded by Medicaid 2 1.) Current Certificate of Insurance —See Attachment 3.) Resumes, Proof of Liability Insurance, DORA listings of Key Staff — See Attachments Christina Murphy, MA, NCC, LPC 4 Director of Community Programs 4 JIB, LS, PS Services Provider :• Medicaid Approved Provider C'PP Trauma Wormed Provider Nurturing Parenting Program Facilitator Anwet/ah Khalifeh, MSW Therapist, Clinical Supervisor • FIB, LS, PS Services Provider : • Supervised/Therapeutic Services Provider 4 Medicaid Approved Provider Christine Bagala, MA, NCC •:4 Therapist 4 FIB, LS PS Services Provider 4 Supervised/Therapeutic Services Provider :• Medicaid Approved Provider Alison Phillips. MA, JVCC •: Therapist • JIB, LS, PS Services Provider 4 Supervised/Therapeutic Service Provider 4 Medicaid ,4pproved Provider Jessica Kart, MA • Therapist • JIB. LS, PS Services Provider • Super wised/Therapeutic Service Provider C• Medicaid Approved Provider P 0310 '‘.2 90 the Ave Deaver, Cu 0002: 720 'i2;2-55111 Dynamic, understanding, coer;as.sionare, strong, and flexible Therapist who has xuorked in a vet :'n of .:!verse settings and atm. experiences. I ;ten 'ive experience with Tliorapy, Ccnples, Tamil/ anti Child 'Therapies applying COT Intensive Family Preservation Child and Parent Psycnothurany, nand They, sac DOT In c r::. to the above, I ;Usti supervise and mentor Interns, and Post Masters Clinicians whom arc s eeki 1,, CPC deslunatima alenu wit> daing all Program V anape.1 ,ni in]. 5 Outpatient Clinics. DIRECTOR OF COMMUNITY PROGRAMS Ci-dhitr Centers inr Children .,..o bet 211'_3- Cur rent Provide Direct Clinical Supervision to 5 Location Clinical Supervisors, who are responsible for 53 outpatient clinicians. • Maintain and Manage 5 Outpatient locations, with combined monthly revenue of $120,000.00. • Mange all County Contracts. • Maintain positive and professional relationships with county Administrators. • Write and establish all county contract Proposals for Services. • Develop and implement Clinical Protocols and procedures. • Establish and maintain growth goals. • Market 5 Program locations. • Developed and Implemented Truancy Programs at a variety of Colorado Schools. DENVER METRO PROGRAM SUPERVISOR Griffith Centers for Cle'I 'ren July 2011 -September SC i3 • Provide Direct Clinical Supervision to licensed and unlicensed clinicians. • Mange all county contracts. • Maintain positive and professional relationships with county staff. • Manage Team budget, meet growth goals. • Process all referrals and assign as needed. • Hire and train now staff. • Market program. FAMILY PRESERVATION THERAPIST/OUTPATIENT THERAPIST Griffith Centers for Children June 2008 -July 2.011 • Provides Intensive home based therapy to families, children, adolescents, and couples. Using the Intensive Family Preservation Services Model (IFPS). • Provide Family Therapy, Couples Therapy, Play Therapy, Individual Adult/Child Therapy, Therapeutic Visitation, and Supervised Visitation. • Weld County Domestic Violence Group Facilitator. • Weld County Anger Management Group Facilitator. • Supervised Interns. • Supervised other staff when Program Manager is out on vacations, and other times as needed. SCHOOL BASED THERAPIST INTERN Community Reach Center August 2007 -August 2008 • Provided Cognitive Behavioral Therapy to children and their families. • Created and Facilitated Group Therapy. REGIS UNIVERSITY 2005-2009 Masters in Counseling Psychology, 3.8 GPA Chi Sigma iota Honors Member Chi Sigma Iota Board Member 2006-2008 REGIS UNIVERSITY 2000-200s Bachelors of Science, Business Finance Victory Church Christian Counselor • Provide Individual Therapy. ▪ Presented at the Quarterly Counseling Meetings. 2012 -Current CASA Advocates for Children Volunteer Court Appointed Special Advocate • Provide in court advocacy for children ages infant to 18 years. • Maintained all case records. ▪ Supervise visits. Page 2 2003-2009 Researched and reported to the courts of victim status and offender status. Developed and maintained working alliance with Guardian ad Litom, caseworkers, foster parents, and judges. • Composed court reports on case status with recommendations for the judge and caseworker. • To date, I have been placed on 15 cases. All have had successful outcomes. Face -to -Face Mediation, Community Alternatives 2007-2008 Professional Co -Mediator Provided Restorative Justice Mediation services for offenders and their victims. • Created court enforceable Mediation Agreements. • Maintained all records including phone call contacts for case file. Youth who Sexual Offend, March 2014. Child Parent Psychotherapy, Trauma informed Care provider Training, 2013-2014. Intimate partner rape Workshop, March 2011. Domestic Violence Needs and AssessmentTra'ning, May 2011. Sex Assault Risk Assessment, May 2011. G Substance Abuse, Graduate Level Class, 2009, Regis University. e Ethics and Testifying in Court, June 2009, Weld County Social Services. Borderline Personality Disorder, July 2009, Rocky Mountain Trauma and Dissociation Society. Parent Empowerment Counseling Parents in Positive Child -Rearing Practice, 2008 Nurturing Parenting Programs Facilitator Training, Pikes Peak Family Connections, 2008 Community Mediation Training, 2007, Face -to -Face Mediation Training AVAILABLE UPON REQUEST Certificate of Insurance (Proof of Coverage) Date Issued: (5131/2013) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TILE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Insured Name and Mailing Address* ( Program Administrator ,Name Christina Murphy Street 8310 W 90th Ave City Westminster State Colorado Zip 80021 Administered By: CPH and Associates 711 S. Dearborn, Suite 205 Chicago, IL 60605 P. 312-987-9823 F. 312-987-0902 info(¢ cphins.com Underwritten By: Philadelphia Indemnity Insurance Company *Additional insured locations arc often requested by individual business owners who have more than one office. Your coverage is portable, meaning that you are covered at any location for practice under the occupation(s) listed on your policy. Coverage Policy #: PF{CPF.140515Effectire Date: (5/31/2013) Expiration Date: (5/31/2014) tHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits of Liability Each Occurrence Aggregate (Per individual claim) I (Total amount per policy year) S 1,000,000.00 - _ ----$3,000,000.00 N/A N/A N/A S 1000,000.00 Unlimited $35,000 515,000 $10,000 55,000/person $15,000 Description/Special Provisions: Certificate Holder Proof of Coverage I Coverage Part Professional Liability General Liability i ;Includes: General Liability, Fire & Water Legal Liability and Penunal, _ _ Liability_ N/A — - Properly Coverage _ $3,000,000.00 _ _ __ Supplemental Liability _ Unlimited _ _ I Defense Expense Coverage $35,000 1 State Licensing Board Investigation Defense Coverage i $15,000 Assault Coverage S35,000 _ I Deposition Expense Benefit $50,000 I Medical Expense Coverage $15,000 First Aid Coverage Cancellation - - SHOULD ANY O1'111E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION I DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.I Holder has also been added to the policy as an additional insured:** _Yes / XN0 **If the certificate holder is an ADDITIONAL. INSURED, the policy (ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endursement(s). Authorized Representative C. Philip Hodson DISCLAINIER:The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. Print Lookup Details hitps://www.colorado.gov/dora/licensing/Lookup/PtintLicenseDetail... Barbara J. Kelley Executive Director Department at story Ay,mtlrt Lookup Detail View Licensee Information !This serves as primary source verification" of the license. *Primary source verification: License information provided b the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Christina Lynn Murphy 1724 Gilpin Street Denver, CO 80218 Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date LPC.0006282 Examination Licensed Professional Counselor Active 10/24/2011 09/01/2013 08/31/2015 Board/Proqam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/19/2014 10:35:19 PM 1 of 1 3/19/2014 10:35 PM CHRISTINE BAGALA, MS, NCC 2301 PLAINS COURT, FORT COLLINS, COLORADO 80521 (225) 281-3054 • CGBAGALA@GMAIL.CDM QUALIFICATIONS • Experienced in providing individual and group counseling in agency and outpatient hospital settings. • Trained it assessment, diagnosis, and treatment planning of adults and adolescents with a variety of mental and emotional disorders. EDUCATION Master of Science Clinical Mental Health Counseling Loyola University New Orleans (CACF.P Accredited Program) New Orleans, Louisiana Bachelor of Science Psychology and Latin Louisiana State University Baton Rouge, Louisiana August 2013 GPA 3.98 May 2010 GPA 3.25 EXPERIENCE Family Preservation Therapist January 2014- Present Griffith Center for Children • Conducts therapy with children, adults, and families involved in ongoing DI IS cases. • Gained skills in working with Medicaid and Social Services funding sources. Clinical Mental Health Counselor- Student Intern January 2013 - August 2013 Trinity Counseling and Training Center • Implemented techniques of cognitive -behavioral therapy, mindfulness, and existential - humanism to treat a diverse population of adults and adolescents in weekly individual sessions • Conducted bio-psychosocial and diagnostic assessments and maintained clear documentation • Routinely administered Patient Health Questionnaire (PI 1Q-9) and General Anxiety Disorder 7 - item screening (GAD -7) in order to consistently monitor client progress Clinical Mental Health Counselor- Student Intern August 2012 - December 2013 1s1O Covington, Greenbrier Behavioral Health • Co -facilitated daily treatment groups in an outpatient hospital setting • Conducted individual therapy • Worked as pan of interdisciplinary team to effectively assess, diagnose, and treat clientele Graduate Assistant August 2011 - July2012 Loyola University New Orleans Department of Counseling • Edited research manuscripts • Conducted fundraising activities • Participated in admissions process • Assisted in planning workshops • Engaged in personal and faculty research projects • Administered Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) to general Loyola University New Orleans undergraduate population as service to convnunity Undergraduate Research Assistant January- May2010 Louisiana State University Department of Psychology Dr. Amy Copeland Substance Abuse Laboratory • Administered and scored numerous assessments concerning eating disorders and substance use in college aged females for research purposes • Routinely administered Beck Depression Inventory (BDI) and Substance Abuse Subtle Screening Inventory (SASSI-3) Undergraduate Research Assistant January- May 2009 Louisiana State University Department of Psychology Dr. Alex Cohen Severe Psychopathology Research Laboratory • Worked collaboratively with peers to share current research on schizophrenia • Transcribed data • Administered the MATRICS Consensus Cognitive Battery to research participants ACADEMIC RECOGNITION Research Excellence Award Department of Counseling Loyola University New Orleans May 2013 PUBLICATION IN PEER -REVIEWED JOURNAL Bagala, C., Phillips, A, Foster, T. (in -press). Groupwork with adolescents showing borderline symptoms, Jamval (3/Counseling Research and Practice PRESENTATIONS • DcPartout, M, Bagala, C., & Levitov, J. (2012, March). Non-traditional appmeiches formzmageand couples therapy. Presented to the annual conference of the Louisiana Association for Marriage and Family Therapy. New Orleans, LA • Bagala, C. (2012, February). Transitions from to 5. Poster session presented at the Loyola Graduate Student Research Symposium. New Orleans, L.A. • Phillips, A., Bagala, C., & Foster , T. (2011, November). Using (sentential gruel) counseling zeith adc/swnts exhibiting pre- borderline synptom:logy-. Presented at the annual conference of the Illinois Counseling Association. Skokie, IL. • Bagala, C., &Phillips, A. (2011, September). Using ecistential group counseling vithaa&.escents echibiting pre-bothline sirptrnrdogy Poster session presented at the amoral conference of the Louisiana Counseling Association. Baton Rouge, LA. • Bagala, C., & Phillips, A. (2011, April). I xistcnttal-burranutic therapy for pre -BPD adolestunts. Poster session presented at the Loyola University Graduate Research Symposium. New Orleans, LA. PROFESSIONAL ASSOCIATIONS Member, Chi Sigma Iota, International Counseling Ilonor Society Member, Psi Chi, International Psychology Honor Society LISENSURE, C'FRTIFICATIONS & ADDITIONAL TRAINING • Licensed Professional Counselor Candidate in the State of Colorado (Permit Number LPCC.0013664) • National Certified Counselor (Expires September 2018) • Basic Life Support Certified (Expires September 2014) • Nonviolent Crisis Intervention (Training Completed September 2012) • Darkness to Light- Child Sexual Abuse Prevention Training (Training Completed March 2013) • Treating Adult Survivors of Childhood Trauma (Training Completed March 2013) • Utilizing Art Therapy in Therapeutic Relationship (Training Completed February 2013) • Brief Play Therapy (Training Completed June 2013) Print Lookup Details https://www.colorado.gov/dora/licensing/Lookup/PrintLicenseDetail... ^ra part rent of pegu.etory Agencies Lookup Detail View Licensee Information This serves as primary source verification" of the license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.C. Name Public Address Christine E Bagala Fort Collins, CO 80521-1560 Barbara J. Kelley Executive Director Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date LPCC.0013664 Temporary Permit Licensed Professional Counselor Candidate Active 10/25/2013 10/25/2013 10/25/2017 Board/Progam Actions Discipline There is no Discipline or Board Actions on file for this credential Generated on: 3/19/2014 10:30:04 PM 1 of 1 3/19/2014 10:30 PM HPS Healthcare Providers Service Organization - 03/14/14 Christine Bagala 2301 Plains Ct Fort Collins, CO 80521-1560 159 East County Line Road • Hatboro, PA 19040-1218 1.800-982-9491 • Fax 1.800 -?39-8818 • www.hpso.com Dear Christine Bagala: Enclosed is the replacement certificate of insurance that you requested. If you have any questions or need assistance, please call us toll free at 1-800-982-9491. Our Customer Service Representatives are available weekdays from 8:00 a.m. to 6:00 p.m., EST. Sincerely, Customer Service Enclosure Q032 Dedicated To Serving The Insurance Needs of Healthcare Providers Heallhcare Providors Service Organization is a division of Affinity Insurance Services, Inc., in NY and NH, AIS Affinity Insurance Agency; in MN and OK, AIS Affinity Insurance Agency, Inc.; and in CA ,AIS Affinity Insurance Agency, Inc. dba Aon Direct Insurance Administrators License #0795465. Print Date: 3/14/2014 CNA Producer Branch Prefix 018098 970 HPG Named Insured and Address: Christine Bagala 2301 Plains Ct Fort Collins, CO 80521-1560 Medical Specialty: Mental Health Counselor HEALTHCARE PROVIDERS SERVICE ORGANIZATION PURCHASING GROUP Certificate of iuu.uralrre OCCURENCE POLICY FORM Policy Number 0587776328 LHPSO Hcal+6nrc Provides Serc,ce i)rrsni:ari,'ir Policy Period from 09/12/13 to 09/12/14 at 12:01 AM Standard Time Program Administered by: Healthcare Providers Service Organization 159 E. County Line Road Hatboro, PA 19040-1218 1-800-982-9491 www.hpso.com Code: Insurance is provided by: 80723 American Casualty Company of Reading, Pennsylvania 333 S. Wabash Avenue, Chicago, IL 60604 Professional Liability $1,000,000 each claim Your professional liability limits shown above include the following: * Good Samaritan Liability * Malplacement Liability * Personal Injury Liability Sexual Misconduct Included in the PL limit shown above subject to $ 25,000 aggregate sublimit Coverage Extensions License Protection Defendant Expense Benefit Deposition Representation Assault includes Workplace Violence Counseling Medical Payments First Aid Damage to Property of Others Information Privacy (HIPAA) Fines and Penalties Workplace Liability Workplace Liability Fire & Water Legal Liability Personal Liability Total: $ 162.00 $ 5,000,000 aggregate S 25,000 per proceeding S 25,000 aggregate S 1,000 per day limit S 25,000 aggregate S 10,000 per deposition S 10,000 aggregate S 25,000 per incident S 25,000 aggregate S 25,000 per person S 100,000 aggregate S 10,000 per incident S 10,000 aggregate S 10,000 per incident S 10,000 aggregate S 25,000 per incident $ 25,000 aggregate Included in Professional Liability Limit shown above Included in the PL limit shown above subject to $150,000 aggregate sublimit $1,000,000 aggregate Base Premium $162.00 Premium reflects Self Employed , Part Time , 1st Year Graduate Discount Policy Forms & Endorsements(Please see attached list for a general description of many common policy forms and endorsements.) G -121500-D GSL15564 G-124777-017 G -121503-C GSL15565 G -137711-B17 Chairman of the Board G -141241-B (03/2010) G -121501-C GSL17101 GSL3886 G -145184-A G SL13424LA GSL3908 4'I G -147292-A GSL15563 G -123846-D17 G -124776-C17 7AA4 Secretary Coverage Change Date: Keep this document in a safe place.lt and proof of payment are your proof of coverage. There is no coverage in force unless the premium is paid in full. In order to activate your coverage, please remit premium in full by the effective date of this Certificate of Insurance. Master Policy #188711433 Endorsement Change Date: Alison Phillips phil1636Gbears.unco.edu EDUCATION Ph.D. Student (August 2013 - est. May 2016) • University of Northern Colorado (CACREP accredited) • Counselor Education and Supervision M.S. (May 2013) • Loyola University New Orleans (CACREP accredited) • Clinical Mental Health Counseling • 4.0 GPA B.A. (December 2006) • Tulane University • Political Science and American Studies • 3.5 GPA (cum laude) CERTIFICATIONS AND LICENSURE National Certified Counselor (#319951) Licensed Professional Counselor Candidate in the State of Colorado (#LPCC.0013473) PROFESSIONAL EXPERIENCE Graduate Assistant (Part -Time) in the Department of Counselor Education and Supervision at the University of Northern Colorado • September 2013 - present Greeley, CO • Assisting Dr. Heather Helm, Chair of the Department of Applied Psychology and Counselor Education, with administrative duties and research; aiding with 2013 ACES National Conference hosted by UNCO. Family Preservation Therapist at Griffith Centers for Children • July 2013 - present Weld County, Colorado • Providing family therapy, play therapy, supervised visitations, and therapeutic visitations; utilizing Medicaid billing procedures; coordinating care with Weld County Department of Human Services caseworkers Counseling Student Intern at Beacon Behavioral Health • May 2012 - May 2013 Metairie, LA • Treated individual clients with a variety of severe and chronic mental health issues in weekly 50 -minute sessions; facilitated daily psychotherapy groups within the Partial Hospitalization Program and the Intensive Outpatient Program; completed 1 psychosocial/intake forms; developed treatment plans; managed clients' charts for the purpose of Medicare reimbursement Graduate Assistant in the Department of Counseling at Loyola University New Orleans • January 2011 - May 2012 New Orleans, LA • Assisted professors with research and administrative tasks; edited CACREP review submissions for clarity and grammar Constituent Services Representative for U.S. Senator Mary L. Landrieu • February 2009 - August 2010 New Orleans, LA • Facilitated citizens' access to various federal, state, and city programs PUBLICATIONS Peer -Reviewed Periodical Bagala, C., Phillips, A., & Foster, T. (November 2013). Using existential -humanism in group to help adolescents. Journal of Counseling Research and Practice. Manuscripts In Preparation Phillips, A. (2013). Alone in the struggle to maintain a healthy weight?: Suggestions for the role of mental health counseling. Evans, A., Ebrahim, C., Phillips, A., & Foster, T. (2013). A phenomenological study of the effectiveness of constructivism as a pedagogical practice in counselor education. PRESENTATIONS Upcoming Phillips, A. (March, 2014). bnprov Comedy for Mental Health Counselors. Presented at the Colorado Counseling Association Annual Conference, Denver, CO. National Evans, A., Ebrahim, C., & Phillips, A. (October, 2013). Recognizing and addressing group dynamics in classroom and supervision settings: Applications for counselor educators and supervisors. Presented at the Association for Counselor Education and Supervision Annual Conference, Denver, CO. Regional Phillips, A. & Levitov, J. (February, 2013). Metabolic Syndrome and Family Systems: The Role of Counselors. Louisiana Association for Marriage and Family Therapy Annual Conference, Baton Rouge, LA. 2 Phillips, A. & Levitov, J. (October, 2012). Metabolic Syndrome and Mood Disorders: The Role of Counselors. Presented at the Louisiana Association of Counseling Annual Conference, Lake Charles, LA. Ebrahim, C., Phillips, A., & Evans, A. (April, 2012). Recognizing the Impact of Group Dynamics in Classroom and Supervision Settings. Presented at the Louisiana Association for Counselor Education and Supervision Annual Conference, Lafayette, LA. Phillips, A. (February, 2012). "Hooking Up" in College: Mental Health Effects on Women. Poster presentation at the Loyola University Graduate Research Symposium, New Orleans, LA. Phillips, A, Bagala, C., & Foster, T. (November, 2011). Using Existential Theory to Help Adolescents Find Meaning in Their Strife: Application with Early Treatment of Pre - Borderline Personality Disorder. Presented at the Illinois Counseling Association Annual Conference, Chicago, IL. Bagala, C., Phillips, A., & Poster T. (November, 2011). Wellness Counseling for Midlifers and Older Adults: Aging with a Wellness Lifestyle. Poster Presentation at the Illinois Counseling Association Annual Conference, Chicago, IL. Phillips, A. & Bagala, C. (September, 2011). Using Existential Theory to Help Adolescents Find Meaning in Their Strife: Application with Early Treatment of Pre -Borderline Personality Disorder. Poster Presentation at the Louisiana Counseling Association Annual Conference, Baton Rouge, LA. AWARDS University of Northern Colorado Graduate Dean Scholarship University of Northern Colorado Graduate Assistantship Loyola University New Orleans Counseling Department Excellence in Research Award Loyola University New Orleans Counseling Department Graduate Assistantship Loyola University New Orleans LaNasa-Greco Scholarship Tulane University Presidential Scholarship PROFESSIONAL MEMBERSHIPS American Counseling Association (Student Member 4 6334699) Association for Counselor Education and Supervision Rocky Mountain Association for Counselor Education and Supervision Colorado Counseling Association 3 State of Colorado 05)28/2013 Licensed Professional Counselor Candidate Alison Nicole Phillips 1410 Magazine St New Orleans, LA 70130-4224 Department of Regulatory Agencies Division of Professions and Occupations PERMIT NUMBER LPCC.0013473 This temporary permit grants authority to practice as a Licensed Professional Counselor Candidate beginning 05/28/2013 until 05/28/2017 under the following restrictions: 1 The holder of this permit is allowed to practice Professional Counseling under the supervision of a Licensed Professional Counselor or equivalent while completing the requirements for licensure as a Professional Counselor. 2. This permit does not allow the holder to use the protected term "Licensed Professional Counselor or otherwise suggest to the public that the holder is a Licensed Professional Counselor. 1 Print Dole' 72312.013 CNA Producer Branch Prefix 018098 970 HPG Named Insured and Address: Alison Phillips 495 Cutter Ln Boulder, CO 80302-9473 Medical Specialty: Clinical Counselor/LPCC HEALTHCARE PROVIDERS SERVICE ORGANIZATION PURCHASING GROUP Certificate of 3iiiSiirante OCCURENCE POLICY FORM Policy Number 0592514287 ®HPSO Policy Period from 07/01/13 to 07/01/14 at 1201 AM Standard Time Program Administered by: Healthcare Providers Service Organization 159 E County Line Road Hatboro, PA 19040-1218 1-800-982-9491 www hpso.com Code: Insurance is provided by: 80723 American Casualty Company of Reading, Pennsylvania 333 S. Wabash Avenue, Chicago, IL 60604 Professional Liability Your professional liability limits shown above include the following. Good Samaritan Liability Malplacement Liability Personal Injury Liability Sexual Misconduct Included in the PL limit shown above subject to $ 25,000 aggregate sublimit Coverage Extensions License Protection Defendant Expense Benefit Deposition Representation Assault Includes Workplace Violence Counseling Medical Payments First Aid Damage to Property of Others Information Privacy (HIPAA) Fines and Penalties $1,000,000 each claim $ 5.000,000 aggregate Workplace Liability Workplace Liability Fire & Water Legal Liability Personal Liability Total: $ 61.00 $ 25,000 S 1,000 S 10.000 $ 25,000 5 '5,000 S 10,000 S 10,000 $ 25,000 per proceeding per day limit per deposition per incident per person per incident per incident per incident S 25,000 S 25,000 S 10,000 S 25,000 $ 100,000 S 10,000 5 10.000 5 25,000 aggregate aggregate aggregate aggregate aggregate aggregate aggregate aggregate Included in Professional Liability Limit shown above Included in the PL limit shown above subject to $150,000 aggregate sublimit $1,000,000 aggregate Base Premium $61.00 Premium reflects Employed , Full Time , 1st Year Graduate Discount Policy Forms & Endorsements(Please see attached list for a general description of many common policy forms and endorsements.) G -121500-D GSL15564 GSL3908 G -121503-C GSL15565 Chairman of the Board G -141241-B (03/2010) G -121501-C GSL17101 G -145184-A GSL13424 A IA Secretary Coverage Change Date: G -147292-A GSL15563 G -123846-O05 GSL3886 Keep this document In a safe place.lt and proof of payment are your proof of coverage. There is no coverage in force unless the premwn; is paid in full. In order to activate your coverage, please remit premium in full by the effective date of this Cedificoto of Insurance Master Policy # 188711433 Endorsement Change Date. Jessica L. Klika 4730 W. 109th Ave Westminster, Colorado 720-240-6584 Jessica.Klika@comcast.net EDUCATION: Liberty University Online Masters in Counseling Graduated with High Honors Metropolitan State College of Denver B.A. History with License in Secondary Education • Grade point average in Major: 3.53. EXPERIENCE: Griffith Centers for Children Denver Rescue Mission Internship Lynchburg, Virginia 2010-2013 Denver, Colorado 2003-2007 August 2013 -Present January -August 2013 Faith Christian Academy Arvada, Colorado Secondary Education Teacher Jan 2007 to Present • Wrote, designed and produced several interactive social studies units including the Middle Ages, the Greeks, and the Civil War interactive. • Trained one student teacher in the area of social studies. • Planned and supervised class projects, field trips, visits by guest speakers, and other experiential activities, and guided students in learning from those activities. • Served as head of the social studies department for two years. • Responsible for annual class trip to Washington DC and New York and oversee the trip. • Manage student council. Blockbuster Video Golden, Colorado Asst. Manager Jan 2007 to June 2007 • - Researched, compiled, and prepared reports, manuals, correspondence, and other information required by management and governmental agencies. • Maintained records pertaining to inventory, personnel, orders, supplies, and machine maintenance. Sacred Grounds Arvada/Denver, Colorado Barista May 2004 to August 2007 and on occasion at present • Executed daily operations of opening, operating, and closing a coffee and food providing business. • Wrote, designed and produced several different beverage and food items. • Managed the movement of goods into and out of production facilities. • Trained and managed many baristas and achieved significant improvements in their productivity. • Supervised and managed the location in St. Joseph's Hospital, located in downtown Denver. SKILLS: • Skilled with computer systems and software such as Word, PowerPoint, and Excel. • Over 6 years experience working with adolescence. • Major strengths in planning, problem solving and communication. • Able to communicate and interact effectively with individuals of all levels. AFFILIATIONS, CERTIFICATIONS, AND LICENSURES: Licensed in Secondary Education 2007 -Present ACTIVITIES, HONORS, AND COMMUNITY SERVICES: • Coach middle school girls in Volleyball, Basketball, and Soccer 2007-2013 • Lead a team of middle school students to Washington DC for one week in May 2009 -Present HEALTHCARE PROVIDERS SERVICE CNA PRODUCER f BRANCH 018098 970 Named Insured ORGANIZATION PURCHASING GROUP PREFIX HPG SO Certificate of trtatrartce „� H ty OCCURRENCE POLICY FORM POLICY NUMBER Policy Period: 0593059343-8 From 08/19/13 to 08/19/14 at 12:01 AM Standard Time Program Administered by: Jessica Klika 4730 W 109th Ave Westminster, CO 80031-2.013 Medical Specialty Mental Health Counselor Professional Liability Your professional I1ab11Ry Ilmtts shown above include the following: • Good Samaritan Liability • Maiplacoment Liability • Personal Injury Liability • Sexual Misconduct Included in the PL Limit shown above subject to $25,000 aggregate sublimit Code 80723 Healthcare Providers Service Organization 159 E. County Line Road Hatboro, PA 19040-1218 1-800-982-9491 www.hpso.com Insurance is provided by: American Casualty Company of Reading, Pennsylvania 333 South Wabash Avenue Chicago, Illinois 60604 Coverage Extensions License Protection Defendant Expense Benefit Deposition Representation Assault Includes Workplace Violence Counseling Medical Payments First Aid Damage to Property of Others Information Privacy (HIPAA) Fines & Penalties Workplace Liability Workplace Liability Fire and Water Legal Liability Personal Liability Total: $60.00 Premium reflects recent graduate discount. $1,000,000 each claim $3,000,000 aggregate $ 25,000 per proceeding 1,000 per day limit 10,000 per deposition 25,000 per incident 25,000 per person 10,000 per Incident 10,000 per incident 25,000 per incident $ 25,000 aggregate $ 25,000 aggregate $ 10,000 aggregate $ 25,000 aggregate $ 100,000 aggregate $ 10,000 aggregate $ 10,000 aggregate $ 25,000 aggregate Included in Professional Liability Limit shown above Included in the PL limit above subject to $150,000 aggregate sublimit $1,000,000 aggregate Policy Forms & Endorsements (Please sae attached list for a general description of many common policy forms and endorsements.) G -121500-D G -121501-C G -121503-C G -145184-A G -147292-A GSL3886 GSL3908 GSL13424 GSL15563 GSL15564 GSL15565 GSL17101 G -123846-005 mac' MLCO. 2kjdetitil)1 1141" Chairman of the Board Secretary Keep this Certificate of Insurance In a safe place. This Certificate of Insurance and proof of payment are your proof of coverage. There Is no coverage in force unless the promlum is paid In full. In order to activate your coverage, please remit premium In full by the effective date of this Certificate of Insurance. Form #: G -141241-B (3/2010) Master Policy: 188711433 lvso• . CUe C04rI 2717ce15 • O 0 O 7 V o .Y 0 5 Jim 8 fC an w atc 1110 at O Detail View Y O O J Lel Li N O P n N N 0 C O ti v CI 0 0 n Q Ci U V Q m c 0 In In 0 4 O 0 CI 0 O N U c O C t u _ a a 0 O * Q C o m � E • o CU S • C L_ J 0 C 0 2 2 Y 0 eJ E c v O Q > C IQ U H VI y 0 0 OJ H L- c tn N tu J ti w Public Address Westminster, CO 80031-2013 d E m Z Jessica Louise Klika C 0 (0 N 1- CO •a x W 08/31/2015 08/07/2013 08/07/2013 Credential Information U Q License Type m c O C L u a f o l' inv u E E J Z NLC.0103937 rd/Progam Actions O co C 0. U O ro C GJ N U L O v C O C 0 t Q a O 0 C a U O 0 C `) s 0 - CO N O N Generated on: 3 a) a) Ameedah Khalifeh 1932 S. Colorado Ave Loveland, CO 80537 Akhalifeh2011@gmail.com Home 970-391-5448 SKILLS/STRENGTHS • Excellent Case Management skills • Excellent organizational. interpersonal and communication skills • Experience working with diverse populations including multicultural, people with disabilities, GLBTQ, substance abuse, physically, sexually, and mentally abused, mental and physical illness, and homeless families • License eligible • Extensive experience in organizational strategic planning, including the development and implementation of short and long term goals and objectives • Extensive experience working as part of an interdisciplinary team • Six years clinical therapy experience • Three years substance abuse therapy experience • Proven track record of working independently and able to handle pressure • Group therapy experience with adults, parents, young adults, and children • Well practiced work/life balance • Extensive experience working with families in crisis EDUCATION Colorado State University, Fort Collins, CO M.S. in Social Work May 2006 Emphasis: Advanced Generalist Thesis: Program Evaluation B.S. in Social Work May 2005 Graduated Magna Cum Laude GPA 3.89 Aims Community College, Greeley, CO. Associates of Arts June 2002 Emphasis. Criminal Justice WORK EXPERIENCE August 2002 -May 2006 August 1999 -June 2002 Griffith Centers for Children, Westminster, CO May 2012 -Present Family Preservation Therapist • Provide intensive therapeutic services for high -risk families to prevent out -of -home placement • Prepare families for reunification • Support families in crisis • Address safety risks in home • Assist in stabilizing family functioning • Complete required paperwork in allotted timeframe Aurora Housing Corporation -Family Services, Aurora, CO August 2008 -January 2011 Lead Case Manager Conduct initial assessments with families who seek to participate in the transitional housing program Conduct interviews with the families that help identify their goals, barriers to achieving these goals, and personal and community resources Develop a contract that specifies long term goals of each family member and short term action steps they will take to achieve these goals fleet weekly, bi-weekly, or monthly with families Provide crisis intervention as needed Participate in weekly and monthly Family Service Meetings Supervise Social Work Interns Maintain appropriate paperwork and documentation for client files and tracking systems Develop and facilitate educational and informational Life Skill Classes Supervise Family Advocates Colorado State University DAY (Drugs, Alcohol, 8 You) Program, Fort Collins, CO August 2005 -August 2005 Clinician/Lead Case Manager • Provide diagnostic and clinical assessment to DAY staff, supervisors, and other CSU personnel when appropriate • Conduct clinical assessment interviews with students presenting with a wide range of substance abuse disorders and dual diagnoses • Prepare and present written reports and documentation to the treatment team • Provide ongoing individual therapy with clients presenting with a wide variety of issues including anxiety, depression, substance abuse, and oppositional and personality disorders. • Provide crisis intervention as required • Maintain appropriate papenvork and documentation for ciient files and tracking systems • Participate in weekly case conferences as member of the treatment Warn • Train and supervise case managers • Facilitate psycho -educational and interpersonal process groups • Develop and facilitate drug and alcohol intervention programming on a campus wide basis Interfaith Hospitality Network -Angel House, Loveland, CO January 2005 -May 2005 Intern • Attended staff meetings, consult with and serve as a liaison with community agencies, schools, and other mental health programs and services to evaluate client/family needs and services • Assisted clients/families with resolving conflicts and developing more productive ways of coping with issues • Provided ongoing case management and advocacy services to the clients/families in the areas of securing housing, social issues, substance abuse, and financial assistance • Assisted in coordinating yearly fundraiser • Conducted assessments of individuals, couples, and families to determine program eligibility • Discussed behaviors, responsibility and motivation with clients in regards to changing current situation Print Lookup Details littps:/lwww.colorado.go v/dora/licensing/Lookup/PrintLicenseDetail... ,Sr '• 7(•' O. -ran —cm of:r9u story Agencie. Lookup Detail View • .5 • 1 yr Barbara J. Kelley /) r. • Executive Director • This serves as primary source verification* of the license. 'Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C n..S. Name Public Address Ameedah Zahirah Khalifeh Greeley, CO 80634 License Number License Method License Type License Status Original Issue I Effective Date i Date Expiration Date NLC.0103235 Original Registered Psychotherapist Active 08/28/7012 09/01/2013 08/31/2015 Board/Progam Actions Discipline There is no Discipline o- Board Actions on file for this credential. Generated on: 3/19/2011 10:49:49 PM 1 of 1 3/19/2014 10:49 PM t:;.'r 'es , CC .T6R V, lS l : Dir. .. . 4 CERTIFICATE OF INSURANCE 11,1 ec,-•i:. ..;b94 'At .... • •t'.ty [0.t L: a .«t.t vw+ I.,:a:.•• ay e,.. tts St.t.+ ..u• .rr ...,•a •y t:.r :o.pu::.:..:,:•e.� >::..'., cat tat//*, n...t ...... ..t: t', t.:q•rt •.. r..•.: Frwt.:.f:.... t...t.t,.ra .•.a pt .t, .a ••u •',t .s.t•:.• ., .....r.: t•.a6J an ...••, avrtq.• .1.,•.y c .,. .a ••aq••: • nc >:: r..n• N Sat >ud .•_.•.•o THIS CERILFICATE OF INSURANCh Nt11NER AfFIRMATLVLLY NON NEi3AIIVELT AMENDS, EXIEHU' OR AMENS THE COVERAGES) AIi;UIIDiD 6Y lHE POLICY(ILS) LIS1ED ON IRIS CERTIFICATE. sno :.Cv: F•:AN; :.) R(t' !;1?.• is X•a: C ^rV�Y@t?. YT•'•r=__.:?:: SG..A. irv:..H .Jr.io: of up:LatLons P'?. :la_m It: CL «. .... to L!.a! f.4, ... AIVPIAgee Pc:.:, > :r`_pac:ve }>.p:taLl... ! Li•�:LS .,: [— $_71Jor D�tt: i L_st,i t.y . Pil S' 7 'I•):•'f Lr I I I t t n 1 iAr:L:7: .514L-Witil;n: E L i;11,14 _I_ 1 '15 ! +.t:. •r'.^ NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED ON THIS POLICY AND HE OR SHE SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE or CANCELLATION. Co - ents Ihts Ce,'1f cntV,Is,sue0 t.N. Name Address: From: Chrirr ca Murpr:y To: c1. 'd"atCr Cc: Arreedah ' l,d'r.h' T.'U' Vector Subject: Re: Griffith Bid Follow-up Date: Thursday, April 17, 2014 10:31:17 AM I I i Tobi, That Rate is 25.00 per hour. Thank you! Christina Murphy MA, LPG Licensed Professional Counselor Director of Community Programs Griffith Centers for Children 720-425-5510 On Apr 17, 2014, at 8:28 AM, Tobi Vegter <v et!tel to a co.vv eld,co.us> wrote: Hi Christina, In reviewing the bid Griffith submitted, we noticed that Griffith did not include a rate for staffings under any of the program areas submitted. Could you please send that to me today? We are reviewing with the FYC Commission tomorrow and I will need that information. Thank you. Regards, Tobi Vegter Child Welfare Contract and Services Coordinator Weld County Department of Human Services Division of Child Welfare Resource Unit (970) 352-1551, ext. 6392 (970) 301-2676 (Cell) (970) 346-7667 (Fax) veatertpth& weldgov.com <image003.jpg> Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. PY-14-15-CORE-0183 EXHIBIT C SCOPE OF SERVICES 1, Contractor will provide Crisis Intervention and Stabilization Services; Home -Based Intensive Services (Family Preservation Services); Life Skills (General Life Skills, Parenting Skills, and both Supervised and Therapeutic Visitation); and Mental Health Services (Individual Therapy, Family Therapy, and Mental Health Needs Assessment), to individuals and families referred by the Department. 2. Crisis Intervention and Stabilization Services —Contractor will provide services that address an immediate in-person/in-home response to families, youth and children, in crisis, 24 hours a day, seven (7) days a week. The primary goal of services is to prevent out -of -home placement of youth and/or child (ren) and provide families with the services they need to maintain their youth and/or child (ren) in the family home, or to assist in reunification. • Contractor will, at a minimum, provide the following: r; First appointment within 24 hours of the referral (24 hours per day, 7 days per week). c Solution -focused plans and interventions to stabilize the family within 60 days. Intensive case management services Referral to additional resources, including hands on assistance in attaining services. o Direct assistance in accessing community resources to ensure post -crisis stability. Collaboration with the Department and other agencies, including courts and school. 3. Home Based Intensive Services —Contractor will provide Family Preservation Services to high -risk families designed to prevent out -of -home placements or prepare families for reunification, as referred by the Department. Target populations include: o Families who are in crisis or experiencing major struggles in functioning. Families with youth in the home who are acting out behaviorally or sexually. c: Families with children and youth ages 0-17 years. o Children who are at risk for out -of -home placement, or transitioning back into the home from foster care, residential treatment, Department of Youth Corrections or other out - of -home placement. Foster families with children or youth who meet the above criteria. ; "Families" is defined as children and/or youth residing with parents, relatives, guardians or foster parents. Family Preservation Services are modeled after the National Family Preservation Network's definition of Intensive Family Preservation Services (IFPS). IFPS is defined as: o "IFPS services are designed to support families in crisis in which children are either at imminent risk of placement or have been placed out of the home. The services are for birth and adoptive families and are effective as reunification services as well as for placement prevention." The goal of the program is to keep children safe and avoid both unnecessary removal and long separations from family in out -of -home care. Aspects of the program include: .0 Services are flexible and individualized to each family. o The home -based model offers service delivery that overcomes barriers to service access 1 PY-14-15-CORE-0183 and services are provided in the environment in which issues most likely arise. o Services are utilized to stabilize family functioning and address safety risks. This is done through teaching families to work with community agencies, appropriate parenting skills, stress reduction, problem -solving and increased communication skills. o Services are available 24 hours per day, 7 days per week. a Services include 3-6 hours per week in the referred families' home. Services can be increased as needed. Appointment times are flexible and include evenings and weekends. • Intervention strategies include: c Treatment goals that are mutually agreed upon by family, CONTRACTOR and other professionals involved with the family such as the referring caseworker. o Interventions aimed at the individual, entire family or appropriate community members. c A strengths -based psycho -educational model that focuses on skill -building. o Other skills areas includes anger management, problem -solving, household management, and accessing community resources. • Average length of services is 2 to 6 months. Contractor will coordinate and advocate with school systems, court and the Department. 4. Life Skills - Contractor will provide general Life Skills, Parenting Skills, Supervised Visitation and/or Therapeutic Visitation to families as referred by the Department. • Target populations include: • Parents or primary caregivers who need in -home parenting instruction and assistance with household management and accessing community resources. c Parents with children ages 0-17 years who are at risk of out -of -home placement. o Parents with children ages 0-17 years who are placed out of the home with relatives or in foster care. o Children who are transitioning back home from out -of -home placement. • Intensive in -home model that focuses on improving parenting skills, increasing safety and stability. Intervention strategies include the following: • Treatment goals mutually agreed upon by the family, the Contractor, the Department, and other involved professionals o Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program", and "Common Sense Parenting". o Individual work, as well as coaching and modeling with children present. The goal of the Life Skills program is to improve parenting skills, and increase safety and stability in the home. Aspects of the program include: o Services are flexible and individualized to each family, and are based on a thorough assessment of parental and child strengths and needs, as well as the ethnicity, culture and lifestyle of the family. Each referred family is assigned a LSP specialist who is trained in and specializes in parenting, child development, and life skills. The LSP assists parents/caregivers with basic parenting skills, household management, budgeting, organizational skills, and other day-to-day issues that impede the care and development of children in the home. c All safety risks are addressed immediately by the LSP. 2 PY-14-15-CORE-0183 o The in -home model offers service delivery that overcomes barriers to service access and services are provided in the environment in which issues most likely arise. Services are utilized to stabilize family functioning and address safety risks. This is done through teaching families to work with community agencies, appropriate parenting skills, stress reduction, problem -solving and increased communication skills. c Services are available 24 hours per day, 7 days per week. • Services include 3-6 hours per week in the referred families' home. Services can be increased as needed. o Appointment times are flexible and include evenings and weekends. c Average length of services is 3 to 5 months. • Contractor will coordinate and advocate with school systems, court and the Department. Follow up services are available for one year after discharge to aide in long-term success with pre -approval from the Department. Therapeutic/Supervised Visitation services are available as an in -home model with the option of providing visits in a community setting or other location designated by the Department. Visitation services will focus on assessing the parent/caregiver's parenting ability and work with individuals to meet the needs of the children during visits. o Objectives of Visitation: • Ensure child safety during visits. • Closely monitor parent/child interactions to ensure appropriateness. • Improve parenting skills (effectively meeting the developmental needs of the child(ren)). 5. Mental Health Services - Contractor will provide therapy to individuals and families, as well as Mental Health Needs Assessment to clients of all ages, as referred by the Department, to address mental health and behavioral issues, as well as issues around abuse/neglect, reunification and/or trauma. Contractor will provide services in the office or a client's home/community and can be utilized in conjunction with or as a follow up to in -home services. Services are conducted by Master's level mental health professionals. Every effort will be made to maintain the same therapist if the client has previously received services in order to maintain continuity of services. • Intervention strategies include Behavioral, Cognitive -Behavioral, Family Systems, Play Therapy as well as Brief and Present -Focused. • Sessions are weekly unless otherwise directed by the Department. • Pager access 24 hours a day, 7 days a week. Contractor offers a pre-treatment assessment which is conducted by a licensed mental health professional in an office setting on in the client's home. Assessment will result in recommendations for immediate interventions and goals and can be completed in one (1) to two (2) one -hour sessions. 6. Contractor is sensitive to family ethnicity, culture, values and beliefs 7. 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). 3 PY-14-15-CORE-0183 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. 8. 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. 9. 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. 10. 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. 11. 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. 12. 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. 13. Contractor understands that the Department does not reimburse for cancelled appointments, either on the part of the client or the Contractor. 14. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 4 PY-14-15-CORE-0183 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contracto- 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 Crisis Intervention and Stabilization Services: $48.00/Hour (Crisis Intervention and Stabilization Services, Master's Level) $38.00/Hour (Crisis Intervention and Stabilization Services, Bachelor's Level) $15.00/Hour (Intensive Case Management) $25.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) Home Based Intensive Services: $48.00/Hour (Family Preservation Services) $25.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) Life Skills: $36.00/Hour (Therapeutic Visitation) $36.00/Hour (Supervised Visitation) $38.00/Hour (General Life Skills, Parenting Skills) $25.00/Hour (Client "No -Show" — Up to two (2)) $25.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) Mental Health Services: $52.00/Hour (Individual Therapy) $56.00/Hour (Family Therapy) $150.00/Episode (Mental Health Needs Assessment) $25.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) 1 PY-14-15-CORE-0183 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 GRIFF-1 OP ID: GA siC:URO CERTIFICATE OF LIABILITY INSURANCE `,,,,.r" DATD;YY1^, 03/27/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 610-974.9490 Brown & Brown of the LV 3001Emr(ckBlvd, Suite 120 610.974-9791 Bethlehem, PA 18020 INSURED Griffith Centers for Children 1724 Gilpin Street Denver, CO 80218 cONrACT PNONF (AWC,No. EMI: _,__ •,_.(AIC,No): E-MAIL ADORERS: _ . , INSURER(S) AFFORDING COVERAGE NAICA INSURER A : Philadelphia Indemnity Ins Co _ 18058 INSURER B ,_ __ INSURER C , INSURER I: ..- -. _ --...__._. •. INSURER E __ _ _ INSURER F CERTIFICATE NUMBER: REVISION NUMBER: VTHIS IS TO CERT,FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF''CATF MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE'N IS SUBJECT TO ALL THE TFRMS, EXCLUSIONS AND CONDI''ONS OF SUCH POLICIES LIMI IS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. V INSR . "AWL SLJVR• • POLICYEFF -POLICYEXP I TR TYPE OF INSURANCE INSR YYYO POLICY NUMBFR (MMIDDIYYVY) IIMMIDDIYYYY, LIMITS A GENERA_ LABILITY I X cx.NERCn-CEI+ERIN._As ll', PHPK1150290 04/01.14 04101/15 :LAL:J•!'A.)L• X (:(:C JR EACH :ICCURRE^ICE I'Ai''C RE A —EC kit.15L$iCaccc.lr,e_De; Vi -E; EEP:Anr ors DBrsC'I, PFRSONAI A A,•)V IL'JRY OF4FRAL AGGREGATE_ , in ionucrs-coMP:OPAGG - ._.. -. . c 1,000,000 1,000,000 5 5,000 5 1,000,000 5 3,000.000 S 3.000,000 5 - CFNt AGGREGATE IIMMT APPLIC-S PER: i I ' . ' PRL- - PCtICY IF.^T -OC A AUTOMOBILE LIABILITY ANYAu•0 PHPK1150290 04/0114 04/01/15 A--OVPIcD • SC -LO AED X AL 0$ AJ105 • X Ii RE; A .T(tS X R 6_,+S+,'. (IE.^. C La `dECC.S NOTE LIMIT 1 '_JGL' .eJuRs-iPe.pe'sont 3L.O1-+ LJURY 'PeraccctnI) sc.C�E5!Y ['APACE - - ,:,e, ,-:,Oer!t. 5 1,000,000 S L c c X . UMBRELLA LIAR X . OCCGR A I - EXCESSLIAe • CLAIMS -MADE IPHUB453604 04/01/14 04/01115 LIED X RL-IEI.IIONS 10,000 FAG.. CCCLRR_ENCE_ AOGRFGATF _ 5 5,000,000 5 5.000,0001 $ : I WORKERS CDMPENSA1 ION AND EMPLOYERS' LIABILn Y AN, PRCITRIETOR::PAR-IIF R'L xer.lU-IVE Yr CcF:,^.c R',IEtdBER E'4C.JDi •-,, I N/A • (Mandatory In NH] 'n tle5c�Dd .. C Ct$CP, --ICr, O�r.1:F RA' :'.5 :�C'Cn i INC STAID- CM, row LIMITS _ • ER It FAC',ACC'OENT — - . : DISEASE • EA E'.1PI.CYEE L- :MScASL• PO_ICY L A'I' -S s • S A A Professional Liab PHPK1150290 04/01114 04/01/15 Abuse/Molestation PHPK1150290 04/01/14 04/01/15 I Occ/Agg Occ/Agg S1MIS3M SImist PA DESCRIPTION OF OPERATIONS IL OCATIoNS I VEHICLES IAluch ACORD 101, AOII,donsl Remarks Schedule. II mom space is required} CERTIFICATE HOLDER CANCELLATION WELDCO Weld County, Colorado PO Box A Greeley, CO 80652 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 'sJ 1386-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/051 The ACORD name and logo are registered marks of ACORD GRIFCEN-01 ALAYMAN ' T Aj?R0 CERTIFICATE OF LIABILITY INSURANCE i.,..._._---3/18/ DA!DDIVYYY) 311812014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAMEACT Allison Layman CoBiz Insurance, Inc. CO 821 17th St. Denver, CO 80202 PHONE- (303) 988-0446 5324 (AtC, Nn (303) 988-0804 E -LAIC, No, Ent):1 ADDRESS alayman@cobizinsurance.com INSURERS) AFFORDING COVERAGE NA.C k INSURER A : Pinnacol Assurance Company 41190 INSURED INSURER B - Philadelphia Indemnity Ins. Co 18058 Griffith Centers for Children INSURER C : Travelers Casualty and Surety Company _ 19038 Barb Ritchie 8461 Turnpike Dr, Ste 100 INSURER D : - Westminster, CO 80031 INSURER E . .NSURER F • v THIS ' IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSANS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ -ADOL-SUBR- - POLICY OF " POLICY EXP ILTR TYPE OF INSURANCE ' INSR WYD POLICY NUMBER LMM!DDIYY TY) IMMfODIVYYY1 LIMITS GENERAL LIABILITY I COMMERCIA. (ENERALL'AaILITY . - C.A MS•L'AUL CCc.,N GI NI AGGRECA't OMIT APPLIES PER. POLICY P11 LOC EACH OCCURRENCE • S • DAMAGE TO RENTED PREMISES ;Ea x:.,lre'1ce! . S. _ MFn EXP iAny One Person+ . S - PERSONAL. a ACVIN.,UNY 3 GENERAL AGGREGAIE S _ PRODUCTS • COMP.Cfr AUG S . - — • S _,-.. _ AUTOMOBILE LIABILITY ANY AUTO A;.I.OWNED SCHEMA II) i AJTOS AUTOS j ' NO OWNFD HIRED AUTOS . AJ'OS _ Ea a{IS co ,SINGLE L %II' S BOL)ILY INJURY :Pc cwso I S -_ _ BODILY INJURY ;Per accident)' S -.MOM RTYCAMAGF I S ;Per a.t Cnnii _- - S _._ ... . — UMBREL:A LIAR OCCUR - EXCESS LIAB , CIAIMS•MADE! I DFn P.F•-'fFONS EACH OCCURRENCE S _ : AGGREGATE S . ` ; . -.-, , S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AN' PROPRIETOR AR'NER,EXEC..:IJC IV IN 864142 1!112014 11112015 FXC. JO£J4 •NIA I Of (Mandatory II ns. dg yin Na I II yas. dI F ON •OI O Ur sCNu'' ION of U.'i NA IONS 0�'0..� X LNC SIATU- 01H. . -ONY JMITS ,_ LH , E L EACH ACC'DE' T $ .EL DISEASE -FAFMPLOYFr11 ~ - -. E L 01St ASE - r'OUf.Y UM'i S _ 1,000,000 1,000,000 -- - 1,000,000 B C Directors/Officers PHSD926729 4/1/2014 4/1/2015 Crime 105579952 411/2014 4/1/2017 Limit Employee Dishonesty 5,000,000 250,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Weld County, Colorado PO 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 (:T) 1988.2010 ACORD CORPORATION. AlI rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PY-14-15-CPS-0117 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND IDEA FORUM, INC. e. This Agreement, made and entered into the L day of�, 1 , 014, 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 IDEA Forum, Inc., hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration funding to the Department for Anger Management Evaluation and Treatment, Domestic Violence Evaluation and Treatment, and Monitored Sobriety Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014 upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CPS-0117 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7`h of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CPS-0117 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.• and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CPS-0117 - 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. 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 Child Welfare Administration. 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 4 PY-14-15-CPS-0117 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. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101, et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(bl. Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 5 PY-14-15-CPS-0117 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 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; 6 PY-14-15-CPS-0117 - $50,000 any one fire; and - $500,000 errors and omissions. Hi. 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. 7 PY-14-15-CPS-0117 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 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 8 PY-14-15-CPS-0117 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Marcela Paiz, Chief Executive Officer 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 970) 352-1551 9 For Contractor: Marcela Paiz, Chief Executive Officer 2560 West 29th Avenue Denver, CO 80211 J303-477-8280 PY-14-15-CPS-0117 18. Litigation 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 bean incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any 10 PY-14-15-CPS-0117 pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the reso'ution 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, 11 PY-14-15-CPS-0117 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CPS-0117 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CPS-0117 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 IN WI I NESS VitiEREO1-, the partEes. i+r„ iu have duly ::e..!ted the day, month, and sir. t above written. dtimeti ..fido;ok. ',Are CI rl; ro ti L d By: 4..uty Clerk to the Board APP)21c1A.D AS TO t�+ /`.tlori iey BOARD OF COUNTY COMMISSIONERS WELD COUNTY. COLOR )oI gI 5 Raie!nacher, (;hair SEP 1 5 2014 WELD COUNTY DEPARTMENT ��""� ra r, DRUM, INC. OF I•IUMAN SERVICES By: By. Marc4ia Paiz, Chief Executive; Officer ao1y RP/6 EXHIBIT A \t'ELI) COUNTY'S REQUEST FOR PROPOSAL. Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.corn or P.O. Box A, 315 A North 11`h Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract, The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. I. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. i. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. 61400069 Protect Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTORI» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7`h 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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.) 26-6104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commiss oners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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, Standard Workman's Compensation and Employer's Liability .. As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) Combined single limit - $500,000.00 written on an occurrence basis. Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400O69 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. 7 Bid No. 01400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName» «Addressl a, «Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §524-10-101 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 relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 minors 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLNamen, uTitlen 13 Bid No. 81400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. 81400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No, B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A, Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. 81400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (ESP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 EXHIBIT B CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL G H A R TING A N E W C O i) IDEA Denver (Headquarters) 2560 W. 29`1' Ave. Denver, CO 80211 Ph. 303.477.8280 Fx. 303.477.1369 IDEA Aurora Gateway Plaza 1090 S. Sable Blvd. Aurora, CO 80012 Ph. 303.671.0010 Fx. 303.671.4644 Marceia Paiz, BS, CAC Ili, President/CEO March 21, 2014 Tobi Vegter, Core and Service Contract Coordinator WCDHS P.O. Box A 315 A N. 11th Avenue Greeley, CO 80632 Dear Ms. Vegter, IDEA Brighton Village Square 2420 E. Bridge St. Unit B Brighton, CO 80601 Ph. 303.659.9440 Fx. 303.659.9430 .ior,i'; (jug R S E IDEA Thornton Sago Center 9150-B N. Washington St. Thornton, CO 80229 Ph. 303 996.9966 Fx. 303.996.9954 Rachel Montoya, Administrator Director 13t)) " eigoocvl Enclosed is the application for the purpose of providing Substance Abuse, Anger Management, Life Skills, Domestic Violence, and Monitored Sobriety services in the four locations listed above. IDEA continues to provide quality evaluations and treatment utilizing Evidence Based Practices (EBP). We have trained therapists in trauma informed care and have four Certified Clinical Trauma Professionals. certificates attached. IDEA service providers are multi -culturally sensitive and bilingual in English and Spanish. Therapists are trained to provide gender specific treatment; to treat adults and adolescents; LGBT; and co-occurring disorders. Therapists are Certified Addictions Counselors (CAC), Approved Domestic Violence Treatment Providers, Certified Trauma Professionals, Prevention Specialists and certified to facilitate EBPs (list is attached). Monitored Sobriety services include urinalysis (UA), breathalyzers (BA), medication monitoring of antabuse, hair tests, and swabs. The IDEA office hours are sensitive to the needs of clients, open 9:00 am to 9:00 pm. Referring agents are provided reports on the frequency requested. Enclosed: 1) Provider Information and W-9 2) Resumes and licensure/approvals of IDEA staff 3) Certificate of Insurance 4) Services and Fee Schedule This proposal is a formal request to renew the contract for the contract of 2014-2015. Sincerely, -77I a/f/e) Marcela Paiz, CEO IDEAS DIRECTED @ ELIMINATING ABUSE - IDEAS DIRIGI0AS g ELIMINAR ABUSO Denver 2560 West 29th Avenue Denver, Colorado 80211 Ph: 303.477.8280 Fx: 303.477.1369 rmontoya@ideacares.com Fee Schedule Services in English & Spanish Department of Corrections Approved Treatment Provider (ATP) Medicaid Approved CREDIT CARDS ACCEPTED Aurora 1090 South Sable Boulevard Aurora, Colorado 80012 Ph: 303.671.0010 Fx: 303.671.4644 jsoledad@ideacares.com Counseling Services DV Intake Evaluation and First Session DUI/ATOD Orientation and First Session Monitored Sobriety Orientation DV Group Group Therapy Individual Therapy Youth Group Therapy Youth Individual Therapy Family Therapy Case Management EMDR Parenting -One Day Intensive Monitored Sobriety UA 7 Panel + EtG UA Steroids BA Swab Test Antabuse (Treatment Clients) Antabuse Only Hair Test Evaluations Adult/Youth ATOD Evaluation Anger Management Evaluation Fee $57 $40 $40 $30 $30 $65 $25 $45 $65 $15. <15 minutes $80 $80 Fee $17 $120 $10 $15 No Fee $50/Month $50 Fee $125 $125 Brighton 2420 East Bridge Street Unit B Brighton, Colorado 80601 Ph: 303.659.9440 Fx: 303.659.9430 rmondragon@ideacares.com Thornton 91508 North Washington Street Thornton, Colorado 80229 Ph: 303.996.9966 Fx: 303.996.9954 sperez@ideacares.com Books/Manuals Evidence Based Practices (Purchase required at the time of first session) DUI • • ATOD . Other Driving With Care LV II Education Manual Driving With Care LV ll Therapy Manual Impaired Driver Education Program Impaired Driver Therapy Program Interlock Enhancement Counseling Matrix Seeking Safety Manual Dialectical Behavior Therapy Strategies For Self -Improvement and Change Moral Reconation Therapy (MRT) Anger Management: Substance Abuse and Mental Health Caring Dads The Parent's Handbook Walk In /One Time $17 $135 $10 $25 $50 Employer Referral / Out Of State Client $200 $200 V.03/10/2014 IDEA Charting a New Course: For more information about our services visit .t.,._ c,• \. Services Offered In English & Spanish NO INTAKE FEE - CREDIT CARDS ACCEPTED Walk-ins welcome DUI Education & Therapy • Level I Education • Level II Education • Level II Therapy (Track A,B,C,D) • Interlock Enhancement Counseling • DUI for Underage Drinkers Substance Use Disorder Treatment • Alcohol Tobacco and Drug Treatment (ATOD) • Intensive Outpatient Treatment (lOP) • Relapse Prevention • Recovery Planning • Cognitive Therapy • Smoking Cessation Domestic Violence • Domestic Violence Treatment • Dating Violence • Male/Female/LGBT General Treatment • Anger Management • Adult Responsibility • Victim Empathy • Parenting • Life Skills Adolescent Programs • DUI for Underage Drinkers • Adolescent Domestic Violence • Alcohol and Drug Treatment • Minor in Possession (MIP) • Life Skills Monitored Sobriety • Urinalysis • Breathalyzer • Antabuse • Swab • Hair Test Evaluations • Alcohol and Drug • Anger Management Denver 2560 West 29"' Avenue Denver, Colorado 80211 Ph: 303.477.8280 Fx: 303.477.1369 rmontoya@ideacares.com Aurora 1090 South Sable Boulevard Aurora, Colorado 80012 Ph: 303.671.0010 Fx: 303.671.4644 jsoledad@ideacares.com Office Hours Monday -Thursday 9:00am-9:00pm Friday 9:00am-9:00pm Saturday 9:00am-1:00pm DENVER Only: Sunday 9:00am-1:00pm Medicaid Approved • Evaluations (ATOD Only) • Drug Screening and Monitoring • ATODIDUI Group Counseling • Behavioral Health Counseling and Therapy Evidence Based Practices (Book Purchase Required) • Driving With Care (DWC) • IDEP • Interlock Enhancement Counseling • Matrix Model • Seeking Safety • Solution Focused Tx • Criminal Conduct & Substance Abuse Tx Strategies for Self Improvement and Change • Pathways to Self -Discovery & Change: Criminal Conduct & Substance Abuse Tx for Adolescents • Dialectical Behavioral Therapy (DBT) • Eye Movement Desensitization & Reprocessing (EMDR) • Moral Reconation Therapy (MRT) IDEAlProviders licensed or approved by: Colorado Department of Human Services Office of Behavioral Health (OBH) Department of Corrections (DOC) Approved Treatment Provider (ATP) Domestic Violence Offender Management Board (DVOMB) DBH Licensed: OutpatientlEnhancedllntensive Treatment • General Services • Level I DUI Education • Level II DUI Education & Therapy • Offender Education & Treatment (Non -DUI) • Services to Child Welfare Clients • Treatment Program Specific to Minors • Treatment Program Specific to Women • Involuntary Commitment Brighton 2420 East Bridge Street Unit B Brighton, Colorado 80601 Ph: 303.659.9440 Fx: 303.659.9430 rmondragon@ideacares.com Thornton 9150B North Washington Street Thornton, Colorado 80229 Ph: 303.996.9966 Fx: 303.996.9954 sperez@ideacares.com V-03/1012014 IDEA Charting a New Course: For more information about our services visit v.. t v, �tle. c � c_> t CHART IDEA Denver (Headquarters) 2560 W. 29th Ave. Denver, CO 80211 Ph. 303.477.8280 Fx. 303.477.1369 IT,0nt0`�3(C r•ogrs:::2rey,CINll I N G A NEW IDEA Aurora Gateway Plaza 1090 S. Sable Blvd. Aurora, CO 80012 Ph. 303.671.0010 Fx. 303.671.4644 t U!e_larih2}tn(•> c ;,:PS Marcela Paiz, BS, CAC III, President/CEO COURSE IDEA Brighton Village Square 2420 E. Bridge St. Unit B Brighton, CO 80601 Ph. 303.659.9440 Fx. 303.659.9430 rurcit:iyontbg:ie.care> IDEA Thornton Sago Center 9150-B N. Washington St. Thornton, CO 80229 Ph. 303.996.9966 Fx. 303.996.9954 Rachel Montoya, Administrator Director DOMESTIC VIOLENCE IDEA evaluates and treats domestic violence clients in accordance with the Colorado Domestic Violence Offenders Management Board (DVOMB) Standards. Evaluations are completed to determine the level of treatment based on risks and needs. Clients are evaluated for additional treatment recommendations that includes Substance Use Disorder, Anger Management, Parenting, Co -Occurring disorders, Mental Health evaluations, and monitored sobriety. Intensity and length of treatment is based on the evaluation recommendations, compliance and progress, and demonstration of DVOMB competencies. Community resources are utilized when specific treatment is not available at IDEA e.g. mental health or psychiatric treatment and medication evaluations. The Multi -Disciplinary Treatment Team (MIT) assesses client progress and document results on the Treatment Plan Reviews. Additionally, the MTT determines when the client is appropriate for discharge from treatment. The Domestic Violence Victim Advocate is a critical member of the decisions involving the evaluation, treatment, Treatment Plan Reviews, and the discharge from treatment. IDEA therapists include seven (7) Approved Domestic Violence Treatment Providers a!:'i d- approved to provide treatment to females, males, and LGBT. Only CAC it or CAC III evaluate for Substance Use Disorders. Therapists who provide Evidence Based Practices (EBP) are trained or certified in the delivery of the curriculums. IDEAS DIRECTED @ ELIMINATING ABUSE - IDEAS DIRIGIDAS @ ELIMINAR ABUSO CHAR 'f I N G IDEA Denver (Headquarters) 2560 W. 29th Ave. Denver, CO 80211 Ph. 303.477.8280 Fx. 303.477.1369 A NEW .....a tot IDEA Aurora Gateway Plaza 1090 S. Sable Blvd. Aurora, CO 80012 Ph. 303.671.0010 Fx. 303.671.4644 Marcela Paiz, BS, CAC III, President/CEO COUR SE IDEA Brighton Village Square 2420 E. Bridge St. Unit B Brighton, CO 80601 Ph. 303.659.9440 Fx. 303.659.9430 r1 ,�}f�!lf3C}11�C!?Ki!'a ":.1,;:;. •::v YI IDEA Thornton Sago Center 9150-B N. Washington St. Thornton, CO 80229 Ph. 303.996.9966 Fx. 303.996.9954 Rachel Montoya, Administrator Director SUBSTANCE USE DISORDER (SUD) TREATMENT IDEA clients are evaluated at the first point of clinical contact as required by the Colorado Office of Behavioral Health (OBH formerly ADAD) Regulations and placed in the appropriate treatment level, modality, and Evidence Based Practice (EBP) program. Monitored sobriety is recommended as determined by the evaluation: The best practice for monitored sobriety is urine drug tests (UA) and preferably EtG UA that supports sobriety and monitors compliance with program and treatment contracts. Attached is the list of EBP and clinicians trained/certified. IDEAS DIRECTED @ ELIMINATING ABUSE - IDEAS DIRIGIDAS @ ELIMINAR ABUSO *IATP InteroWnai P:cfq,isoitaisn' June 27, 2013 Marcela Paiz 9510 Elizabeth Ct Thornton, CO 80229 Dear Marcela, Congratulations on achieving recognition as a Certified Clinical Trauma Professional through IATP. Your certification is valid until July 31, 2014. This credential is an acknowledgement of your achievement in trauma studies and is recognized by members of the helping professions. You may now use the CCTP designation on your resume, business cards and other professional literature. In July 2013, IATP is offering certification as an Expert Traumatologist and in 2014, certification as a Master Traumatologist. These courses represent the highest levels of training in our profession. Watch our website for announcements. Members such as you are vital to IATP and to the worldwide community of traumatic stress survivors. Keep up the good work! Once again, congratulations. Sincerely, Michael Dubi President 5104 N. Lockwood d Ridi-I.c Road, Suite 303 F. Sarasota, Florida 34234 NN:\torauriahroiescional.net PEJREMIER- 'ry VC.t M?N Certificate of Succe_sful Completion The 10 Core Competencies of Trauma, PTSD, Grief & Loss Speaker(s): MICHAEL DUB(, ED.D., LMHC 5/16/2013 Denver, CO The following participant Yvonne Saldana (License k, if applicable) has completed the above -referenced educational activity in its entirety or as indicated below. This certificate provides sponsor verification of individual attendance and may be used fur your records or for any licensing not listed below. We maintain attendance records for 7 years. COUNSELORS: CMI Education Institute, Inc, is an approved provider of the National Board of Certified Counselors, NBCC Provider #: 5637. We adhere to NBCC Continuing Education Guidelines. This course qualifies for 6.25 contact hours. * Counselor in partial attendance. CE hours will be reported to the board based on the times indicated on the AM/PM sign -in sheets. SOCIAL WORKERS: CMI Education Institute, Inc. Provider #:1062, is approved as a provider for continuing education by the Association of Social Work Boards, 400 South Ridge Parkway, Suite B, Culpeper, VA 22701. www.aswb.org. ASWB Approval Period: January 27, 2011 -January 27, 2014 Social workers should contact their regulatory board to determine course approval Social workers will receive 6.25 (Clinical) continuing education clock hours in participating in this intermediate course. Social Worker in partial attendance. CE hours will be reported to the board based on the times indicated on the AM/PM sign -in sheets. MARRIAGE AND FAMILY THERAPISTS: This activity consisted of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, this certificate of completion and contact your state board or organization to determine specific filing requirements. Marriage and Family Therapist in partial attendance. CE hours will be reported to the board based on the times indicated on the AM/PM sign -in sheets.. PSYCHOLOGISTS: CMI Education Institute, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. CMI maintains responsibility for this program and its content. This seminar awards 6.0 credits to participating professionals. Full attendance is required. No partial credit wilt be offered for partial attendance. ADDICTION COUNSELORS: CMI Education Institute, inc. is an approved provider of continuing education by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC), provider #: 00131. Full attendance is required; no partial credit will be awarded for partial attendance. This course qualifies for 7.5 contact hours. NURSES/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS: This activity meets the criteria for an American Nurses Credentialing Center (ANCC) Activity. CMI Education Institute, Inc, is an approved sponsor by the American Psychological Association, which is recognized by the ANCC for behavioral health related activities. Full attendance is required; no partial credit will be awarded for partial attendance. This activity qualifies for 6.0 contact hours. The back of this certificate may contain additional information Ashley Mork, Continuing Education Administrator Kristine Cleasby. Continuing Education Administrator Premier and CMI Education 1-800-844-8260 P.O. Box 1000, Eau Claire, WI 54702-1000 y2EM Ef< si Certificate of Successful Carptetiori Evidence -Based Trauma Vreatmel-ats & Interventions Speaker(s): MICHAEL DUBI, ED.D., LMHC 5/17/2013 Denver, CO The following participant Yvonne Saldana (License ;I, if applicable) has completed the above -referenced educational activity in its entirety or as indicated below. This certificate provides sponsor verification of individual attendance and may be used for your records or for any licensing not listed below. We maintain attendance records for 7 years. COUNSELORS: CMI Education Institute, Inc, is an approved provider of the National Board of Certified Counselors, NBCC Provider #: 5637. We adhere to NBCC Continuing Education Guidelines. This course qualifies for 6.25 contact hours. Counselor in partial attendance. CE hours will be reported to the board based on the times indicated on the AM/PM sign -in sheets. SOCIAL WORKERS: CMI Education Institute, Inc. Provider #:1062, is approved as a provider for continuing education by the Association of Social Work Boards, 400 South Ridge Parkway, Suite [3, Culpeper, VA 22701. www.aswb.org. ASWB Approval Period January 27, 2011 -January 27, 2014. Social workers should contact their regulatory board to determine course approval. Social workers will receive 6.25 (Clinical) continuing education clock hours In participating in this intemiediate course. Social Worker in partial attendance. CE hours will be reported to the board based on the times indicated on the AM/PM sign -fn sheets. MARRIAGE AND FAMILY THERAPISTS: This activity consisted of 380 minutes of continuing education instruction, Credit requirements and approvals vary per state board regulations. Please save the course outline, this certificate of completion and contact your state board or organization to determine specific filing requirements. Marriage and Family Therapist in partial attendance. CE hours will be reported to the board based on the times indicated on the AM/PM sign -in sheets.. PSYCHOLOGISTS. CMI Education Institute, inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. CMI maintains responsibility for this program and its content This seminar awards 6.0 credits to participating professionals. Full attendance is required. No partial credit will be offered for partial attendance. ADDICTION COUNSELORS: CMI Education Institute, Inc. is an approved provider of continuing education by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC), provider #: 00131. Full attendance is required; no partial credit will be awarded for partial attendance. This course qualifies for 7.5 contact hours, NURSES/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS: This activity meets the criteria for an American Nurses Credentialing Center (ANCC) Activity. CMI Education Institute, Inc, is an approved sponsor by the American Psychological Association, which is recognized by the ANCC for behavioral health related activIties. Full attendance is required, no partial credit will be awarded for partial attendance. This activity qualifies for 6.0 contact hours. !a_ Ashley Mork, Continuing Education Administrator Kristine Cleasby, Continuing Education Administrator Premier and CMI Education 1-800-844-8260 P.O. Box 1000, Esu Claire, WI 34702-1000 Evidence Based Practices Clinicians Driving With Care (DWC) Impaired Driver Education/Therapy Program (IDEP) Interlock Enhancement Counseling (lEC) Moral Reconation Therapy (MRT) Matrix Model Seeking Safety Solution Focused Therapy Criminal Conduct & Substance Abuse Therapy Strategies for Self -Improvement and Change (SSW) Pathways to Self -Discovery & Change: Criminal Conduct &Substance Abuse Therapy for Adolescents Dialectical Behavioral Therapy (DBT) Certified Clinical Trauma Professional Mental Health First Aid Name Abbey Williams, BA, CAC II Alex Castro, MA, NCC, CAC ill, ATP Ana Lara, BA, CAC I, ATP Diana Lozano, BA. CAC I, ADVTP Done Mondragon, CAC H. ATP Eliza bet Garcia, CAC I Frank Clavijo, PhD, CAC III, ADVTP Innael Miranda, BS, CAC III, ATP Ira Slotkin, MSW, MA, CAC II, ADVTP, CCTP , ATP, Jacob Hernandez, CAC III, PRC, ATP Laura Enriquez. BS, CAC III Laura Rivera, BA, RP/CI, ATP Marcela Paiz, BS, CAC III, CCTP, CPS Margaret Hernandez, MA, CAC I, ADVTP, CPS, ATP Martin Munoz, Ed.D., LPC, ATP Matthew Jarvis, BS, CAC III Michelle Wert, BS CAC III Nanci Gonzales, LPC, CAC III, ADVTP Nancy Ortiz Moreno, BA, CAC III, ADVTP, ATP Patricia Merlos, RP/CIT Raul Suarez, BA, CAC III, ATP Ricardo Banuelos, MA, CAC III, ATP Sam Hawkins, RP/CIT Sharon Connolly, CAC Ill Shelley Paiz BA, CAC III, ATP Tanya Crowder, CAC III William Toro, MPPA, CAC III, ATP Yvonne Saldana, BS, CAC III, ADVTP, CCTP, ATP, RP: Registered Psychotherapist CIT: Certified Addictions Counselor in Training CAC: Certified Addictions Counselor LPC: Licensed Professional Counselor ATP: Approved Treatment Provider (DOC) CCTP: Certified Clinical Trauma Professional CPS: Certified Prevention Specialist ADVTP: Approved Domestic Violence Treatment Provider (DVOMB) PRC: Peer Recovery Coach • E-mail ril For an explanation of the four levels of approval (Entry Level, Provisional Full nrersiing. and Clinical Supervisor). please see page 2. Colorado Domestic Violence Offender Management Board APPROVED PROVIDER LIST Approved Domestic Violence Offender Treatment Providers March 14, 2014 THIS DOCUMENT IS A WORK IN PROGRESS. This is an alphabetical listing by providers' last name. FOR THE STATUS OF ANY PROVIDER WHOSE APPLICATION IS STILL PENDING OR NOT LISTED HERE, PLEASE CALL 303-239-4528. Domestic Violence Offender Management Board Division of Criminal Justice Colorado Department of Public Safety 700 Kipling Street, Suite 1000 Denver, Colorado 80215 Phone: 303-239-4528 800-201-1325 in Colorado only Fax: 303-2394491 Page 1 of 11 Fur an exptnrra:iorn ui the fo,.ir levels or approval (Entry Level. Provisional Full Operating. and ainrcal Supervisor). please see page 2. PROVIDERS LISTED ALPHABETICALLY :B Y LAST NAME What the List Means: When a provider is on the List, it means that he/she ( I) has met the education and experience qualifications established in the Standards, (2) has provided sufficient information for a determination that services appear to be provided according to the Standards and (3) each provider agrees in writing to provide services in compliance with the standards of practice outlined in the Standards Providers on the List are eligible to provide treatment anywhere in Colorado, unless they ut provisionally approved. if a provider is provisionally approved, he/she may only provide treatment in the judicial district(s) listed. Being on the List is neither licensure nor certification of the provider. it does not imply that all providers offer exactly the same services. The List also does not create an entitlement for referrals from the criminal justice system. All applicants involved in domestic violence offender treatment must have an Approved Provider as a co -facilitator until approval from the Board is granted. There arc FOUR levels of approval for Providers: Entry Level Provider is an introductory level. PL-ovisional Provider is designed only for communities with a demonstrated need for a provider. Provisional approval is most often applicable to rural areas and where offender or special populations needs are underserved or unmet. Reference 9.07 for requirements for this type of approval. Provisional approval shall only be for a designated area of the state. Provisional approved providers are not eligible to practice in other areas of the state. Full Operating Level Provider is a Provider who has met all the necessary educational, training, and experiential requirements. DV Clinical Supervisor is a licensed Full Operating Level Provider who has obtained the additional training and experiential requirements for supervisors and who provides supervision in accordance with the Standards. This level can provide offender evaluations, offender treatment and provider supervision. Background: Jn 2(K)0, the Colorado General Assembly passed legislation, which created the Domestic Violence Offender Management Board to develop standards for the assesstnent, evaluation, treatment and behavioral monitoring of adult domestic violence offenders. A copy of the Standards For Treatment With Court Ordered Domestic Violence Offenders is available upon request by calling (303) 239-4528 or on our website at httpJ%dcj.state.co.us!odvsom. State statute prohibits the Department of Corrections, the Judicial Department, the Division of Criminal Justice of the Department of Public Safety, or the Department of Human Services from employing or contracting with, or allowing convicted domestic violence offenders to employ or contract with providers unless they are operating under these standards, and appear on the Provider List approved by the Domestic Violence Offender Management Board. Page 3 of 1 1 Fri,- an exoI.;na-,:n :.. the tour levels ,It approval (Entry Level. FYDvisionat. 10 Operating, and Clinical Supervisor), please see page 2 Alphabetical Listing of Providers Name Credentials Approval Level Districts Adams. 1 im '_PC, CAC III DV Clinical Supervisor 6, 22 Adkins Sthir dli, Dawn LPC Full Operating Level 1, 2, 17, 18 Allen, Penny CAC Ill lull Operating Level 11 Atencio. Jennifer LPC Entry Level 1. 2, 17, 18 Augustyn, Mary LPC DV Clinical Supervisor 5 Avery, Mary A CAC III Provisional 5 "'Mary A. Avery has provisional approval to practice in Eagle, Summit, Clear Creek and Lake County ONLY. Bagwell, Brian CAC III Full Operating Level 1, 2, 18 Banuelos, German CAC II Full Operating Level 5, 9 Baridt, Jeanette CAC III Full Operating Level 1 Barone, Duane Full Operating Level 1. 18, 19 Bartlett, Kay LPC, CAC III DV Clinical Supervisor 7 Basile, Barbara Full Operating Level 18 Baskey, Clarence LPC, CAC III DV Clinical Supervisor 2, 17, 18 Bauer, Theresa LPC, LAC DV Clinical Supervisor 15, 16 Beaulieu, Jr., Norman MSW Full Operating Level 1, 17 Beaver, Jr., Wiliam LPC Full Operating Level Not Currently Practicing Bel, Susan Angela "Angie' LPC Full Operating Level 4 Bemis, Bike LMFT, CAC II DV Clinical Supervisor 17, 18 Beverly, Witham T. LCSW Full Operating Level 3 Bingham. Jane LMFT Full Operating Level 8 Boyko, Anna Full Operating Level 2 Brady, James MA Full Operating Level 4 Braunagel, Lynn NSW, CAC III Full Operating Level 20 Brown, Samantha LPC Entry Level 1 Bruno, Vincent LPC Full Operating Level 4 Bryan. Per CAC III Full Operating Level 2, 17 Burcham, Christine LPC Full Operating Level 4 Burns. Louise CAC III Full Operating Level 2 Burt, John W. Ph.D., Lic.Psy. Entry Level 8 Busey, Tine LPC, CAC III DV Clinical Supervisor 1, 2, 18 Main Office Number (1;70) 259-6323 (303) 780-0170 (719) 214-3033 (303) 340-8990 (970) 547-1777 (720) 394-9869 (303) 202-0801 (719) 486-8087 (303) 507-5825 (303) 478-7311 (970) 527-4422 (303) 794.5588 (303) 956.5025 (719) 383.5474 (303) 429-3400 (719) 329-1900 ext 101 (303) 558-4211 (956-222-3035) (970) 723-0055 (303) 861-9378 (719)442-1779 (303) 776-1117 (303) 237-3599 (719) 330-3366 (303) 861-9378 (719) 329-1900 ext 101 (303) 238-1256 (970) 482-4334 (303) 321-6452 Page 5 of 11 For av, ex pleri et"n 1 thr lour levels of approv al lEntry Lev el (-k OVsIOrlal Lull Opera Ord and Gin isci CuSupervisor pica, e see page 2. Alphabetical Listing of Providers Name Credentials Approval Level Districts Faragher, Elizabeth LPC, CAC II DV Clinical Supervisor 2, 18 Favela, Maribel CAC III Full Operating Level 19 Flowe, J. Kendall Full Operating Level 1,18 Fo)ut, Joseph "Joe' LEO Full Operating Level 1, 2, 18 Freemyer, Barbara LCSW, CAC III Full Operating Level Nol Currently Practicing Froyd, John Lic.Psy. Full Operating Level 1, 18 Fuchs, Tracy CAC III, LMFT Full Operating Level 4, 10 Fuller, Linda M. LPC, LAC DV Clinical Supervisor 1, 17, 18 Gallegos, Velma G. CAC Ill Full Operating Level 8 Galushko, Alta LPC Full Operating Level 17 Garda, Jesus G. CAC Ill Full Operating Level 4 Garcia, Peter C. Full Operating Level 1, 2, 17, 18 Garrison, David MA, CAC Ill Full Operating Level 17, 18 Garza, Marion LCSW Full Operating Level Not Currently Practicing Gilbertson, Steve LPC. CAC Ill Full Operating Level 18 Gleditech, Anne LPG, CAC Ill DV Clinical Supervisor 8, 19 Godwin, Song MA, CAC III Full Operating Level 1,2,4,17,18 'r r aieb. 'Jinn 1..P1:1 GAG Ill Full Operating Level l8 Gordon, Jr., Frank LCSW. CAC III Fut Operating Level 1, 2, 17. 18 Grillin, Shawn LEG, LAC DV Clinical Supervisor 2, 17, 18 Guentcheva, Evguenia LAG, LPC DV Clinical Supervisor 11 Gunnells, Tiffany Ph.D., LEO, CAC III Envy Level 19 Gurney, Gary LEO, CAC Ill DV Clinical Supervisor 14 Hague, John Full Operating Level 1, 18, Hall, Kathleen H. CAC Ill Full Operating Level 18 Ilariri, Regina CAC Ill Full Operating Level Not Currently Practicing Harwood, Gail Full Operating Level Not Currently Practicing Hayden, David LPC DV Clinical Supervisor 12 Hays, Laura LPC, CAC III DV Dinicai Supervisor 19 Hernandez M lrgarcl CAC I Entry y Level 2 Huntoon, Sharon LEG, CAC Ill DV Clinical Supervisor 20 Jemning, Anne RN Full Operating Level 17 Main Office Number (303) 242-7865 (970) 347-2393 (303)231-0090 (303) 231-0090 (303) 202-0801 (719) 203-7011 (303) 919-5273 (970) 494-4300 (720)299-9880 (719) 550-1011 (303)-975-1105 (303) 798-6464 (303) 646-4519 (970) 461-0978 (303) 694-3360 (79 0) 858-9111 (303) 620-5113 ext3 (303) 805-1219 (719) 275-7650 (970) 347-2120 (970) 824-2557 (303) 231-0090 (303) 750-0614 (719) 589-3671 (970) 347-2357 (303)477-8280 (303) 665-7037 (303) 427-1118 Pago 7 of 11 l:ur an explanation of the four levels of approval (Entry Level. Ftovcsional Full Operating, and Cfinicai Supervisor). Neese see page 2. Alphabetical Listing of Providers Name Morgenthaler, Karen Moss, Maria tvlulhern. Katie Murphy, Michelle Nielson, Constance Nelson, Julie Newcomb (Nast), Silvia Obie, Tammy A. ti en;.. Nancy Parker, Jennifer Pebley, Katnye Peck, Dianne Peters, Robyn Philipp, David Powell, Dustin "Dusty" Credentials LCSW, CAC Ill CAC ill CAC I LPC LPC t. PC, CAC III LPC CA(' II CAC III LPC, CAC tlI MA LPC, CAC III LCSW, CAC Ill CAC III Approval Level DV Clinical Supervisor Full Operating Level Entry Level Fuil Operating Level Entry Level DV Clinical Supervisor DV Clinical Supervisor Full Operating Level Fut Operating Level Full Operating Level Full Operating Level Full Operating Level DV Clinical Supervisor DV Clinical Supervisor Provisional "'Dustin 'Dusty' Powell has provisional approval b practice in Park County ONLY. Prather, Lyle DV Clinical Supervisor Quackenbush, Steve LAC Full Operating Level Raigoza, Arlene CAC III Full Operating Level Riley, Jill LPC Full Operating Level Robles, Jan LPC Full Operating Level Rumley Benner, Atana CAC III Entry Level Rumsey, Bruce D. Ph.D., LPC DV Clinical Supervisor Rusovick, Bradley James CAC Ill Full Operating Level Rusovick, Sr., Nicholas Full Operating Level Ruybal, Kim R. LPC DV Clinical Supervisor Districts 10 2, 17 1, 17. 18 1,2,17 1,18 8 20 12 2 17, 18 1, 2, 4, 11 4 8 18 11 14 Not Currenly Practicing 10 4 4 1,2.17,18 1, 18 4, 10, 18 4. 10, 18 19 Main Office Number (719) 369-2898 (303) 861-9378 (303) 487-0090 (303) 254-9333 (303) 202-0801 (970) 494-4330 (303) 413-0794 (719) 587-6942 '!:3: 4'7-8283 (720) 475-1054 (719) 550-1011 (719) 635-4980 (970) 586-6400 (303) 750-0614 (303) 838-5406 (970) 824-2557 (719) 546-0904 (719) 391-9991 (719) 634-4171 (303) 340-8990 (303) 231-0090 (719) 595-1634 (719) 595-1634 (970) 353-8171 Page 9 of 11 For ;:;n erulanatiun of the four levels of approval ('try Lei r Prc iisional. Full Opening. and Gini:^al Super✓rsorl Tease . ee (sae, 2. Alphabetical Listing of Providers Name Credentials Aoaroval Level Districts Woad, Judi MSLAC Full Operating Level 8 Yacubu-Ali, Rollander"Roy° CAC III Full Operating Level 1 Ybarra. Adam CAC III Full Operating Level 2,17,18 Youngblood, Victoria CAC III, LPC DV Clinical Supervisor 4 Main Office Number (970) 231-2169 (303) 238-5755 (303) 367-9356 (719) 459-6710 Page 11of11 ^(1} r. Vl.aic•'r �It l\'t' i `?y. 1\(•t'tI'. itat'i C o1 tco Ii)?3.i' 7204;55•--4&J:^rn lisr?1nricic1't''.L1ift..tres.Cc`cq 15 i r; h II wed e r Strengths - Motivated, personable. profession] with multiple college degrees. Diplomatic and tactful with professiunals and non-professionals at all levels. Accustomed to handling sensitive., confidential records. Poised and competent with demonstrated ability to easily transcend cultural differences. Thrive in deadline -driven environments. Excellent team -building skills. Experience 2006 -Present IDEA Denver CO Counselor • Conduct Domestic Violence treatment sessions for court ordered clients ] Administer intakes, orientations and evaluations ▪ Maintain medical records 1993-2001 Special Education Teacher ▪ Assessment of students with mildhnoderate learning disabilities. • Prepare and implement Individualized Educational Plans. • Adapt and modify current curriculums to meet the needs of students with educational and emotional needs. 1988-1993 Substitute Teacher ▪ Coverage for contract teachers when unable to attend -varying subject areas. ▪ Jong -term substitute coverage when contract teachers were absent for more than MO weeks Boulder Valley Schools Boulder, CO education 1992-1993 1978-1980 Five Star Schools -District 12 Thornton, CO University of Colorado at Denver Denver, CO University of Colorado at Boulder Boulder CO Master of l-! ri Special Education Bachelor of Science in Education deer :Cu Eci tes Certified Addictions Counselor I Approved Domestic Violence Treatment Provider Certified Clinical Trauma Professional Certified Colorado Prevention Specialist aa. itui.' J. IxilC Extcuif'l:. Director Lookup. Detail View Licensee information This serves as primary source verification* of the license, Primary source verification: License iniorrnation provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address EMrargaret E Hernandez Northglenn, CO 80233 License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date ACA.0006718 Original Certified Addiction Counselor I Ttiv 10/25/2010 09/01/2013 08/31/2015 Board/ProciAm Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/201.4 12:28:03 PM h'Ys:/lwom.cciorado.poiJorailn.i.ensiny LooiuyPrintlicenseDeaiIs.aspx!creel=35156eicontact=12347E ill Ira sit�tici�� l;iii , VC, MA. Colorado Approved Domestic Violence Treatment Py ovider Colorado Certified Addictions Counselor H Colorado Department of Corrections Approved Provider Certified Clinical Trauma Professional (IATP) 3322 Vallejo Street Denver, CO 80211 (720) 855-9232 irasiotkin@dhotrnail.com PROFESSIONAL EXPERIENCE Domestic Violence/Substance Use Disorder Treatment Counselor 11/01 — Present IDEA (Ideas Directed at Eliminating Abuse), Denver, CO Conduct treatment groups, individual therapy, assessments, evaluations, treatment planning, and case management for clients referred by criminal justice and social services systems. Coordinate and consult with referring agents; maintain treatment records in accordance with standards; represent agency at task force and coalition meetings; develop and revise agency policies and procedures; train staff and supervise interns; maintain certifications. ASIISA.RA/SASSI/DVRNA trained. Case Manager II 8/98 --12/99 Department of Human Services, City and County of Denver, CO Vocational, educational, psychosocial assessments for families applying for cash assistance. Presented orientations; determined eligibility, family circumstances, and barriers to self sufficiency; negotiated individualized service plans; made referrals to internal and external support services and training; monitored progress; maintained case files. Field Interviewer 3/98 — 8/98 Denver Youth Survey, University of Colorado, Botdder, CO Conducted computerized, in -home interviews with 150 participants in longitudinal survey of at - risk youth. Located participants; obtained consent/converted refirsals; conducted interviews within confidentiality/reliability parameters; maintained search, contact and payment records. Senior Survey Interviewer 3/95 — 3/98 Colorado Consumer Outcome Project - University of California, Berkeley, CA Research interviewer for 3 -year study of indigent, severely mentally ill in Colorado. Completed 600+ comprehensive, standardized psychological evaluations with caseload of 160 participants; Located and tracked clients; maintained contact and rapport over several. years; maintained inter - rater reliability; edited project surveys for consistency and completeness; traveled statewide. Employment Training Representative 9/93 — 3/95 The Training Advantage, Delta, CO Provided vocational and educational assessment and counseling for adults and youth participating in federally funded employment and training program (JTPA). Conducted assessment interviews; administered and interpreted interest, aptitude, and basic skills tests (GATB/Stronb Campbell); developed individualized employment plans; prepared and presented job readiness and job search classes; identified and addressed supportive service needs. Contract Compliance Specialist 7/89 — 7/93 Health and Human Services Department, City of Austin, TX Environmental and Conservation Services Department, City of Austin, 7X Researched, wrote, issued, and evaluated proposals, solicitations, grants and contracts. Assisted multiple divisions in developing and implementing contracts for services and commodities; coordinated evaluation teams; monitored expenditures; cited deficiencies and recommended corrective actions; ensured minority business participation; developed ADA compliance plans. Program Monitor 8/87 — 5/88 Texas Commission on Alcohol and Drug Abuse, Austin, TX Monitored contractor compliance with contracts for treatment, prevention, and early intervention. Traveled statewide, reviewed case files and program records; prepared monitoring reports; cited deficiencies and recommended corrective actions; developed evaluation instruments. Director of Development 7/85 — 5/87 Humane Society of Austin and Travis County, Austin, TX Directed grant writing, membership development, public speaking and capital campaign. Designed, implemented and supervised computerization of contributor database and solicitation records; authored numerous funded grants; increased individual and business membership; assisted in the development of volunteer training program; created pet loss support program. Project Manager 12/84 — 6/85 Mclames and Company, Austin, TX Managed federally funded employment program targeting chronically unemployed disabled adults, and single mothers. Supervised staff (4); monitored progress toward contract goals; prepared and presented reports to board and funding sources; authorized expenditures. Employment Program Specialist 4/81-12/84 Austin Area Urban League, Austin, TX Directed operations of federally funded employment and training services. Developed program designs; authored local and federally funded grant applications; hired, trained and supervised staff (8 15); ensured compliance with contractual requirements; reported to funding sources. Program Monitor 5/77 — 5/78 St. Louis Agency on Training and Employment, St. Louis, MO Reviewed and evaluated program and administrative performance of contractors offering employment, training, and supportive services to participants in job training programs targeting economically disadvantaged and minority populations. Work Training Specialist 8/74 — 5/75 Human Development Corporation, St. Louis, MO Caseworker for employment program offering education and work experience to chronically unemployed, minimally educated participants. Conducted assessments; developed service plans, monitored performance: conducted interviews and site visits; maintained case records. Prins l.uor.ip C•Hai s 0,_than! Ke`icy i.._. Eittc:,:ti.,i: 1irct:l4a w •i• ., .,. -.is "IC^.P.:.. •-<I_ ;e '• :,,t. '�..... ''•+ Lookup Detail View Licensee information ;This serves as primary source ,verification* of the license. 'Pnmary source verif:cat:onr License information provided by the Colorado Division of Professions and Occupations established by 24-34-102 C.R.S. 1 Name i Public Address Ira Charles Slotkin 12560 W 29th Ave . Idea Denver, CO 80211-3712 License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date ACB.0006109 Original Certified Addiction Counselor Il 4c:t`vc- 01/29/2004 09/01/2013 08/31/2015 Board/Progam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/20 t4 12:36:52 PM hr:iMwrvw.cdo-ado.ucnfdcraAi_ensing LoofaipiPrintLicenseDetails.aspekred=4027fxtcant t=128281 ill Y: -70l•Pi, ;:.. S LDA.N .k .4375 Sanchez Drive C ic'ra do Spring, CO S0923 Cell (7 19) 320-2925 e-mail : ysaldan @gwest corn SUMMARY OF QUALM CATIONS .Enjoy working with people of all levels. and roles .Enthusiastic, eremitic,' and willing to assume increased ICS.?onsibiiity Ability to adapt quickly to challenges and el-ar ug environments .Energetic; positive and self -motivated .Strong customer service and people skills .Personable, articulate and professional EDUCA_TI ON Bachelor of Science, Business Administration, Regis University Bachelor of Social Work, Colorado State University EXPEP I NCE October 2004 - Present Ideas Directed t€r Eliminate abuse (DEA) Denver CO Co -Facilitate Level II Education and Therapy groups for DUI. Adults Complete necessary documentation for client, contact Probation Officers and complete Client discharges. Co -Facilitate Adult .fen, Domestic Violence groups Complete necessary documez a ion and prOgrt-SS notes Zt r'lay 1004 • • October 2004 Counselor, Emily Griffith's Canyon Lodge, internship Monitored 3 behaviorally challenged adolescents and completed daily paperwork regarding point levels for behavior, Interacted with youth using behavior modification Strategies to learn other approaches for dealing with anger and solving problerns. Counseled individuals regarding fighting, not participating; not following rules, family issues and depressing. March 1995 — September 1999 Co:xasector, Pueblo Suicide Prevention Line Counsel. con rnuni:y callers. Many test needed to be listened to. Refer callers to community asencies and 911 if caller was suicidal, August 1996— October 1996 Co faciLitat;, t'CA. Women's Shelter Co -facilitate Women's groups in Domestic Violence .:F -cc papos June. 2007 S «2007 cornplocitam w for DV costification Inquire and lMaster level schools Print LG?lap Details ,'; Lookup Detail View Licensee Information This serves as primary source verification* of the license. ''Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24.34.102 C.R.S. Name Public Address Yvonne Euginia Saldana Colorado Springs, CO 80923-7636 l-l-tsLIC11L1a1 &IIIll.,,,oliv,, License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date ACC.0006809 Original Certified Addiction Counselor III Active 08/20/2009 09/01/2013 08/31/2015 Board/ Progam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12:36::5 PM !ntfr.://oww.oierldo.goidorailitarsing/Look.p/F'rintLicerseDetnils.asp0cred=3424511confect=129310 111 ) (I I G Fast 7'I: Ave.. £)envcr. CC!. . 80? ) S• "i2:: 1338 63:1f, nc r i ."/Pideaca;,..i ..nn Nancy (U ilAr©vfl€ Summary of qualifications F_ Y • Seventeen years of experience as a psychotherapist. Creative, enthusiastic, punctual, responsible, organized and honest. • Strong listening and verbal skills. Professional Ex l '.4 hence 2002 -present IDEA Forum Inc. / Ideas Directed at Denver, Colorado Eliminating Abuse Bilingual Counselor/ Partners Advocate • Conduct intakes, differential assessments and treatment plans. • Case management in collaboration with Judicial Agencies and Department of Human Services. • Facilitation of drug and alcohol education and therapy groups and individual sessions. ▪ Records management. ▪ facilitation of domestic violence therapy group and individual sessions. • Victim advocacy. ▪ Conduct Alcohol and Drug evaluations and Domestic Violence evaluations. ▪ Weekly data entry of client's reports. • Translations of handouts and various documents utilized in the agency. 2002 Translingu istique Fli erpreter n Interpretation for medical consultations in private practice. • interpretation for the court system. 2000-2002 Public Security General. Office Psychotherapist/ Counselor ✓ Facilitated conferences/counseling working with High School, Elementary and Kindergarten students in public and private schools. • Assisted schools conducting crisis intervention. J)enver, Colorado 1997-1999 Queretaro, Mexico Justice Department Queretaro; Mexico Psychologist • Conducted intake interviews and crisis intervention for victims of violence. • Diagnosis assessment for the legal cases reported to this department. I)cuv:.:.r. CC. �O2tti+ titlltlYu'I;1'::ulc:..CUiii 1992-1996 Universidad Autunoma de Que►i:taro Bachelors in Psychology ✓ Major in Clinical Psychology m Proficient in English and Spanish ;Cereditations Queretaro, Mexico • CAC Ill (Certified Addictions Counselor) • DWC certified • Victim Advocacy ▪ Approved Domestic Violence Treatment Provider • Key Supervisor for the Matrix Model for Addiction Treatment • Approved Treatment Provider for the Colorado Department of Corrections Translations • Driving with Care Manual for DUI offenders (Education and Therapy.) • Regis University for the Department of Professional Studies (website.) • Criminal Conduct & Substance Abuse Treatment. The participants Workbook. I.`bef erences n References available upon request I . r Lcou. Details . N'ia •i ' �:ErJ•:'i t.ockuu Detail View License -a Information if his serves as primary source veriflcarion < of the license. *Primary sorurrr, verification: License information provided by the Colorado Division of Processions and (Declinations, established by ?4-34.102 C.R.S. Name Public Address Nancy Ortiz Moreno Denver, CO 80218 snnar rnrf..-� License 14utrrber License Method License Type License Status Original Issue Date Effective Date Expiration Date ACA.000612.1 Original Certified Addiction Counselor I Expired 09/29/2004 09/29/2004 06/30/2005 Board/Proyam Actions Discipline there is no Discipline or Board Actions on file for this credential. Generated on: 3/70/2014 12:44:47 PM nits:/i.kvon.:;oln-ak.govidDralicans' ng/L ip1P intLicenseDetaiIs.aspx?cred-44443&conta:t-1292A7 Ill 7830 ApplebWssom IN Westrnmstar CO 80030 Phone (720} 329-4278 E-mail C.>unsalorticartio2@holmad.com Ricardo Banuelos, MA, CAC HI Objective Summary of qualifications Education SUMMARY Demonstrates outstanding leadership, clinical, public speaking, diagnostic, interdisciplinary, and collaborative skills. Experienced clinician specializing in working with severely/persistently mentally ill and substance dependence clients involved in the legal system and clinical program development with ability to cross -navigate multidisciplinary systems. _Active Certified Addiction Counselor, CAC Ill, Department of Regulatory Agencies Division of Registrations: License number 6256. Issue date 09/01/13 — Expirers 08/31/15 [01/1998-05/2000] NORTH HIGH SCHOOL HIGH SCHOOL GRADUATE Denver, CO. [08/2000-05/2005] Metropolitan State College of Denver. Denver CO. OS, HUMAN SERVICES W/ CONCENTRATION IN: DOMESTIC VIOLENCE & ADDICTION STUDIES. Degreed [08/2006 — May 2008] Denver, CO Masters of Arts in Clinical Counseling University of Northern Colorado Masters Degree Program in Clinical Counseling APCE (Applied Psychology & Counselor Education) Degreed Professional [ 08/2000-08/2004 ] Metropolitan State College Denver, CO. experience IMMIGRANT SERVICES Administrative Assistance / Bilingual Tutor. ■ Tutoring Spanish classes. Administrative Assistant ▪ 1:l Assisting new students in services such as Financial Aid, counseling, and registration. May 28, 2.0D2 -- Present IDEA i6i Denver, Aurora, Thornton & Brighton • 2002-2008 Clinical Supervisor/ S»-jual Therapist ■ M0E,-Present SA Counselor S■ a s■ V S a e 'i '+ • s a k.a J s / C MSS :S S S• S S IS N k a S S :1 S S e e■ a n r • 11 k .5 s s• June 2004 -- September 2005 Denver, CC ECCOS FAMILY CENTER, El Futuro Program Contractor GLI. • Facilitation of Group Level Intervention for Latino MSM in the implementation of the EL Futuro Program. • Engage and facilitate Group Level Intervention (GLI) for Latino Gay and Bisexual Men in the Futuro Program specifically the FIIV support group 05/03/2005 - 01/27/2006 Denver, CO City and County of Denver Department of Human Services Bilingual Social Worker. • Oversight of direct services and resource coordination for assigned caseload • Prepare cases for Foster Care Review and all audit review processes North Range Behavioral Health, Greeley, CO 1. 01/02/08 - 02/2012 Behavioral Alternative Services In Community BASIC • Individual counseling/Psychotherapy • Intake counseling • Consultation with Criminal justice referrals. • Program Development • Report writing. record keeping, treatment plans, • Case management. • Mental Health Assessments in Weld County Jail. • Mental Health Therapist for Weld County Drug Court 2. 02/2012 -Present Program Coordinator • Provide regularly scheduled clinical and administrative supervision and/or oversight to all Criminal Justice Team staff members, including the Supervisors for Criminal Justice and Court/Forensic Team • Partner with Colorado Department of Corrections to coordinate referrals for SPMI offenders re-entering the community • Ensure that high quality, evidence based treatment is provided to all clients as appropriate • Partner with collaborators of the Weld county Criminal Justice System to ensure high quality, evidence based treatment is provided and treatment plans along with court orders are followed • Provide clinical and administrative supervision to therapist, case managers and peer specialist. • Ensure contract ob'i;ations are met and coordination services, problem solve arid collaborate with clinical and administrative personnel from each of these agencies to ensure successful outcomes • Ensure that programs supported by grants and community based funding sources are in compliance with objectives of those programs • Keep appropriate databases and ensure that reports are completed as needed • Responsible to ensure that clinicians receive training and orientation to the Criminal Justice Team and to their specific area of responsibility • Responsible to ensure progress toward business plan goals associated with areas of oversight Responsible for the supervision and oversight of the JBBS and SB97 program. Professional memberships ACA, American Counseling Association. Member since January, 2007 ALPHA DELTA OMEGA. National Honor Society For Human Service Education IOTA CHAPTER. National Honor Society For Human Service Education LULAC. League of United Latin American Citizens. CAMP. College Assistant Migrant Program. Center for Addiction Studies Advisory Board member @ MSCU Department of Human Services External Advisory Council Board SSS. Student Support Services. MSCD LCI (Metropolitan State college of Denver, Language & Culture I n stitute. ) USSA - United States Student Association Languages Bilingual- English/Spanish s 2: ►2014 Print Lori ip Details Lookup Detail View t�l'ai-mri5 .1. i..el ('j '•'. �:. Licensee Armin n evuull This serves as primary source verification*. of the license. 'Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-!02 C.R.S. Name Public Address Ricardo Banuelos Westminster, CO 80030-4221 LreuenuaI JAI; vrenauvn License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date ACC.0006256 Original Certified Addiction Counselor ill Ac- , . 04/05/2005 09/01/2013 08/31/2015 Board/Progam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12:18:04 PM httns://www.coloradag ovitior all imsingto oliup1PrintLirenseDetails.asrecred=4RTJ6S.conta:t=1283'8 t; i Fran Ciavi,jo, Ph_ D. Certified Addiction Counselor, C.A.C. Approved Domestic Violence Treatment Provider Member of the National of Association for Addiction Professionals Member of Colorado Association of Psychotherapists 720-839-'7196 l t` i ii? c.om Summary of Qualifications Provide quality case management and psychotherapeutic services to adults, adolescents, and children Conduct psychosocial assessment to document history, identify primary issues for treatment focus group and family process -treatment focus, and provide group and family process -oriented therapies using various professional treatment modalities, Develop and coordinate individualized plans. Dedicated to understand of "how the system works" and to effectively work within that system. Coordinate meetings and present program and daily outpatient service information to hospital staff, physicians and treatment centers throughout the state for referrals. Conduct support group for alcohol, drugs, domestic violence survivor and anger management. Conduct groups for information and training in HIV/AIDS. Areas of Expertise Alcohol and drugs therapy ✓ Domestic Violence therapy ✓ Patient Relations / Anger Management ✓ Solution - Focused Brief Therapy ✓ Problem Solving Bachelor degree in Psychology and Licensing of Psychology ✓ "Son Martin de Porres University", Lima- Peru 1981-1987 Master of Psychology "Inca Garailuso de is Vega University" Lima -Peru 1990-1992 Doctorate of Psychology ✓ "San Martin de Porres University", Lima- Peru 1995-1997 The English Language Center ✓ "Brigham Young University", Utah 2002-2003 Health Services Management ✓ "Broward Community College", Florida 2003-2004 Counselor Training Programs ✓ "Denver Health", Denver, CO 2004-2005 Driving with Care Alcohol and Drug; Education and Tto. "Center for Impaired Driving Research", Golden, CO 2005 Professional Experieice IDEA, Ideas Directed ® Eliminating Abuse, Denver, Aurora and Brighton, CO Counselor in alcohol and drugs ✓ Counselor in Domestic Violence / Counselor' in Anger Management • Alcohol and Drug Evaluator Nurse Core, Denver, CO / Home Care Service Provider Crossroads Assisted Living, Northglenn, CO ,i Qualified Medication Administration Person American Red Cross, Fort Lauderdale, Fl ✓ Volunteer for HIV/AIDS program 2005-Prc$nt 2005-2007 2004-2006 2003-2004 ;". 44411S -4'i and V.)e`Ve loviiitt..i. , Peru 199/-2002 As Minister Advisor & Psychologist: ✓ Assessed arid referred children, adolescents, and adults for heath services. • Conducted psychosocial assessments, document history, current symptoms and acute needs for treatment. / Conducted therapeutic and educational group and individual sessions. ✓ Assessed and referred children and adults for domestic and sexual violence. ✓ Assessed and referred adolescents and adult -for drug and alcohol abuse. Peruvian institute on Parental Responsibilities, 1990-2002 As project coordinator and psychologist: ," Work on reproductive health and population. Coordinator for the Office of Information & Education for the institute. • Conducted individual, group, and family counseling. ✓ Conducted individual home visits as a tool to assess and advocate parental involvement. ✓ Trained staff on the developmental stages of childhood and the impact of sexual abuse on a child's life. Private Practice 1992 --Present ,7 Psychotherapist for children, youth and adult. ✓ Psychotherapist in alcohol and drugs. / Counselor in Mental Health. Radio, TV and Newspaper Specialist ✓ Currently write articles for newspapers: "El Comercio de Colorado" and Magazine "Family" ✓ Weekly guest on radio station 1150 AM "La Buena Jndc", Denver, Colorado. � Spanish and English speaker and writer. / Computer programs such as Windows, Office XP Professional, Internet, Photo Suite, Studio Version and o i hers. References • Marcelo Paiz, Director at I.DEA303- 77-3280 / Kay Lorenz -Love, Director at Crossroads 303-457-2395 / Jamaica Shackton, RN at Nurse Core 303-691-3500 ," Virginia Garcia, journalist 303-293-5695 ✓ Eva Tejeda, El Comercio de Colorado.... ........... 303-308-9486 Print Lookup Details sir•.'?rrr..o ,'i.f ?Cq:r'e:{r`; '.7 �: Sri•; Lookup Detail View 8arbarn J. Kell.,; Executive Direta( Licensee Information IThis serves as primary source verification* of the license. kl'rrrr'idry source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34. 102 C. R.C 1• I iai k Cievijo Name Public Address Denver, CO 80204 l.r C & In..or .1.1 License Number IIS",rvr• License Method License Type License Status Original Issue Date Effective Date Expiration Date ACC.0006304 Original Certified Addiction Counselor III Ttj.i'.'e 07/21/2005 09/01/2013 08/31/2015 ..,tea.........,.., Case Number Public Action Resolution Effective Date Completed Date 20'_0-4715 Letter of Admonition Letter of Admonition 06/21/2011 Online Documents If you have trouble accessing documents from the links below, you may also try our Registrations Cnline Documents (ROD) servir:e. Link Unique ID Number 202672 DocType DocSource I IPPP-CO PUBLIC DISCIPLINARY ACTION Cenerated on: 3/20/2014 12:20:51 PM IMAGE hips:11vAt.v.r,olorado.g:V3caAicensingtoolvpfPrinILicenseDetails.aspO rec!=4+649contact=128EO8 111 NNAIEL• T. MI's N•r_p_A Innaelm@gmail.com 6517 G\/ 84t Ave., Arvada, CC.) 80003 Cell (303) 518-9963 EDUCATION Cornell University, Ithaca, NY Cornell Institute ofPublic Affairs Masters of Public Administration, degree conferred m 08/2!012 Concentration in International Economic Development Cornell CIPA Fellowship Recipient University of Minnesota, Minneapolis, MN College of Agriculture, Food, and Environmental Sciences Bachelor of Science in Food Science, December 2001 CAC III, DOCAP WORK. Adjunct Instructor EXPERIENCE Colorado 'technical University April 2012 — Present Instructor under the department of Criminal Justice. Taught the following courses: Abnormal Child and Adolescent Psychology: A study of child development and substance abuse. Introduction to individual Counseling: A study of the history and practice of counseling and evidence -based interventions. Introduction to Group Counseling: A study of the history and practice of group counseling and evidence -based interventions. Alcohol & Drug Treatment Continuum: A study of addiction and treatment options. Licit and Illicit Drugs: A study of drugs and their effects. Alcohol Use and Abuse: A study of the history of alcohol use in the US and its impact On society. Contractor Substance Abuse Counselor CAC III IDEA Forum July 2011 - Present Responsible for providing substance abuse counseling to over 90 clients. Responsibilities include providing counseling maintaining accurate up to date records, and coordinate with corrections officers. Grants Manager .Sisters of Color United for Education Supervisor: Belinda Garcia 303 446i.S8011 July 2009 — May 2011 Salary: $43,950 Full Time Supervised 15 staff members working in several soda! service programs that provide a range of services including disease 13rxvcntic>r1, cast. management, treatment: alici counseling. Analyze community ty health trends and report about them to the I-.Xecutive Director and the stab. lVtite grants to renew or apply for program funding. Conducted presentations on health and nutrition for over 40 communtiy participants, 20 of which were monolingual Spanish speakers. Conducted substance abuse treatment in both individual and group sessions while receiving CAC supervision. Project Manager 13o Matthews Cento for Excell mz, Denver, CO Supervisor: Lesley C;abotie 720-865-2330 May 200S — July 2009 Salary: $45,000 Full Time Supervised a social service program that provides case management to clients of the Community Reentry Project. Services included job placement, emergency housing, and substance abuse counseling for over 100 clients coming out of the Denver County Jail. Conducted program intakes and coordinated treatment plans for substance abuse counseling and probation requirements while receiving CAC Supervision. Project Manager Management S►sremr International, Washington, DC Supervisor: Marina Fanning 202-484-7170 June 2007 -January 2008 Salary: $40,000 Full 'fine Managed contract requirements for three international development projects worth over $26 million in USAID grants. Coordinated with over 30 staff members to achieve the project goals. Projects involved restructuring the legal system in Mexico, providing tinandal and technical support for shelters that assist victims of trafficking in persons, and providing employment skills for. adults. Traveled throughout Mexico to supervise the closeout of a project. Curriculum Specialist ti'mee School LilyPic/ 13-3, lI%akpala, SD Supervisor: Susan Smit 603-845-3040 November 2002 -- June 2003 Salary: $35;000 Full Time Assisted a culture and language expert in developing an interactive language and culture curriculum. Coordinated discussion sessions with language and culture experts to ensure accuracy. Created an interactive language and culture computer program, managed the program budget, and conducted internal program evaluations. •l'he final product was an interactive CD -Rom game that teaches IL -3 students Lakota Sioux vocabulary and traditional cultural values. Supervisor Comunidades Latina,. Unidar En Smith), Minneapok%r, MN. Supervisor Jesse Gomel-13ctilkey 651-379-4200 Social Program Management July 2000 — lune 2002 Salary: $32,000 Full Time Supervised three mental health and case management programs for people with HIV/AIDS, a counseling and case management program for victims of domestic abuse, and a child protection program. Managed budgets, conducted internal program assessments and evaluations, analyzed program evaluation results to suggest improvements, created reports, and •wore proposals for contract renewals vi,h Ilennepin and Cook counties in Minnesota. '.i' eF urrs helped secure over $250,1}at) iu annual funding. Case Manaeer. Provided one to oue case management services in which I 'assisted clients in obtaining health care resources. Emphasized the role that proper nutrition plays in health and wellness (.-)1 their families. Community Education Program Identified a need for computer training classes in Spanish for our Hispanic clients and made special arrangements with the CFO to host free computer training classes in Spanish on the weekends. Consequently, 1 trained 22 Spanish speaking clients on how to operate a computer and hou to use Microsoft Word and Excel. LANGUAGES Proficient in speaking reading and writing English and Spanish REFERENCES Dr. Reo Leslie 1 xec.utive Director'I'CSFr Marina Fanning Vice President MSI Marcela Paiz CEO IDEA 720-B594464 202-484 7170 303-477-828C) 3!'0204 Print L'oijp Details Bar73ra S.'itc:it; Exectitive 11 ._t1u Lookup Detail View L.,L.e.laec .u.. &j....u..v.. This serves as primary source verification" of the license. "Primary source verification: License information provided by Cie Co orado Division of Professions and Occupations, established by 24-34-102. C.R.S. Name Public Address Innael Todd Miranda Denver, CO 80221-2563 Credential Information License Number License Method License Type License Status Original Issue Date ACC.0007097 Original Certified Addiction Counselor III Ac: ive 01/21/2011 Effective Date 09/01/2013 Expiration Date 08/31/2015 Board/ Progaam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12:30:59 PM 7h,:ihwMv.rci,^rado.garzcorallicensing.tioolarpPrerLcen=eD ails.asox?cred=35153&conta 123229 111 Vapic BLieliton., Co. D:601 Ca) 979-7444 t, Psych:.tlterapisC • Cerdf ed Addictions Counselor DI, State of Colorado, Departmcrnt of Regulatory Age-.ncin lnrzk-e (DSM-1V zcr a ing-and -ois,:,:.tatisn). treatment planning, clie t:-edurano cam: managene , computer based do,-im:.ntat►on • Mriti-disdplina-M team interaction Parok and Probation Officers and Social Services Caseworkers Prowide E. id:e�•cc 3ascd I r n E -s and in Mduai coinsdii to ts -and .adolescents L Et ily self -motivated, dependable., t'-' n player wi a passion for b&:a2g client focused Accoantable for all :-1 cal dr e. Eentalon: group and progr.s notes, iudi 'iti a! cotmst lip �di idvala .ed { 33 plans and rep s, 2s-s-essi—=ats, • .se e planss-rad-stmma^ es • Psychotherapist computer s%7}s: DEH/TMS, Signal and GWISE Victim Advocacy e initial outreach to Victims of Domestic Viol ice • Provide Services Per State Standards (DVO?,B) Business Manager o Personnel ma?rg'ec ant/stiper+26ion, le-aCii . office m?'tagenient, customer service, problers solving skills, competent in public relations, tit oriented, ability to work in high -press -.ire environment, and results driven a Remsf•, interviewing, hiring, tr-pi,irrg, d supervision oft ..ararrinteaance stafftsn property e Resolving t,-nr+nt conflicts and complaints c Contracting and scheduling of trtk diaring carpet C.1r r n and installation Worktd seiy mi i, oonnacto_s - d .tsv it.,ten*..nce -on.rchabilitiaon t df p1 - .?err • Coorot:tanng rrlcbor, process With attorneys c. Colic ring -rots, posting non-payment nod rp�, and post g sas,; Sceat vast f~ t etitd;s �ur�. orders, -et s leeas s, is,,arses, 41 "tso:�rarip, office c>� eratitra� , �� telephones, rp'i,-l-tit file 's+ ance, and special mail deliveries 'I A/R, A/P, invoicing, payroll time sheets, monthly audio., and weekly, monthly, and yeax -end reports R ot^ eiblc for mond* -owner report and budget • Business Management computer sld.Us: Microsoft Ofce (Word, E.cel, Power Point), WordPerfect, AIZI, Rent Roll, Yardi Y -m m Denver. Aurora, Blight= and' rainn Certified. Addiction Counselor Brzgbtax, Colorado 528n Ps:_r Solkt dons Owner/Self Employed Brighton; Colorado Rem.ocirl/P2intizg & C3raningiTempora.y office Staffing Sze.,. Foods �•'.�.,nssr. Goktult 1/2038-7-233t Fleet Ad nistraticeAssistant Administrative assist to the Acconntin,, Department, responsible for registration of ninety -t actor trader tnicics, and on:P itig puts for the stare lines iha:the tractors .:.: rust. yncoln Property Company a rcria Pointe Business Manager Bala Deser'rsc ie BI,Cfness Manager T'k Legend at Kier isnd Business Manager Ph ent; Arizorrt Mesa, 2-t--i!na Altona 8/2)05 -Present 9/20(2 -Present W/2003 - 08/2.005;06/2M6 -11 /200 0512007-11/2007 09/2006-C4/2007/ 06/ 2006 - 09/2006 0=72, P.c.?erty.tz+=.io2Y Plat x: ter, .t...zfy.tle, Colorado thisitiescs Manager/Tax Credit/Market 13.-srdstx i."r Dc#L L 1ara4o Business Mc't alter/Ter'' Credit/Market Dor:bcsf# Park Deem, Coki a.jo A.esi r,nt Cor v: ' Mainer/Acc.onntattt The ':a .r of G yes Mountain Denver, Colorado Community Manager Haab ird Vilge Drnrcr, Colorado Assistant Community Manager .rcho« 1v42nagemeat Services The Park,oav- arimeati Dcrver, Cora , Assistant Cot -ennity anaget/Accouatant E .xtc tr+n - J.''/ F'✓% Bic-ss Manager/Tax CreO.tt/ ;?ub is H.ousiarz / I a:.k /Liter e ik.,C'oL:aar_i :Ez_ Matthew Y rsrr. Pboen x; :4n . oia OPj 200- - 06/2006 Business Manager/Tax Credit/Public Fiousi g/Ma ket/Luse Tip .97I9!i —03/14-198; `'0S; 01/2001B _ ie/ZG93 0112002 - 7 0/ 2003 abuse:" T; ainins Cert r Certified .Addiction Cot selor1.i .s �r...'v.^rri;�' •C;f Pn.-sncx BA - Buriv.'.7 Bith scss ivirm:'.genver.Y i)tgrn. ® Other c.oursewcric: Real Este 1995 .01/2L)01- 01/2000 - 0;;2001 0617596 - 03/ ;993 07/1995 - 0611996 06/1928 -07 /2000 12/2010 0/2011 03/2005 • 6720051 Prat _ooi.)p UElails it rt:raiof?.. Lookup Detail View 8 i)r Jiira ,i. i'.c'il!•;; E CCif1t4E )i't'tiOr Licensee Information This serves as primary source verification* of the license. *Primary source verification: License information vided b the Colorado Division of Professions and Occupations, established by :4-34-1O2 C.R.S. Name Pubic Address Shelley Jean Paiz Brighton, CO 80601-3431 License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date ACC.0007117 Original Certified Addiction Counselor III Active 02/25/2011 09/01/2013 08/31/2015 Board/Proqam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12.35:09 PM leis 1/wonw.colorado.g oNciorA icersing /LodvpiPrint:.i renseDetails.aspx?c'ed=35495&ccritaot=123456 ? '1 01 Malley t:iriie = 30I, "Jorlhgl;nr. (_.i_! 02:i3.720-435-434, jh.rnarilc7,fi•ideacare;;.crm JaiC:O t Certifications Certified Addictions Counselor Ill, Approved Treatment Provider for the Department of Corrections, Certified Recovery Specialist Experience 02/2006 -Current IDEA Denver, CO Counselor 1. Conduct Substance Use Disorder treatment sessions for court ordered clients 2. Administer intakes, orientations and evaluations 3. Maintain client records 03/1997-10/2005 Supervisor . Training new employees, creating training programs 2. Evaluation of employee performances 3. Scheduling employees, monitoring line production 12/1980-12/1997 Supervisor 1. Training new employees, creating training programs 2. Evaluation of employee performances 3. Scheduling employees, monitoring line production American Precision Plastics Noithglenn; CO tEducatiori Pfizer, Inc Boulder, CO 1997 -Current Degree seeking 3wtior References Metro State University Denver, CO References are available on request. Print Lookup De;;ri: Vietiv u�!r is;fit y:elley rt f This serves as primary source verification * of the license. 'Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24.34-102 C.R.S. Name Public Address Jacob Andrew Hernandez Northglenn, CO 80233-2048 v 4 V License Number License Method License Type License Status I Original Issue I Date Effective Date Expiration Date ACC.0007042 Original Certified Addiction Counselor III rc`!ve 110/12/2010 L__ 09/01/2013 08/31/2015 Board/Progam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12:22:32 PM hitps:th•,avd.coier J.govidorallice sing/LooiapiPrinilicen eDetEiIs.aspO::reJ=:118&1&contact`124:113 1/1 Objective 58th t, ,l f7'T Y- 'i R \k* ` 1 ,:i 'art @ v,..a Seeking a position as a Certified Addiction Cm+ msclor, Administrative Assiss'.'ant, Victim Advocate s ^ rr ^ r �ci C tiTtGi.2C .. eparttriet't �'?'±.?t�r3tl0ity: C(:_'F.xil.e� 4,'t�ctir�.nl� �..rSzTe,� ti�i l�.s Evil"t::.�Y 'l<<'ctiTlE�e t �v y of Cone -lions ( C`C} IDEA FORUM, INC. 2003 -Present Provide DUl,IDWAI, .elapse Pre'vertHori, and Vi.tiT.ri Empathy, services in, individual and :c -u? sessions. t: Provide Cogritive Behavioral treatment sessior.s to Individuals 3!' 1 groups , ustrg evidenced based pr act.ices C -,se Management and reporting to Probation Officers, Parole, ('.=se Ivta,tagers and Courts u Victim Advocate -support services to victims of Domestic Violence Administrative Staff: Chant Records Management, Cace Coach, Intake Officer, and 1'eiephone duties Customer Service Eu icplor 2004-LCv9 C C star' er Se'r'vice ivia.nager, provided service to 6 sta es including Coi.o:-ade. Responsible for telephone functions, compute" puie" billing, arid Customer satisfacilon for SW+r ;mart, Sam's Club, King Soopers/City Ma:ket, Fred Meyers, and Rite Aide Stores and customers. King Soopers 1980-2008 Worked in the Photo inishi.ag industry, Prirttmg and processing paper and film, bi l'.ilg and d.e'_very, and. later as a Customer er Service Representative, than Sizpervs or. _.entral Caci-•o:__ 'High ::_^.`'r}: g:adua ed 1974 C alctrado University comp:eted 1 years, l3a.t•.mes P .'sires College completed 1 year. 11 a Ucal Records Cleric/ Honorable Discharge !•..r. -m; Reserve. Evidence Based Practice Certificatiors: ".Interlock Enhancement Training, 2.Merital 'Health First Aide Training, 3. Driving with Care: The Underage Impaired Driving CC -fender, 4.Strate gins for Self lmprot'e:nent ar;d Change, 5.Driving with Care, and 6. IDEP the Change Company. Other tr,inings include: Motivational lrt`vvi2Wing, ASI/ASAM TI:aini.r_g, Grief and Loss, Group Cou:ns_'ing Skills, Pharmacology 1. P 7_, Client R.e:ord Management, Diversity Training, Cognitive ^lta':'iorai, Differential Assessment, Principals e Acic:icon, Working with .3oys & Men to Sae. Dcinest'c Violence. P-ir,r L,aaip Details 1,:etk.tv %. Exetu'i':e Looktm Detail View Licensee Information This serves as primary source verification * of the license. Primary source verification: License information provided by the Colorado Division of professions and Occupations, established by 24.34-102 C.R.S. Name T Public Address Doris F Mondra don Denver, CO 80771-1854 rrn Lion License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date /+CL1.0007376 Original Certified Addiction Counselor II Aclue 03/28/2011 00/01/2013 08/31/2015 Board/Progam Actions Discipline [There re is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12:32:20 PM `ttos:limikw.coior govido-atfc:ensingilodup/PrinticenseDetarls.asrOcret1=357,=iCAcont3st 123333 111 Jose Alejandro Castro 12487 E Amherst Circle Aurora Colorado 80014 Phone 303-667-3154 AR Phone 720-913-9213 Objective: Work in the Mental Health/Human Services field where 1 can apply my skills, knowledge, and techniques to work effectively with clients. Education & Work Experience: EDUCATION Regis University, 9/2008-12/2012 Masters of Arts, Community Counseling Metropolitan State College Of Denver 2004-2008 Bachelor of Science, Human Services Hispanic Institute Of Ministry 1997-1999 Associate Of Arts Degree, Pastoral Studies WORK EXPERIENCE Denver District Attorney's Office Juvenile Diversion Counselor 09/2011- Present • Case Management of Juvenile Diversion clients • Assessments and referrals of appropriate services for clients Facilitate Anger Management groups and individual sessions • Facilitate Moral Reconation Therapy (MRT) to youth offenders • Facilitate Social Responsibility Therapy (SRT) to youth offenders ✓ Facilitate individual level behavioral interventions to juveniles at -risk of being re -filed in court 2 Collaborate with other agencies to better meet the needs of the families and juveniles on Diversion • Refer and facilitate Restorative Justice Circles with victims and offenders • Other duties as assigned IDEA-Xdea Directed at Eliminating Abuse Contract Bilingual Certified Addiction Counselor III 10/2008 -Present o Case Management for clients on probation and Dept. of Corrections o Facilitate the following groups (Spanish and English) Matrix Groups (Youth and Adult) Relapse Prevention (Youth and Adult) Anger Management (Youth and Adult) Victim Empathy (Youth and Adult) Driving With Care (Level I and i:T, ED and TX) The Change Company Curriculum Life Skills (CBT- Adult community re-entry) One on One Counseling Clinical Supervision of CAC I and II as needed kvietropolitan State University Of Denver Adjunct Professor- Human Services Department 8/2013 -Present Teach Drug, Sex and Rock and Roll • Teach Survey of High Risk Youth • Teach Resistant Adolescent Client CommLraity College of Denver Adjunct Professor- Human Services Department 8/2013 -Present • Teach Intro to Human Services • Teach Groups for Human Services O Teach Families for Human Services Dei:oveir yi!uvenile and F'amily TASC Project Bilingual TASC Specialist ?/2011-08/2011 • Case Management of juvenile probationers referred by probation • Facilitate CRAFT (Community Reinforcement Approach and Family Training) sessions with probationers' parents Bilingual Functional Family Therapist Facilitated individual level interventions with juvenile and adult probationers Provide clinical supervision for Certified Addictions Counselors I and II • Advocate and refer clients to appropriate treatment to meet needs Collaborate with Probation officers, Department of Human Services and other community agencies to meet the needs of probationers and families • Any other duties as assigned Denver Juvenile Probation Probation Officer, Denver Colorado 1/2007-01/2011 • Supervise, manage caseload and conduct referrals for Placement/Youth Drug Court/STAR Program/Spanish speaking juvenile offenders • Conduct Presentence investigations, revocation petitions and special reports for juvenile court with recommendations based on findings a Conduct field and home visits R Serve as a facilitator and an active member on the Department's Restorative Justice Committee • Completed Track I (2004 training requirements) for P; obatiori Attend monthly staffing, Team Decision Meeting's, Denver Collaborative Partnerships lvleetings, and Youth Development Court meetings as required Resource Officer for State Cultural Advocacy Committee Collaborate on treatment and undocumented in-house committee Other duties as assigned f retc',rer .11Liver le PrGbation Collections Investigator I, Denver Colorado 12/2004- 12/2006 O Counsel juvenile regarding financial obligations towards victims Investigate and connect juveniles to resources in community for Job placement • Coordinate with victims and juveniles a payment plan O Report back to Court and Probation Officers juvenile's accomplishments Facilitate "Effective Collections Strategies" conference for Judicial State Courts Conference Enforce and collect all restitution fines and costs owed to victim of crimes ECCOS Family Center At -risk Youth Program Coordinator, Denver Colorado 8/2004-12/2004 Coordinate Mentor and In -school Suspension program in Abraham Lincoln High School and Kunsmiller Middle School • Implement, Structure and turn over the In -School Suspension Program Counsel youth facing acculturation issues, academic challenges and personal challenges Connect youth to Community Based Organizations for Service -learning • Coordinate Therapist and program Specialist in school activities ECCOS Family Center I -!IV Program Specialist, Denver Colorado 12/2003-08/2.004 • Assist Program Manager Turn over, implement and structure the HIV Program for Latino Men in Denver Coordinate Community Center Events and in house group interventions Facilitate Individual Level Interventions and Group Level Interventions © Refer clients to HIV resources in Metro Denver Area • Counsel HIV clients regarding acculturation issues they were confronting Clerical duties as assigned Certificates, Certifications and Professional Accomplishments! Certified Addictions Counselor Level III- Co #7143 Approved Treatment Provider for Colorado Department of Corrections Certified Anger Management Specialist -Anger Management Institute -Atlanta Outstanding Graduate Student Award -Chi Sigma Iota -Fall 2012 License Professional Counselor- Candidate National Board Certified Counselor, 310780 Chi SigJ mz, iota Honor Society -Member since 2000 Alpha Sigma Nu Jesuit Honor Society- Member since 2012 cMDR Trained since 03/2014 Skills ea Abilities Experience in group and individual interventions. Bilingual in Spanish, good oral, reading and written skills, ability to present effective presentations, knowledge in Microsoft Word, Excel, and PowerPoint. Knowledge of E-clipse, ICON, Lexis Nexis, Oracle (County Court system), NCIC/CCIC, Insight Government. Additional Information: Trained to supervise Sex Offenders through Colorado Judicial Branch and work with FBI Innocence Lost Task Force supervising victims of human sex trafficking crimes with Denver District Attorney's Office. - iir:f) ;4 F'riin Louivp Details lan1. ' 1pr ;rr rm, Lookup Detail View Licensee Information This serves as primary source verification* of the license. "Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-202 C.R.S. Name Public Address Jose Alejandro Castro Denver, CO 80220 License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date ACC.0007143 Original Certified Addiction Counselor III Active 04/05/2011 09/01/2013 08/31/2015 Board/Progam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12:54:40 PM h+an:i!itimh.c.oloradr•.pmidorailiwrising?Loolcup/PrintLicenseDel ails.aspr.7cr;.i=;35T3fig.cc ntaar 129835 1%l Can .:'ow'dei' 2.32f) W. 90th Denver:, Co. $026( 7 0- 261-1457 tcrc>wder64 4hotmaii.corz Work Experience ACACIA COUNSELING March 20.10 — Aug. 201.2 Substance Abuse Therapist provided continuous counseling for DUI level L'II education and treatment to include CBT and Relapse prevention group, and individuals. Conducted initial needs assessment, ascertained nature and extent of complaint and severity of problems, and interviewed defined clients to include monitored sobriety. Performed case management activities, assessed individual needs, developed appropriate service and/or treatment plan, and provided counseling, referral, and placement services. Maintained records and prepared reports on services provided to include individualized treatment plans and reviews. Arapahoe house Inc. March 2006— March 2010 Grave Shift Supervisor, directly supervised the work and activities of the workers, and ensured that they perform their duty while following procedures, to meet the individual, group and company goals. Appraise performance, reward and discipline employees. Helped others learn through formal or informal methods, identified training needs, provided constructive feedback, coached others of how to perform tasks, and acted as a mentor. Conducted intakes and discharges for client's seeking detoxification services. Evaluated client's needs, interest, motivation, and pattern of responsibility, socio-economic history, previous treatment and services experience, and/or special problems and needs, and reviewed and discussed case, problems, prognosis, behavior patterns, and needed services. Developed and implemented a treatment plan that provides a variety of services and referrals to meet social. behavioral, medical, and/or psychological needs, recommended and referred clients to appropriate support agencies and programs, and provided continuous counseling and crisis intervention as the swings primary therapist. 0 Community Flom` Nursing Professional Care Provider, provided short term, direct care for eligible consumers with HIV/AIDS Assured that health, safety and recreational needs were observed. Prepared meals and assisted the consumer in nutritional skills, ensuring that nutritional needs were met during the time of care. Maintained records and prepared reports on services provided. Education Certified Addictions Counselor III, Jan. 29 2010 Front Range' CCmmunilj College 1 1`eaT el college towards hacllck•i degree in Criminal Justice 2011 lr'7o esSion0 Develo tueut, NfItabl z, Certified Addiction Counselor ITi Driving `Aiith Care Certi fication Substance Abuse Training I ie.ld Certified Nursing Assistant Certification for 14 years. Mentor and Sponsoring women in transitioning front substance abuse treatment to the cotnmuniiy. Strong commitment to helping and guiding clients in their recovery process. Knowledgeable and Addiction Principles and is sensitive to cultural diversity, race, general, sexual orientation, and other individual differences in the workforce. Shows understanding, friendliness, courtesy, tact, empathy, cooperation, concern, and politeness to others and relates well to different people from varied backgrounds and different situations. Encourages and facilitates cooperation. pride, trust, and group identify, fosters commitment and team spirit, and works with others to achieve goals. 312C;;;:014 Prinz Lt.ol1;p Details rIelkfy E).t":.f?lte Gi7:ictor Lookup Detail View Licensee Information This serves as primary source verification* of the license. *Primary source verifications License information provided by the Colorado Division of Professions and occupations, established by 24-34-.102 C.R.S. Name Public Address Tanya May Crowder Denver, CO 80260-6720 License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date ACC.0006888 Original Certified Addiction Counselor III Active 01/29/2010 09/01/2013 08/31/2015 Board/Proqam Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 3/20/2014 12:21'33 PM Mips://www.colorado.g ovicbrail censingiL;Dkur1PrintLicenseDnai!s.a,,pVcred=.:A70:As rnc:s=1?43 D 1/1 PY-14-15-CPS-0117 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Anger Management Evaluation and Treatment, Domestic Violence Evaluation and Treatment, and Monitored Sobriety Services. 2. Anger Management Evaluation and Treatment, and Domestic Violence Evaluation and Treatment: a. Contactor will provide treatment as mandated by the current Colorado Domestic Violence Offender Management (DVOMB) Standards. b. Completion of Domestic Violence treatment is solely determined by gaining and demonstrating competencies established by the DVOMB to reduce level of risk and need. c. Contractor has three (3) approved Domestic Violence Treatment providers on staff including staff approved to work with female offenders. d. Contractor is a licensed provider sensitive to multicultural issues and can provide all services in both English and Spanish. 3. Monitored Sobriety Services: a. Contractor will provide timely and quality monitored sobriety services to adult and adolescent clients, both male and female, referred by the Department, as follows: b. Services are available in Denver, Aurora, Brighton and Thornton, CO. Hours of service for all sites are Monday through Thursday, 9 a.m.-9 p.m.; Friday, 9 a.m.-9 p.m.; Saturday, 9 a.m.-1 p.m. Sunday hours, 9 a.m.-1 p.m., are available in Denver only. c. Contractor will provide qualified monitored sobriety collectors. d. Contractor is a licensed provider sensitive to multicultural issues and can provide all services in both English and Spanish. e. Contractor will confirm all positive and negative Breathalyzer monitored sobriety results within 24 hours through a phone call, test result, e-mail and/or fax to the referring caseworker. f. Contractor will confirm all positive and negative laboratory Urinalysis results will be confirmed once processing has occurred through Redwood Toxicology (usually within three days). Confirmation will occur through a phone call, test result, e-mail and/or fax to the referring caseworker. g Contractor will report all positive and negative Instant Urinalysis results within 24 hours. If the result is positive, it will be sent to Redwood for final confirmation. Confirmation will occur through a phone call, test result, e-mail and/or fax to the referring caseworker. h. Contractor will submit a copy of the valid Authorization for Services form, result and client sign -in sheet (if applicable) with each monthly billing. i. All processed (laboratory) test results will be available online 24 hours per day, seven (7) days per 1 PY-14-15-CPS-0117 week online at Sentry Norchem(https,,//semry_norchemlab.com). 4. 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. 5. 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. 6. 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. 7. 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. 8. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 9. 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. Contractor may participate by phone. 2 PY-14-15-CPS-0117 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department 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 Anger Management/Domestic Violence: $57.00/Episode (Domestic Violence Intake, Evaluation and First Session) $30.00/Episode (Domestic Violence Group) $30.00/Episode (Standard Group Therapy) $65.00/Episode (Individual Therapy) $25.00/Episode (Youth Group Therapy) $45.00/Episode (Youth Individual Therapy) $65.00/Episode (Family Therapy) $15.00/15 Minutes (Case Management) $80.00/Episode (Eye Movement Desensitization and Reprocessing-EMDR) $125.00/Episode (Anger Management Evaluation) Monitored Sobriety Services: $17.00/Episode (Urinalysis -7 Panel with EtG) $120.00/Episode (Urinalysis — Steroids) $10.00/Episode (Breathalyzer) $15.00/Episode (Swab Test) $50.00/Episode (Hair Test) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 1 PY-14-15-CPS-0117 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 FRO® ACERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDIYYYY) 8/19/2014 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Van Wagner Agency PO Box 9017 Woodbury NY 11797 _ CONTACT NAME: PHONE g00-735-1588 FAX 888-290-0302 la�no. E=t): INC Nor E-MAILADDRESS'request@sterlingrisk.com INSURERLs) AFFORDING COVERAGE NAIC INSURER A: Granite State Ins. Co. 23809 INSURED IDEAF-1 Idea Forum, Inc. 2560 W. 29th Avenue Denver CO 80211 INSURERB:BeaZley Insurance Company 37540 INSURERC: INSURER D: . INSURER E : NSURER F •1550861567 MBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR ' TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF I POLICY EXP (MM/DDIYYYY) ' HAMIDD/YYTY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 02LX0073838689 8/14/2014 8/14/2015 EACH OCCURRENCE $1,000,000 DAMA PREMISES (a ocEcu0-RENTED $100,000 CLAIMS -MADE X j OCCUR MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 „GE 1 'L AGGREGATE POLICY F OTHERCOMBINED LIMIT APPLIES PER. PET LJ LOC PRODUCTS . COMP/OP AGG $1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO j ALL OSNED ^SCHEDULED HIRED AUTOS • I NON-0VJNED AUTOS LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE 5 (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ _ $ DED I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below YIN NIA PER STATUTE OTH- ER E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S A B Professional Liability Claims -made basis Cyber Liability 02LX0073838689 W14826130101 8/14/2014 11/25/2013 8/14/2015 11/25/2014 Occurence $1,000,000 Aggregate $3,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CELLATION 3U days Weld County Department of Human Services 315 North 11th Ave Greeley CO 80601 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 ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD PY-14-15-CORE-0135 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MICHAEL A. LAZAR, ATTORNEY AT LAW This Agreement, made and entered into the day of.7'phll 014 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 Michael A. Lazar, Attorney at Law, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Mediation Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014 upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, pilling 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 1 PY-14-15-CORE-0135 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0135 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0135 - 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. 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. 4 PY-14-15-CORE-0135 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0135 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. 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. u. 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. 6 PY-14-15-CORE-0135 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor I ability, 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. 7 PY-14-15-CORE-0135 A provider of Professional Services (as defined in the Bid or RIP) 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 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. 8 PY-14-15-CORE-0135 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Michael A. Lazar, Attorney at Law 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Michael A. Lazar, Attorney at Law 710 11th Avenue, Suite 205 Greeley, CO 80631 (970) 353-0544 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. 9 PY-14-15-CORE-0135 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 bean incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in 10 PY-14-15-CORE-0135 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CORE-0135 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CORE-0135 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CORE-0135 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15-CORE-0135 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: puty Clerk to the Board OV %AS T95 C•. ty Attorney WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: , Director 15 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO f, , 1lf-�r-COs rvk�.l�_ Douglas 6?ademacher, Chair SEP 1 5 [014 MICHAEL A. LAZAR, ATTORNEY AT LAW B Michael A. Lazar, Attor._ at Law ac/4'- a/.&' EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK).. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 Ill. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. 81400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor, Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. 81400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. ' Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area max= Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND«CONTRACTOR1» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor>, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services>; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 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 7t° of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. 81400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) Combined single limit - $500,000.00 written on an occurrence basis. Additional insurance required if claims reduce the annual aggregate below $500,000.00. .. Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFNamen «RepLNamen, «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 .(970) 352-1551 18. Litigation For Contractor: «NoticeFNamen «NoticeLNamen, «Addressl», «Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi, Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area �„�- Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area t Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» 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. 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. 30 EXHIBIT B CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL`. MICHAEL A. LAZAR ATTORNEY AT LAW 710 ELEVENTH AVENUE, SUITE 205 GREELEY, COLORADO 80631 E-mail: mlazarth)michaellazarlaw.com PROPOSAL TO PROVIDE MEDIATON SERVICES TO THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES TEL: 970.353.0544 FAx: 970.353.4025 I wish to be considered as a mediator/facilitator for the Weld County Department of Human Services (the Department). I have provided mediation/arbitration services to the Courts of the 8th, 191h, and 13th Judicial Districts since 1988. In June 1998, I completed a forty hour mediation course with CDR Associates of Boulder, Colorado. I also worked as an intern for CDR from June 1998 — May 1999. In the last ten years, I have averaged between 140 to 160 mediations yearly. In addition, I have been appointed as a parenting coordinator, domestic relations decision maker, and arbitrator in numerous cases in the 8th, 19th, and 13th Judicial Districts since the passage of the parenting coordinator and domestic decision maker statutes in 2005. On January 1, 2014, I entered into a contract with the Department to provide mediation services to the Department. That contract ends on May 31, 2014. I maintain a law practice in addition to my mediation/arbitration practice. I have practiced law continuously since my admission to the Colorado Bar in 1975. I initially worked for the Weld County District Attorney's Office for three and one-half years. I have been in private practice since the fall of 1978. In addition to my law practice, I am also the Municipal Court Judge for the Town of Johnstown, Colorado. I have a full time legal assistant, Joan A. Markley, of Greeley, Colorado. Ms. Markley is available four and one-half days a week to assist me in scheduling and facilitating mediations. My office is conveniently located in downtown Greeley at 710 11th Avenue (The Greeley Building). In addition to a conference room in my office, I also have two other conference rooms that are available to me at The Greeley Building. Under my current contract with the Department, my hourly rate is $200.00. If I am awarded a new contract for fiscal year 2014 - 2015, I will maintain the same rate of compensation, $200.00 per hour. Attached hereto are the following: 1. Provider Information form 2. Current resumes for Joan A. Markley and myself 3. Copy of attorney registration with the State of Colorado 4. Current certificate of Professional Liability Insurance Please contact the undersigned if there is any additional information you require. I remain, Very truly your Michael A. Lazar MICHAEL A. LAZAR ATTORNEY AT LAW 710 ELEVENTH AVENUE, SUITE 205 TEc 970.353.0544 GREELEY, COLORADO 80631 I'- mail: mlazarra�micharllazarlaw.c°ro FAX: 970.353.4025 PROPOSAL TO PROVIDE MEDIATON SERVICES TO THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES I wish to be considered as a mediator/facilitator for the Weld County Department of Human Services (the Department). I have provided mediation/arbitration services to the Courts of the 8a', 19th, and 13'" Judicial Districts since 1988. In June 1998, I completed a forty hour mediation course with CDR Associates of Boulder, Colorado. I also worked as an intern for CDR from June 1998 — May 1999. In the last ten years, I have averaged between 140 to 160 mediations yearly. In addition, I have been appointed as a parenting coordinator, domestic relations decision maker, and arbitrator in numerous cases in the 8th 191h, and 13th Judicial Districts since the passage of the parenting coordinator and domestic decision maker statutes in 2005. On January 1, 2014, I entered into a contract with the Department to provide mediation services to the Department. That contract ends on May 31, 2014. I maintain a law practice in addition to my mediation/arbitration practice. I have practiced law continuously since my admission to the Colorado Bar in 1975. I initially worked for the Weld County District Attorney's Office for three and one-half years. I have been in private practice since the fall of 1978. In addition to my law practice, I am also the Municipal Court Judge for the Town of Johnstown, Colorado. I have a full time legal assistant, Joan A. Markley, of Greeley, Colorado. Ms. Markley is available four and one-half days a week to assist me in scheduling and facilitating mediations. My office is conveniently located in downtown Greeley at 710 11th Avenue (The Greeley Building). In addition to a conference room in my office, I also have two other conference rooms that are available to me at The Greeley Building. Under my current contract with the Department, my hourly rate is $200.00. If I am awarded a new contract for fiscal year 2014 — 2015, I will maintain the same rate of compensation, $200.00 per hour. Attached hereto are the following: 1. Provider Information form 2. Current resumes for Joan A. Markley and myself 3. Copy of attorney registration with the State of Colorado 4. Current certificate of Professional Liability Insurance Please contact the undersigned if there is any additional information you require. I remain, Very truly your Michael A. Lazar MICHAEL ALAN LAZAR 4301 W. 14th Street Road Greeley CO 80634 PERSONAL DATA: Date of Birth: July 25, 1950 Marital Status: Married COLORADO BAR ADMISSION'. October, 1975 EDUCATION. University of Colorado School of Law, Boulder, Colorado Juris Doctor Degree, May 1975 University of Illinois, Chicago, Illinois Bachelor of Arts — History and Political Science, June 1972 (with honors) MEMBER: Colorado Bar Association Weld County Bar Association MILITARY: Illinois National Guard, 1970-1971 Honorable Discharge, March 1971 EMPLOYMENT EXPERIENCE: January 2006 — Present Court appointed Domestic Relations Decision Maker, Parenting Coordinator and Arbitrator January 2002 — Present Municipal Court Judge — Town of Johnstown, CO January 1995 — Present Sole Practitioner — Michael A. Lazar, Attorney at Law & Mediator, Greeley, CO 80631 January 1992 — December 1994 Member — Doyle, Klein, Otis, Frey, Hellerich & Lazar, Attorneys at Law, LLC, Greeley, CO 80631 January 1983 — December 1994 Partner — Dinner, Hellerich & Lazar, Attorneys at Law, Greeley, CO 80631 September 1978 — December 1982 Associate — Dinner and Hellerich, Attorneys at Law, Greeley, CO 80631 October 1975 — September 1978 Deputy District Attorney — Weld County District Attorney's Office, Greeley CO 80631 REFERENCES: The Honorable James F. Hartmann, Jr., Chief Judge, Weld County District Court, Nineteenth Judicial District, Greeley, Colorado The Honorable Marcelo A. Kopcow, District Judge, Weld County District Court, Nineteenth Judicial District, Greeley, Colorado The Honorable Thomas Quammen, District Judge, Weld County District Court, Nineteenth Judicial District, Greeley, Colorado The Honorable Julie Hoskins, District Judge, Weld County District Court, Nineteenth Judicial District, Greeley, Colorado HONORS AND ACTIVITIES: Member of the Weld County Commission on Judicial Performance, 2010 - present Completed Center For Dispute Resolution (Boulder, Colorado) training program for Divorce and Child Custody Mediation, June 1998 Internship with the Center for Dispute Resolution, June 1998 — May 1999 Member and Past President: Board of Directors of North Range Behavioral Health Center, f/k/a Weld Mental Health Center, 1986 — 1995. Member: Board of Directors of Weld County Legal Services, Inc., 1996 — 2002 Weld County Legal Services, Inc., Pro bono cases Member: National District Attorneys Association Graduate of short course for Prosecutors — Northwestern University School of Law, Chicago, IL Instructor: Greeley Police Department Police Academy Weld County Bar Association ADR Committee/Chair, 1995 —1999 Law Day Speaker in Public Schools Call -A -Lawyer Volunteer, 1995 — present Legal Aid and Defender Clinical Program Board of Directors, 1974 — 1975 Legal Aid and Defender Clinical Program, 1973 — 1974 Edmund James Scholar Member: Phi Eta Sigma (National Honorary Society) Joan A. Markley 1424 28th Avenue, Greeley, Colorado 80634, 356-8178 Experience Legal Assistant May 1, 20007 to present - James J. Peyton, Greeley, Colorado. • General clerical duties; Answer telephone; Schedule appointments; Set up files; Transcribe dictation; Prepare and file eviction pleadings; Input bankruptcies; Monthly billing; Payroll; Quarterly taxes. Legal Assistant February 2005 to April 30, 2007 -. Stanley C. Peek, Greeley, Colorado. • General clerical duties; Answered telephone; Scheduled appointments; Set up files; Scheduled mediations; Transcribed dictation; Prepared and file court pleadings; Monthly billing; Payment of bills; Payroll. Legal Assistant December 2002 to January 2005 - Lind, Lawrence & Ottenhoff, Greeley, Colorado. • General clerical duties; Answered telephone; Scheduled appointments; Transcribed dictation; Proof and file court pleadings. Legal Assistant April, 1995 to November 2002 - Michael A. Lazar, Greeley, Colorado. • General clerical duties; Answered telephone; Set up files; Scheduled appointments; Scheduled mediations; Transcribed dictation; Prepared and filed court pleadings; Monthly billing; Payroll; Quarterly taxes. Programs LexisNexis; ICCES; EZ Filing; Timeslips; Word Perfect; MS Word. Education Greeley Central High School 1973 - 1976 • High School Diploma References References are available on request. Supreme Court State of Colorado ATTORNEY REGISTRATION • This is to ceflf' that 2014 MICHAEL ALAN LA/AR 6646 is on the toll of attorneys eligible to practice law in the .slate of Colorado. ACTIVE Only Active members In good standing can practice law. Confirm stems at wwwcoiermlosupmmccourtes CMttopherT Ryan Clerk of the So pee em Cella PY-14-15-CORE-0135 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Mediation services to Weld County families in Dependency and Neglect cases as referred by the Department. 2. Contractor will accept calls directly from the Court for the purpose of scheduling mediations and will notify the Department that mediation has been scheduled. The Department will provide the Contractor with a formal referral authorizing the services to be billed to the Department. 3. Contractor agrees to be organized, responsive and to quickly and successfully schedule mediations. 4. Contractor employs a legal assistant who assist with scheduling and preparation for mediation sessions on behalf of the Contractor. 5. Contractor can facilitate up to six (6) mediations per month and can offer flexible meeting times to accommodate mediations including early morning, noon, evenings and weekends. 6. Mediation sessions are generally scheduled for one (1) to two (2) hours in length; however Contractor can accommodate longer sessions up to one (1) day in length under special circumstances, with Department approval. 7. Contractor will provide adequate, local and appropriately secure space for mediations to occur in. 8. Contractor agrees to bill for face-to-face mediation services only and further agrees that the rate reflected in Exhibit D -Payment Schedule is inclusive of all scheduling, preparation and post -mediation requirements and documentation. 9. All mediation services will be provided by Michael A. Lazar, Attorney at Law. 10. Contractor agrees to confirm upon receipt of a request and/or referral for mediation services that he does not have any conflict of interest with any party to the mediation. 11. Contractor will submit documentation that notes the date and time of the mediation, participating parties, and whether or not agreement or partial agreement was reached for each referral. This documentation will be submitted with each monthly billing. 1 PY-14-15-CORE-0135 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 $200.00/Hour (Rate per hour for actual mediation services only. Rate is inclusive of all necessary preparation and post documentation.) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. 1 PY-14-15-CORE-0135 c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 O PSIC Professional Solutions INSURANCE COMPANY 14001 University Ave., Clive, IA 50325-8258 Toll -Free 800-510-8240 Toll -Free FAX 800-480-2232 LAWYERS PROFESSIONAL LIABILITY POLICY DECLARATIONS This is a claims made and reported policy. Please review your policy carefully. It applies only to those claims that are both first made and reported in writing to the Company during the policy period. Policy Number: I-PL7042791 Named Insured and Mailing Address: Michael A. Lazar, Attorney at Law 710 Eleventh Avenue Suite 205 Greeley, CO 80631 Effective Date: 11/15/2013 Policy Period: 11/15/2013 to 11/15/2014 at 12:01 A.M. Standard Time at the address shown above Retroactive Date: FULL Limits of liability: $1,000,000 Each Claim $2.000,000 Aggregate Deductible: Claim expenses are included within the limit of liability (CELL) X Claim expenses are in addition to the limit of liability (CEOL) $1,000 Each Claim $1,000 Aggregate Deductible applies to both damages and claims expenses X Deductible applies to damages only Abatement: $2,500 Policy Premium: $1,308.00 Forms and Endorsements Attached to this Policy: Please see attached Schedule of Forms and Endorsements Who to contact if you have a claim: Claims Department (800) 510-8240 AttomeyShield Fax: (877) 367-9654 14001 Unversity Avenue Email: ciaims@attorneyshield.com Clive, IA 50325-8258 Agent: Professional I.i ability Consultants Inc 162 Zang Court Lakewood, CO 80221 PSIC-LAW-Dec (05/13) Print Date: 10/15/2013 Agent ID: 814 Agent Phone & Fax: 303-627-9002 303-627-9605 r'�H,e�,u 44, _Cal .odUW tb . uthorized Representative PY-14-15-CPS-0119 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND LIFE RECOVERY CENTER GM This Agreement, made and entered into the(5 day of4S02014 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 Life Recovery Center, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration funding to the Department for Anger Management Evaluation and Treatment, Domestic Violence Evaluation and Treatment, Monitored Sobriety Services, and Substance Abuse Evaluation and Treatment. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CPS-0119 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. S. 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 2 PY-14-15-CPS-0119 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CPS-0119 - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Child Welfare Administration. 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. 4 PY-14-15-CPS-0119 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CPS-0119 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. H. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. 6 PY-14-15-CPS-0119 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; - Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CPS-0119 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 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. 8 PY-14-15-CPS-0119 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. 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: James E. Monaghan III, LPC, LAC, NCC All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: James E. Monaghan III, LPC, LAC, NCC 1129 Francis Street Longmont, CO 80501 (303)252-4179 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 9 PY-14-15-CPS-0119 which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 10 PY-14-15-CPS-0119 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CPS-0119 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CPS-0119 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CPS-0119 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15-CPS-0119 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: De uty Clerk to the Board -County Attorney WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: 15 BOARD OF COUNTY COMMISSIONERS WELD COIUNTY, COLORADO Douglas ademacher, Chair LIFE RECOVERY CENTER By: iiFNf/ Mohgghah, MA, NCCJ?C, LAC James E. Monaghan III, LPC, LAC, NCC a©�s� aai 2 EXhll Bl'fA WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. 81400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY. MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. 81400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTORI» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. - Standard Workman's Compensation and Employer's Liability c As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) o Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. o Certificate of Insurance to be provided to Weld County. o Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName» «Addressle, «Address2o « City», «State» «Zip» «Phone» 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. 8 Bid No. 81400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 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 shah be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. g§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Ill. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. 81400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. iii. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.Ins-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services, Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. 81400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. 81400069 Program Area x Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bi,l in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 <<Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 Life Recovery Center+ Longmont EXHIBIT B CONTRACTOR'S RESPONSE TO 'NIL REQUEST FOR PROPOSAL Agency 1528-02 Our mission is to provide tools that will empower individuals to make choices which will positively impact their livelihood, their loved ones and their community. As of January 1st. 2014 the Counseling Services of Longmont has transitioned to a Life Recovery Center. While retaining the core focus, clinical practices, and standards of care that CSL has demonstrated since 1997, the Life Recovery Center Longmont now benefits from the infrastructure, resources, and support of the Life Recovery Centers. The Life Recovery Center is certified by the State of Colorado's Division of Behavioral Health to provide Driving Under the Influence and Substance Abuse treatment services. The Life Recovery Center has adapted the highest quality counseling and monitoring services that CSL has provided since 1997. Clinical services are provided by Certified, Alcohol and Drug Abuse counselors. Domestic Violence Treatment services are provided by counselors who are approved by the State of Colorado Domestic Violence Board. All staff are trained to accurately and appropriately monitor our clients. Over the last 16 years our monitoring services have consistently improved and the program has experienced minimal turnover of staff allowing us to provide maintain a high quality of services. As a process towards positive change; we encourage our clients to place emphasis on self-awareness and self -evaluation by examining basic beliefs, attitudes and habits that impact their decisions and behaviors. And through this process find a path to a greater and more fulfilling life. We Humbly request that you consider our attached proposals to anger Management, Domestic Violence, Substance Abuse and Monitoring sobriety services for Human Services clients. As this is an emailed bid I hereby waive my right to a sealed bid. Brian Monaghan Agent Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Life Recover Cente �` Longmont Agency 1528-02 Please accept the following proposal to provide Anger Management services for Human Services clients. Anger management Therapy Groups (Co-ed) Services are provided in English: 10 to 16 week program: This is a Cognitive Behavioral Therapy oriented group. Presentations with handouts, group interaction and assignments are components of this program. Each session is 1 hour. Level A, B or C per statutes of the State of Colorado Caring Dad's Program for DV clients only Drug and Alcohol Evaluations Therapy and Education (Co-ed) Services are provided in English by qualified therapists Anger management Therapy Groups (Co-ed) 10 to 16 week program: This is a Cognitive Behavioral Therapy oriented group. Presentations with handouts, group interaction and assignments are components of this program. Each session is 1 hour. Domestic Violence Therapy Groups (Gender specific) Level A, B, or C per statutes of the State of Colorado Domestic Violence Board. All clients are required to attend gender specific groups, Counselors are DVOMB approved providers, CBT oriented with presentations with handouts, group interaction and assignments. All clients must meet recommended competencies and Multi Treatment Teams (Therapist-PO/CM-Victim Advocate and others as needed such as DHHS staff) determine the progress and readiness to complete the program. Drug and Alcohol Evaluations as ordered by the court and or required to determine levels of treatment for NON -DUI offenders are performed using all OBH/CBDHS approved tools. SERVICES & FEES EVALUATIONS and INTAKES: Anger Management Assessment (includes intake when necessary and requested) $100.00 Anger Management Intake $60. SESSION FEES: Anger Management $30.00 Second contact groups are $25 Individual/couples counseling $100.00 Diversion Program (8 hr workshop) $100.00 Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Life Recover Center Longmont Agency 1528-02 Please accept the following proposal to provide Domestic Violence services for Human Services clients. Domestic Violence Therapy Groups (Gender specific) Services are provided in English by qualified therapists 10 to 16 week program Domestic Violence Evaluations Domestic Violence Level A, B, or C per statutes of the State of Colorado Domestic Violence Board. All clients are required to attend gender specific groups, Counselors are DVOMB approved providers, CBT oriented with presentations with handouts, group interaction and assignments. All clients must meet recommended competencies and Multi Treatment Teams (Therapist-PO/CM-Victim Advocate and others as needed such as DHHS staff) determine the progress and readiness to complete the program. INTAKE FEES: Domestic Violence Intake $120.00 Domestic Violence Intake with Drug/Alcohol evaluation $200.00 Domestic Violence Intake with Drug/Alcohol evaluation & Mental Health Assessment $250.00 SESSION FEES: Domestic Violence $30.00 Second contact groups are $25 Individual/couples counseling $100.00 Diversion Program (8 hr workshop) $100.00 Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Life Recover Center Longmont Agency 1528-02 Please accept the following proposal to provide Substance Abuse and Monitored Sobriety services for Human Services clients. Drug and Alcohol Evaluations as ordered by the court and or required to determine levels of treatment for NON -DUI offenders are performed using all OBH/CBDHS approved tools. Relapse Prevention Therapy Groups in English 12 to 24 week program depending on individual treatment needs. • 2 -hour weekly sessions. Strategies for Self -Improvement and Change Curriculum along with CBT and approaches. Mental Health Assessments: to determine if client is in need of Professional Mental Health and or psychological interventions and treatment. • MCMI-rrl is the primary testing tool along with an interview and gathering of psychosocial history. Monitored Sobriety: services are provided by clinical and trained staff to monitor to provide intervention services on the spot. BA Monitoring hours are M -F 8:30am to noon and 1 to 8 Sat, Sun hours are 8:00am to 10:00am and 4:00pm to6:00pm UA Monitoring hours: FEMALE Mon. -Fri. 8:30a-12:OOa & 1 :00p-6:OOp Sat -Sun 8:OOa-10:00a & 4:OOp-6:00p Holiday's 8:00 am-10:00am ONLY MALE hours are Mon and Tues 5:30 to 8:00. Wed Thur and fri are 3:00 to 8:00. Sat and Sun are 4:00 to 6:00 same holiday hours. SERVICES & FEES All services are provided in Spanish and English Proper and valid identification is required at every appearance of every client Monitoring hours: Mon. -Fri. 8:30a -12:00a & 1:00p 8:OOp Sat -Sun 8:OOa-10:OOa & 4:OOp-6:OOp 5 contact segment for the monitoring of Antabuse. Daily Breathalyzers, and Random Breathalyzer $25.00 Twice daily BA's $20.00 One time Breath test $3.00 Urinalysis testing: 8panel plus ETG $15.00 SALIVA TEST 5 Drug panel $25.00 Y 9 EVALUATIONS and INTAKES: Drug and Alcohol evaluation (includes intake when necessary and requested) $200.00 Domestic Violence Intake with Drug/Alcohol evaluation $200.00 Domestic Violence Intake with Drug/Alcohol evaluation & Mental Health Assessment $250.00 Mental Health Assessment $200.00 Out of State Drug alcohol Evaluations $250.00 Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Life Recover Center Longmont Agency 1528-02 Please accept the following proposal to provide Substance Abuse and Monitored Sobriety services for Human Services clients. Drug and Alcohol Evaluations as ordered by the court and or required to determine levels of treatment for NON -DUI offenders are performed using all OBH/CBDHS approved tools. Relapse Prevention Therapy Groups in English 12 to 24 week program depending on individual treatment needs. • 2 -hour weekly sessions. Strategies for Self -Improvement and Change Curriculum along with CBT and approaches. Mental Health Assessments: to determine if client is in need of Professional Mental Health and or psychological interventions and treatment. • MCMI-rrl is the primary testing tool along with an interview and gathering of psychosocial history. Monitored Sobriety: services are provided by clinical and trained staff to monitor to provide intervention services on the spot. BA Monitoring hours are M -F 8:30am to noon and 1 to 8 Sat, Sun hours are 8:00am to 10:00am and 4:00pm to6:0opm UA Monitoring hours: FEMALE Mon. -Fri. 8:30a -12:00a & 1 :00p -6:00p Sat -Sun 8:00a -10:00a & 4:00p -6:00p Holiday's 8:00 am-10:00am ONLY MALE hours are Mon and Tues 5:30 to 8:00. Wed Thur and fri are 3:00 to 8:00. Sat and Sun are 4:00 to 6:00 same holiday hours. SERVICES & FEES All services are provided in Spanish and English Proper and valid identification is required at every appearance of every client Monitoring hours: Mon. -Fri. 8:30a -12:00a & 1:00p 8:00p Sat -Sun 8:00a -10:00a & 4:00p -6:00p 5 contact segment for the monitoring of Antabuse. Daily Breathalyzers, and Random Breathalyzer $25.00 Twice daily BA's $20.00 One time Breath test $3.00 Urinalysis testing: 8 panel plus ETG $15.00 SALIVA TEST 5 Drug panel $25.00 EVALUATIONS and INTAKES: Drug and Alcohol evaluation (includes intake when necessary and requested) $200.00 Domestic Violence Intake with Drug/Alcohol evaluation $200.00 Domestic Violence Intake with Drug/Alcohol evaluation & Mental Health Assessment $250.00 Mental Health Assessment $200.00 Out of State Drug alcohol Evaluations $250.00 Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Life Recovert Center Longmont Agency 1528-02 Please accept the following proposal to provide Anger Management services for Human Services clients. Anger management Therapy Groups (Co-ed) Services are provided in English: 10 to 16 week program: This is a Cognitive Behavioral Therapy oriented group. Presentations with handouts, group interaction and assignments are components of this program. Each session is 1 hour. • Level A, B or C per statutes of the State of Colorado • Caring Dad's Program for DV clients only Drug and Alcohol Evaluations Therapy and Education (Co-ed) Services are provided in English by qualified therapists Anger management Therapy Groups (Co-ed) 10 to 16 week program: This is a Cognitive Behavioral Therapy oriented group. Presentations with handouts, group interaction and assignments are components of this program. Each session is 1 hour. Domestic Violence Therapy Groups (Gender specific) Level A, B, or C per statutes of the State of Colorado Domestic Violence Board. All clients are required to attend gender specific groups, Counselors are DVOMB approved providers, CBT oriented with presentations with handouts, group interaction and assignments. All clients must meet recommended competencies and Multi Treatment Teams (Therapist-PO/CM-Victim Advocate and others as needed such as DHHS staff) determine the progress and readiness to complete the program. Drug and Alcohol Evaluations as ordered by the court and or required to determine levels of treatment for NON -DUI offenders are performed using all OBH/CBDHS approved tools. SERVICES & FEES EVALUATIONS and INTAKES: Anger Management Assessment (includes intake when necessary and requested) $100.00 Anger Management Intake $60. SESSION FEES: Anger Management $30.00 Second contact groups are $25 Individual/couples counseling $100.00 Diversion Program (8 hr workshop) $100.00 Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Life Recove Center Long mon Agency 1528-02 Please accept the following proposal to provide Domestic Violence services for Human Services clients. Domestic Violence Therapy Groups (Gender specific) Services are provided in English by qualified therapists 10 to 16 week program Domestic Violence Evaluations Domestic Violence Level A, B, or C per statutes of the State of Colorado Domestic Violence Board. All clients are required to attend gender specific groups, Counselors are DVOMB approved providers, CBT oriented with presentations with handouts, group interaction and assignments. All clients must meet recommended competencies and Multi Treatment Teams (Therapist-PO/CM-Victim Advocate and others as needed such as DHHS staff) determine the progress and readiness to complete the program. INTAKE FEES: Domestic Violence Intake $120.00 Domestic Violence Intake with Drug/Alcohol evaluation $200.00 Domestic Violence Intake with Drug/Alcohol evaluation & Mental Health Assessment $250.00 SESSION FEES: Domestic Violence $30.00 Second contact groups are $25 Individual/couples counseling $100.00 Diversion Program (8 hr workshop) $100.00 Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Life Recover' Centerr Longmont Agency 1528-02 Please accept the following proposal to provide Substance Abuse and Monitored Sobriety services for Human Services clients. Drug and Alcohol Evaluations as ordered by the court and or required to determine levels of treatment for NON -DUI offenders are performed using all OBH/CBDHS approved tools. Relapse Prevention Therapy Groups in English • 12 to 24 week program depending on individual treatment needs. • 2 -hour weekly sessions. Strategies for Self -Improvement and Change Curriculum along with CBT and approaches. Mental Health Assessments: to determine if client is in need of Professional Mental Health and or psychological interventions and treatment. • MCMI-rrl is the primary testing tool along with an interview and gathering of psychosocial history. Monitored Sobriety: services are provided by clinical and trained staff to monitor to provide intervention services on the spot. BA Monitoring hours are M -F 8:30am to noon and 1 to 8 Sat, Sun hours are 8:00am to 10:00am and 4:00pm to6:0opm UA Monitoring hours: FEMALE Mon. -Fri. 8:30a -12:00a & 1 :00p -6:00p Sat -Sun 8:00a -10:00a & 4:00p -6:00p Holiday's 8:00 am-10:00am ONLY MALE hours are Mon and Tues 5:30 to 8:00. Wed Thur and fri are 3:00 to 8:00. Sat and Sun are 4:00 to 6:00 same holiday hours. SERVICES & FEES All services are provided in Spanish and English Proper and valid identification is required at every appearance of every client Monitoring hours: Mon. -Fri. 8:30a -12:00a & 1:00p 8:00p Sat -Sun 8:00a -10:00a & 4:00p -6:00p 5 contact segment for the monitoring of Antabuse. Daily Breathalyzers, and Random Breathalyzer $25.00 Twice daily BA's $20.00 One time Breath test $3.00 Urinalysis testing: 8 panel plus ETG $15.00 SALIVA TEST 5 Drug panel $25.00 EVALUATIONS and INTAKES: Drug and Alcohol evaluation (includes intake when necessary and requested) $200.00 Domestic Violence Intake with Drug/Alcohol evaluation $200.00 Domestic Violence Intake with Drug/Alcohol evaluation & Mental Health Assessment $250.00 Mental Health Assessment $200.00 Out of State Drug alcohol Evaluations $250.00 Life Recovery Center Longmont 1129 Francis St. Longmont, Co. 80501 Phone: 303-772-3853 Fax: 303-772-1718 Email: info@coloradoliferecovery.com Ana Soto Garcia 1400 S Collyer St. #138, Longmont, CO. 80501 - (720) 333-8683 (c) - soto01ana@live.com Career Focus Receptionist who thrives in a fast paced environment. Flexible and hardworking with the drive to succeed, looking to apply my education and experience to future jobs. Areas of proficiency include front -desk reception tasks such as seamlessly managing a high volume of telephone calls while handling in -person inquiries from clients and colleagues also scheduling appointments while maintaining a clean, visually appealing work station. Core Qualifications • Front desk management • Appointment scheduling • Speedy Filler • Advanced computer skills • Proper phone etiquette • Cash management experience • Fluent in Spanish • Meticulous attention to detail • Self -directed • Reliable • Dedicated team player • Fast learning • Customer friendly • Clean driving record Education and Training Skyline High School High School Diploma 3 Longmont, CO. USA Front Range Community College General Studies Longmont, CO, USA Work Experience Counseling Services of Longmont Front Desk Receptionist to current Longmont, CO 201 May 2010 S, none SOTO GARLUA. Gn,. Nam: ANA IS None Paie:a Seale 01 AUG 1995 r val.a *'nom 04/02/13 .... edit =.:L' es. 04101115 NOT VALID FOR REENTRY TO U.S. WHIN II!!II"I BC# 23973001170688 4955 Sable SI. Phone (720) 217-5553 Denver, CO 30239 E-mail: dcamllo t3 @houna,1. corn Diego J Carrillo-Leyva Objective/Skills Work experience To continue my career in a field where I am able to serve the community and at the sam time continue my professional development and have opportunities for advancement. 0912012— Present Denver Public Schools Denver, CO Bilingual Paraprofessional Specialist o Supervision of assigned students and assistance in the facilitation the instructional programs as directed. O Assist in conducting: testing and assessment, multi -media activities, record -keeping, computer operation, discipline, and oth activities, as directed. o Prepare and set-up educational materials. o Assist and support the development of lesson plans, and provides feedback to teacher(s)/supervisor(s) on individual students. o Present subject matter to students under the direction and guidan of teachers, using lectures, computer -based instruction, discussions, or supervised role-playing methods. • Assist individuals and small student groups, master assignments and reinforces learning concepts presented by teachers. o Communicate and coordinate with students and parents (oral and written) about routine issues in their native language. o Supervise and monitor students at assigned site, and reinforce positive student behaviors and student related administration policies and rules. May provide instruction support to teachers in designated curricuh (e.g., reading, writing, science, social studies, mathematics, librar media). o Support teachers in the instruction and teaching of personal computer hardware and software skills or, as designated, oversee the general function, operation and maintenance of a computer laboratory. o Discuss and coordinate instructional efforts with teachers and educational staff. o Maintain the confidentiality of student information. • Complete training programs and attends meetings, as required. o Performs other duties as assigned.. 0 01/2010— Present UNO (SOCIIE, The Center) Denver, CO Outreach/HIV specialist o Conducted outreach activities for UNO's HIV prevention program in 2010 and 201 o Organized, coordinated and conducted HIV prevention groups for at risk populatioi in 2010 and 201 1. I iaison between community and board for programs, outreach. Community building for the new center(LINO) using the NI-powerment model. Develop convnumtc strategies and mechanisms for the new organization_ Coordinate, monthly outreach for support groups for GLBTQ individuals ?012 - present. Conducts monthly support groups on special topics such as STIR IIV, addictions, motivational, team build, etc_ Organizes social and fun activities for organization. Writes prograrnminn monthly reports to be presented to board of directors. 01/2010 01/2013 IDEA Aurora, CO Bilingual Therapist Therapist on the follow ing DUI and Therapy education: Level 1 Education_ Level II Education, Level 11 Therapy (Track A.B_ED). is Conducts monthly reports for management and parole officers. I Iandled individuals' special assignments such as monitorme their progress assessment of special penalties of at risk individuals_ Monitored Sobriety 09/2007-12/2009 Program Specialist El Future, Community Center Denver, CO o STD HIV preyemiou and testing events coordinator for El Future Community Base Organization. to include. Fifteen STD prey Cation and testing ev ems for El. Future. ., Numerous HIV outreach activities reaching hundreds of community members Train the trainer course through the State Health Dept. Implemented Community Level intervention and prevention strategies to the Latcic community Implemented procedures to handle case management of the Latino population. Case management focusing on Policy and Procedures with the Latino Community, implement unnc testing for S testing on site and in outreach settings 06/2007-0.1/200S Coca Cola Enterprises Denver, CO Account Manager Execute and close all sales calls. Sell in incremental displays and equipment placements: sell in promotional progran and ensure do lcr compliance. In connection with a sales call. maintain appropriate inventors' ley ek, maintain company assets and point of sale, ensure account meets Company merchandising standards, determine stores' product needs, place and transmit appropriate order conjunction with existing geographic sales routes. Communicate account activities to appropriate parties. Transport, replace and maintain Point of Sale advertising as appropriate for account 08/2006-06/2007 Coca Cola Enterprises Denver, CO Retail Account Representative o Ensure and maunam appropriate inventory levels, maintaining company assets and point of sale to ensure account meets Company merchandising standards. Determine stores' product needs, place and transmit appropriate order in conjunct with existing geographic sales routes. c Communicate account activities to upper supervisor and coworkers. u Transport, place and maintain point of sale advertising as appropriate for account. Ensure mcrchandiccrc rotate and pull expired product. Maintain apprepr iate product levels in beverage sections for assigned accounts. Education 2004-10/2006 Chips \C holesale. Territory Sales Manager/Customer Service O r, Denver. CO Distribution management for east sales territory and sold merchandise such us mixe juices, supplies, etc. Developed ongoing customer relationships/increased current customer satisfaction I hurtled customer issues related to due products, complaints, feedback. etc. Created sales presentations to target customers fur new products. Increased m} teal for y sales about 25°6 by receiving customers. 2002 - 21104 Chips Wholesale. Denver, CO Warehouse Supervisor Coordinated shipping and receiving daily orders. Organized and verify shipments. Coordinated delivery. pulling, stocking, forklift experience. 2008-2009 Training CDPHI' Denver, Colorado Client Centered I :I Intervention , Test Decision C Positive Start, Rapid Testing. STD's for Non -Clinicians. Mental Health and 111V Prevention 2007 -Present Aurora Community College Aurora, Co:orado General Studies/English 1997- 1996 Institute las Americas Nayarit Durango, Mexico General Studies/minor: Elementary Education 1992- 1996 Durango Iligh School Durango, Mexico General Studies/minor: Industrial Services Interests and activities Food Drive Volunteer, Sunday School Teacher, Camping. Fishing, Outdoor Activities, Volunteer Translator at Hospital. References Languages Available upon request Bilingual (Spanish/English) 238895 Congratulations, The wallet card provided below is your official authorization to practice. Photocopies are not considered official documents, but may be used to verify a Colorado license for 0redentialing or insurance purposes. You may now order a professionally designed wall certificate! To place an order, go to www.dora_Colorado.gov/professionshvallcertificates or 1-888-925-5237. As a condition of licensing, you have a continuing obligation to comply with the statutes, rules and regulations governing your license in Colorado. Our website is a good source for this information. It Is your responsibility to keep our office advised of your current address. You are responsible for keeping your license current and renewing it before the expiration date. = w ,,toova L?C ._: i1 + 1 Fold re Lear Along T Pi:, Perforatiori STATE OF COLORADO Department of Regulatory Agencies Division of Professions and Occupations PR,NTED On SECL RE PAPER Active ACC Art: ooe7284 I Number OS101 12013 Issue Date Diego Jesus Carriilo Leyve Denver CO 8C239-6472 Division Director O83112015 Expire Date Certified Addiction Counselor III Board: AGo:ctnonCousse'orRogaun Mail Correspondence to: Home Business (Circle one) Home Phone: Name: T •e: ACC Number 7284 Business Phone: Street Address: City, State and Zip Code: A Use the Area above for any ADDRESS Change Signature t THIS IS YOUR WALLS f CARD —, 1, Y:= Diane L. Sweeney 13016 Harrison Drive Thornton, CO 80241 720.364.2340 Certificates: Odyssey School of Substance Abuse Training 2012 - 2013 Co -Occurring Disorders Addiction Counseling Skills Client Records Management Princip,es of Addiction Professional Ethics I & Ethics Jurisprudence Infectious Diseases in Addiction Pharmacology II CAC Education: Mapleton High School / GED 1982 Professional Experience: Broadway Counseling, Monaghan Psychotherapy Services Northglenn, CO Office Manager May 2011— Present Intake Screening and Treatment Planning Group Counseling Client and Probation Referral Services Communicate to Probation Officers via e-mail, phone conversation re: client referrals, treatment planning, and vouchers Appointment Setting General office duties and maintain office equipment Counseling Services of Longmont Longmont, CO Office Manager July 2013 — Present Dollar Tree Cashier Souper Salad Night Supervisor Night Supervisor of 4 employees Maintain work schedules Maintain Wait stations Northglenn, CO November 2009 — May 2011 Northglenn, CO March 2009 — March 2011 Print Lookup Details Page 1 of I Barham J. Kc0e'; Executive 0ircuaur Lookup Detail View Licensee Information This serves as primary source verification" of the license. *Primary source verification: License iforma(ion provided by Uic Colorado Div'sbn of Professions a o Occupation:, estao/u/en by 24-34102 C.R.S. Name Public Address D ane Louise Sweeney Thornton, CO 80241 License Number License Method License Type ' Original Issue Licence Status' Date Effective Date Expiration Date ACA 0306993 Original Cert.fied Acdictior Counselor I i 09/10/2012 09,(01/2013 08/31/2015 Board/Progam Actions Case Number Public Action lI Resolution Effective Date Completed Date L2012-5491 Stipuka [ion Sriptllaton i 09/04/2012 Online Documents If you have trouble accessing documents from the inks below, you may also try Our Link Unique ID Number DocType Docsource Generated on: 3/21/2011 11,0:1/ PM 244140 0988 -CO PUBLIC DISCIP.INAkY ACT:ON ', IMAGE https://www.colorado.eov/clorallicensing/Lookup/PrintLicenseDetails.aspr?creel-36061 &c... 3/21/2014 0912612013 14:53 Counseling Services of Longmont (FAX)3037721718 P.001/003 Timothy D. AIIport 11652 W. 75" Circle — Arvada, CO 80005 303.435.8568 OBJECTIVE To gain employment with a drug treatment or mental health program that utilizes my skills as a Certified Addictions Counselor (CAC III) EXPERIENCE Centennial Peaks Hospital Louisville, Co June 20, 2011, to Present (reinstated Feb 2013) Job Title: Mental Health Counselor and Chemical Dependency Counselor (1n -patient as needed) • Individual and group counseling, multi -family counseling • Direct care to psychiatric inpatient units in a hospital setting, as well as ensuring patient well-being • Completing comprehensive intake psycho -social assessments for new patients • Coordinate patient care and report to the appropriate team members Creative Treatment Options Arvada, CO June 7, 2013, to Present (started one group) Job Title: Certified Addictions Counselor, (CAC III) • Individual and group counseling, 1 started a new group required by the State of Colorado, Interlock Enhancement Counseling 15t Alliance Treatment Services (formerly Rocky Mountain Offender Management Systems (RMOMS) Westminster, CO June 28, 2011, to Present (to on -call status, in Feb 2013) Job Title: Certified Addictions Counselor, (CAC III) • Substance abuse evaluations • Treatment Planning and Referral Services • Individual and group counseling Exempla Lutheran Medical Center Wheatridgc, CO April 2011 to October 2011 Job Title: Behavioral Health Tech -Emergency Services, PRN Federal Bureau of Prisons, Federal Correctional Institution Englewood Littleton, CO 2013-09-26 14'.24 COUNSELING 511W 3037721718 Paoe I 09/26/2013 14:54 Counseling Services of Longmont (FAX)3037721718 P.002/003 August 2000 to August 31, 2010 Job title: Drug Treatment Specialist • Deliver drug treatment services to inmates with drug abuse history • Individual and/or group counseling • Drug education services. • Non-residential treatment services • Rational behavior therapy and cognitive behavioral treatment approaches • Treatment planning and case management functions Addiction Research and Treatment Center Crosspoint Denver, CO January 2008 to October 2008 (part time) Job title: Counselor/temporary aide • Ran treatment groups (methamphetamine, DUI, cognitive behavioral) • Completed training in "Strategies for Self -Improvement and Change Program" Federal Bureau of Prisons, Federal Correctional Institution Englewood Littleton, CO 1990 to 2000 Job title: Correctional Counselor • Assisting inmates with day-to-day problems through counseling, referrals, and crisis intervention • Conducting intake screening, admission orientation classes, distributing legal mail, and conducting unit based programs. • Processing inmate furloughs and assisting with the financial responsibility program • Constant interaction with inmates and staff to further the goals of the institution • Contact with the public and outside agencies Federal Bureau of Prisons, Federal Correctional Institution Englewood Littleton, CO 1985 to 1990 Job title: Correctional Officer • Custody and supervision of the inmate population EDUCATION Sanborn, NY NIAGARA COUNTY COMMUNITY COLLEGE Associate in Applied Science, 1984 Denver, CO METROPOLITAN STATE COLLEGE Coursework in criminal justice and history. 1987 — 1989 2013-09-26 14:24 COUNSE'NG SERV 3037721718 Fade 2/3 09/26/2013 14:54 Counseling Services of Longmont (FAX)3037721718 P.003/003 PROFESSIONAL AFFILIATIONS Former Board Member— Colorado Association of Addiction Professionals Chair of the legislative committee and recovery month committee Member - National Association of Addiction Professionals (NAADAC) Member — National Association of Active and Retired Federal Employees ACCREDITION State of Colorado Certified Addictions Counselor Ili since 2008 • Member ID: ACC 6653 • Completed Driving With Care Training • Completed Preventing Substance Abuse with Brief Therapy, (sbirt) • Completed Strategies for Self -Improvement and Change Program • Completed Healthcare Provider ProCPR, 4-28-2013 • Completed Interlock Enhancement Counseling REFERENCES Available on request J p n Io m Q I 3 S > O m m go n. c O! O r. i >> 0 I I a a 0 c G James E. Monaghan III 11658 N. Huron St. Suite 400 Northglenn, Colorado 80234 720-298-1486 .Iem.mpsKii.gmail.corn Objective To maintain a position in the field of mental health in which I can help people help themselves by overcoming obstacles in their lives which may seem insurmountable.'fo foster a relationship with people in which they become responsible fur the direction in their lives and arc able to sustain responsibility and accountability. To help people grow, heal and to foster hope where there might have once been none. Licenses/Certification • Licensed Professional Counselor (LPC) Colorado ti LPC-6108 • Licensed Addiction Counselor (LAC) Colorado #ACD-226 • National Board for Certified Counselors - National Certified Counselor (NCC) #241173 Field Experience 2009 -Present Monaghan Psychotherapy Services, Inc • Founder/Lead Clinician • Clinical Supervisor for LPC's in training and graduate level students. • Couple and Family Counseling • Individual Counseling 2011 -Present Life Recovery Center • Founder/Lead Clinician • Clinical Supervisor for CAC's/LAC's in training, graduate level students, and undergraduate students seeking a human services degree with concentration in Addiction Studies. • Presenter on ADD issues and recovery 2011 -Present Broadway Counseling Services • Site Director • Lead Clinician • Clinical Supervisor for CAC's in training • DUI Education and Therapy facilitation • Substance Abuse Counseling • Substance Abuse Assessments 2013 -Present Counseling Services of Longmont Inc, • Site Director • Lead Clinician • Clinical Supervisor for CAC's in training • DUI Education and Therapy facilitation • Substance Abuse Counseling • Substance Abuse Assessments 2000-2011 Denver Justice thigh School Denver, CO. Assistant Principal'Therapeutic Liaison/CounselorIl'eacher • The AP is responsible for all student affairs facets of the school, including admissions, registration, student records, student life, and counseling. • As Therapeutic Liaison I serve as the "go between" the system and the students. The system consists of the Judicial system, Department of Social Services, and the various mental health agencies in the Metro area. • As the school counselor I facilitate interventions between students and staff, students and students. students and parents, and students and the community. 2001-2009 Boulder Preparatory Iligh School Boulder. CO. Dean of Students/Intervention Specialist/Coordinator for Mental Health Services/Justice System liaison/Teacher • The Dean of Students is responsible for all student affairs facets of the school, including admissions, registration. student records, student life, and counseling. • Facilitate interventions between students and staff, students and students, students and parents, and students and the community • Facilitate and coordinate meetings with students and mental health providers as well as the justice system and various Social Service agencies • Create and support life skills exercises, and to aid in healthy life choices • Teach Criminology. Psychology. Service Learning and Soft Skills classes • Facilitate a sobriety support group for students involved in the justice system. as well as students trying to maintain sobriety Education 2003-2009 University of Colorado -Denver Denver. CO. • Master of Arts in Counseling Psychology and Counselor Education with Couple and Family emphasis. • G.P.A. 3.92 1991-1996 Colorado State University Ft. Collins, CO. • B.A. in Liberal Arts with a concentration in Social Sciences • Member of Alpha Tau Omega Fraternity 1989-1991 Community College of Denver Denver, CO. • Member of Phi Theta Honors Fraternity Memberships • American Association of Christian Counselors • American Association for Marriage and Family Therapy • American Counseling Association • Chi Sigma Iota, Counseling Academic & Professional Honor Society International, Beta Alpha Omega Chapter • Colorado Association for Marriage and Family Therapy • National Association of Alcohol and Drug Abuse Counselors • Colorado Association of Addiction Professionals • Treatment Providers Alliance of Colorado Print Lookup f)Lnniis Pate I ()II Barbara J. Relic Ezeculiae Director Lookup Detail View Licensee Information IThis serves as prrmdrrr centre venfirat,on* Cf the ire ense_ Name Credential Information License license Number Method License Type I. C sr:nination ^tessrons a J - .1 ehe e >hfished by 9 4,990.:9: Public Address 233 License Original Issue Effective Expiration ! Status Date Date Date Licensed oryfessioaa, CoL nseior Board/Proyam Actions Discipline mere i5 no D so ,n! ne Or 2eerd AC.ens on f 'e tar this ^edentrnl. Gene -aced on: 3/21/!014 1'.02:50 PM 06/03/2011 09/01/2013 OR/31/30I Ilabs:/-" i%sAiroloriido.'toi/dart.'IieensinwLookup/Print! ieeuseDettils.aspx?cral'=86I52S&... 3:21.2014 Prnt Lookup Dcwils PU,'e l of I n 4104 3 J. Keno.; ELCculoc Director Lookup Detail View Licensee Information 'his SCSSCS as prim ) Urrcc vnl flcahon of rho hcen50 e._ ,tCv2/ ..cr21 dfon,rc .ecyua Le Name Credential Information es EId6h y:4 3'-102 C c Public Address `4 I License License License I Original Issue Effective Expiration Number Method I License Type Status • Date Date Date -._29 U' , nal Cerld ad 'o Linn La nis2z.-III Board/ Progam Actions cc no b.se 1 no or ow. Actions on do for too corloot Discipline r-nrrated on, 3:):'2019 3.13:05 DM 03;21/2011 0 _,2 0b/ baps: vy vc.coloratlu.eov doritiiccnsinl, I *up PrintLiccnseDetails.aspN?cred—;5649&c... ?1!2011 PY-14-15-CPS-0119 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Anger Management/Domestic Violence Evaluation and Treatment; Substance Abuse Evaluation and Treatment; and Monitored Sobriety Services to adult clients referred by the Department. 2. Contractor will provide services at 1129 Francis Street, in Longmont, CO 3. Anger Management: Anger Management treatment is a 10-16 week curriculum based upon the client's identified needs and groups are coed. Bilingual services are not available. 4. Domestic Violence treatment is based on the standards mandated by the Colorado Domestic Violence Offender Management Board (DVOMB) standards. Groups are gender specific. Bilingual services are available (men only). Level A (Low Risk): Level B (Moderate Risk): Level C (High Risk): - Psycho -educational Treatment —One (1) 90 -minute session per week 36 week educational curriculum First treatment plan review within two (2) to three (3) months - Second treatment plan review within two (2) to three (3) months of the first review - Open ended psycho -educational treatment — One (1)90 minutes session per week 46 week educational curriculum - One adjunct therapy per month required. - First treatment plan review within two (2) to three (3) months Second treatment plan review within two (2) to three (3) months of the first review Open ended psycho -educational treatment — One (1) 90 minutes session per week 46 week educational curriculum One weekly skills group required. First treatment plan review within two (2) to three (3) months Second treatment plan review within two (2) to three (3) months of the first review a. All counselors are certified providers through the Domestic Violence Offender Management Board (DVOMB). 5. Monitored Sobriety: Services and results will be reported through ReliaTrax and will be available within 24 hours. Contractor utilizes Norchem Laboratory. Contractor will provide written monitoring protocol to the Department. 6. Substance Abuse: a. Treatment is a 12-24 week program depending upon the referred client's treatment needs. b. Sessions are two (2) hours per week and include Strategies for Self -Improvement and Change Curriculum along with Cognitive Behavioral Therapy (CBT) and other treatment approaches. c. Contractor offers Standard Outpatient Substance Abuse Treatment. Groups are coed. Bilingual 1 PY-14-1S-CPS-0119 (Spanish) services are available. d. Contractor offers Relapse Prevention Therapy Groups. Groups are coed. Bilingual services are not available. 7. 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. 8. 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. 9. 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. 10. 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. 11. 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. 12. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 13. 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. 2 PY-14-15-CPS-0119 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department 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 Anger Management/Domestic Violence: $250.00/Episode (Domestic Violence Intake with Drug/Alcohol Evaluation and Mental Health Assessment) $200.00/Episode (Domestic Violence Intake with Drug/Alcohol Evaluation) $120.00/Episode (Domestic Violence Intake) $100.00/Episode (Anger Management Assessment with Intake if necessary) $100.00/Episode (Individual Counseling Session) $60.00/Episode (Anger Management Intake) $30.00/Episode (Anger Management or Domestic Violence Group) $25.00/Episode (Anger Management or Domestic Violence Second Contact Group) Monitored Sobriety: $25.00/Episode (5 Contact Segments — Daily Breathalyzer and Random Urinalysis) $25.00/Episode (Saliva Test S Drug Panel) $20.00/Episode (Twice Daily Breathalyzer) $15.00/Episode (Urinalysis 8 Panel plus EtG) $3.00/Episode (One Time Breath Test) Substance Abuse Evaluation and Treatment: $250.00/Episode (Drug/Alcohol Evaluation with Domestic Violence Intake and Mental Health Assessment) $200.00/Episode (Drug/Alcohol Evaluation with Intake if necessary and requested.) $200.00/Episode (Drug/Alcohol Evaluation with Domestic Violence Intake) $200.00/Episode (Mental Health Assessment) $25.00/Episode (5 Contact Segments — Daily Breathalyzer and Random Urinalysis) $25.00/Episode (Saliva Test 5 Drug Panel) $20.00/Episode (Twice Daily Breathalyzer) $15.00/Episode (Urinalysis 8 Panel plus EtG) 1 PY-14-15-CPS-0119 S3.00/Ep sode (One Time Breath Test) 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 7t° 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY 09/09/2014 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER STATE FARM INSURANCE BRUCE JOHNSON - AGENT 5200 DTC PKWY STE 160 GREENWOOD VILLAGE, CO 80111 INSURED MONAGHAN PSYCHOTHERAPY SERVICES INC DBA LIFE RECOVERY CENTER 11658 HURON ST STE 400 NORTHGLENN, CO 80234 CONTACT BRUCE JOHNSON PHONE FAX (A)6 Ng, e,u:.303-220-1000 -(nrc, NDf. 303-220-8012 -MAIL ADOREss. BRUCE JOHNSON IOCM'OLTSTATEFARM COM INSURER(S) AFFORDING COVERAGE INSURER A: State Farm Fire and Casualty Company INSURER B INSURER C INSURER D -. INSURER E_'. INSURER F NAIC a 25143 REVISION NUMBER: V THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE PERTAIN. POLICIES INSR'WND LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSRADDLTSN TYPE OF INSURANCE ` POLICY NUMBER POLICY EFF POLICY EXP IMMIDD/VVVYI'. (MM/Mir/VW LIMITS A i— GENERAL LIABILITY X 1 COMMERCIAL GENERA'_ LIAELITY X OCCUR y 96 -BP -D604-2 02/01/2014'.02/01/2015 EACH OCCURRENCE $ 1.000,000 DAMAGE TO RENTED PREMSES `Eaoccartencel IS 300,000 C.FIMS-MADE MED EXP 'Any one pe-sonI 5 5.000 PERSONAL & ADSAJURY $ 1.000.000 GENERAL AGGREGATE 5 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY I JJ<ECCT ' I0C PRODUCTS- COMP/OP AGG 5 2,000,000 _ I $ AUTOMOBILE LIABILITY AUTOS — AUTOS HIRED AUTOS RATCSSCPEDULED _ NON-U ANED jj AUTOSLTOS 1 COMBINEDSINGLE' LIMIT I ICS accident, S COD NJURY ' de, 05,0, 5 $ BCD_Y \JURY,Pe, accident, - PROPERTY DAMAGE dent/ I5 $ UMBRELLA LIAB .00CUR EXCESS LIAB S LL'MS-MADE' EACH OCCURRENCE S AGGREGATE 5 DED RETEST ON $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY FFICa M MBER EXCLUDED Mand9ME NR EXCLUDED Y (mandatory ( ry in If describe C'FIT000 nFSOEPI ON nF nPCRAEC Soel�w 'NIA 96-BO-HI31-7 10/14/2013110/14/2014 I `AC STAID 0TH - TORY LIMITS ER ,X E.L EACH ACCIDENT $ 000 E L DISEASE EA EMPLOYE S. 100,000 ELDISEASE POLICY IIf IT 5 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) LOCATIONS 11658 HURON ST STE 400 NORTHGLENN, CO 80234 & 1125 FRANCIS ST LONGMONT, CO 80501 CERTIFICATE HOLDER CANCELLATION Weld County, Colorado 1150 O Street Greeley, CO 80631 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849 8 01-23-2013 PY-14-15-CORE-0228 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND CARMEN LUCERO-HAINES, MA, LPC, CACII, LLC 41) This Agreement, made and entered into the!5 day ofa$014, 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 Carmen Lucero-Haines, MA, LPC, CACII, LLC, 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 Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Life Skills and Sexual Abuse Treatment. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 PY-14-15-CORE-0228 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 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, Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0228 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0228 - 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. 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. 4 PY-14-15-CORE-0228 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0228 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. 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. H. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; $50,000 any one fire; and - $500,000 errors and omissions. 6 PY-14-15-CORE-0228 w. 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. 7 PY-14-15-CORE-0228 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. Trainin Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 8 PY-14-15-CORE-0228 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Carmen Lucero-Haines, MS, LPC, CACTI 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Carmen Lucero-Haines, MS, LPC CACII 1015 37th Avenue Court, #102 Greeley, CO 80634 (970-352-6830 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. 9 PY-14-15-CORE-0228 Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 10 PY-14-15-CORE-0228 when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CORE-0228 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 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, 8, C, and D. 12 PY-14-15-CORE-0228 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 Sep 09 14 0627a p2 PY-14-15-CORE-0228 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or le al costs incurred by or on its own behalf. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, mon h, and year first above written. ATTEST:W ,ok, Weld County Clerk to the Board By. De¢uty Clerk to the Board A OV:0 AS TO Attorney WELD COUNTY DEPARTMENT BOARD OF COUNTY COMMISSIONERS _ WELD COUNTY. COLORADO i" a Douglas!Rademacher, Chair OF HUMAN SERVICES /^, CACTI, LLC ©y ✓fir__, ,,.i r u a i n rU 1 By: 14 Std- ! 5'1014 EN LUCERO-HAINES, MF{, LPC, ()Iu -t .r e- t avn"k/rc pica= 5 Carmen Lucero-Haines, MA, LPC, CACTI EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta Dweldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. 81400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. 81400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. I. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Proiect Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND « CONTRACTOR1n This Agreement, made and entered into the _ day of , . by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStartn, upon proper execution of this Agreement and shall expire «TermEndu, unless sooner terminated as provided herein. 2. Scope of Services Services snail be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. 61400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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 or the insurance, where permissible the insurance provider. Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. ▪ Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 Depa-tment 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 6 Bid No. B1400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, Co 80632 .(970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName», «Addressl», «Address2» «City», «State» «Zip» «Phone» 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 individual 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 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 se -vices. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental materialjs) 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. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «C0NTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11`h Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area'; Definition rv>v Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2, 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual partic pation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and sery ces 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 <<Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsib'e, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month fol'owing the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 March 20, 2014 Weld County Department of Human Services Service Utilization Unit 315 A North 11th Avenue Greeley, CO 80631 Attn: Toby Vegter Dear Ms. Vegter: Attached please find originals and copies of bid proposals to provide therapeutic services for the clients of Weld County Department of Human Services. In addition you will find a completed and signed Provider Information Form, current vitae, proof of licensure, and proof of insurance coverage. My office is located at 1015 37th Avenue Court, Suite 102, Greeley, CO 80634. I completed a Masters in Guidance and Counseling at Eastern New Mexico University in Portales, New Mexico in 1993 and have more than 20 years experience as a psychotherapist. I have worked in School District 6 as a school counselor, worked for the 19`hiudicial District Attorney's Office as a Community Counselor, and also worked for North Range Behavioral Health as a psychotherapist. In addition, I've been in private practice for several years. I am fluent in Spanish and have considerable experience in this arena. I work with and have expertise in a broad range of issues, including trauma, child sexual abuse, addictions, family and parenting, bereavement, and mood disorders. I also worked with Dr. Joyce Ackerman in the Safety Program providing therapy and psychoeducation to non -offending parents of sexually abused children. I am very interested in providing therapeutic services for WCDHS and believe that I have the qualifications and experience you are seeking. I can be reached at 970-352-6830 or my cell phone at 970-518-7426. Thank you. Sincerely, LA k cs_g, Y0 ala a--) LP(, C , LLC Carmen Lucero-Haines, MA, LPC, CAC II / L1,C Licensed Professional Counselor Certified Addictions Counselor II BID PROPOSAL LIFE SKILLS March 20, 2014 TO WELD COUNTY DEPARTMENT OF HUMAN SERVICES SERVICE UTILIZATION UNIT BY Carmen Lucero-Haines, MA, LPC, CAC II 1015 37th Avenue Court Greeley, CO 80634 carmenhaines@comcast.net 9970-352-6830 (office) 970-518-7426 (cell phone) ABSTRACT My name is Carmen Lucero-Haines. I am a licensed professional counselor and certified addictions counselor in the State of Colorado. My private practice is located at 1015 37`9' Avenue Court, Suite 102, Greeley, CO 80634. Please consider this document as a formal bid to provide Life Skills and therapeutic supervision for the clients of Weld County Department of Human Services. I have been a mental health professional in Weld County since 1997, working in the public schools, the criminal justice system, mental health centers, and in private practice. I am a reliable, honest, skilled professional dedicated to providing optimum therapeutic services to the people of Weld County. I have more than 20 years of experience in the field of mental health and counseling and have proven skills and longevity in this arena. I recognize the need for licensed, bilingual, culturally competent services in Weld County. I am fluent in Spanish and understand the needs and unique challenges in our communities and make every effort to meet those needs. My goal is to provide a safe, nurturing therapeutic environment that will facilitate change and strengthen families and individuals. I will also work closely with the Department to communicate observations, concerns, and recommendations. The following attachments outline proposed services, contractor qualifications, and applicable fees. EXHIBIT A LIFE SKILLS Scope of Services 1. Contractor will provide in -office and in -home life skills services to individuals and families referred by Weld County Department of Social Services. In -office services will be provided at 1015 37`h Avenue Court, Suite 102, Greeley, CO 80634. 2. All services will be provided by Carmen Lucero-Haines, a licensed professional counselor and Certified Addictions Counselor in the State of Colorado. 3. Contractor will provide services in both English and Spanish as needed. 4. Supervision/visitation will include observations, interpretation, perceptions, and recommendations to parents, families and caseworker. 5. Contractor will provide concrete, supportive guidance and education to address behavioral and emotional concerns, using evidence based successful practices. These methods may include but are not limited to Solution focused, Cognitive Behavioral, and Structural and Integrated models of therapy. 6. Services may include the following: a. Therapeutic Visitation — A supervised visitation program that incorporates techniques from a variety of therapeutic models including, individual, couples, and family therapy, Emotion Focused therapy, parenting education, and parent child interaction observations. b. Safe Exchanges — Supervised exchange of children for the purposes of parenting time where each parent or guardian shall have pick up and drop off times that will prevent face to face contact between parties. c. Supervised Visitation — Supervision of family visits for the purposes of guidance and giving feedback to parents giving them the opportunity to practice new skills learned during visitation. Contractor shall be physically present and within sight at all times and will intervene as needed to ensure the safety and wellbeing of all participants, specifically children. The ultimate aim will be to equip families so they are competent and able to progress and complete specific program treatment goals successfully. d. Parenting Skills — Contractor will teach parenting skills, budgeting, child development, relationship skills, nutrition, acceptable methods of discipline, and other home management skills in order to assist parents in becoming better caregivers. e. Contractor can provide transportation when necessary. 7. Contractor will submit timely monthly reports using the Department's format, as required by the Department. 8. Contractor will provide a safe, therapeutic environment designed to engage and strengthen the family system. 9. Contractor will identify areas of concerns and make recommendations to the Department. Documentation will be entered on the monthly reports, but will also be reported to the Department immediately if it is a crisis or emergency situation, specifically issues related to physical, emotional, or sexual abuse. 10. Contractor will submit monthly invoices and will utilize the Department's method of billing for these services. 11. Contractor will be available to the department for staffing and reviewing client progress and ongoing concerns. It is understood that case management hours are not billable hours. 12. Contractor will make every effort to engage the individual or family with at least 3 documented attempts to set up an appointment. If after three documented attempts the client doesn't respond, contractor will notify the caseworker. Therapy will be discontinued if client does not re-engage. 13. Contractor agrees to enter into a contract with Weld County Department of Human Services and comply with all requirements of the contract. Initiall contract shall commence on June 1, 2014 through May 31, 2015. FEES FOR SERVICE In -Office at 1015 37th Ave Ct, Suite 102, Greeley CO 80634 $110.00 In client's home within a 20 miles radius of Greeley, CO In client's home within Weld County exceeding 20 mile radius Court Testimony in Weld County (minimum of 1 hour per day.) $115.00 hr. $120.00 hr. $125.00 hr. Court Testimony other than Weld County $150.00 hr. (minimum of 2 hours per day. Travel time and expenses will be billed as well). CLIENT CAPACITY • Contractor requests a minimum of three (3) referrals per month but understands that these numbers can fluctuate according to the needs of the Department. Respectfully Submitted, -etAftnelitAAU r ttL ,7 rn+� ��, (1(-uJ L LC 3 -4d -IL/ Carmen Lucero-Haines, MA, LPC, CAC II LLC Date BID PROPOSAL Bilingual ( English and Spanish) Mental Health Individual and Family Services March 20, 2014 TO WELD COUNTY DEPARTMENT OF HUMAN SERVICES SERVICE UTILIZATION UNIT BY Carmen Lucero-Haines, MA, LPC, CAC II 1015 37th Avenue Court Greeley, CO 80634 carmenhaines@comcast.net 970-352-6830 (office) 970-518-7426 (cell phone) ABSTRACT My name is Carmen Lucero-Haines. I am a licensed professional counselor and certified addictions counselor in the State of Colorado. My private practice is located at 1015 37(h Avenue Court, Suite 102, Greeley, CO 80634. Please consider this document as a formal bid to provide individual and family therapeutic services for the clients of Weld County Department of Human Services. I have been a mental health professional in Weld County since 1997, working in the public schools, the criminal justice system, mental health centers, and in private practice. I am a reliable, honest, skilled professional dedicated to providing optimum therapeutic services to the people of Weld County. I have approximately 19 years of experience in the field of mental health and counseling and have proven skills and longevity in this arena. I recognize the need for licensed, bilingual, culturally competent services in Weld County. I am fluent in Spanish and understand the needs and unique challenges in our communities and make every effort to meet those needs. My goal is to provide a safe, nurturing therapeutic environment that will facilitate change and strengthen families and individuals. I will also work closely with the Department to communicate observations, concerns, and recommendations. The following attachments outline proposed services, contractor qualifications, and applicable fees. EXHIBIT A Individual and Family Mental Health Services SCOPE OF SERVICES 1. CONTRACTOR will provide in -office and in -home mental health services to individuals and families referred by the Department. In -office services will be provided at 1015 37th Avenue Court, Suite 102, Greeley, CO 80634. 2. CONTRACTOR uses therapeutic models that include Trauma Focused Cognitive Behavioral therapy, Eye Movement Desensitization and Reprocessing (EMDR), Solution Focused therapy, Narrative and Interpersonal Counseling, and Cognitive Behavioral Therapy. 3. Services include the following: • Individual Counseling — Contractor will provide therapeutic services to children and adults dealing with issues in school and home. These issues may include but are not limited to: depression, anxiety, trauma and abuse, addictions, stress, grief and loss, and behavior problems. Contractor will use Trauma Focused Cognitive Behavioral Therapy in working with non -offending caretakers of children who have been sexually abused. • Family Counseling — The goal is to bridge cultural and generational gaps that may exist in the home, to increase communication and strengthen the family system. • Marital and Couples Counseling — Therapist will facilitate change, communication, and understanding and assist the couple in building and strengthening their relationship. 4. All Services will be provided by Carmen Lucero-Haines, a licensed professional counselor and Certified Addictions Counselor in the state of Colorado. 5. Contractor will provide a safe, therapeutic, structured environment designed to engage and fortify the family system. 6. Contractor will identify areas of concerns and make recommendations to the Department. Documentation will be entered on the monthly reports, but will also be reported to the Department immediately if it is a crisis or emergency situation. 7. Contractor will submit monthly reports for each active client. Reports will be submitted online according to the Department's format on a timely basis as required by the Department. 8. Contractor will be available to the department for staffing and reviewing client progress and ongoing concerns. It is understood that case management hours are not billable hours. 9. Contractor will make every effort to engage the individual or family with at least 3 documented attempts to set up an appointment. If after three documented attempts the client doesn't respond, contractor will notify the caseworker. Therapy will be discontinued if client does not re-engage. 10. Contractor agrees to enter into a contract with Weld County Department of Human Services and comply with all requirements of the contract. Initial contract shall commence on June 1, 2014 through May 31, 2015. FEES FOR SERVICE In Office (1015 37`h Avenue Court, Greeley, CO ) Individual and Family Services $110.00 hr. In client's home within a 20 miles radius of Greeley, CO In client's home within Weld County exceeding 20 mile radius Court Testimony in Weld County (Minimum of 1 hour per day). $115.00 hr. $120.00 hr. $125.00 hr. Court Testimony other than Weld County $150.00 hr. (minimum of 2 hours per day. Travel time and expenses will be billed as well). CLIENT CAPACITY • Contractor requests a minimum of three (3) referrals per month but understands that these numbers can fluctuate according to the needs of the Department. Respectfully Submitted, NIAAYk()1),G;ro b ng 1 mgr L c4( LL( 8-ao--IV Carmen Lucero-Haines, MA, LPC, CAC II LL ( Date BID PROPOSAL SEXUAL ABUSE TREATMENT FOR VICTIMS AND NON - OFFENDING CARETAKERS March 20, 2014 TO WELD COUNTY DEPARTMENT OF HUMAN SERVICES SERVICE UTILIZATION UNIT BY Carmen Lucero-Haines, MA, LPC, CAC II 1015 37th Avenue Court Greeley, CO 80634 carmenhaines@comcast.net 970-352-6830 (office) 970-518-7426 (cell phone) ABSTRACT My name is Carmen Lucero-Haines. I am a licensed professional counselor and certified addictions counselor in the State of Colorado. My private practice is located at 1015 37`° Avenue Court, Suite 102, Greeley, CO 80634. Please consider this document as a formal bid to provide Sexual Abuse Treatment to victims of sexual abuse and non -offending caretakers of children who have been sexually abused. I have been a mental health professional in Weld County since 1997, working in the public schools, the criminal justice system, mental health centers, and in private practice. I am a reliable, honest, skilled professional dedicated to providing optimum therapeutic services to the people of Weld County. I have approximately 19 years of experience in the field of mental health and counseling and have proven skills and longevity in this arena. I recognize the need for licensed, bilingual, culturally competent services in Weld County. I am fluent in Spanish and understand the needs and unique challenges in our communities and make every effort to meet those needs. My goal is to provide a safe, nurturing therapeutic environment that will facilitate change and strengthen families and individuals. I will also work closely with the Department to communicate observations, concerns, and recommendations. The following attachments outline proposed services, contractor qualifications, and applicable fees. EXHIBIT A SEXUAL ABUSE TREATMENT FOR VICTIMS AND NON -OFFENDING CARETAKERS SCOPE OF SERVICES 1. Contractor will provide in -office sexual abuse treatment to children who have been victims of sexual abuse. In -office services will be provided at 1015 37th Avenue Court, Suite 102, Greeley, CO 80634. 2. Contractor will provide in -office sexual abuse treatment to non -offending caretakers of children who have been sexually abused. 3. Services will be provided in English and/or Spanish as needed. 4. All services will be provided by Carmen Lucero-Haines, a Licensed Professional Counselor and Certified Addictions Counselor II in the State of Colorado. 5. Contractor will use therapy models that include Trauma Focused Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Narrative and Interpersonal Counseling techniques, and psycho -education. 6. Contractor will utilize the Connections Workbook by Jill S. Levenson and John W. Morin in working with non -offending caretakers of sexually abused children. 7. Contractor will provide a safe, therapeutic, structured environment designed to engage and fortify the family system. 8. Contractor will identify areas of concerns and make recommendations to the Department. Documentation will be entered on the monthly reports, but will also be reported to the Department immediately if it is a crisis or emergency situation. 9. Contractor will submit monthly reports for each active client. Reports will be submitted online according to the Department's format on a timely basis as required by the Department. 10. Contractor will be available to the department for staffing and reviewing client progress and ongoing concerns. It is understood that case management hours are not billable hours. 11. Contractor will make every effort to engage the individual or family with at least 3 documented attempts to set up an appointment. If after three documented attempts the client doesn't respond, contractor will notify the caseworker. Therapy will be discontinued if client does not re-engage. 12. Contractor agrees to enter into a contract with Weld County Department of Human Services and comply with all requirements of the contract. Initial contract shall commence on June 1, 2014 through May 31, 2015. FEES FOR SERVICE In -Office Sexual Abuse Treatment for victims and non -offending caretakers In client's home within a 20 miles radius of Greeley, CO In client's home within Weld County exceeding 20 mile radius Court Testimony in Weld County (minimum of 1 hour per day.) $110.00 hr. $115.00 hr. $120.00 hr. $125.00 hr. Court Testimony other than Weld County $150.00 hr. (minimum of 2 hours per day. Travel time and expenses will be billed as well). CLIENT CAPACITY • Contractor requests a minimum of three (3) referrals per month but understands that these numbers can fluctuate according to the needs of the Department. Respectfully Submitted, LahXylPx6LAWo — ,ng a ; M11 LPc C A G Lc 3-.10 - I V Carmen Lucero-Haines, MA, LPC, CAC II, L -LC Date CARMEN LUCERO-HAINES 1637 — 58'" Avenue Greeley, CO 80634 970-330-0787 EDUCATION • Bachelors in Elementary Education, Emphasis in Bilingual Education/1987 • Masters in Education, Emphasis in Guidance and Counseling Eastern New Mexico University, Portales, NM/1993 SUMMARY OF QUALIFICATIONS Licensed Professional Counselor Certified Addictions Counselor II • Certified Child and Family Investigator • EMDR Trained • BilinguaUBicultural=English/Spanish • 18+ years experience in counseling/therapy in various settings • Dedicated professional with strong personal work ethic • Excellent rapport with children and families RELATED EXPERIENCE Bilingual Licensed Professional Counselor 1015 37'" Avenue Court, Ste 102 Greeley, CO 80634 • From July 2012 to the present • Private Practice providing therapy to children and adults Bilingual Licensed Professional Counselor North Range Behavioral Health 1300 - 17i° Avenue Greeley, CO 80634 970-347-2381 • From March, 2005 to Nov 1, 2012. • Provide individual and family therapy to children and families of diverse cultural backgrounds • Crisis and Case Management • Consultation and therapy provided to Headstart staff and families • Consultation to Weld County Health Department • Consultation to Schools in the area • Provide assistance in Integrated Care Services at The Monfort Children's Clinic (meeting with medical patients and medical providers to assess mental health needs) • Facilitate DUI groups and Relapse Prevention Groups • Maintain a caseload of approximately 40-60 clients • Provide group and individual therapy for co-occuring disorders • Provide services for court ordered substance abuse clients Ackerman and Associates 1750 -25h Ave Greeley. CO 80632 • From March 2010 to June 2012 1 • Part time psychotherapist • various disorders or life situations including marriage and family, depression, anxiety. PTSD. parenting, childhood disorders, and abuse. Case Manager (2001-2002) Weld County Public Defender's Office 831- 7th Avenue Greeley, CO 80631 • Case management of adjudicated minority youth • Follow up on community referrals • Writing reports for defense attorneys on client progress • Attending court and being available for the defense Iligh School Counselor Weld County School District Six Northridge High School 100 — 71" Avenue Greeley, CO 80634 • Brief and Solution -focused counseling with children and families regarding truancy, runaway issues, depression and lack of motivation, resolving conflict, and relational issues • Crisis counseling regarding suicide and self inflicting behaviors, pregnancy, drug and alcohol issues, physical and sexual abuse, domestic violence, trauma and bereavement • College and Career Counseling and presentations to groups in English and Spanish • Taught classes to peer mentors on mental health topics • Mediating with parents. students and teachers regarding classroom behaviors • Resolving conflict between students and peers • Guiding students through a four year high school plan and helping them set goals • Assisting with CSAP, ACT, PSAT, and PLAN and AP testing Bilingual Psychotherapist North Range Behavioral Health 1300 — 17th Avenue Greeley, CO 80634 • Providing individual and family therapy to multicultural children and families • Crisis and Case Management • Worked part time and carried a case load of approximately 12-20 clients Community Counselor II Weld County District Attorney's Office 915 Tenth Street Greeley, CO 80631 • Counseling adolescents and families regarding relational issues, truancy, domestic violence, gang related issues, self inflicting behaviors, and social and communication skills • Caseload of approximately 40-70 preadjudicated youth • Interpretation for monolingual Spanish families • Assigning and monitoring community service and restitution payments • Collaborating with school districts by attending school meetings, communicating with school counselors, teachers, and principals • Facilitating groups addressing restorative justice, social and communication skills, peer pressure and gang issues, shoplifting and other negative behaviors • Referring families to appropriate community resources Elementary School Counselor 2 Laramie County School District 2 Pine Bluffs, Wyoming • Creating and managing school counseling program • Brief and Solution focused counseling regarding parenting issues, conflict resolution, divorce issues, grief and loss, and other mental health concerns • Classroom presentations on various topics • Leading and participating in Special Education IEP meetings • Facilitating groups addressing bullying, social skills, conflict resolution, divorce support, and other topics • Problem solving with students, parents, and teachers • Community service involvement with charitable functions Counselor K-12 Bovina Independent School District Bovina, TX • Creating and managing the school counseling program • Brief and solution focused counseling • Crisis counseling • District Testing Coordinator Graduate Teaching Assistant/Intern Eastern New Mexico University • Teaching remedial classes for incoming college freshmen • Teaching Education Foundation classes to education majors • Assisting the Coordinator of Student Teaching • Conducting Research for the Dean of Education • Crisis Counseling in University Center • Assisting with ACT Testing RELEVANT TRAINING AND PROFESSIONAL DEVELOPMENT • Integrative Treatment of Complex Trauma for Adolescents (ITCT-A); Briere, John, Ph.D. and Lanktree, Cheryl, Ph.D. February 18-19. 2014 • Bridging the Couple Chasm Level I; Gottman Couples Therapy: A Research -Based Approach. John Gottman, Ph.D. and Julie Schwartz Gottman, Ph.D. Sept 16-17, 2011 • Skills Training in Dialectical Behavior Therapy: The Essentials 16 hrs Robin McCann, Ph.D., Annie McCall, M.A., LMHC July 21-22, 2011 • Motivational Interviewing It (CAC) 14 hrs Michelle Packard, PhD, Licensed Psychologist, LAC Dec 7-8, 2010 • Basic Eye Movement Desensitization and Reprocessing (50 hrs) Barb Maiberger, MA, LPC-NBCC Provider #6436 November, 2010 • Brief Therapy Techniques with the Problematic User (CAC) 14 hrs Tracey Ayers, LPC, CAC III September 8-9, 2009 • Clinical Supervision (CAC) 21 hrs Doris Kruse, CAC III, NCAC Il August 19-21, 2009 • Group Counseling Skills (CAC) 21 hrs Scott Demuro, PhD, LAC, MAC August 5-7, 2009 • Diversity in Treatment Populations (CAC) 14 hrs Kim Bappe, LCSW, LAC July 23-24, 2009 • Cognitive Behavioral Therapy (CAC) 14 hrs Michelle Packard, PhD, Licensed Psychologist, LAC June 30 -July 1, 2009 • Advanced Counseling Skills (CAC) 21 hrs 3 Doris Kruse, CAC III, NCAC II May 27-29, 2009 • Motivational Interviewing (CAC) 14 hrs Scott DeMuro, PhD, LAC, MAC May 19-20, 2009 • Differential Assessment and Treatment Planning (CAC) 14 hrs Michelle Packard, PhD, Licensed Psychologist, LAC April 28-29, 2009 • Identification and Treatment of the Personality Disordered Client (CAC) 7 hrs Michelle Packard. PhD, Licensed Psychologist, LAC March 24, 2009 • Identification and Treatment of Borderline Personality Disorder (CAC) 7 hrs Michelle Packard, PhD, Licensed Psychologist, LAC March 25, 2009 • Therapeutic Resistance (CAC) 14 hrs Scott Demuro. PhD, LAC, MAC March 12-13, 2009 • Developing Leadership Skills Barbara Brannen, Certified Situational Specialist January, 2009 • Infectious Diseases in Alcohol & Drug Treatment Settings (CAC) 14 hrs By Ed Phillipsen, EdS., MAC, LAC, LPC. November 24-25, 2008 • Principles of Addiction (CAC) 21 hours By Ed Phillipsen, EdS., MAC, LAC, LPC. August 27-29, 2008 • Client Records Management (CAC) 14 hours By Ed Phillipsen, EdS., MAC, LAC, LPC. July 24-25, 2008 • Addiction Counseling Skills (CAC) 21 hours By Ed Phillipsen, EdS., MAC, LAC, LPC. April 28-30, 2008 • Ethical Issues in the Drug and Alcohol Clinical Setting (CAC)14 hrs By Ed Phillipsen, EdS., MAC, LAC, LPC. March 6-7, 2008 • Pharmacology II (CAC) 14 hrs By Ed Phillipsen, EdS., MAC, LAC, LPC December 11, 2007 • Pharmacology I (CAC) 14 hrs By Ed Phillipsen, EdS., MAC, LAC, LPC November 9, 2007 • Child and Family Investigator Training Program (40 hrs) Defined in Chief Justice Directive 04-08, Standard 6. Colorado Bar Association. Continuing Legal Education, co -sponsored by the Metropolitan Denver Interdisciplinary Committee, the Boulder Interdisciplinary Committee, the Colorado Chapter of the Association Of Family and Conciliation Courts, and the Office of the Child's Representative By Les Katz. PsyD, and Andrew Loizeaux PsyD, of Katz & Loizeaux Forensic Services, LLC. June 23 -July I, 2008 • Why Relational health in childhood helps create healthy communities: Applying emerging concepts in neurobiology to help children, families, and Communities. By Dr. Bruce Perry M.D. PhD., Senior fellow, the Child and Trauma Academy February 22, 2008 • "Please don't label my child", break the doctor -diagnosis -drug cycle & discover safe effective choices for your child's emotional health. By Dr. Scott Shannon, Psychiatrist specialist. January 30, 2008 • Co-occurring Disorders: A Training Series By 'Ile Department of Mental I Iealth Law & Policy Louis de la Pane Florida Mental Health Institute, University of South Florida Understanding the Needs of Persons with Co -Occurring Disorders, by Fred Fearday, MSW Issues and Techniques in the Assessment of Co -Occurring Disorders, by Alexander Rich, PhD Creating Treatment Programs for Persons with Co -Occurring Disorders, by Holly Hills, PhD Women and Co -Occurring Disorders, by Andrea Karfgin, PhD., Joan Gillece, PhD., & Jenny Howes, MSW. Co -Occurring Disorders in the Justice System, by Gary Field, PhD. November 12-17, 2007 • PREPARE/ENRICH PROGRAM (6 hrs) by Tom Webster September 06, 2007 • Within our Reach By Lief A. Noll, & Lawrence D. Ramos July 2-3, 2007 • Prevention and Relationship Enhancement Program PREP June 26-28, 2007 4 By Scott Stanley, Howard Markman, Susan Blumberg, & Natalie Jenkins • Trauma and Attachment: The impact of trauma on relationships And brain function. By Mary Sue Moore (14 hours) October 30-31, 2007 • English and Spanish for All Language Institute Mazatlan, Mexico (14 hours) July, 2005 • Motivational Interviewing (18 hrs) By Diane Stille, BSN, MSN, Education Coordinator Dec 6-8, 2005 • Intel Teach to the Future (School District Six) July, '03 • CESA (Gender Expectations for Student Achievement July, 2002 • Developing Consistency in School Crisis Response Adams State College, Alamosa, CO June. 2003 • Strengthening Latino Families September 2003 • Training with Dr. Zinna/ School Crisis Response June, 2002 • Conversational Spanish III Aims Community College, Greeley, CO Summer, 2003 • Spanish Language IV Aims Community College, Greeley, CO Summer, 2002 • Counseling Techniques for the 21" Century Adams State College, Alamosa, CO Spring, 2003 • Restorative Justice Training Weld County l9'" Judicial District Spring 1999 • Assessment of Exceptional Individuals University of Northern Colorado, Greeley, CO Spring. 1997 PRESENTATIONS • Gomez, E., PhD, Rivera, V., MS., Lepeltier, M., PsyD., Lucero-Haines, C., MA., Bloom, M., CCollaborative Healthcare with Latino Families. At the CoLalrorative Fool NeaLt i are Asiociati,w10,v AoovaL Conferetce Denver, Colorado. (Due to unforeseen circumstances was unable to attend but assisted with preparation) Nov 7, 2008 • Gomez, E., PhD, Rivera, V., MS., Lucero-Haines, C., MA An Integrative Behavioral Health Care Approach to Prevent Child Maltreatment in Latino -immigrant Families. At -t he ma Le.. Faces „r ra urU.a Cow.heLe ty Ewgac;e) moron Research ecwfereAce. Tampa, Florida (Due to unforeseen circumstances was unable to attend but assisted with preparation of the presentation) Oct 19, 2008 • Gomez, E.. PhD, Rivera, V., MS., Lepeltier, M., Psy.D., Lucero-Haines, C., MA, Integrating medical and behavioral health care; A promising approach for Personal and family well being. At Tie FourtYI iwterake.erraw co.it2ress Ow cov ce.LLk. Managua, Nicaragua. April 16, 2008 • Gomez, F., PhD, Rivera, V., MS., Lepeltier, M., Psy.D., Lucero-Haines, C., MA., Therapeutic Considerations with Latino Clients. At r one 20° A,twNo_ cclnra&o Ch �. Ll a,tJ A t ,e5ce✓-! rofeta Hraite .,a.,t ea. c.ro.ferekt7e. Fort Collins, Colorado April 13, 2008 • Gomez, E., PhD, Rivera, V., MS., Marrujo, B.., I.SW, Lucero-Haines, C., MA, & Villalvilla, C., MA. Is Co -locating enough: Integrative and Collaborative Care, at The cc:era)o-{,st vioroL r+ea'.t.zore ccz,tiL. Keystone, Colorado Sept2006 "Real Help for Real Families" co -presenter at a he Kice esuwcil fcr 6xceak✓.ai Children Conference Fall. 2001 • "Cultural Sensitivity Exercise" co -presenter at tie. Awwuat Sow w.cr 5wrposiun,. ow M �.lcudurastudewts, Eastern New Mexico University June, 1992 • Baa-Faa, Baa-Faa, A Cultural Simulation" co -presenter at tie. eastro, per, 5 M,ecco:,tnversit;� r tercutturat S,uur".00sLuru, Portales, New Mexico Nov 1-2,1991 • "School/Family/University Collaboration: Partners in Progress" co -presenter at The PortaLes school pavewt wora_sMop, Portales, NM Nov 14, 1992 REFERENCES available upon request 6 Active LPC STATE OF COLORADO Department of Regulatory Agencies Division of Professions and Occupations PRINTED ON SECURE PAPE I Lpc =sem Number Carmen A Haines Greeley e91O1R017 Issue Date osai x2015 Expire Date CO 89634 '..cL'" Pr • lALA, Division Director Signature Active ACB STATE OF COLORADO Department of Regulatory Agencies Division of Professions and Occupations PRINTED ON SECURE PAPE ACB 0=012 Number 09001 /2013 issue Date Carmen A Haines Greeley L _ CO 80634 os ii ots Expire Date Division Director Signature From: Carmen Hainrs To: lc,u; Vector Subject: Re'. WCDHS Bid Question Date: Thursday, April 17, 2014 1:50:39 PM Hi Tobi, I am sorry I failed to put this in my proposal. I charge the regulare rate of $110.00. Thank you Tobi. Let me know if you have more questions. Regards, Carmen Lucero-Haines, LPC, CAC II Original Message From: Tobi Vegter To: 'Carmen Haines' Cc: Tobi Vegter Sent: Thursday, April 17, 2014 10:00 AM Subject: WCDHS Bid Question Hi Carmen - In reviewing your bid, it was noted that you did not include an hourly rate for staffings. Please advise of this rate today if possible. Thank you. Regards, Tobi Vegter Child Welfare Contract and Services Coordinator Weld County Department of Human Services Division of Child Welfare Resource Unit (970) 352-1551, ext. 6392 (970) 301-2676 (Cell) (970) 346-7667 (Fax) LeptertaPwelcinn Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. PY-14-15-CORE-0228 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Sexual Abuse Treatment and Life Skills to individuals and families referred by the Department, as detailed below. 2. Sexual Abuse Treatment: a. Contractor will provide time limited, outcome focused therapy for the treatment of the non - offending caregivers, the victim and/or siblings of the victim in sexual abuse cases. b. Contractor will provide a safe, therapeutic and structured environment designed to engage and fortify the family system. c. Contractor will utilize therapeutic models that include Trauma Focused Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Solution Focused Therapy, Narrative and Interpersonal Counseling, and psycho -education. d. Contractor will utilize the Connections Workbook by Jill S. Levenson and John W. Morin, when working with non -offending caregivers. 3. Life Skills: a. Contractor will provide in -home or in -office Life Skills. b. Services include: i. Therapeutic Visitation: Contractor will incorporate techniques form a variety of therapeutic models including, individual, couples, and family therapy; Emotion Focused Therapy, parenting education, and parent child interaction observations. Contractor shall physically be present and within sight at all times and will intervene as needed to ensure the safety and well-being of the children. ii. Supervised Visitation: Contractor will provide guidance and feedback to parents during visitation sessions to allow for the learning and practice of new parenting skills. Contractor shall physically be present and within sight at all times and will intervene as needed to ensure the safety and well-being of the children. Ni. Safe Exchanges: Contractor will provide services that allow for parenting time within a structured schedule that prevents face-to-face contact between parties. iv. Parenting Skills: Contractor will teach parenting skills, budgeting, child development, relationship skills, nutrition, acceptable methods of discipline, and other home management skills in order to assist parents in becoming better caregivers. 4. All services will be provided by Carmen Lucero-Haines, LPC, CACII. 5, All in -office services will occur at 1015 37th Avenue Court, Suite 102, Greeley, Colorado, 80634. 6. CONTRACTOR is bilingual (Spanish). 7. 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). 1 PY-14-15-CORE-0228 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. 8. 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. 9. 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. 10. 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. 11. 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. 12. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 13. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 2 PY-14-15-CORE-0228 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 Life Skills: $110.00/Hour (In -office) $115.00/Hour (In -home, 20 mile radius of Greeley) $120.00/Hour (In -home, Outside 20 mile radius of Greeley) $110.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) Sexual Abuse Treatment: $110.00/Hour (In -office) $115.00/Hour (In -home, 20 mile radius of Greeley) $120.00/Hour (In -home, Outside 20 mile radius of Greeley) $110.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the 1 PY-14-15-CORE-0228 month fo'lowing the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 Certificate of Insurance (Proof of Coverage) Date Issued: (8/13/2014) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES Insured Name and Mailing Address* Program Administrator Name Carmen Luceru-Haines Street 1637 -58th Avenue City Greeley State Colorado 'Lip 8U('34 Administered By: CPH and Associates 711 S. Dearborn, Suite 205 Chicago, IL 60605 P. 312-987-9823 F. 312-987-0902 info(i,cphins.com Underwritten By: Philadelphia Indemnity Insurance Company *Additional insured locations are often requested by individual business owners who have more than one office. Your coverage is portable, meaning that you are covered at any location for practice under the occupation(s) listed on your policy. Coverage Policy #: PFICPE54478 [Effective Date: (8/14/2014) 'Expiration Date: (8/14/2015) TIIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITII RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID Cl AIMS Limits of Liability Coverage Part Each Occurrence (Per individual claim) Aggregate (Total amount per policy year) SI,000,000.(t0 f S3.000,000.00 Professional Liability N/A N/A General Liability Includes: General Liability. Fire & Water Leeal Liability and P al Liability - N/A N/A Property Coverage S I ,000,000.00 $3,000,000.00 Supplemental Liability Unlimited Unlimited Defense Expense Coverage S35,000 $35,000 State Licensing Board Investigation Defense Coverage 1 515.000 $15,000 Assault Coverage F $10,000 S35,000 Deposition Expense Benefit SS,000/person 550.001) P Medical Expense Coverage r $15,000 $15,000 First Aid Coverage Description/Special Provisions: Certificate Holder Cancellation Proof of Coverage HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ..XPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH fIlE POLICY PROVISIONS. Holder has also been added to the policy as an additional insured:** Yes / \N0 **If the certificate holder is an ADDITIONAL INSURED, the poliry(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ,44„, Authorized Representative C. Philip llodson DISCLAIMER:The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. PY-14-15-CORE-0229 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MILESTONES COUNSELING SERVICES, LLC This Agreement, made and entered into thee day of 2014, 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 Milestones Counseling Services, LLC, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Foster Parent Consultation and Life Skills. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014 upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or PY-14-15-CORE-0229 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0229 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.• and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0229 - 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. 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. 4 PY-14-15-CORE-0229 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101, a seq. Contractor 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 to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0229 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. 6 PY-14-15-CORE-0229 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; - Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CORE-0229 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 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. 8 PY-14-15-CORE-0229 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Addie Campbell, Owner 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Addie Campbell, MA, LPC, Owner 832 West Eisenhower Boulevard, Suite C Loveland, CO 80537 (970-403-7656 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. 9 PY-14-15-CORE-0229 Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 10 PY-14-15-CORE-0229 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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. 11 PY-14-15-CORE-0229 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CORE-0229 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CORE-0229 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-1415-CORE-0229 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement es of the day, month, and yea- first above written. ATTEST. Weld County Clerk to the Board BOARD OF COUNTY COMMISSIONERS 'WELD COUNTY, COLORADO t t 6,,c‘,(....,,,.24.)-- Douglas R femacher, cr4ir WELD COUNTY DEPARTMENT ` ONES COUNSELING SERVICES, ILC Or HUMAN SERVICES 15 Addle Campbell, Owner a&G/ c?J /6 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. i. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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 REP) 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area tw DefinitionIt Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area ��x � DefinitAonf'��. � �x �� Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. 81400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACT0R1» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agenc es; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStartn, upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 ate 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 1 Bid No. B1400069 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. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.• and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) • Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B14OO069 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 modifcations 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. 7 Bid No. B1400069 - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName» «Addressl», «Address2» «City», «State» «zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director (SigFNamen «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. ii. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area �� Definition. Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. 61400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 EXHIBIT B CONTRACTOR'S RESPONSE TO TI II! REQUEST FOR PROPOSAL. Milestones Counseling Services, LLC 2014-2015 Contract Proposal 2 Milestones Counseling Services (MCS) is located in Loveland, Colorado with office and in -home services available for foster parent consultation, visitation, family education, and home studies throughout Weld County and surrounding areas. MCS provides mental health and consultation services for adults, families and children. MCS is experienced in providing family therapy and consultation services that are strength -based and focused on fostering safe and stable child -family relationships. Because of the dependence of children on their home environment, MCS emphasizes the stability and involvement of the caregivers throughout the treatment process. Staff members for MCS include: Addie Campbell —Addie is a Licensed Professional Counselor and Registered Play Therapist -Supervisor. She has worked in the Mental Health Field for 17 years and has experience in child and family therapy, trauma counseling, home study evaluations, parenting consultation, and relinquishment counseling. She is fluent in Spanish and English. Scott Campbell — Scott is a Psychologist, Licensed Professional Counselor, and Certified Addictions Counselor. He has worked in the mental health field for over 18 years. His experience includes individual and family counseling, mental health assessments, Psychological evaluations, and SAFE home study evaluations. Jill Wyatt —Jill is a Registered Psychotherapist has over 15 years experience in child and family counseling. Her experience includes: children's residential treatment, support group facilitation, parent education, supervised/therapeutic visitation, preschool teaching, play therapy, and previous Weld County foster parent. Milestones Counseling Services, LLC 2014-2015 Contract Proposal FOSTER PARENT CONSULTATION SCOPE OF SERVICE: 5 As in any family system (whether it be biological or foster), the dynamics of the family change when a child(ren) enter the home or have personal problems. Many times, foster parents require additional support in dealing with special needs or circumstances that accompany a child when entering the foster home. Common issues that put placement at risk include: 1) foster parents perceiving a lack of support from providers to effectively deal with the escalating behaviors of a child; 2) foster parents feeling poorly equipped to appropriately deal with specific behaviors of the child such as aggression, inappropriate behavior, or attachment problems; and 3) foster parents interpreting acting out behaviors as rejection by the child, and misidentifying the child's underlying issues; e.g., termination of parental rights, visitations with parents, past trauma reactions, etc. This information becomes significant when implementing services for foster parents in efforts of safeguarding placement. MCS will emphasize a collaborative approach in working with foster parents to maximize the benefit of therapeutic strategies being implemented in the home. It is the goal of MCS to support the foster family in providing the most appropriate and safest care possible for the foster child and thereby preserving the foster placement as long as deemed necessary by the Department of Human Services. MODE OF SERVICE: 1. MCS will obtain information from foster care coordinator. 2. MCS will meet with foster parents to gather information on their concerns and prior attempts at meeting the child's needs. Observe foster child, foster child -foster parent interactions, and interactions between foster child and other children. These observations are for the purposes of gathering information on parenting style, barriers to relationship formation between child and parent, and plan for intervention. 3. Provide feedback and intervention strategies to improve foster parent -foster child interaction. 4. Throughout foster parent consultation, ongoing evaluation of interventions and progress in foster parent -foster child interaction. 5. Pre and post assessment: MCS will provide foster parents with the Parenting Relationship Questionnaire (PRQ) for objective measure of progress. The PRQ is used to assess different parenting relationships, beliefs, and practices among parents or other caregivers. This instrument also provides information that can be used during the intervention stage. Areas measured include: Relational frustration (caregivers' level of stress or distress in parenting); Parenting Confidence; Involvement; Discipline Practices; Communication. 6. MCS will complete online reporting to DHS about interview, observation of foster family - child, interventions recommended, feedback on the implementation of intervention and response between child -foster family in relation to intervention, and any concerns and further recommendations. Milestones Counseling Services, LLC 2014-2015 Contract Proposal 6 COST OF SERVICE: Foster Parent Consultation $90/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal HOME STUDY SCOPE OF SERVICE: 3 MCS believes it is important to provide thorough and objective evaluations of the applicant's home and personal history of those individuals in the home in order to make appropriate recommendation for placement of the child. MCS will abide by the Structured Analysis Family Evaluation (SAFE) guidelines to provide documentation about the history, strengths, and concerns of each home and family members evaluated. Home studies will be conducted in a timely fashion, within 60 days of receiving the initial referral from OHS. In addition to having a wealth of experience in family systems/therapy work, collaborative services with DHS, and specific training in family systems, MCS can provide home studies in Spanish and English. MCS can accommodate Spanish-speaking families seeking home study evaluations. MODE OF SERVICE: 1. Upon receiving referral from DHS, MCS will notify DHS about acceptance of referral within 24 hours. 2. Services will utilize the format and tools in accordance with the SAFE program. 3. A minimum of three — two hour visits to the core residence 4. Physical contact/evaluation with each member living in the household 5. Report submitted to referring person and committee for review within two months of referral receipt COST OF SERVICE: Full Home Study up to 2 adults (within 30 miles of Greeley) $1000 Full Home Study up to 2 adults (in excess of 30 miles of Greeley) $1200 Each additional Adult included in home study (beyond 2 adults) $250 Home Study Update (within 30 miles of Greeley) $600 Home Study Update (in excess of 30 miles of Greeley) $700 Partial or Cancelled Home Study $ 70/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal RELINQUISHMENT COUNSELING SCOPE OF SERVICE: 4 MCS will provide relinquishment counseling for parents in accordance with requirements set by the Department of Human Services. MCS will meet with each parent to discuss the meaning and understanding of "relinquishment" and "termination of rights". MCS will provide a summary and report of the meeting with parent(s) to the Department of Human Services. MCS will meet with each client individually and obtain the client's signature that all information pertaining to relinquishment and termination of rights was clearly understood. The following will be included in the report to DHS: Parent Interrogatory, affidavit, Exhibit "A" detailing parent's medical, social, addiction, and case history with DHS. COST OF SERVICE: Relinquishment Counseling Court Testimony (per hour/minimum 1 hour) $90/ hour $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal LIFE SKILLS SCOPE OF SERVICE: 7 Skills of Daily living can be taken for granted and assumptions made that most everyone has mastered such skills as household management (budgeting, cleaning, hygiene, food preparation), being knowledgeable about community resources (location and use of health clinics, resources in counseling, transportation), and healthy parenting skills. This is not the case for everyone. Life skills are an important foundation to help meet long term goals and provide adequately for children. MCS providers can address life skills including, but not limited to: money -management, food preparation, household cleanliness, appropriate parenting, employment and job seeking skills, and locating and utilizing community resources. Most concerning are parents who have deficiencies in these important daily living skills. It is important that parents possess mastery in daily Living skills to be able to provide adequately for their children's basic needs and safety. Additionally possessing strong parenting skills promotes healthy and safe child - parent interactions. MCS will work with parents to address their own emotional regulation in order to help their child's behaviors and to promote positive child -parent interactions. "What we must understand is that it is our early socio-emotional environment and interaction with significant caregivers that establishes our future self -regulatory capacities. Regulatory capacities are our ability to successfully navigate emotional states such as anger, sadness, fear, or hurt, and furthermore, our ability to establish and maintain relationships" (Heather Forbes, 2007). MODE OF SERVICE: 1. First and foremost, it is important to identify where the deficiencies in Life skills exists. This evaluation can be accomplished by having a life skills assessment, in addition to utilizing the information provided by the referring case worker. 2. The MCS provider will first obtain any information from the referring caseworker, meet with the family or individual and make assessment as to what life skills are deficient and set goals with the family that will be re-evaluated and mastered by every 4th visit. 3. The MCS provider will provide education and modeling as a way to teach these skills. 4. With regards to parenting — the MCS provider will model and provide concrete lessons on how to parent effectively to help support positive and safe child -parent interactions. Emphasis will be given to the parent's skill of staying emotionally regulated before engaging in interactions with the child. S. The MCS provider will communicate with ongoing caseworker to provide updates and concerns with regards to the safety and well being of the child(ren). It is of utmost importance to have the children's safety in mind when creating/setting goals for Life skills that foster a safe and stable environment for all children residing in the home. Milestones Counseling Services, LLC 2014-2015 Contract Proposal 8 COST OF SERVICE: Life Skills Counseling $8O/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal SUPERVISED AND THERAPEUTIC VISITATIONS SCOPE OF SERVICE: 9 Visitations between foster children and their parents are an essential part of maintaining parent —child relationships and planning for successful family reunification. Parents can also benefit from the education that is provided during visitations, which ultimately helps to ensure the safety and well-being of the child(ren) upon reunification. MCS offers two levels of visitation services — supervised visitation and therapeutic visitations. MODE OF SERVICE: Supervised Visitations — Visits between parent and child in -home or in -office. A supervised visit will include observation of the visit within earshot and arms reach of the parties involved. There will be minimum involvement from the visit supervisor although some prompting and modeling may be necessary. Intervention will also occur if there is a safety issue. Therapeutic Visitations - Therapeutic supervised visit will include on -the -spot parent education, modeling, prompting, and interactional therapy. This service is provided in -home or in —office. All therapeutic visits will include a minimum of 30 minutes of parenting education. There will be 15 minutes pre -visit to prepare for the time with the child(ren) and 15 minutes post -visit to review visit, and to identify observed strengths and areas of concern. Visits will be a minimum of 1.5 hours (allowing for a 1 hour visit plus 30 minute education). COST OF SERVICE: Supervised visitation (within 30 miles of Greeley) $70/hour Supervised visitation (in excess of 30 miles of Greeley) $80/hour Therapeutic visitation (within 30 miles of Greeley) -minimum of 1.5 hour visit $90/hour Therapeutic visitation (in excess of 30 miles of Greeley) — minimum 1.5 hr visit $100/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal SUPERVISED AND THERAPEUTIC VISITATIONS SCOPE OF SERVICE: 9 Visitations between foster children and their parents are an essential part of maintaining parent —child relationships and planning for successful family reunification. Parents can also benefit from the education that is provided during visitations, which ultimately helps to ensure the safety and wellbeing of the childM Sren) upon reunification. offers two levels of visitation services —supervised visitation and therapeutic visitations. MODE OF SERVICE: Supervised Visitations — Visits between parent and child in -home or in -office. A supervised visit will include observation of the visit within a rshot and arms reach of the parties involved. There will be minimum involvement from the visit supervisor although some prompting and modeling may be necessary. Intervention will also occur f there is a safety issue. Therapeutic Visitations -Therapeutic supervised visit will include on -the -spot parent education, modeling, prompting, and interactional((Itherapy. This service is provided in -home or In -office. All therapeutic visits will include a minimurh of 30 minutes of parenting education. There will be 15 minutes pre -visit to prepare for the tim and to identify observed strengths and reas of concern. Visits will be a minimum of 1.5 hours (allowing for a 1 hour visit plus 30 minute educati n). with the child(ren) and 15 minutes post -visit to review visit, COST OF SERVICE: Supervised visitation (within 30 miles of Greeley) $70/hour Supervised visitation (in excess of 30 miles of Greeley) $80/hour Therapeutic visitation (within 30 miles of Greeley) -minimum of 1.5 hour visit $90/hour Therapeutic visitation (in excess of 30 miles of Greeley) — minimum 1.5 hr visit $100/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour 44 tic 1-672 lit//>S/Cy&5 � tyi � L)1, S2Aleco& Authorized Representative Date ADDLE CAMPBELL, MA, LPC, RPT-S 832 W. Eisenhower Blvd., Suite C Loveland, CO 80537 (970) 403-7656 Addie.campbell@milestonescounseling.com WORK EXPERIENCE: Milestones Counseling Services, LLC (Owner) March 2009 —Present Family. individual, and child therapy services Responsibilities include completing evaluations to assess for mental health needs of families, individuals, and children. Responsible for the assessment, diagnosis, and treatment of mental health issues; providing family, individual, and play therapy according to needs of the individual. Facilitating parent -child reunification services. Further responsibilities include consultation with parents and providers (Department of Social Services (DSS), physicians. Foster families, and school staff) involved with clientele. North Range Behavioral Health Greeley, Colorado November 2004 — May 2009 Family and Children's Community Based Team - family, individual, and child therapist Responsible for the assessment, diagnosis, and treatment of mental health issues; providing family, individual, and play therapy according to needs of the individual; closely working with community agencies (DSS, Children's School -Based Health clinic at Centennial Elementary, Foster families, and local elementary school staff) to provide necessary services to clients; completing treatment plans, progress notes, and case management as required. North Colorado Medical Center: PsychCare/Youth Passages Greeley, Colorado April 2001 - November 2004 Family. child, and adolescent counselor, In -home family therapist Responsibilities included: completing assessment of individuals and families for outpatient counseling; facilitating family and individual counseling to address various mental health and family issues. Communicate with community agencies on a consistent basis (e.g., DSS, probation, and schools); complete required intake, treatment plans, and progress notes. North Range Behavioral Health Greeley, Colorado August 2000 - April 2001 Fancily and Children's Team - family, individual, and child counselor Responsible for the assessment, diagnosis, and treatment of mental health issues: providing fancily, individual, and play therapy according to needs of the individual; closely working with community agencies (DSS. Children's medical clinic. Probation, and schools) to provide necessary services to clients: completing treatment plans, progress notes. and case management as required. Individuals treated: children, adolescents. and adults. North Colorado Medical Center: PsychCarc/Youth Passages Greeley, Colorado January 2000 - July 2000 Intern - Family, group. and individual counselor Duties include: working with adolescents admitted to inpatient and partial hospitalization facility. providing individual, group, and family therapy to high -risk adolescents. Assessed adolescents for appropriateness of partial hospitalization status. Addictions Recovery Center Greeley, Colorado April 1999 - August 1999 Outpatient therapist Duties included: assessing individuals for appropriateness of drug and alcohol therapy, providing drug and alcohol group counseling. and reporting progress of clients to probation. Island Grove Community Counseling Center Greeley, Colorado July 1998 - December 1999 Family Preservation therapist Responsibilities included: assessing families for appropriateness of intensive family therapy. working with families on setting goals for therapy, reporting progress of family to agencies such as the Department of Social Services, and providing in -home family therapy. Outpatient Bilingual Counselor July 1998 - March 1999 Duties included: assessing clients for appropriateness of alcohol or domestic violence therapy, leading and co -facilitating domestic violence and alcohol groups. and collaborating with probation agencies. SLV Comprehensive Community Mental Health Center Alamosa, Colorado January 1997 - June 1998 Family Preservation Therapist Responsibilities included: assessing families for appropriateness of intensive family therapy. working with families on setting goals for therapy. reporting progress of family, working closely with agencies such as social services and probation, and providing family and individual counseling to members of the fancily. Other duties included working with high -risk adolescents in the Wilderness Program. EDUCATION: University of Northern Colorado Greeley, Colorado Graduation: August 2000 Masters (Agency Counseling: Marriage and Family Emphasis) Adams State College Alamosa, Colorado Graduation: May 1997 BA Sociology (Social Welfare)/Spanish LANGUAGES: Fluent in Spanish and English language. CERTIFICATIONS: Licensed Professional Counselor (September 2002) Registered Play Therapist -Supervisor (March 2008) Eye Movement Desensitization Reprocessing Ccnillcation Level II (Jul 2003) SAFE (Structured Analysis Family Evaluation) —(April 2009) SAFE (Structured Analysis Family Evaluation) for Supervisors (December 2010) PROFESSIONAL ORGANIZATIONS: American Counseling Association Association for Play Therapy RELEVANT TRAININGS: Family Play Therapy Working with Challenging Children and Adolescents Therapy tv ith Abused and •I rauniatized Children Neurosequential Development and Attachment Disorders in Experiential Play Therapy NIethamphetamine Endangered Children Ju s O1 ced9-1.05 Cue) N:Kej p3TYwep elpW :wwi PC: d cacrial (0:01 1+ m1 0arylu.ep epiela Marshall Scott Campbell Greeley. Colorado 80634 (970) 324-6565 Work Experience Milestones Counseling, LLC 832 W. Eisenhower Blvd, Suite [3 Loveland, CO 80537 NOV 2013 to present Position is a clinician position in a private practice setting. Duties include providing individual, couples, and family counseling. Further duties include psychological and substance abuse evaluations, and to conduct SAFE home studies for Weld County I luman Services. Exempla Lutheran Medical Center 3400 Lutheran Parkway Wheat Ridge Colorado (303) 467-4080 JUL 2012 to present Position is a clinician position as a Physician's Extender in the Emergency and Medical Departments. Duties include providing mental health and substance use assessments for patients to determine risk and appropriate level of care. Further duties include providing psychological evaluations for the inpatient psyychiatric and substance abuse services and provide appropriate referrals to meet lover levels of care. Department of Defense Department of the Army Army Substance Abuse Program Fort Campbell. Kentucky 42223 (270)412-6883 SEP 2011 to JUI. 2012 Position serves as a counseling psychologist for the Department of Defense (Dot)) in the Army Substance Abuse Program (ASAP). Duties include providing a professional knowledge of concepts, principles, procedures, and practices to the ASAP. Duties include developing methods, approaches, or procedures to meet program requirements and patient needs. Conducting patient assessment and evaluation using psychosocial instruments, developing and implementing treatment plans to treat clients sN ith substance abuse and PTSD issues. Modes of therapy include individual, group. and family psychotherapy. Ongoing review of patient progress and the use of data management tools to establish and maintain case records. Comprehensive Psychological Services 1011 37th Avenue Court, Suite 101A Greeley, Colorado 80634 (970) 324-6565 SEP 2009 to SEP 2011 Owner/Operator. Position is a clinician position in a private practice. Duties include providing outpatient mental health and substance abuse treatment for individuals, families, and groups. Providing group therapy including substance ahuse treatment and anger management. Further duties include administering psychological and substance use evaluations tt ith appropriate recommendations and referrals. North Colorado Medical Center 1801 16th Street Greeley, Colorado 80631 (970)350-6244 OCT 2001 to SEP 2011 Position is a clinician position in the Emergency Department. Duties include providing mental health and substance use assessments for patients to determine risk and appropriate level of care. Further duties include providing inpatient and outpatient services including individual and group therapy focusing on mental health and substance use issues. Further duties included completing home studies for outpatient program at North Colorado Medical Center Behavioral I lealth. North Range Behavioral Health 1306 II th Avenue Greeley, Colorado 80631 (970) 347-2120 JUL 2000 to JAN 2002 Position was a clinician position in the emergency services and adult counseling programs. Duties involved providing crisis prevention and intervention, evaluations for hospitalizations, and intake sessions to access services into other programs. Further duties included providing individual, group and family therapy. Craig Mental Health Center 439 Breeze Street, Suite 100 Craig. Colorado 81625 (970) 824-6541 OCT 1999 to JUN 2000 Position was a clinician position in the outpatient program. Duties involved providing individuals, couples. families and groups outpatient counseling treatment. Further duties included supplying counseling services for teens in the Day In School Counseling Program. Further duties included providing treatment for individuals in need of substance abuse and education and counseling in the Drug and Alcohol Program. Additional responsibilities included participating in the Emergency Services Program for crisis intervention and prevention. Addiction Recovery Center —Greeley 1 122 9th Street, Suite 102 Greeley, Colorado 80631 (970) 352-6537 JAN 1999 to OCT 1999 Position was a clinician position in the drug and alcohol program. Duties included proving individual and group counseling for adults that had received drinking and driving offenses and court -ordered into treatment. Further duties included developing treatment plans for individuals to accomplish goals of sobriety and responsible behavior. Additional responsibilities included maintaining contact with outside agencies including Department of Social Services and Probation and Parole Office. San Luis Valley Mental Health Center 1015 4th Street Alamosa, Colorado 81101 (970) 589-3671 SEP 1995 to SEP 1998 Position was a clinician position in the adult services program. Duties included providing adults and children individual. family and group therapy. Further duties included crisis intervention and prevention in the Emergency Services Program for assessment of hospitalization. Additional duties included participation in the San Luis Valley Critical Incident Team which facilitates debriefings, defusing, and stress management education. Jefferson Hall. Residence 7695 West 59th Avenue Arvada, Colorado 80004 (303)421-4870 JUN 199010 JUN 1992 Position was a counselor position in a residential group home for adolescents. Duties consisted of managing a four -client caseload in a facility for emotionally troubled and delinquent teens. Further duties were to provide weekly structured groups and individual. family and group counseling for the residents. Additional responsibilities included maintaining contact with outside agencies including Department of Social Services and Probation Office. United Cerebral Palsy Association 2727 South Columbine Street Denver. Colorado 80205 (303) 355-7337 NOV 1989 to MAY 1990 Position was a counselor position in a UCPA home. Duties consisted of a 3-1/2 day live-in shift at a facility caring for the physical and emotional needs of developmentally disabled adults. The position included supportive counseling, developing individual treatment plans, physical care of dependent clients, and distributing medications. Education Colorado School of Professional Psychology University of the Rockies 555 East Pikes Peak Avenue Colorado Springs, Colorado 80903 (719) 442-0505 Doctorate of Psycholog% Clinical Psychology Adams State College Alamosa. Colorado 81102 (719) 589-7626 Master of Arts: Counseling Psychology Southwestern College 7210 Northwest 39th Expressway Bethany, Oklahoma 73008 (405) 789-7661 Bachelor of Science: Biblical Studies Credentials Licensed Professional Counselor (August 1999) Certified Addiction Counselor, II (August 2000) Eye Movement Desensitization and Reprocessing (December 2006) Medication Administration Certified (October I 998) National Board of Certified Counselors (April 1996) Date of Completion: March 20 I 1 Date of Completion: May 1996 Date of Completion: May 1988 Presentations * Advanced Diagnosis and Treatment Planning for Substance Abuse and Mental Health (8 hours) for SeaMar Mental I lealth Centers, Seattle Washington (November 2010) * Law Enforcement and People 'with Severe Mental Illness (2 hours) Weld County Law Enforcement, Firestone Colorado (March 2009) * I low to Identify Mental Health Issues for Law Enforcement (2 hours) Weld County Law Enforcement, Greeley. Colorado (January 2009) Related Education The Courage to Heal: Survivors of Sexual Abuse, 1990 (Laura Davis) NACoA Annual Conference, 1990 Dealing with Grief and Loss, 1990 (Leslie Feder) Inside the Criminal Mind, 1990 (Stanton Samenow) Colorado Coalition for Children's Mental I Iealth, 1991 Colorado Juvenile Council, 1991, 1992 Sane Parents, Responsible Kids. 1992 (Foster Cline) Suicide Prevention and Crisis Intervention. 1994 (Patrick Rheaume) Play Therapy, 1995 (Bryon Norton) ASC Sexual Assault Response Team Training. 1995 (Terry McCartney) Critical Incident Stress Management Team Training. 1995 (Patricia Tritt) Solution Focused Therapy, 1996 (Jim Crobsy & Marty Waters) Working with Individuals kith Severe and Persistent Mental Illness. 1996 (Rothstein) Geriatric Diagnoses and Assessment. 1996 (Lrnistine Kotthofl=llurrell) Brief Therapy, 1996 (Tracy Todd) Jurisprudence. 1997 (Louie Latimer) Diagnosis of Personality Disorders, 1997 (Greg Caesar. MD) Major Mental Illness, 1997 (Greg Caesar, MD) Substance Use Disorders, 1997 (Greg Caesar. MD) Psychopharmacology, 1997 (Carl Clark, MD) Nonviolent Crisis Intervention. 1997 (Yianakopulos) Advanced Training in CISM and Post Trauma Syndromes, 1997 (Everly. Jr.) Colorado Critical Incident Stress Management Network, 1998 Differential Assessment. 1999 (Scott Demuro) Advanced Psychopharmacology. 2002 (Jean Armour) The American Group Psychotherapy and Psychodrama Conference, 2002 Resistive Client: Working with Ambivalence. 2002 (Michael Connolly) Understanding, Differences in Antipsychotic Therapy. 2003 (Gerald Maguire, MD) Post Traumatic Stress, 2004 (Chuck Howard) Sex Offending Behaviors, 2004 (Mery Davies) Mood Disorders, Pschosis. and Crisis Management. 2005 (Jason Barnhart. MD) Eye Movement Desensitization and Reprocessing. 2006 (Molly Gerasch) Basic Medication Strategies, 2007 (Jed Shapiro, MD) Guideline For Alcohol and Substance Use Screening, 2009 (Betsy Thompson. MD) Dynamics of Drug Addiction, Treatment, Assessment and Referral, 2009 (Sandra Loftin, MD) Gang Violence. 2009 (Sgt Keith Olsen) DoD Civilian Employee Drug Abuse Testing Program. 2011 DoD Drug -Free Federal Workplace, 2011 DoD Suicide Prevention. 2011 DoD Resilence training. 2012 Advanced Motivational Interviewing, 2013 (Wendy Lee. LCSW, LAC) SAFE training. 2014 (Caroline Lawson) fl oa o�m vm D FT r 9. Ti 0 O a 0 2 S D Pig 0 SAFE - Structured Analysis Family Evaluation This is to certify that t 5� Fc, n 1Ueieua Ca.mYvn rar r ;077) 6'71 ee; S kax c 14M 13 ATTESTATION OF UNDERSTANDING .5°,e/ Print NU name as wWnad , as an approved vendor on Colorado's Approved Adoption Home Study Vendor list, understand and acknowledge that I cannot and will net perform home studies except those that are assigned to me by a County Department of Human/Social Services, or a Colorado -licensed Adoption or Child Placement Agency. I acknowledge that any home study that I perform for a family that is not affiliated with a County Department of Human/Social Services, or- a Colorado -licensed Adoption or Child Placement Agency will be considered an invalid home study by the Slate of Colorado and cannot be presented as valid to any other state or organization in the U.S. I acknowledge that, after having signed this attestation, if I complete a home study for a family or individual who is not affiliated with a County Department of Human/Social Services or a Colorado -licensed Adoption or Child Placement agency, I will be removed from Colorado's Approved Adoption Home Study Vendor List for a period of no less than one year. , Applied Adoption Home Study Vendor Signature 29- yr / Zo!'( Date of syiamre Subscribed and affirmed, or sworn to before me in the County of W L'u-r> - State of Co this 2-7- day of T ti , 20 i Y.. / 1±2.:.)[7- MyCommission Expires: Public/Deputy Clerk HUBER J RIVERO NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20124084221 MY COMMISSION IXPIRES JANUARY 7, 2017 JILL WYATT 38493 Weld County Road 51 Eaton, CO 80615 (970)454-5423 jwrm250@msn.com EXPERIENCE REGISTERED PSYCHOTHERAPIST life Ways Counseling Services. LLC Owner a December2012 Present • Conduct individual, couples and family therapy sessions in a private practice setting. • Provide a play therapy model for children ages 3-ll, and a client centered therapy model for adolescents and adults. • Offer parent education and therapeutic supervised visitation, as well as faith - based counseling. • Maintain client charts and treatment planning, as well as provide referrals and ongoing support. • Participate in weekly supervision. FOSTER PARENT Weld County Department of Human Services i October 2010 — November 2011 • Provided for the behavioral, emotional, educational, and physical needs of children who had been abused and neglected. • Attended staff meetings and implemented treatment plans for foster children in cooperation with caseworkers, GALs, CASAs, school staff, and other agencies and individuals involved with the children. • Maintained child binders including all necessary paperwork and daily documentation. • Insured the children were able to obtain necessary services and attend family visitation, court appearances, staff meetings, and other appointments as necessary. • Attended trainings and maintained licensure with a variety of activities aimed at providing a safe and secure home environment. SUBSTITUTE PRESCHOOL GROUP LEADER/TEACHER Victory Christian Childcare Center a :November 2009 Present • Planning and implementing age appropriate educational, physical, and social activities for children age I - 6. • Supervising children in daily activities such as meals, naps, and playtime. • Implementing age appropriate discipline techniques and communicating with children on an age appropriate level of understanding. • Using empathy and compassion to comfort children. • Communicating with parents about the program and their children. • Providing for children's spiritual needs through age appropriate stories, songs and games about God and church. • Cooperating with other teachers to insure that all of the children's needs are being met and the program is following state guidelines for care. Wyatt I BEHAVIORAL HEALTH THERAPIST VarthRange Behavioral Health -Littler ('cnter i October 2008 - July 2009 • Provided individual therapy, group therapy, and crisis intervention for children in residential treatment, as vsell as day treatment. • Provided family therapy and supervised visitation for clients and their families when necessary. • Developed and maintained treatment plans. • Provided case management for clients assigned to caseload including intake and discharge services. • Facilitated treatment plan review meetings for clients. families, and agencies involved in clients' treatment, and attended IEP meetings for clients. • Participated in weekly supervision including individual, group and family supervision. • Attended trainings related to the workplace including CPI restraint training and basic life support. PARENTEDUCATOR C.-LR.E. Child Advocacy Resource and Education • Alt 2005 - June 2009 • Supervised visits between parents and their children who were in the foster care system or were court ordered for supervised visits. Provided structured time to educate parents regarding parenting skills, life skills. coping strategies. and other needs that arose. • Maintained communication bet NAeen CARE, the Department of Social Services, and other involved agencies. • Testified in court as needed. • Provided referrals and offered support resources. SUPPORT GROUP CO -LEADER North Colorado .Medical ('enter -Ps vh('are Fcmlilp Recorerr Center i .t loreh 2002 - September 2004 • Co -Facilitated a support group for women experiencing symptoms of post- partum depression. Provided case management and follow-up. Provided referrals and offered support resources. CLINICAL INTERN \ordl ('olor,alo.tledical (loiter-Psjch('are Fancily Recovery ('enter I September 2001 -.1/arch 2002 • Facilitated psycho -education groups. co -facilitated therapy groups. and provided individual therapy for inpatients and outpatients involved in a partial hospitalization service and an intensive outpatient program. • Conducted behavioral health and substance abuse assessments and provided recommendations and referrals for treatment. • Attended scorkshops and training to increase knowledge of assessment and intervention related to individual and group counseling. • Developed individual treatment plans. Wyatt 2 CLINICAL CARE ASSISTANT II Vorth Range Behavioral health -Children's acute 7 t'eotnxvu (;nil i October /997 - October 1999 • Supervised and provided therapeutic milieu environment for children ages 5-18 in an eight bed Residential Treatment Center. • Co -facilitated therapy groups. Attended medication administration and restraint training. Attended workshops to increase knowledge of assessment and intervention relevant to children and adolescents. FILE CLERK/RECEPTIONIST (71.‘ thinrh 1996 -.June I99' • Assisted City Clerk with records management. including general office work such as filing, typing, updating scrapbook, and operating office machines. • Assisted Court Clerk with processing parking tickets and general ordinance violations. • Created and maintained an internet website, and provided computer assistance to other departments. • Maintained the records retention and disposition schedule, destroying past records, recording historical documents, and maintaining correspondence with the Colorado State Archives. • Performed customer service and public relations duties as assigned. • Served as an election judge for City Council elections. ASSISTANT COURT CLERK/POLICE INTERN (Hr a%(hurnison i llarrh 199 --June 199" • Processed all paperwork corresponding to court cases using standard court forms and procedures. This includes the court docket, minute orders, statement of rights, trial settings, payment schedules, bench warrants, and subpoenas. • Assisted with arraignments and trials while observing hi -weekly court proceedings. interacting with customers of the court, including the judge. police officers. witnesses. clerks. attorneys, and case clients. • Researched case files to obtain dispositions from the County Court and Municipal Court regarding out of date bench warrants, found property, and any uncleared cases. • Utilized the FORCE Computer System for data entry, organizing and updating the system. • Assisted in dispatch when needed. and directly observed police operations by riding with an officer on patrol. Wyatt 3 EDUCATION University of Northern Colorado, Greeley, Colorado Master al Arts May 2002 Major in Community Counseling Western State College of Colorado, Gunnison, Colorado Bachelor of Arts • June 1997 Major in Psychology with a clinical/counseling emphasis. Minor in Sociology. Fort Morgan High School, Fort Morgan, Colorado Diploma • June 1993 VOLUNTEER EXPERIENCE President Galeton Volunteer Fire Protection District Auxiliary January 2012 — December 2012 Secretary/Treasurer Galeton Volunteer Fire Protection District Auxiliary May 2009 - May 2010 Married for Life Group Leader Marriage Ministries International April 2006 — June 2007 Nursery/Preschool worker Victory Christian Fellowship September 2004 - June 2006 Senior Partner - mentor for disadvantaged youth Gunnison Partners Inc. June 1996 - June 1997 Wyatt 4 L CC m O • U N c a ¢ O mu a a O rt O9 O c J N N O c O me v o a _'n �`ov ▪ c • (1)a U, 0. 0 'N Og 0 U < m �p `0O DN o m 73 0 W O O PY-14-15-CORE-0229 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Foster Parent Consultation and Life Skills services to children, youth and families, as referred by the Department. 2. Foster Parent Consultation: a. Contractor will work collaboratively with children, foster parents, caseworkers, foster care coordinators and other service providers to identify and address issues, in a solution -focused manner that could potentially disrupt placements. b. Contractor will assess foster families abilities and capacity on an ongoing basis to appropriately care for the foster children in their home and report this information on a monthly basis to the Department. c. Contractor will conduct services in the following manner: i. Contractor will meet with the foster home parent(s) to gather information regarding their specific concerns and prior attempts to meet the child's specific needs. H. Contractor will provide parents with the Parenting Relationship Questionnaire (PRO). The PRQ takes 10-15 minutes to complete and is used to assess different parenting relationships, beliefs, and practices among parents and/or caregivers. It is appropriate for the assessment of parents or caregivers of children aged two (2) to 18. The PRQ measures caregivers' level of stress or distress in parenting, parenting confidence, involvement, discipline practices and communication. Hi. Contractor will meet with the foster child, if age appropriate, to gather information about any concerns or barriers to maintaining the placement. iv. Contractor will observe foster child and parents to gather additional information on parenting style, barriers to the formation of the parent/child relationship, possible "hot spots", and to develop an intervention plan. v. Contractor will meet with foster child and parents to provide feedback following implementation of the intervention plan to assess progress. vi. Contractor will administer the PRQ again at the conclusion of services to measure the level of change. vii. Contractor can conduct additional sessions/follow-up if approved by the Department. 3. Life Skills: a. Contractor will work with parents to address household management, including budgeting, cleaning, hygiene, and food preparation. Service can also include money management, appropriate parenting, employment and job seeking, and locating and utilizing community resources. b. Contractor can provide Supervised Visitation and Therapeutic Visitation. i. Supervised Visitation: Visits between parents and child in -home or in -office. A supervised visit will include observation of the visit within earshot and arms reach of the parties involved. There will be minimum involvement from the visit supervisor. The visit supervisor will be physically present and within in eyesight at all times should intervention be required. H. Therapeutic Visitation: Visits will include parent education, modeling, prompting, and interactional therapy. The visit supervisor will be physically present during the entirety of the visit. c. Contractor will conduct services in the following manner: 1 PY-14-15-CORE-0229 ilContractor will obtain pertinent information from the caseworker. . Contractor will meet with the family and conduct a life skills assessment to identify deficiencies and set goals. iii. Contractor will provide education, concrete lessons and will model concepts as a means of teaching skills and working towards goals. 4. Contractor can provide bilingual services (Spanish). 5. 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. 6. 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. 7. 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. 8. 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. 9. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 10. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 2 PY-14-15-CPS-0055 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 Foster Parent Consultation: $90.00/Hour (Foster Parent Consultation) $70.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) Life Skills: $70.00/Hour (Supervised Visitation within 30 miles of Greeley) $80.00/Hour (General Life Skills) $80.00/Hour (Supervised Visitation outside 30 miles of Greeley) $90.00/Hour (Therapeutic Visitation within 30 miles of Greeley) $100.00/Hour (Therapeutic Visitation outside 30 miles of Greeley) $70.00/Hour (Court Facilitation/Court Staffing/Family Team Meeting/Team Decision Making Meeting) 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 1 PY-14-15-CPS-0055 month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 Print Date: 10/17/2013 CNA Producer Branch Prefix 018098 970 HPG Named Insured and Address: Adelaida Campbell 904 49th Avenue Ct Greeley, CO 80634-1912 Medical Specialty: Licensed Professional Counselor HEALTHCARE PROVIDERS SERVICE ORGANIZATION PURCHASING GROUP Certificate of .ic115ttra17CC OCCURENCE POLICY FORM Policy Number 0299197210 ®HPSO ❑cxlnccnc Fr m,Jcrs ..cn,cr i Lpnc.hmr Policy Period from 09/14/13to 09/14/14 at 12:01 AM Standard Time Program Administered by: Healthcare Providers Service Organization 159 E. County Line Road Hatboro, PA 19040-1218 1-800-982-9491 www.hpso.com Code: Insurance is provided by: 80723 American Casualty Company of Reading, Pennsylvania 333 S. Wabash Avenue, Chicago, IL 60604 Professional Liability $1,000,000 each claim Your professional liability limits shown above include the following: Good Samaritan Liability ' Malplacement Liability ' Personal Injury Liability Sexual Misconduct Included in the PL limit shown above subject to $ 25,000 aggregate sublimit Coverage Extensions License Protection Defendant Expense Benefit Deposition Representation Assault Includes Workplace Violence Counseling Medical Payments First Aid Damage to Property of Others Information Privacy (HIPAA) Fines and Penalties General Liability General Liability Fire & Water Legal Liability Personal Liability Total: $ 312.00 S 25,000 $ 1,000 $ 10,000 S 25,000 $ 25,000 $ 10,000 S 10,000 $ 25,000 per proceeding per day limit per deposition per incident per person per incident per incident per incident $ 5,000,000 aggregate S 25,000 $ 25,000 $ 10,000 $ 25,000 $ 100,000 $ 10,000 $ 10,000 $ 25,000 aggregate aggregate aggregate aggregate aggregate aggregate aggregate aggregate $1,000,000 each claim / $1,000,000 aggregate Included in the GL limit shown above subject to $250,000 aggregate sublimit 51,000,000 aggregate Base Premium $312.00 Premium reflects Self Employed , Part Time Policy Forms & Endorsements(Please see attached list for a general description of many common policy forms and endorsements.) G -121500-D GSL15565 G -121487-B G -121501-C GSL17101 GSL13424 G -121504-C Chairman of the Board Secretary G-141241-8 (03/2010) G -145184-A G -147292-A GSL15563 GSL15564 G -123846-005 GSL3886 GSL3908 Coverage Change Date: Keep this document in a safe place.lt and proof of payment are your proof of coverage. There is no coverage in force unless the premium is paid in full In order to activate your coverage, please remit premium in full by the effective date of this Certificate of insurance. Master Policy # 188711433 Endorsement Change Date: POLICY FORMS & ENDORSEMENTS The list below contains general descriptions of the policy forms and endorsements that may or may not apply to your professional liability insurance policy. Please refer to your Certificate of Insurance for the policy forms & endorsements specific to your state and your policy period. Coverages, rates and limits may differ or may not be available in all states. All products and services are subject to change without notice. Think Green -expanded definitions and copies of these policy forms and endorsements are available online at www.hpso.com/policyforms COMMON POLICY FORMS & ENDORSEMENTS FORM # DESCRIPTION G -121500-D G -121501-C G -145184-A G -147292-A GSL15563 GSL15564 GSL15565 GSL17101 GSL13424 G -123846-005 GSL3886 GSL3908 Common Policy Conditions Occurrence Policy Form Policyholder Notice - OFAC Compliance Notice Policyholder Notice - Silica, Mold & Asbestos Disclosure Information Privacy Coverage Endorsement HIPAA Fines, Penalties & Notification Costs Sexual Misconduct Sublimits of Liability Professional Liability & Sexual Misconduct Exclusion Healthcare Providers Professional Liability Assault Coverage Exclusion of Specified Activities Reuse of Parenteral Devices and Supplies Services to Animals Colorado Cancellation and Non -Renewal Coverage & Cap on Losses from Certified Acts Terrorism Notice - Offer of Terrorism Coverage & Disclosure of Premium OPTIONAL ENDORSEMENTS FORM # DESCRIPTION G -121487-B Amendment to Certificate G -121504-C General Liability Form PLEASE REFER TO YOUR CERTIFICATE OF INSURANCE FOR THE POLICY FORMS & ENDORSEMENTS SPECIFIC TO YOUR STATE AND YOUR POLICY PERIOD. For NJ residents: For KY residents: For WV residents For FL residents: The PLIGA surcharge shown on the Certificate of Insurance is the NJ Property & Liability Insurance Guaranty Association. The Surcharge shown on the Certificate of Insurance is the KY Firefighters and Law Enforcement Foundation Program Fund and the KY LGPT is the KY Local Government Premium Tax which includes charges at a municipality and/or county level. The surcharge shown on the Certificate of Insurance is the WV Premium Surcharge. The FIGA Assessment shown on the Certificate of Insurance is the FL Insurance Guaranty Association - 2012 Regular Assessment. Form#: G -141241-B (03/2010) Named Insured:Adelaida Campbell Master Policy#: 188711433 Policy#: 0299197210 ®HPSO trnithnry Providers Service OrpnintwT March 20, 2014 Adelaida Campbell 904 49th Avenue Cr Greeley, CO 80634 Ikar Adelaida Campbell. 159 Last County Line Road • Hatboro, PA 19040-1218 1-800-982-9491 • Fax 1-800-739-8818 • www.hpyo.wv' RE Policy No: 299197210 Thank you for your recent inquiry to Healthcare Providers Service Organization. your policy requires a written confirmation in order to he completed. Please take return it in the provided self-addressed stamped envelope. Once we process your Certificate of Insurance to reflect your current coverage change. If one of our Service Associates can assist you further, please call us toll free at I- 24 hours a day, seven days a week on the Internet at www.hpso.com- Sincerely, Robert Harris healthcare Providers Service Organization Enclosure HCS-125 COVERAGE CHANGE REQUEST Policy Number- N-2991972 l0 II�� .,�,,�� /� Requested coverage change effective date: � A 2 -A 33C1 U PleaseA ruvi a description of your quested coverage change// / Jt/a � 1044 // Sufece p Signature Dedicated) To Serving The Insurance Needs of Healthcare Providers Healthcire PrnYlarn Service Organmutuu in a division of Affinity un•urarce Service, Inc: in NY and NH, AIS Affinity Insurence Agency, in MN and OK. AIS Affinity Insurance Agency. up License tnri95465; and in S A. AIS Insurance Agency. Inn FL, at arc not an unaffiliatc.; in CA, All Affinity ed r independent dentcnmetorr-proft ennU�uAftnityy. Insurance Services, Inc.s. the program administrator for the insurer underwriting the policy. The coverage change you requested on a moment to complete this request and request, we will send you an updated 800-912-9491. You may also contact us INIWAINEEEMPUSINIIII Adelaida Catnpbcll -k/t1 e e e5 (^ra4°-7 Date ?J Sr RINK av ;t..ML.`I rrr,v1 ;L fr y'y :.Mtn t, A0a1 ma sin March 19, 2014 Dr Scoff Campbell 904 49Th Avenue Ct Greeley. CO 80634 1912 Do': Po,. spliact c U.icego, II no:2- • P (1,--;-II,I RE: Your Trust Endorsed Comprehensive Business Office Insurance Quote Request ID # A7-141423 Effective Date' 03117/2014 Annual Premium: $376 00 Quotation Valid Until: April 18, 2014 Dear Dr. Scott Campbell Thank you for your support of the Trust Endorsed Comprehensive Business Office Insurance Program. Enclosed is your Quote Proposal for this coverage. Please note the annual premium includes terrorism coverage as required by law. If you wish to reject the coverage for certified acts of terrorism, please sign the last page of the proposal and return it to us wrth your order in bind this coverage ACCEPTANCE: To accep this proposal, please sign, date and return this letter and the appropriate premium in the enclosed envelop u our office by the date listed above. eiror 742 Alkle- Z-12( Signature of Dr Scott ampbell Date Pay full annual premium of 5376.00. Please return a signed copy of this letter along with the requested premium by April 03. 2014 in one of the following methods: 1. Fax a signed copy of this letter to our customer service center at 1.877.251.5111 indicating your credit card information at the bottom of this letter 2. Remit a chock made payaole to Trust Risk Management Services, Inc. (TRMS), along wrth a signed copy of this letter to Trust Risk Management Services, Inc 1791 Paysplmre Circle Chicago, IL 60674 Thank you for your prompt attention to this matter Should you have any questions regarding this correspondence, or tor additional information regarding further membership benefits and other membership insurance options, please be ailable sure S 00pm (est) & Friday B 00am-5Our professional (cstt) orvisit our website atvwto ww.apart. org You you ray also email as you sd Br questions at rnfo@trustrms.com Sincerely, Trust Risk Management Services, Inc. doing business in CO as Potomac Risk Management Services, Inc 601 Fw,. /.ik.luiJn Cauviell Fax. ti f57TJ nal-pe,n r§go 10af 13 ACE American Insurance Company Psychologists' Professional Liability Claims Made Insurance Policy Declarations NNUIM:EN NUMtltH L 273805 ! DATE or ISSUE I Jenuwy 09, 2014 PSYCHOLOGISTS' PROFESSIONAL LIABILITY INSURANCE POLICY THIS POLICY/CERTIFICATE IS ISSUED IN ASSOCIATION WITH THE PSYCHOLOGISTS PURCHASING GROUP ASSOCIA'T'ION J tte+n POUCY/CERT1FICATE NUMBER: 68626110807 Named Insured. Address: City. State & Zip Code: Dr. Scott Campbell 904 49Th Avenue Ct Greeley. CO 130634 1912 2. Policy Period: From: 01/06/2014 To: 01/06/2015 120 t AM. local two at the aldress shwas h firm 1. 3 COVERAGE LIMITS OF UABIUTY PREMIUM $159.00 $35.00 Professional liability Wrongful Employment Practices $1,000,000 Each Incident $3,000,000 Aggregate $5,000 Aggregate REIMBURSEMENTS t.icenang Board Defense Other Governmental Regulatory Body Defense Deposition Fxtoenee Premises Medical Payment Assault and/or Battery Loss of Earnings $25,000 per Pruceeolng $7,500 per Proceeding 55,000 pea Insured $2,500 per Person $600 per Day, per Insured 575,000 Aggregate $1,000 Aggregate 515.000 Aggregate Per Incident Surcherge(s) Toted Premium $194.00 4. Retroactive Date 01/06/2014 5. This policy is made and accepted subject to the printed conditions in this policy together with the provisions, stipulations and agreements contained in the Idiowing iorm(s) or endorsement(s). ttiF15215a, PF15217e, Ctr1K11g (01/11). PF15245a, AL 22368 , PF15742a, PF17914 (02/05), 5. Notice of claim should be sent to: Trost Risk Management Services, Inc. 181 W Madison St Ste 2900 Chicago, IL 60602 All other correspondence should be serf to: Trust Risk Management Services, Inc. 1791 Paysphere Circle Chicago. IL 60674 7. REPRESENTATIVE: Agent or broker Office address City, State: 2p Website: Phone: Taut Rick tMarseemsrtt Services, Inc. doing business in CO es Pawn= Risk Management Se,v es, Inc 1791 Paysphere Circe Chicago, IL 60674 www.apaitorg 1.977.637.9700 Trust Endorsed Business Office Insurance Policy l coin: info a trustrms.com info a trustrm..com • Sent: Friday. t\Iarch 2 I, 2014 I:3; P\I To: Scott Campbell Subject: Trust Indorsed Business Office Insurance Policy I)ratscr: .\I'BO file\o: A7-141423 I )r. Campbell. I hank you for your .uppon ofthe I rust I.ndorscd Business t)tticc Insurance Policy. 1\ c )ra%c rc cked your inquiry submitted ‘ is e-mail. 11 c have necked the request to add the Additional Insured. the premium due includes the Additional Insured. Should you have any additional questions. please do not hesitate to contact us at 1-877-637-9700. Our licensed professional staff is a%ailahle to assist you \Ionday through Thursday 8:t10 am to td)() pm and Friday 8:00 sun h 5:Uu pm ('SI. Regards. I rust Risk Management Services Named Agent Agent Q,mte Number 0i.`; 0:5.; 01 Commercial General Liability Coverage Part Supplementall DecDeclarations ACE American Insurance Company SCOTT CA DBELL Effective Date: 93-17-2014 12:01 A.M. Standard Time TRUST RISK MANAC?MFNT SRPVICES INC 03A TSMS INSURA 218988 Insured Name No. Item 1. Business Description: Item 2. Limits of Insurance Coverage Limit of Liability Aggregate Limits of Liability $ 2,000,000 $ 2,000,000 Products/Completed Operations Aggregate Genera' Aggregate (other than Products)Completed Operations) Coverage A —Bodily Injury and Properly Damage Liability Damage To Premises Rented To You $ 1, 000, 000 $ 1, 000, 000 any one occurrencesubjoct to the Products/Completed Operations and General Aggregate Limits of Liability any one premises subject to the Coverage A occurrence and the General Aggregate Limits of Liability Coverage B - Personal and Advertising Injury Liability $ 1, 000, 000 any one person or organization subject to the General Aggregate Limits of Liability Coverage C —Medical Payments $ 10, 000 any one person subject to the Coverage A occurrence and the General Aggregate Limits el Liability Item 3. Retroactive Date (Not Applicable in New York) This Insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" which occurs before the Retroactive Dale, if any. shown here: 'File, Date a, "None- if ro Rel•oactve Dzte app lest Item 4. Form of Business and Location of Premises Forms of Business: INDTV TDUA I. Location of All Premises You Own, Rent or Occupy: See Schedule of Location Item 5. Form and Endorsements Form(s) and Endorsement(s) made a part of this policy at time of issue: See Schedule of Forms and Endorsements Item 6. Premiums Coverage Pat Premium: $ 161 .00 Other Premium: total Premium: $ 161.00 Audit Period (If Applicable) IX l, Waived I I Annually I I Semi -Annually I I Quarterly ! I Monthly ID 24638 (01:08) :m.. Ruunsm Quote Number 075033-01 SCHEDULE OF FORMS AND ENDORSEMENTS ACE American Insurance Company Nand Insured SCOTT CAM"=RELI, Effective Date: 03-17-14 12:01 A.M., Slandaid Time Agent Name TRUST RISK MANAGEMENT SERVI CRS INC D15A TRIOS INSURA Agent No. 270088 IOMMON POLICY FORMS AND ENDORSEMENTS ALL -20837 10 OC ACE PRODUCER COMP PRACTICES & POLICIES ALL -22369 06 07 :OIORADO FRAUD STATEMENT IL P 001 01 04 US TREASURY DEPT'S OFAC ADVISORY NOTICE ALL -24544A 05-11 INSURANCE PROPOSAL. ALL -24624Q 01-08 COMMON POLICY DECLARATIONS -QUOTE AIL -24623 31-38 SCHEDULE OF LOCATIONS ALL -24626Q (11-38 SCHEDULE OF FORMS AND ENDTS - QUOTE. -CTK11C 01-11 SIGNATURES TL OD 11 11-98 COMMON POLICY CONDITIONS TL 00 21 09-08 NUCLEAR ENERCY LIABILITY EXCLUSION DNOT 11-13 COLORADO CHANGES - CIVIL UNION T�, 01 69 09-07 CO CHANCES -CONCEALMENT, MIS n_ DR FRAUD IL 02 28 09-07 COLORADO CHANCES -GANG & NONR N WAL. ALT 21131 11-06 TRADE OR ECONOMIC SANCTIONS ENDORSE TL 29 35 31-02 EXCL CR CERTAIN COMPUTER RELATED LOSSES II. 29 95 01-07 COND EXCT-TERROR (REL. TO DISP/TED TRIA) TI 19 ,9 31-37 DTo 0 PR7M/E7T PREM CET ACTS,TEIR COV T< 196L9C 31-38 NOTICE OF TERRORISM INS COVERAGE TR-41203 09-13 RESTRICTIONS OF TERRORISM COVERAGE PROPERTY FORMS AND ENDORSEMENTS FA 21633 01-08 CONED PROPERTY COL PART EXT OF SUFP DEC CP ;J3 10 10.12 BUILDING & PERSONAL. PROPERTY COVERAGE. CT 22 32 10-12 BUSINESS INCOME COVERAGE (a/7X FX') CP 00 90 07 89 COMMERCIAL PROPERTY CONDITIONS CP 21 43 07 06 EXCL OF LOSS DUE. TO VIRUS OP BACTERIA CP 10 30 10-12 CAUSES OF LOSS SPECIAL FORM FA -23314 09-07 BUS INCM/EXTRA EXP ACTT LOSS SUSTAINED x._233213 12-09 SMALL BUSINESS, PROPERTY EXTENSIONS CENERAL LIABILITY FOAMS AND ENDORSEMENTS CC-0060CC'1 -08 COMM GENERAL LTABTITTY COVERAGE SUP' DEC 01 04 00 J4-13 COMMERCIAL GENERAL LIABILITY COV FORM � CO 21 87 01-07 COND EXCL-TERR (DISP/PEG TRIA ACT) CO 20 26 04-13 .ADDL TNSD DFSTCNATED PERSON/ORGANIZATION CO 21 17 12-07 EMPLOYMENT -RELATED PRACTICES EXCTUSION CC 21 67 12 04 FUNGI OR BACTERIA EXCIUSTON CG 22 44 34-13 FACT, HRAITH CARE PROVIDER SERVIm3 I.D-3R1; 33-87 EXCLUSION AS:ESTOS LA -4735 06-92 EXCLUSION - 1RAD ED -6578A 01-97 POLLUTION EXCL - HOSTILE FIRE EXCEPTION ALL -246260 (01108) HEALTHCARE PROVIDERS SERVAR E ORGANIZATION PURCHASING CR. UP Cccti{icatt 7i 3iit5tiCal3.cv OCCURRENCE POLICY FORM PRODUCER BRANCH PREFIX 018058 970 0589835486-8 Named Insured Jul Wyatt 38493 County Road 51 Eaton, CO 80615-9513 Medical Specialty Code Mental I lealth Counselor 80723 Policy Period: SO From 1 :- 19x13 to I I/19.E14 at 2:01 AM Standard Time Program Administered by: Healthcare Providers Service Organization 159 E. County Li:te Road Hatboro, PA 1 9040-1 21 8 1-800-982-9491 www.hpso.corn Insurance is provided by: American Casualty Company of Reading, Pennsylvania 333 Soutn Wabash Avenue Chicago, Illinois 60604 Professional Liability $1,000,000 each claim YO..f pr:Aet Tonal Err.:;; bi rt above ncr:Jut :he 'u ww•irx,J: $5,000,000 aggregate • Good Samaritan Liability • Malplacement Liability • Personal Injury Liability • Sexual Misconduct included in the PL Limit shown above subject to S25,000 aggregate sublimit Coverage Extensions License Protection Defendant Expense Benefit Deposition Representation Assault Jnckioes 4';o^ko,acc Vrntence Gcrfnsslirng Medical Payments First Aid Damage to Property of Others Information Privacy (HIPAA) Fines & Penalties Workplace Liability Workplace Liability Fire and Water Legal Liability Personal Liability Total: $162.00 $ 25,000 per proceeding S 1,000 per day limit $ 10,000 per deposition $ 25,000 per incident S 25.000 per person $ 10,000 per incident $ 10,000 per incident $ 25,000 per incident S 25,000 aggregate S 25,000 aggregate S 10,000 aggregate S 25,000 aggregate S 100,000 aggregate S 10,000 aggregate S 10,000 aggregate $ 25,000 aggregate Included in Professional Liability Limit shown above Included in the PL limit above subject to S150,000 aggregate sublimit $1,000,000 aggregate Premium reflects self-employed, part-time rate Policy Forms & Endorsements (Please sec attaoneo ist for a general cescript:on of many common policy forms anc endorsements.i G -121500-D G -121501-C G -121503-C G -145184-A G -147292-A GSL3886 GSL3908 GSL13424 GSL15563 GSL15564 GSL15565 GSL17101 G -123846-005 of4,ork 4ia Chairman of the Board Secretary Keep this Certificate of nsurance in a safe place. This Certificate of Insurance and proof of payment are your proof of coverage. There is no coverage in force unless the premium is paid in full. In order to activate your coverage, please remit premium in full by the effective date of this Certificate of Insurance. Form 4: G -141241-B (3/2010) Master Policy: 188711433 INSURANCE LLC March 21, 2014 Re: Lifeways Counseling LLC To Whom It May Concern: We will be able to insure Lifeways Counseling LLC and do have a proposal back from company. We will bind as soon as she lets us know if this is acceptable to her. Steve Baer, Agent P.O. Box 369 506 Central Ave. Wiggins, CO 80654 Phone: 970-483-6471 Fax: 970-483-7739 baerins@rtebb.net Liberty Mutual. INSURANCE COMMERCIAL INSURANCE PROPOSAL PREPARED FOR: Account Number: 56042149 LIFEWAYS COUNSELING LLC PRESENTED BY: FARMERS UNION SERVICE ASSN DATE OF PROPOSAL: 03/21/2014 POLICY PERIOD: EFFECTIVE DATE: 03/21/2014 EXPIRATION DATE: 03/21/2015 QUOTE NUMBERS INCLUDED Commercial Protector (BOP) J 56042 149BZS I Q I *This proposal is valid for 60 days from the Date of Proposal or until the Effective Date (whichever is earlier) and is solely an estimate of premium, based on the information provided, and all amounts are subject to change. This proposal does not bind or provide actual coverage and is not an offer of insurance. Specific terms of coverage, exclusions, and limitations are contained solely in a completed insurance policy for which a premium has been paid. "[his proposal may vary from your original request for coverage. Please review the proposal carefully for any variances. The terms, conditions and premiums included in this proposal contemplate the sale or renewal of all the quoted insurance lines. Electing to buy or renew only some of the lines of coverage may result in changes to the terms, conditions and premiums of the remaining insurance lines. Liberty Mutual Insurance is the marketing name for the property and casualty insurance operations of Liberty Mutual Insurance Company and its' affiliates_ Policies may be written in the following stock insurance company subsidiaries: The Ohio Casualty Insurance Company, Ohio Security Insurance Company, American Fire & Casualty Company, and West American Insurance Company. Not all coverages or policies may be available in all states. COMMERCIAL INSURANCE PROPOSAL - PREMIUM RECAP TOTAL COMMERCIAL PROTECTOR (BOP) PREMIUM $500.00 CERTIFIED ACTS OF TERRORISM COVERAGE:* COMMERCIAL PROTECTOR (BOP) $0.00 STATE CHARGES: COMMERCIAL PROTECTOR (BOP) BALANCE TO MEET MINIMUM PREMIUM(S): $418 00 TOTAL PROPOSAL PREMIUM: ** $500.00 **NOTE: ACCOUNT ACCEPTABILITY AND FINAL PREMIUM ARE SUBJECT TO UNDERWRITING REVIEW AND APPROVAL. *NP 72 42 Terrorism Insurance Premium Disclosure and Opportunity to Reject: This quote includes coverage for Certified Acts of Terrorism (as defined in the Terrorism Risk Insurance Act ("TRIA")) for the lines of business referenced above with a premium charge. You may elect to reject this coverage for any Commercial Property, General Liability, Inland Marine, Commercial Protector (BOP), or Umbrella for losses resulting from a "certified act of terrorism" according to the instructions included within this document. Should you elect to reject this coverage, we will process an endorsement to your policy upon receipt of the signed rejection form. Note this disclosure notice and rejection option does not apply to Workers Compensation, Crime, Professional Liability or Commercial auto coverage, if included in this quote. Please refer to the enclosed notice for additional information regarding this act, its effect regarding your policy coverage, and its impact on your premium. Additional Note: The Certified Acts of Terrorism Coverage does not apply for any Commercial Auto, burglary and theft (i.e. Commercial Crime), or professional liability coverages quoted and a premium charge has not been included for these lines of business. COMMERCIAL GENERAL LIABILITY PROPOSAL LIABILITY LIMITS OF INSURANCE: Liability Medical Expenses Broadened Coverage For Damage To Premises Rented To You AGGREGATE LIMITS OF INSURANCE: Products -Completed Operations Other Than Products -Completed Operations $1,000,000 Liability and Medical Expenses - Occurrence $15,000 (Any One Person) $1,000,000 $2,000,000 $2,000,000 OPTIONAL LIABILITY COVERAGES - POLICY LEVEL: LIMIT OF INSURANCE Employment Practices Liability $10,000 Aggregate Limit Deductible $ 5,000 PROPERTY PROPOSAL OPTIONAL COVERAGE - POLICY LEVEL: LIMIT OF INSURANCE: EXTENSION ENDORSEMENT: Businessowners Extension Endorsement See Endorsement OTHER POLICY LEVEL OPTIONAL COVERAGES: Business Income Changes -24 Hour Waiting Period Included Identity Recovery Coverage for Defined Individuals Expense Reimbursement Annual Aggregate Expense Reimbursement Deductible Case Management Service 325,000 $250 Included LOCATION NUMBER: ADDRESS: 832 W Eisenhower Blvd Ste C, Loveland, CO 80537 PROPERTY LIMITS OF INSURANCE: BUSINESS PERSONAL PROPERTY: $10,000 Valuation RC Automatic Increase - BPI': 0% Deductible $500 Equipment Breakdown Included OPTIONAL COVERAGE - LOCATION LEVEL LIMIT OF INSURANCE Spoilage $5,000 BUSINESSOWNERS SPECIAL PROPERTY COVERAGE FORM INCLUDES: ADDITIONAL COVERAGES - TIME ELEMENT: LIMIT OF INSURANCE: Business income 12 consecutive months - Actual Loss Sustained Extended Business Income 30 consecutive days Business Income From Dependent Properties $5,000 Extra Expense 12 consecutive months Civil Authority 3 consecutive weeks ADDITIONAL COVERAGES - OTHER THAN TIME ELEMENT: Debris Removal $10,000 Preservation of Property 30 days _ Fire Department Service Charge $2,500 Collapse . Included Water Damage, Other Liquids, Powder or Molten Material Damage Included Pollutant Clean Up and Removal I S 10,000 annual aggregate Money Orders and Counterfeit Paper SI,000 Forgery or Alteration _ $2,500 Increased Cost of Construction SI Glass Expenses _ Included Fire Extinguisher Systems Recharge Expense $5,000 Electronic Data $10,000 Interruption of Computer Operations S 10,000 Limited Coverage For "Fungi", Wet Rot, Dry Rot And Bacteria $15,000 COVERAGE EXTENSIONS: Newly Acquired or Constructed Property Buildings $250,000 - 30 days Business Personal I'roperty $100,000 - 30 days Personal Property Off Premises (Including While In Transit) $10,000 Outdoor Property S2,500 (S500 per tree , plant or shrub) Personal Effects S2,500 at each described premises Valuable Papers and Rccords(Otlter Than Accts Receivable) $10,000 at each described premises $5,000 at premises not described Accounts Receivable $10,000 at the described premises $5,000 at premises not described BUSINESSOWNERS EXTENSION ENDORSEMENT INCLUDES: *If limits are increased, the coverage and increased limit appear in the Optional Coverage section for the location where the coverage is increased (When Employee Dishonesty is increased, it appears in the Policy Level Optional Coverage section. Premium Charge $8.00 Accounts Receivable Amendment Loss Payment Provision $35,000 on/5,000 off Removes coinsurance and property of others provisions Amendment of Limitation See Below Fragile Articles Limitation S5,000 All Covered Causes of Loss Brands and Labels Included in Business Personal Property Limit Business Income From Dependent Property S50,000 or 30 Days Actual Loss Sustained Business Income - Newly Acquired Locations S250,000 al each Newly Acquired Premises/60 days Business Income -Ordinary Payroll Expense Removes the 60 day limitation Business Personal Property Legal Liability requirement deleted, covered within 1,000 feet of premises Business Personal Property - Seasonal Increase 33% Cellular Phones - Coverage $1,000 Computer Equipment $25,000 Consequential Loss to Stock Included in Business Personal Property Limit Debris Removal $25,000 _ Deductible See endorsement for Deductibles for specific coverages Deductible - Cellular Phones $50 Definitions See Below Fine Arts Definition is added, see endorsement Period of Restoration The ending time is clarified, see endorsement Electronic Data $25,000 Employee Dishonesty S25,000 Employee Tools $25,000 ERISA None Fine Arts S 10,000 Fire Department Service Charge $15,000 Fire Extinguisher Recharge Expense $15,000 Forgery or Alteration $25,000 or tollows Employee Dishonesty Limit _ Glass Includes damage to glass, encasing frames, lettering, and ornamentation Increased Cost of Construction Sec Ordinance or Law Coverage Leased Building Property $5,000 Limits of Insurance Sec Endorsement for Coverages that have limits in addition to the Limits of Insurance Lock Replacement Actual Loss Sustained Loss Adjustment Expenses $5,000 Money and Securities S 10,000 on premises Money and Securities $5,000 off premises _ Money Orders and Counterfeit Money , $10,000 Newly Acquired or Constructed Property See Below _ Building $1,000,000 up to 180 days Business Personal Property $500,000 up to I80 days Off Premises Power Failure $25,000/24 hours Ordinance or Law Loss to the Undamaged Property - Included, $150,000 Demolition Cost and Increased Cost of Construction _ Outdoor Property All covered causes of loss Fences, Retaining Walls; Radio and TV Antennas $25,000 aggregate Trees and Shrubs 51,000 each tree, shrub or plant Outdoor Signs S25,000 Occurrence Personal Effects S 15,000 Personal Property Off Premises S25,000 Preservation of Property 60 days Property Not Covered Stained Glass Reward 510,000 Sales Samples None Undamaged Tenant Improvements and Betterments See Below Coverage Covered as Business Personal Property Loss Payment Valuation, See Endorsement Valuable Papers and Records 525,000 on/I0000 off Water Back-up and Sump Overflow 525,000 LIABILITY EXTENSION ENDORSEMENT INCLUDES: COVERAGE DESCRIPTION: REVISED LIMITS OF INSURANCE: Aggregate Limits Aggregate limits apply separately to each location and each project. Amendment of Insured Contract Definition Includes anyone as an additional insured the named insured has a written contract for rental or lease of premises or whom the insured is doing work. Bail Bonds Supplementary Payments for cost of Bail Bonds are increased from S1000 up to 53,000. Blanket Additional Insureds (Owners, Contractors or Lessors) Includes persons or organizations agreed to by written contract, for liability arising from ongoing operations, or premises of the named insured. Bodily Injury Redefined Includes bodily injury, sickness, disease, or incidental medical malpractice injury, including death resulting from any of these at any time. i Broadened Coverage for Damage to Premises Rented to You Extends coverage to the named insured for damage to rented or temporarily occupied premises. Duties in the Event of occurrence, Offense, Claim or Suit Provision only considered breached if known to insured or "employee" authorized by the insured, to give or receive notice of "occurrence" or "claim". Incidental Medical Malpractice Included Loss of Earnings Supplementary Payments for actual loss of earnings are included up to 5500, increased from 5250 per day, because of time off from work. Mobile Equipment Who Is An Insured includes any person driving "mobile equipment" with the insured's permission. Newly form or Acquired Organizations Who is an Insured includes Newly Formed or Acquired Organizations. PersonalAnd Advertising Injury Abuse of process is included in the definition of malicious prosecution. TERRORISM INSURANCE PREMIUM NOTICE This notice contains important information about the Terrorism Risk Insurance Act and its effect on your policy. Please read it carefully. THE TERRORISM RISK INSURANCE ACT The Terrorism Risk Insurance Act, including all amendments ("TRIA" or the "Act"), establishes a program to spread the risk of catastrophic losses from certain acts of terrorism between insurers and the federal government. If an individual insurer's losses from a "certified act of terrorism" exceed a specified deductible amount, the government will reimburse the insurer for 85% of losses paid in excess of the deductible, but only if aggregate industry losses from such an act exceed 5100 million. An insurer that has met its insurer deductible is not liable for any portion of losses in excess of S 100 billion per year. Similarly, the federal government is not liable for any losses covered by the Act that exceed this amount. If aggregate insured losses exceed $100 billion, losses up to that amount may be pro- rated, as determined by the Secretary of the Treasury. MANDATORY OFFER OF COVERAGE FOR "CERTIFIED ACTS OF TERRORISM" AND DISCLOSURE OF PREMIUM TRIA requires insurers to make coverage available for any loss that occurs within the United States (or outside of the U.S. in the case of U.S. missions and certain air carriers and vessels), results from a "certified act of terrorism" AND that is otherwise covered under your policy. A "certified act of terrorism" means: Any act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State, and the Attorney General of the United States (i) to be an act of terrorism; (ii) to be a violent act or an act that is dangerous to -- (I) human life; (II) property; or (III) infrastructure; (iii) to have resulted in damage within the United States, or outside of the United States in the case of — (I) an air carrier (as defined in section 40102 of title 49, United States Code) or United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States): or (II) the premises of a United States mission; and (iv) to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. REJECTING TERRORISM INSURANCE COVERAGE - WHAT YOU MUST DO We have included in your policy coverage for losses from "certified acts of terrorism" as defined above. THE PREMIUM CHARGE FOR THIS COVERAGE APPEARS ON THE DECLARATIONS PAGE OF THE POLICY AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. IF YOU CHOOSE TO REJECT THIS COVERAGE , PLEASE CHECK THE BOX BELOW, SIGN THE ACKNOWLEDGMENT, AND RETURN THIS FORM TO THE ADDRESS BELOW: Please ensure any rejection is received within thirtv(30) days of the effective date of your policy. I hereby reject this offer of coverage. I understand that by rejecting this offer, I will have no coverage for losses arising from a "certified acts of terrorism" and my policy will be endorsed accordingly. Policyholder/Applicant's Signature Print Name Date Signed Named Insured: LIFEWAYS COUNSELING LLC Policy Number: 56042149 Effective Date. 03/2 I/2014 Expiration Date: 03/21/2015 IF YOU REJECTED THIS COVERAGE, PLEASE RETURN THIS FORM TO: Attn: Commercial Lines Division - Terrorism P.O. Box 188060 Fairfield, O11 45018 NOTE:Certain states (currently CA, GA, IA, IL, MA, ME, MO, NY, NC, NJ, OR, RI, WA, and WI) mandate coverage for loss caused by fire following a "certified act of terrorism" in certain types of insurance policies. If you reject TRIA coverage in these states on those policies, you will not he charged any additional premium for that state mandated coverage. The summary of the Act and the coverage under your policy contained in this notice is necessarily general in nature. Your policy contains specific terms, definitions, exclusions and conditions. In case of any conflict, your policy language will control the resolution of all coverage questions. Please read your policy carefully. If you have ally questions regarding this notice, please contact your agent. NP 72 42 01 08 IMPORTANT NOTICE REGARDING THE EXPIRATION OF TILE TERRORISM RISK INSURANCE ACT AND THE REDUCTION IN COVERAGE FOR TERRORISM LOSSES PLEASE READ THIS NOTICE CAREFULLY Dear Applicant: This is to notify you of a reduction in coverage for terrorism losses under your insurance policy when the Terrorism Risk Insurance Act ("TRIA") expires, which is scheduled to occur on December 31, 2014, This notice DOES NOT apply to Workers Compensation insurance. TRIA, as amended, is a temporary program that spreads losses from government "certified" acts of terrorism between insurers and the federal government. In summary, TRIA requires insurers to make coverage for "certified acts of terrorism" available, and to pay losses from "certified acts of terrorism" up to a deductible amount. If an individual insurer's losses exceed this amount, the government will reimburse the insurer for 85'/o of losses paid in excess of the deductible. Policyholders have the option to accept or reject this coverage TRIA will expire on December 31, 2014, unless Congress and the President act to extend it. Otherwise, after 2014, the federal government will no longer "certify" acts of terrorism or reimburse losses caused by "certified acts ot terrorism." If you purchase coverage for "certified acts of terrorism," and TRIA expires on or after December 31, 2014, your insurance coverage will be reduced. After the date TRIA expires, where permitted by state law, you will no longer have insurance for losses from acts of terrorism that directly or indirectly involve nuclear or radioactive agents or materials, or pathogenic or poisonous biological or chemical agents or materials ("NBCR").* If you elect not to purchase coverage for "certified acts of terrorism," and TRIA expires on or after December 31, 2014, losses caused by any terrorist act will be excluded from your policy, where permitted by state law. If you have questions regarding this notice, please discuss them with your agent or broker.* Thank you for considering Liberty Mutual Insurance. *Some slates, including New York and Florida, may not approve or allow the use of certain exclusions related to acts of terrorism. Therefore, exclusions for losses caused by acts of terrorism may not apply in all states. PY-14-15-CPS-0055 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MILESTONES COUNSELING SERVICES, LLC This Agreement, made and entered into the!5 day of 0144 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 Milestones Counseling Services, LLC, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration funding to the Department for Home Studies and Relinquishment Counseling. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CPS-0055 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CPS-0055 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.• and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CPS-0055 - 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. 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 Child Welfare Administration. 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 4 PY-14-15-CPS-0055 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. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 5 PY-14-15-CPS-0055 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 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; 6 PY-14-15-CPS-0055 - $50,000 any one fire; and - $500,000 errors and omissions. iii Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CPS-0055 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 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 8 PY-14-15-CPS-0055 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Addle Campbell, Owner 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 1970) 352-1551 18. Litigation 9 For Contractor: Addle Campbell, MA, LPC, Owner 832 West Eisenhower Boulevard, Suite C Loveland, CO 80537 (970-403-7656 PY-14-15-CPS-0055 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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, director indirect, in the approved Agreement or the proceeds thereof. 10 PY-14-15-CPS-0055 The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 11 PY-14-15-CPS-0055 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 pa-ty'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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CPS-0055 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 or -each or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CPS-0055 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15{PS-0055 IN WITNESS WHEREOF, the parties hreto have duly executed the Agreement as of the day, month, and year first above written. ATTES. Weld County Clerk to the Board By: Dety Clerk to the Boa d APP VED;B'1O Attorney WELD COUNTY DEPARTMENT OF HUMAN$ERVICES By: 15 BOARD Or COUNTY COMMISSIONERS LD COUNTY, COLORADO Douglas Re ernacher, Chair By: 1 5 TU14 ONES COUNSELING SERVICES, LLC Y�— Addle Campbell, Owner or/1- cJJ 6 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY. MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCKI. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. H. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area � " - . Definitiongr- Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area x`�;` , Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACTOR1» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart >, upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 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. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. - General Liability (PL and PD) (Minimum) o Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. c Certificate of Insurance to be provided to Weld County. o Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400069 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. 7 Bid No. 81400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName>, «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName» «Addressl», «Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. 81400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. 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 on www.Ins-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. 81400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 EXHIBIT B CONTRACTORS RESPONSE TO THE REQUEST FOR PROPOSAL Milestones Counseling Services, LLC 2014-2015 Contract Proposal 2 Milestones Counseling Services (MCS) is located in Loveland, Colorado with office and in -home services available for foster parent consultation, visitation, family education, and home studies throughout Weld County and surrounding areas. MCS provides mental health and consultation services for adults, families and children. MCS is experienced in providing family therapy and consultation services that are strength -based and focused on fostering safe and stable child -family relationships. Because of the dependence of children on their home environment, MCS emphasizes the stability and involvement of the caregivers throughout the treatment process. Staff members for MCS include: Addle Campbell — Addie is a Licensed Professional Counselor and Registered Play Therapist -Supervisor. She has worked in the Mental Health Field for 17 years and has experience in child and family therapy, trauma counseling, home study evaluations, parenting consultation, and relinquishment counseling. She is fluent in Spanish and English. Scott Campbell — Scott is a Psychologist, Licensed Professional Counselor, and Certified Addictions Counselor. He has worked in the mental health field for over 18 years. His experience includes individual and family counseling, mental health assessments, Psychological evaluations, and SAFE home study evaluations. Jill Wyatt —Jill is a Registered Psychotherapist has over 15 years experience in child and family counseling. Her experience includes: children's residential treatment, support group facilitation, parent education, supervised/therapeutic visitation, preschool teaching, play therapy, and previous Weld County foster parent. Milestones Counseling Services, LLC 2014-2015 Contract Proposal FOSTER PARENT CONSULTATION SCOPE OF SERVICE: 5 As in any family system (whether it be biological or foster), the dynamics of the family change when a child(ren) enter the home or have personal problems. Many times, foster parents require additional support in dealing with special needs or circumstances that accompany a child when entering the foster home. Common issues that put placement at risk include: 1) foster parents perceiving a lack of support from providers to effectively deal with the escalating behaviors of a child; 2) foster parents feeling poorly equipped to appropriately deal with specific behaviors of the child such as aggression, inappropriate behavior, or attachment problems; and 3) foster parents interpreting acting out behaviors as rejection by the child, and misidentifying the child's underlying issues; e.g., termination of parental rights, visitations with parents, past trauma reactions, etc. This information becomes significant when implementing services for foster parents in efforts of safeguarding placement. MCS will emphasize a collaborative approach in working with foster parents to maximize the benefit of therapeutic strategies being implemented in the home. It is the goal of MCS to support the foster family in providing the most appropriate and safest care possible for the foster child and thereby preserving the foster placement as long as deemed necessary by the Department of Human Services. MODE OF SERVICE: 1. MCS will obtain information from foster care coordinator. 2. MCS will meet with foster parents to gather information on their concerns and prior attempts at meeting the child's needs. Observe foster child, foster child -foster parent interactions, and interactions between foster child and other children. These observations are for the purposes of gathering information on parenting style, barriers to relationship formation between child and parent, and plan for intervention. 3. Provide feedback and intervention strategies to improve foster parent -foster child interaction. 4. Throughout foster parent consultation, ongoing evaluation of interventions and progress in foster parent -foster child interaction. 5. Pre and post assessment: MCS will provide foster parents with the Parenting Relationship Questionnaire (PRQ) for objective measure of progress. The PRQ is used to assess different parenting relationships, beliefs, and practices among parents or other caregivers. This instrument also provides information that can be used during the intervention stage. Areas measured include: Relational frustration (caregivers' level of stress or distress in parenting); Parenting Confidence; Involvement; Discipline Practices; Communication. 6. MCS will complete online reporting to DHS about interview, observation of foster family - child, interventions recommended, feedback on the implementation of intervention and response between child -foster family in relation to intervention, and any concerns and further recommendations. Milestones Counseling Services, LLC 2014-2015 Contract Proposal 6 COST OF SERVICE: Foster Parent Consultation $90/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal HOME STUDY SCOPE OF SERVICE: 3 MCS believes it is important to provide thorough and objective evaluations of the applicant's home and personal history of those individuals in the home in order to make appropriate recommendation for placement of the child. MCS will abide by the Structured Analysis Family Evaluation (SAFE) guidelines to provide documentation about the history, strengths, and concerns of each home and family members evaluated. Home studies will be conducted in a timely fashion, within 60 days of receiving the initial referral from DHS. In addition to having a wealth of experience in family systems/therapy work, collaborative services with DHS, and specific training in family systems, MCS can provide home studies in Spanish and English. MCS can accommodate Spanish-speaking families seeking home study evaluations. MODE OF SERVICE: 1. Upon receiving referral from DHS, MCS will notify DHS about acceptance of referral within 24 hours. 2. Services will utilize the format and tools in accordance with the SAFE program. 3. A minimum of three — two hour visits to the core residence 4. Physical contact/evaluation with each member living in the household 5. Report submitted to referring person and committee for review within two months of referral receipt COST OF SERVICE: Full Home Study up to 2 adults (within 30 miles of Greeley) $1000 Full Home Study up to 2 adults (in excess of 30 miles of Greeley) $1200 Each additional Adult included in home study (beyond 2 adults) $250 Home Study Update (within 30 miles of Greeley) $600 Home Study Update (in excess of 30 miles of Greeley) $700 Partial or Cancelled Home Study $ 70/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal RELINQUISHMENT COUNSELING SCOPE OF SERVICE: 4 MCS will provide relinquishment counseling for parents in accordance with requirements set by the Department of Human Services. MCS will meet with each parent to discuss the meaning and understanding of "relinquishment" and "termination of rights". MCS will provide a summary and report of the meeting with parent(s) to the Department of Human Services. MCS will meet with each client individually and obtain the client's signature that all information pertaining to relinquishment and termination of rights was clearly understood. The following will be included in the report to DHS: Parent Interrogatory, affidavit, Exhibit "A" detailing parent's medical, social, addiction, and case history with DHS. COST OF SERVICE: Relinquishment Counseling Court Testimony (per hour/minimum 1 hour) $90/ hour $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal LIFE SKILLS SCOPE OF SERVICE: 7 Skills of Daily living can be taken for granted and assumptions made that most everyone has mastered such skills as household management (budgeting, cleaning, hygiene, food preparation), being knowledgeable about community resources (location and use of health clinics, resources in counseling, transportation), and healthy parenting skills. This is not the case for everyone. Life skills are an important foundation to help meet long term goals and provide adequately for children. MCS providers can address life skills including, but not limited to: money -management, food preparation, household cleanliness, appropriate parenting, employment and job seeking skills, and locating and utilizing community resources. Most concerning are parents who have deficiencies in these important daily living skills. It is important that parents possess mastery in daily Living skills to be able to provide adequately for their children's basic needs and safety. Additionally possessing strong parenting skills promotes healthy and safe child - parent interactions. MCS will work with parents to address their own emotional regulation in order to help their child's behaviors and to promote positive child -parent interactions. "What we must understand is that it is our early socio-emotional environment and interaction with significant caregivers that establishes our future self -regulatory capacities. Regulatory capacities are our ability to successfully navigate emotional states such as anger, sadness, fear, or hurt, and furthermore, our ability to establish and maintain relationships" (Heather Forbes, 2007). MODE OF SERVICE: 1. First and foremost, it is important to identify where the deficiencies in Life skills exists. This evaluation can be accomplished by having a life skills assessment, in addition to utilizing the information provided by the referring case worker. 2. The MCS provider will first obtain any information from the referring caseworker, meet with the family or individual and make assessment as to what life skills are deficient and set goals with the family that will be re-evaluated and mastered by every 4th visit. 3. The MCS provider will provide education and modeling as a way to teach these skills. 4. With regards to parenting — the MCS provider will model and provide concrete lessons on how to parent effectively to help support positive and safe child -parent interactions. Emphasis will be given to the parent's skill of staying emotionally regulated before engaging in interactions with the child. 5. The MCS provider will communicate with ongoing caseworker to provide updates and concerns with regards to the safety and well being of the child(ren). It is of utmost importance to have the children's safety in mind when creating/setting goals for Life skills that foster a safe and stable environment for all children residing in the home. Milestones Counseling Services, LLC 2014-2015 Contract Proposal 8 COST OF SERVICE: Life Skills Counseling $80/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal SUPERVISED AND THERAPEUTIC VISITATIONS SCOPE OF SERVICE: 9 Visitations between foster children and their parents are an essential part of maintaining parent —child relationships and planning for successful family reunification. Parents can also benefit from the education that is provided during visitations, which ultimately helps to ensure the safety and well-being of the child(ren) upon reunification. MCS offers two levels of visitation services — supervised visitation and therapeutic visitations. MODE OF SERVICE: Supervised Visitations — Visits between parent and child in -home or in -office. A supervised visit will include observation of the visit within earshot and arms reach of the parties involved. There will be minimum involvement from the visit supervisor although some prompting and modeling may be necessary. Intervention will also occur if there is a safety issue. Therapeutic Visitations - Therapeutic supervised visit will include on -the -spot parent education, modeling, prompting, and interactional therapy. This service is provided in -home or in —office. All therapeutic visits will include a minimum of 30 minutes of parenting education. There will be 15 minutes pre -visit to prepare for the time with the child(ren) and 15 minutes post -visit to review visit, and to identify observed strengths and areas of concern. Visits will be a minimum of 1.5 hours (allowing for a 1 hour visit plus 30 minute education). COST OF SERVICE: Supervised visitation (within 30 miles of Greeley) $70/hour Supervised visitation (in excess of 30 miles of Greeley) $80/hour Therapeutic visitation (within 30 miles of Greeley) -minimum of 1.5 hour visit $90/hour Therapeutic visitation (in excess of 30 miles of Greeley) — minimum 1.5 hr visit $100/hour Approved attendance (by Contract and Service Coordinator) at TDM or FTM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour Milestones Counseling Services, LLC 2014-2015 Contract Proposal SUPERVISED AND THERAPEUTIC VISITATIONS SCOPE OF SERVICE: 9 Visitations between foster children and their parents are an essential part of maintaining parent -child relationships and planning for successful family reunification. Parents can also benefit from the education that is provided during visitations, which ultimately helps to ensure the safety and well-being of the child(ren) upon reunification. MCS offers two levels of visitation services -supervised visitation and therapeutic visitations. MODE OF SERVICE: Supervised Visitations -Visits between parent and child in -home or in -office. A supervised visit will include observation of the visit within earshot and arms reach of the parties involved. There will be minimum involvement from the visit supervisor although some prompting and modeling may be necessary. Intervention will also occur if there is a safety issue. Therapeutic Visitations - Therapeutic supervised visit will include on -the -spot parent education, modeling, prompting, and interactional therapy. This service is provided in -home or in -office. All therapeutic visits will include a minimum of 30 minutes of parenting education. There will be 15 minutes pre -visit to prepare for the tim Ie with the child(ren) and 15 minutes post -visit to review visit, and to identify observed strengths and areas of concern. Visits will be a minimum of 1.5 hours (allowing for a 1 hour visit plus 30 minute education). COST OF SERVICE: Supervised visitation (within 30 miles of Greeley) $70/hour Supervised visitation (in excess of 30 miles of Greeley) $80/hour Therapeutic visitation (within 3 miles of Greeley) -minimum of 1.5 hour visit $90/hour Therapeutic visitation (in excess of 30 miles of Greeley) —minimum 1.5 hr visit $100/hour Approved attendance (by Contr ct and Service Coordinator) at TOM or hiM $70/hour Court Testimony (per hour/minimum 1 hour) $200/hour kit n1//,S}rr'ies ( n r$ar,ciaa) Authorized Representative 0 Date ADDIE CAMPBELL, MA, LPC, RPT-S 832 W. Eisenhower Blvd., Suite C Loveland, CO 80537 (970) 403-7656 Addie.campbell@milestonescounseling.com WORK EXPERIENCE: Milestones Counseling Services, LLC (Owner) March 2009 —Present Family, individual, and child therapy services Responsibilities include completing evaluations to assess for mental health needs of families, individuals, and children. Responsible for the assessment, diagnosis, and treatment of mental health issues; providing family, individual, and play therapy according to needs of the individual. Facilitating parent -child reunification services. Further responsibilities include consultation with parents and providers (Department of Social Services (DSS), physicians, Foster families, and school staff) involved with clientele. North Range Behavioral Health Greeley, Colorado November 2004 — May 2009 Family and Children's Community Based Team - family, individual, and child therapist Responsible for the assessment, diagnosis, and treatment of mental health issues; providing family, individual, and play therapy according to needs of the individual; closely working with community agencies (DSS, Children's School -Based Health clinic at Centennial Elementary, Foster families, and local elementary school staff) to provide necessary services to clients; completing treatment plans, progress notes, and case management as required. North Colorado Medical Center: PsychCare/Youth Passages Greeley, Colorado April 2001 - November 2004 Family, child, and adolescent counselor, In -home family therapist Responsibilities included: completing assessment of individuals and families for outpatient counseling; facilitating family and individual counseling to address various mental health and family issues. Communicate with community agencies on a consistent basis (e.g., DSS, probation, and schools); complete required intake, treatment plans, and progress notes. North Range Behavioral Health Greeley, Colorado August 2000 - April 2001 Family and Children's Team - family, individual, and child counselor Responsible for the assessment, diagnosis, and treatment of mental health issues; providing family, individual, and play therapy according to needs of the individual: closely working with community agencies (DSS. Children's medical clinic, Probation. and schools) to provide necessary services to clients: completing treatment plans, progress notes. and case management as required. Individuals treated: children, adolescents, and adults. North Colorado Medical Center: PsychCare/Youth Passages Greeley, Colorado January 2000 - July 2000 Intern - Family, group, and individual counselor Duties include: working with adolescents admitted to inpatient and partial hospitalization facility. providing individual, group, and family therapy to high -risk adolescents. Assessed adolescents for appropriateness of partial hospitalization status. Addictions Recovery Center Greeley, Colorado April 1999 - August 1999 Outpatient therapist Duties included: assessing individuals for appropriateness of drug and alcohol therapy, providing drug and alcohol group counseling, and reporting progress of clients to probation. Island Grove Community Counseling Center Greeley, Colorado July 1998 - December 1999 Family Preservation therapist Responsibilities included: assessing families for appropriateness of intensive family therapy, working v ith families on setting goals for therapy. reporting progress of fannk to agencies such as the Department of Social Services, and providing in -home family therapy. Outpatient Bilingual Counselor July 1998 - March 1999 Duties included: assessing clients for appropriateness of alcohol or domestic violence therapy. leading and co -facilitating domestic violence and alcohol groups. and collaborating with probation agencies. SLV Comprehensive Community Mental Health Center Alamosa, Colorado January 1997 - June 1998 Family Preservation Therapist Responsibilities included: assessing families for appropriateness of intensive family therapy. working with families on setting goals for therapy, reporting progress of family. working closely with agencies such as social services and probation, and providing family and individual counseling to members of the family. Other duties included working with high -risk adolescents in the Wilderness Program. EDUCATION: University of Northern Colorado Greeley, Colorado Graduation: August 2000 Masters (Agency Counseling: Marriage and Family Emphasis) Adams State College Alamosa, Colorado Graduation: May 1997 BA Sociology (Social Welfare)/Spanish LANGUAGES: Fluent in Spanish and English language. CERTIFICATIONS: Licensed Professional Counselor (September 2002) Registered Play Therapist -Supervisor (March 2008) Eve Movement Desensitization Reprocessing Certification Level tl (Jul) 2003) SAFE (Structured Analysis Family Evaluation) — (April 2009) SAFE (Structured Analysis Family Evaluation) for Supervisors (December 2010) PROFESSIONAL ORGANIZATIONS: American Counseling Association Association for Play Therapy RELEVANT TRAININGS: Family Play Therapy Working with Challenging Children and Adolescents Therapy with Abused and Traumatized Children Neurosequential Development and Attachment Disorders in Experiential Play Therapy NIethamphetamine Endangered Children Attie tfit S le g e5zd MPLI ul SLV9-lUS iLLB) 1- Rej Pgdwes °WV wO CI- 4CCL aUe; at cL99-Los (WO H m] 11.0"D epElaCH w:11Y Marshall Scott Campbell Greeley, Colorado 80634 (970) 324-6565 Work Experience Milestones Counseling, LLC 832 W. Eisenhower Blvd, Suite B Loveland, CO 80537 NOV 2013 to present Position is a clinician position in a private practice setting. Duties include providing individual, couples, and family counseling. Further duties include psychological and substance abuse evaluations, and to conduct SAFE home studies for Weld County Human Services. Exempla Lutheran Medical Center 3400 Lutheran Parkway Wheat Ridge Colorado (303) 467-4080 JUL 2012 to present Position is a clinician position as a Physician's Extender in the Emergency and Medical Departments. Duties include providing mental health and substance use assessments for patients to determine risk and appropriate level of care. Further duties include providing psychological evaluations for the inpatient psychiatric and substance abuse services and provide appropriate referrals to meet lower levels of care. Department of Defense Department of the Army Army Substance Abuse Program Fort Campbell, Kentucky 42223 (270) 412-6883 SEP 2011 to JUL 2012 Position serves as a counseling psychologist for the Department of Defense (DoD) in the Army Substance Abuse Program (ASAP). Duties include providing a professional knowledge of concepts, principles, procedures, and practices to the ASAP. Duties include developing methods, approaches, or procedures to meet program requirements and patient needs. Conducting patient assessment and evaluation using psychosocial instruments, developing and implementing treatment plans to treat clients with substance abuse and PTSD issues. Modes of therapy include individual, group, and family psychotherapy. Ongoing review of patient progress and the use of data management tools to establish and maintain case records. Comprehensive Psychological Services 101 1 37th Avenue Court, Suite 101A Greeley, Colorado 80634 (970) 324-6565 SEP 2009 to SEP 2011 Owner/Operator. Position is a clinician position in a private practice. Duties include providing outpatient mental health and substance abuse treatment for individuals, families, and groups. Providing group therapy including substance abuse treatment and anger management. Further duties include administering psychological and substance use evaluations with appropriate recommendations and referrals. North Colorado Medical Center 1801 16th Street Greeley, Colorado 80631 (970) 350-6244 OCT 2001 to SEP 201 I Position is a clinician position in the Emergency Department. Duties include providing mental health and substance use assessments for patients to determine risk and appropriate level of care. Further duties include providing inpatient and outpatient services including individual and group therapy focusing on mental health and substance use issues. Further duties included completing home studies for outpatient program at North Colorado Medical Center Behavioral Health. North Range Behavioral Health 1306 11th Avenue Greeley, Colorado 80631 (970) 347-2120 JUL 2000 to JAN 2002 Position yeas a clinician position in the emergency services and adult counseling programs. Duties involved providing crisis prevention and intervention, evaluations for hospitalizations, and intake sessions to access services into other programs. Further duties included providing individual, group and family therapy. Craig Mental Health Center 439 Breeze Street, Suite 100 Craig. Colorado 81625 (970) 824-6541 OCT 1999 to JUN 2000 Position was a clinician position in the outpatient program. Duties involved providing individuals, couples. families and groups outpatient counseling treatment. Further duties included supplying counseling services for teens in the Day In School Counseling Program. Further duties included providing treatment for individuals in need of substance abuse and education and counseling in the Drug and Alcohol Program. Additional responsibilities included participating in the Emergency Services Program for crisis intervention and prevention. Addiction Recovery Center —Greeley 1122 9th Street, Suite 102 Greeley, Colorado 80631 (970) 352-6537 JAN 1999 to OCT 1999 Position was a clinician position in the drug and alcohol program. Duties included proving individual and group counseling for adults that had received drinking and driving offenses and court -ordered into treatment. Further duties included developing treatment plans for individuals to accomplish goals of sobriety and responsible behavior. Additional responsibilities included maintaining contact with outside agencies including Department of Social Services and Probation and Parole Office. San Luis Valley Mental Health Center 1015 4th Street Alamosa, Colorado 81 101 (970) 589-3671 SEP 1995 to SUP 1998 Position was a clinician position in the adult services program. Duties included providing adults and children individual, family and group therapy. Further duties included crisis intervention and prevention in the Emergency Services Program for assessment of hospitalization. Additional duties included participation in the San Luis Valley Critical Incident Team which facilitates debriefings, defusing. and stress management education. Jefferson I call. Residence 7695 West 59th Avenue Arvada. Colorado 80004 (303) 421-4870 JUN 1990 to JUN 1992 Position was a counselor position in a residential group home for adolescents. Duties consisted of managing a four -client caseload in a facility for emotional!) troubled and delinquent teens. Further duties were to provide weekly structured groups and individual, family and group counseling for the residents. Additional responsibilities included maintaining contact with outside agencies including Department of Social Services and Probation Office. United Cerebral Palsy Association 2727 South Columbine Street Denver- Colorado 80205 (303) 355-7337 NOV 1989 to MAY 1990 Position was a counselor position in a UCPA home. Duties consisted of a 3-1/2 day live-in shift at a facility caring for the physical and emotional needs of developmentally disabled adults. The position included supportive counseling, developing individual treatment plans, physical care of dependent clients. and distributing medications. Education Colorado School of Professional Psychology University of the Rockies 555 East Pikes Peak Avenue Colorado Springs, Colorado 80903 (719) 412-0505 Doctorate of Psychology: Clinical Psychology Adams State College Alamosa. Colorado 81 102 (719) 589-7626 Master of Arts: Counseling Psychology Southwestern College 7210 Northwest 39th Expressway Bethany, Oklahoma 73008 (405) 789-7661 Bachelor of Science: Biblical Studies Credentials Licensed Professional Counselor (August 1999) Certified Addiction Counselor. II (August 2000) Eye Movement Desensitization and Reprocessing (December 2006) Medication Administration Certified (October 1998) National Board of Certified Counselors (April 1996) Date of Completion: March 2011 Date of Completion: May 1996 Date of Completion: Mac 1988 Presentations * Advanced Diagnosis and Treatment Planning for Substance Abuse and Mental Health (8 hours) for SeaMar Mental Health Centers. Seattle Washington (November 2010) * Law Enforcement and People with Severe Mental Illness (2 hours) Weld County Law Enforcement. Firestone Colorado (March 2009) * How to Identify Mental Health Issues for Law Enforcement (2 hours) Weld County Law Enforcement, Greeley Colorado (January 2009) Related Education The Courage to Ileal: Survivors of Sexual Abuse. 1990 (Laura Davis) NACoA Annual Conference, 1990 Dealing with Grief and Loss, 1990 (Leslie Feder) Inside the Criminal Mind, 1990 (Stanton Samenow) Colorado Coalition for Children's Mental health, 1991 Colorado Juvenile Council, 1991, 1992 Sane Parents, Responsible Kids, 1992 (Foster Cline) Suicide Prevention and Crisis Intervention, 1994 (Patrick Rheaume) Play Therapy. 1995 (Bryon Norton) ASC Sexual Assault Response Team Training. 1995 (Tern McCartney) Critical Incident Stress Management Team Training, 1995 (Patricia Tritt) Solution Focused Therapy, 1996 (Jim Crobsy & Marty Waters) Working with Individuals with Severe and Persistent Mental Illness, 1996 (Rothstein) Geriatric Diagnoses and Assessment, 1996 (Ernistine Kotthoff-Bunnell) Brief Therapy. 1996 (Tracy Todd) Jurisprudence, 1997 (Louie Larimcr) Diagnosis of Personality Disorders. 1997 (Greg Caesar. MD) Major Mental Illness. 1997 (Greg Caesar. MD) Substance Use Disorders, 1997 (Greg Caesar, MD) Psychopharmacology, 1997 (Carl Clark, MD) Nonviolent Crisis Intervention, 1997 (Yianakopulos) Advanced Training in CISM and Post Trauma Syndromes. 1997 (Everly. Jr.) Colorado Critical Incident Stress Management Network. 1998 Differential Assessment, 1999 (Scott Demuro) Advanced Psychopharmacology, 2002 (Jean Armour) The American Group Psychotherapy and PSv chodrama Conference. 2002 Resistive Client: Working with Ambivalence. 2002 (Michael Connolly) Understanding Differences in Antipsychotic Therapy, 2003 (Gerald Maguire. MD) Post l raumatic Stress, 2004 (Chuck I loward) Sex Offending Behaviors, 2004 (Mery Davies) Mood Disorders. Psychosis. and Crisis Management, 2005 (Jason Barnhart. MD) Eye Movement Desensitization and Reprocessing, 2006 (Molly Gerasch) Basic Medication Strategies. 2007 (Jed Shapiro. MD) Guideline For Alcohol and Substance Use Screening. 2009 (Betsy Thompson. MD) Dynamics of Drug Addiction, Treatment, Assessment and Referral, 2009 (Sandra Loftin, MD) Gang Violence, 2009 (Sgt Keith Olsen) DoD Civilian Employee Drug Abuse Testing Program. 2011 DoD Drug -Free Federal Workplace, 2011 DoD Suicide Prevention. 2011 DoD Resilence Training. 2012 Advanced Motivational Interviewing, 2013 (Wendy Lee, LCSW, LAC) SAFE training. 2014 (Caroline Lawson) SAFE - Structured Analysis Family Evaluation 'This is to certify that I- 5 ae ra O r,,,,,, AU0.1.4 :.a•MYr•II Far a. ,g77) 601 897. To uaY 12,4 11 ATTESTATION OF UNDERSTANDING Si'q (0,7i6cq hie n,ao e x signed , as an approved vendor on Colorado's Approved Adoption Home Study Vendor list, understand and acknowledge that I cannot and will not perform home studies except those that are assigned to me by a County Department of Human/Social Services, or a Colorado licensed Adoption or Child Placement Agency. I acknowledge that any home study that I perform for a family that is not affiliated with a County Department of Human/Social Services, or a Colorado -licensed Adoption or Child Placement Agency will be considered an invalid home study by the State of Colorado and cannot be presented as valid to any other state or organization in the U.S. I acknowledge that, after having signed this attestation, if I complete a home study for a family or individual who is not affiliated with a County Department of Human/Social Services or a Colorado -licensed Adoption or Child Placement agency, I will be removed from Colorado's Approved Adoption Home Study Vendor list for a period of no less than one year. �-✓�� , Applied Adoption Home Study Vendor Samature Dale of Signature Subscribed and affirmed, or sworn to before me in the County of t,--)(,:1- 0 - State of Cot- the day of I My Commission Expires: Public/Deputy Clerk tile_ , 20 4e. HUBER J RIVERO NOTARY PUBUC STATE OF COLORADO NOTARY ID 20124O(34221 MY COMMISSION D(PIAES JANUARY 7, 2017 JILL WYATT 38493 Weld County Road 51 Eaton, CO 80615 (970)454-5423 jerm250a.msn.com EXPERIENCE REGISTERED PSYCI IOTHERAPIST Lifell'ar:s Counseling Services. LLC — Owner I December -.2012 Present • Conduct individual, couples and family therapy sessions in a private practice setting. • Provide a play therapy model for children ages 3-I I. and a client centered therapy model for adolescents and adults. • Offer parent education and therapeutic supervised visitation. as well as faith - based counseling. • Maintain client charts and treatment planning, as well as provide referrals and ongoing support. • Participate in weekly supervision. FOSTER PARENT II eld ('otmly Department of Human Services N October 2010 - November 2011 • Provided Ibr the behavioral. emotional. educational, and physical needs of children who had been abused and neglected. • Attended staff meetings and implemented treatment plans for foster children in cooperation with caseworkers. GALS, CASAs. school staff, and other agencies and individuals involved veith the children. • Maintained child binders including all necessary paperwork and daily. documentation. • Insured the children were able to obtain necessary services and attend family visitation. court appearances. stall meetings. and other appointments as necessary. • Attended trainings and maintained licensure with a variety of activities aimed at providing a safe and secure home environment. SUBSTITUTE PRESCI IOOL GROUP LEADER/IEACIIER I'rctors (7trisliot, Chi/daur (enter s November 2009 Presentt • Planning and implementing age appropriate educational. physical. and social activities for children age I - 6. • Supervising children in daily activities such as meals, naps, and playtime. • Implementing age appropriate discipline techniques and communicating with children on an age appropriate level of understanding. • Using empathy and compassion to comfort children. • Communicating with parents about the program and their children. • Providing for children's spiritual needs through age appropriate stories, songs and games about God and church. • Cooperating with other teachers to insure that all of the children's needs are being met and the program is following state guidelines for care. vA yatt I 13EIIAVIORAL HEALTI I TI IERAPIST North Range Behavioral health-Linler Center • October 2008- July 2009 • Provided individual therapy. group therapy. and crisis intervention for children in residential treatment, as well as day treatment. • Provided family therapy and supervised visitation for clients and their families when necessary. • Developed and maintained treatment plans. • Provided case management for clients assigned to caseload including intake and discharge services. • Facilitated treatment plan review meetings for clients. families, and agencies involved in clients' treatment, and attended IEP meetings for clients. • Participated in weekly supervision including individual, group and family supervision. • Attended trainings related to the workplace including CPI restraint training and basic lift support. PARENT EDUCATOR C . R. L Child Advocacy Resource and Education • July 2005 - June 2009 • Supervised visits between parents and their children who were in the foster care system or were court ordered for supervised visits. • Provided structured time to educate parents regarding parenting skills, lift skills, coping strategies, and other needs that arose. • Maintained communication bemeen CARE. the Department of Social Services. and other involved agencies. • Testified in court as needed. • Provided referrals and offered support resources. SUPPORT GROUP CO -LEADER North Colorado Aledical Center-I'srchCare Family Recover} Center • Alarch 2002 - September 2004 • Co -Facilitated a support group for women experiencing symptoms of post- partum depression. Provided case management and follow-up. Provided referrals and offered support resources. CLINICAL INTERN North Colorado A ledical Center-PsrchCare-Family Recovery Center • September 2001 -:Warr, 2002 • Facilitated psycho -education groups, co -facilitated therapy groups. and provided individual therapy for inpatients and outpatients involved in a partial hospitalization service and an intensive outpatient program. • Conducted behavioral health and substance abuse assessments and provided recommendations and referrals for treatment. Attended workshops and training to increase knowledge of assessment and intervention related to individual and group counseling. Developed individual treatment plans. Wyatt CLINICAL CARE ASSISTANT II ;vo, ih Range Behavioral Ileu//h-Children's Acute 1'reannent Unit S October 1997 - October 1999 • Supervised and provided therapeutic milieu environment for children ages 5-18 in an eight bed Residential Treatment Center. • Co -facilitated therapy groups. • Attended medication administration and restraint training. • Attended workshops to increase knowledge of assessment and intervention relevant to children and adolescents. FILE CLERK/RECEP'T'IONIST ( in o%Cmmnison i March / 996 - June 199' • Assisted City Clerk with records management. including general office work such as filing, typing. updating scrapbook. and operating office machines. • Assisted Court Clerk with processing parking tickets and general ordinance violations. Created and maintained an internet website. and provided computer assistance to other departments. • Maintained the records retention and disposition schedule, destroying past records, recording historical documents, and maintaining correspondence with the Colorado State Archives. • Performed customer service and public relations duties as assigned. • Served as an election judge for City Council elections. ASSISTANT COURT CLERK/POLICE INTERN Cin 0/Q/inn/son / March 199 --June 199' • Processed all paperwork corresponding to court cases using standard court forms and procedures. This includes the court docket, minute orders, statement of rights, trial settings, payment schedules, bench warrants, and subpoenas. • Assisted with arraignments and trials while observing bi-weekly court proceedings. interacting with customers of the court. including the judge. police officers. witnesses, clerks. attorneys. and case clients. Researched case files to obtain dispositions from the County Court and Municipal Court regarding out of date bench warrants, found property, and any uncleared cases. • Utilized the FORCE Computer System for data entry, organizing and updating the system. • Assisted in dispatch when needed, and directly observed police operations by riding with an officer on patrol. Wyatt 3 EDUCATION University of Northern Colorado. Greeley, Colorado Mosier of Arts • .lfar 2002 Major in Community Counseling Western State College of Colorado, Gunnison, Colorado Bachelor of Arts ' June 1997 Major in Psychology with a clinical/counseling emphasis. Minor in Sociology. Fort Morgan High School. Fort Morgan. Colorado Diploma • June 1993 VOLUNTEER EXPERIENCE President Gcdeton 1'olunteer Fire Protection District :1 a.ciliari Janunry 2012 December 2012 Secretary/Treasurer Gideon Volunteer Fire Protection District Au.ciliaiy May 2009 - May 2010 Married for Life Group Leader .1/art./age 1linistries International April 2006 -June 2007 Nursery/Preschool worker 17clorr Christian Fellowship September 200-1 - June 2006 Senior Partner - mentor for disadvantaged youth Gunnison Partners Inc. June 1996 - June /997 \V att 4 J PY-14-15-CPS-0055 EXHIBIT C SCOPE OF SERVICES 1. CONTRACTOR will provide Home Study and Relinquishment Counseling services to families referred by the Department. 2. CONTRACTOR utilizes the Structured Analysis Family Evaluation (SAFE) tool developed by the Consortium of Children. All staff completing studies under this contract are SAFE certified and appear on the State's approved home study vendor list. 3. CONTRACTOR will ensure that all staff conducting studies under this contract attend SAFE Refresher training during the term of the contract. 4. CONTRACTOR will ensure that all studies are completed utilizing the most up-to-date forms and templates as found on wwwronsortforkidc.org or www.SAFEhomestucy.o±,. 5. CONTRACTOR will complete a Department of Motor Vehicle background check at no additional charge. All CBI, FBI and LexisNexis background check information will be completed by the Department, unless otherwise directed by the Department. 6. CONTRACTOR will notify the Department within three days of receipt of a referral if the referral will be accepted and acted upon. 7. CONTRACTOR will submit a completed home study to the Department with their billing within 60 days of receipt of the home study referral. A complete home study will include the study in SAFE format, background check information, SAFE questionnaires completed by the applicants, references and all other original documents submitted by the home study applicant. 8. Relinquishment counseling services will be provided to all adult individuals referred by the Department, as well as associated children 12 years of age and older, utilizing the required State format. CONTRACTOR will submit a written report and the appropriate affidavits and interrogatories. 9. CONTRACTOR is bilingual (Spanish) 10. CONTRACTOR will document in detail any and all observed or verbalized concerns regarding any specific Weld County home. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Child abuse must be reported immediately per law. 1 PY-14-15-CPS-0055 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department 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 $1,000.00/Episode (Home Study within 30 miles of Greeley, 2 Adults) $250.00/Episode/Per Person (Each additional adult after two adults) $450.00/Episode (Home Study Update within 30 miles of Greeley) $70.00/Hour (Partial or Cancelled Home Study) $90.00/Hour (Relinquishment Counseling) $70.00/Hour (Court Staffing/Court Facilitation/Family Team Meeting/Team Decision Making Meeting) $ .54/Mile (After first 30 miles) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. 1 PY-14-15-CPS-0055 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 3W) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 Print Date: 10/17/2013 CIA Producer Branch Prefix 018098 970 HPG Named Insured and Address: Adelaida Campbell 904 49th Avenue Ct Greeley, CO 80634-1912 Medical Specialty: Licensed Professional Counselor HEALTHCARE PROVIDERS SERVICE ORGANIZATION PURCHASING GROUP Qertifirate of Jinsnranre OCCURENCE POLICY FORM Policy Number 0299197210 ®HPSO Hc,iri,carc Prnadc,, Swim Ow n,:eno.r Policy Period from 09/14/13 to 09/14/14 at 12:01 AM Standard Time Program Administered by: Healthcare Providers Service Organization 159 E. County Line Road Hatboro, PA 19040-1218 1-800-982-9491 www.hpso.com Code: Insurance is provided by: 80723 American Casualty Company of Reading, Pennsylvania 333 S. Wabash Avenue, Chicago, IL 60604 Professional Liability $1,000,000 each claim $ 5,000,000 aggregate Your professional liability limits shown above include the following: * Good Samaritan Liability * Malplacement Liability * Personal Injury Liability Sexual Misconduct Included in the PL limit shown above subject to $ 25,000 aggregate sublimit Coverage Extensions License Protection Defendant Expense Benefit Deposition Representation Assault Includes Workplace Violence Counseling Medical Payments First Aid Damage to Property of Others Information Privacy (HIPAA) Fines and Penalties General Liability General Liability Fire & Water Legal Liability Personal Liability Total: $ 312.00 S 25,000 $ 1,000 $ 10,000 $ 25,000 $ 25,000 $ 10,000 $ 10,000 $ 25,000 per proceeding per day limit per deposition per incident per person per incident per incident per incident S 25,000 5 25,000 $ 10,000 S 25,000 S 100,000 $ 10,000 $ 10,000 5 25,000 aggregate aggregate aggregate aggregate aggregate aggregate aggregate aggregate $1,000,000 each claim / $1,000,000 aggregate Included in the GL limit shown above subject to $250.000 aggregate sublimit $1,000,000 aggregate Base Premium $312.00 Premium reflects Self Employed , Part Time Policy Forms & Endorsements(Please see attached list for a general description of many common policy forms and endorsements.) G -121500-D GSL15565 G -121487-B G -121501-C GSL17101 GSL13424 G -121504-C G -145184-A G -147292-A GSL15563 GSL15564 G -123846-005 GSL3886 GSL3908 Chairman of the Board Secretary G-141241-8 (03/2010) Coverage Change Date: Keep this document in a safe place.tt and proof of payment are your proof of coverage. There is no coverage in force unless the premium is paid in full. In order to activate your coverage, please remit premium in full by the effective date of this Certificate of insurance. Master Policy # 188711433 Endorsement Change Date: POLICY FORMS & ENDORSEMENTS The list below contains general descriptions of the policy forms and endorsements that may or may not apply to your professional liability insurance policy. Please refer to your Certificate of Insurance for the policy forms & endorsements specific to your state and your policy period. Coverages, rates and limits may differ or may not be available in all states. All products and services are subject to change without notice. Think Green —expanded definitions and copies of these policy forms and endorsements are available online at www.hpso.com/policyforms COMMON POLICY FORMS & ENDORSEMENTS FORM # DESCRIPTION Common Policy Conditions Occurrence Policy Form Policyholder Notice - OFAC Compliance Notice Policyholder Notice - Silica, Mold & Asbestos Disclosure Information Privacy Coverage Endorsement HIPAA Fines, Penalties & Notification Costs Sexual Misconduct Sublimits of Liability Professional Liability & Sexual Misconduct Exclusion Healthcare Providers Professional Liability Assault Coverage Exclusion of Specified Activities Reuse of Parenteral Devices and Supplies Services to Animals Colorado Cancellation and Non -Renewal Coverage & Cap on Losses from Certified Acts Terrorism Notice - Offer of Terrorism Coverage & Disclosure of Premium G -121500-D G -121501-C G -145184-A G -147292-A GSL15563 GSL15564 GSL15565 GSL17101 GSL13424 G -123846-005 GSL3886 GSL3908 OPTIONAL ENDORSEMENTS FORM # G -121487-B G -121504-C DESCRIPTION Amendment to Certificate General Liability Form PLEASE REFER TO YOUR CERTIFICATE OF INSURANCE FOR THE POLICY FORMS & ENDORSEMENTS SPECIFIC TO YOUR STATE AND YOUR POLICY PERIOD. For NJ residents: For KY residents: For WV residents For FL residents: The PLIGA surcharge shown on the Certificate of Insurance is the NJ Property & Liability Insurance Guaranty Association. The Surcharge shown on the Certificate of Insurance is the KY Firefighters and Law Enforcement Foundation Program Fund and the KY LGPT is the KY Local Government Premium Tax which includes charges at a municipality and/or county level. The surcharge shown on the Certificate of Insurance is the WV Premium Surcharge. The FIGA Assessment shown on the Certificate of Insurance is the FL Insurance Guaranty Association - 2012 Regular Assessment. Form#:G-141241-B (03/2010) Named Insured:Adelaida Campbell Master Policy#: 188711433 Policy#: 0299197210 ®HPSO Healthcare Providers Service Oripni:ation— March 20, 2014 Adelaida Campbell 904 40th Avenue CT Greeley, CO 80634 War Adelaida Campbell. 159 East County Line Road • Hatboro, PA 19040-1218 1-800-982-9491 • Fax I-800-739-8818 • wuw.hpso.uam RE: Policy No: 299197210 Thank you for your recent inquiry to Healthcare Providers Service Organization. yourpolicy requires a wrinen coufitination in order to ho completed. Please take return it in the provided self-addressed stamped envelope. Once we process your Certilicale of Insurance to reflect your current coverage change. If one of our Service Associates can assist you further, please call us toll free at t 24 hours a day, seven days a week on the Internet at www.hpso.cont. Sincerely, Robert Harris Healthcare Providers Service Organization Enclosure HCS-125 COVERAGE CHANGE REQUEST Policy Num ber: N-299197210 Requested coverage change effective cats ,3IN Please rovNle a descdp ton of your quested coverage change; I f7 / 1� � 4,✓AL1 � "+-� 74 sweeer� i0 5 cU' d_ :SU-Lt--b-�l-h`�F127CCL{-C11,� LG ¶0 The coverage change you requested on a moment to complete this request and request. we will send you' an updated _800-982-9491. You may also contact us — ;7 Adelaida Campbell r✓ia s� S.?{/�efPS Date Signature Dedicated To S1rving The Insurance Needs of Healeheare 1'rovidw v - in MN and Healkart Providcn Scrvtcc Orgmmwo't l>' division of Affmny tnamwvx Smios , Inc.; in NY and NH, MS Allinity Insurance Agency; UK. MS Affinity!mut-ante Agency. Inc.; in CA. AIS Affinity Insurance Agency, Inc. db• Aon Direct Group Insurance Admtmstntors License 100795465. and In WA, MS Insurance Agency. In FL, we are not an unaffiliated or independent not-for-pmfit entity. Affinity Insurance Services, Inc. is the program edmLismtor for the insurer underwriting the policy. 'foist Risk Management Smites. Inc. (TI1Mc) March 19. 2014 Dr. Scott Campbell 904 49Th Avenue Ct Greeley. CO 80634 1912 • 179t Paycpl rcCede. Chicago. n.60674 Phone(S71)63.g70(1 a FAN (577)?�1.51I1 RE: Your Trust Endorsed Comprehensive Business Office Insurance Quote Request ID # A7-141423 Effective Date' 03/17/2014 Annual Premium: $376.00 Quotation Valid Until: April 18, 2014 Dear Dr. Scott Campbell: Thank you for your support of the Trust Endorsed Comprehensive Business Office Insurance Program. Enclosed is your Quote Proposal for this coverage. Please note the annual prernium includes terrorism coverage as required by law. If you wish to reject the coverage for certified acts of terrorism, please sign the last page of the proposal and return it to us with your order to bind this coverage. ACCEPTANCE: To accep this proposal, please sign, date and return this letter and the appropriate premium in the enclosed envelop o our office by the date listed above. ✓ ic/�� 2 /� ° ( Ll Sign reofDr"Scott aam'plotll I Date pBF Pay full annual premium of 5376.I 0. Please return a signed copy of this lett4 along with the requested premium by April 03. 2014 in one of the following methods: 1. Fax a signed copy of this letter to our customer service center at 1.877.251.5111 indicating your credit card Information at (tie bottom of this letter. 2. Remit a check made payable to Trust Risk Management Services, Inc. (TRMS), along with a signed copy of this letter to: Trust Risk Management Services, Inc 1791 Paysphere Circle Chicago. IL 60674 Thank you for your prompt attention to this (natter. Should you have any questions regarding this correspondence, or for additional information regarding further ttlerrtbership benefits and other membership insurance options, please be sure to contact us at 1.877.637.9700. Our professional staff is available to assist you Monday -Thursday 8:00am-8:00pm (cst) & Friday 8:00am-5:00lbm (csl) or visit our website at www.apait.org. You may also email us your questions at info r._i trustmfs.com Sincerely, Trust Risk Management Services, Inc. doin business in CO as Potomac Risk Management Services, Inc. 801 Fax . I Mb'T (X71-05,, In' .a• 1'a 1o.i 1; ACE American Insurance Company 1'$UAL H NUMat1i--- 1.273805_,-- Psychologists' Professional Liability Claims Made insurance Policy Declarations 1E OF ISaJE T Jar u y , 2014 PSYCHOLOGISTS' PROFESSIONAL LIABILITY INSURANCE POLICY THIS POLICY/CERTIFICATE IS ISSUED IN ASSOCIATION WITH THE PSYCHOLOOISTS PURCHASING GROUP ASSOCIATION clam POLICY/CERTIFICATE NUMBER: 58626110907 1. Named Insured: Address: City. State & Zip Code: Dr. Scott Campbell 904 49Th Avenue et Greeley. CO 80634 1912 2 Policy Period: From: 01/0612014 To: 01/06/2015 1101 AM. ixai time at the s id.esS shown In Yam 1. g COVERAGE LIMITS OF UABIUTY PREMIUM 5159.00 S35 00 . Profeeaionel Liabllty Wrongful Employment Practices $1,000,000 Each Incident 1 $3,000,000 Aggregate $5,000 Aggregate REIMBURSEMENTS LiCensir g Board Defense Other Governmental Regulatory Body Defense Deposition Expense Premises Medical Payment Assault and/or Battery Loss of Earnings $25,000 per Proceeding $7,500 per Proceeding $5,000 tier Inured 12.500 per Person $500 per Day, per Insured 175,000 Aggregate $1,000 Aggregate Aggregate Per Incident ��.S1��5,000 Sl^W�y"i^^7e(s) Total Premium $194.00 4. Retroactive Date 01/06/2014 S. This polny is made and accepted subject to the printed conditions in tine policy together with the provisions, stipulations and agreements contained in the following farm(a) or endorsement(s), PF15215a, PF15217a, CC-1K11g (01/11), PF15245a, ALL22308 , PF15742a, FF17914 (02105), 6. Noticed claim should be sent to: Trust Risk Management Services, Inc. 181 W Madison St Ste 2900 Chicago, IL 60602 An other c ornispondence should be sent to: Trust Risk Management Services, Inc. 1791 Paysphere Circle Chicago, IL 60674 REPRESENTATIVE: Agent or broker: Office address city, state, Zip Website: Phone: Trust Riak Management Services, Inc. doing Mansions in CO sa r'otornec Risk Management Services, inc. 1791 Paysphere Circle Chicagn, IL 80674 wwr, apait org 1577.637.9100 __._ 7. Trust Endorsed Business Office Insurance Policy �C�AL t ..aft+hcll' n��'LI.C:rthtdtilldtutl::cL, ll;<,..,u:t,clm_ .:0111 I ri ;; I .'.+!I I 1 `;' I•\1 :ldclairla i .rnithi:Il ' u+.k.tic.c;uttttl . Il a milc.L.m"c:ounelin;!.c;;m :. From: info@trustrnts.com <inI @trustrms.com> Sent: Friday, March 21, 2014 1:33 PM To: Scott Campbell Subject: Trust Endorsed Business Office Insurance Policy Drawer: APBO File\o: A7-I4I423 Dr. Campbell. 'Thank you for your support of the Trust Endorsed Business Office Insurance Policy. We have received your inquiry submitted via e-mail. We have received the request to add the Additional Insured. The premium due includes the Additional Insured. Should you have any additional questions. please do not hesitate to contact us at I -877-637-9700. Our licensed professional staff is available to assist you Monday through "Thursday 8:00 am to 6:00 pm and Friday 8:00 am to 5:00 pm CST. Regards, Trust Risk Management Services Quote Number ellitle. 075333 .91Commercial General Liability Coverage Part Supplemental Declarations ACE American Insurance Company Named Insured SCOTT CA.A1P3ELL Effective Date: 03 1 /-2014 12:01 A.M. Standard Limo Agent Nacre TPC'ST DISK MANA3Ft1?NT SERVICES INC 33A TRMS INSUPA Agent No. 778988 Item 1. Business Description: Item 2. Limits of Insurance Coverage Limit of Liability Aggregate Limits of Liability Products/Completed S 2,000,000 Operations Aggregate $ 2,000,000 General Aggregate (other Man Products/Completed Oprratons) Coverage A —Bodily Injury and Property Damage Liability Damage To Premises Rented To You $ 1,000,000 any one occurrenccsubjectto the Producisi Completed Operations and General Aggregate Limits of Liability any one premises subject to the Coverage A occurrence and the $ 1,000,000 General Aggregate Limits 01 Liability Coverage B - Personal and Advertising Injury I lability any one person or organization subject to the General Aggregate $ 1, 000, 000 Limits of Liability Coverage C —Medical Payments any one person subject to the Coverage A occurrence and the $ 10, 000 General Aggregate Limits of Liability Itern3. Retroactive Date (Not Applicable In New Yofk) This Insurance does not apply to 'bodily injury", "property damage" or "personal and advertising injury" which occurs before the Retroactive Date, it any, shown here: !Eater Date o' "None' it no Peboaceve Date app lest Item Q Form of Business and Location of Premises Forms of Business: INDIVTI)CAI, Location of All Premises You Own, Rent or Cocupy' See Schedule of Location Items. Form and Endorsements Form(s) and Endorsement(s) made a part of this pa See Schedule of Forms and Endorsements' icy at time of issue: Item 6. Premiums Coverage Part Premium: $ 161.00 Other Premium: Iota Premium: $ 161.00 Audit Period III Applicable) 1X ! Waived ! 1, Annually ) ( Semi -Annually I I Quarterly I I Monthly L D-24638 i0 f /08; sole Piop.ku1 Quote Number 075033-01 SCHEDULE OF FORMS AND ENDORSEMENTS ACE American Insurance Company Named Insured SCOTT CAMPBELL Agent Name TRUST RISK MANAGEMENT Agent No 278988 Effective Dale: 03-17- I 1, 12:01 A.M., Standard Time SERVICES INC DEA TENS INSURE COMMON POLICY FORMS AND ALL -20087 ALT_ -22368 IL P 001 ALI-24544A ALL -24624Q AT.L-24625 ALL -24626Q CC1K11G IL 00 17 TL 00 21 IL 01 25 IL Cl 69 IL 02 28 ALL -21101 IL 09 35 IL 09 95 IL 09 99 TR-19604C TR-41203 ENDORSEMENTS 10-06 ACE PRODUCER COMO PRACTICES & POLICIES 06-07 COLORADO FRAUD STATEMENT 01-04 US TREASURY DEPT'S OFAC ADVISORY NOTICE 05-11 INSURANCE PROPOSAL 01-08 COMMON POLICY DECLARATIONS -QUOTE 01.08 SCHEDULE OF LOCATIONS 01-08 SCHEDULE OF FORMS AND ENDTS - QUOTE 01-I1 SIGNATURES 11-98 COMMON POLICY CONDITIONS 09-08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDT 11-13 COLORADO CHANCES - CIVIL UNION 09-07 CO CHANCES -CONCEALMENT, MISREP- OR FRAUD 09-07 COLORADO CHANGES-CANC & NONRENEWAL 11-06 TRADE OR ECONOMIC SANCTIONS ENDORSE 07-02 EXCL OF CERTAIN COMPUTER- RELATED LOSSES 01-07 COND EXCL-TERROR (REL TO DISP/FED TRIA) 01-07 DISC OF PREM/EST PREM CERT ACTS/TERR COV 01-3S NOTICE OF TERRORISM INS COVERAGE 09-13 RESTRICTIONS OF TERRORISM COVERAGE PROPERTY FORMS AND ENDORSEMEN FA -24633 CP 30 10 CP 30 30 CF 00 90 CP 31 43 C? 10 33 FA -23314 FA -23321A 01-08 10-12 10-12 07-88 27. 06 10-12 O9--07 12-09 GENERAL LIABILITY FORMS AND E LD-24638 01-08 GC 00 01 04-13 CO 21 87 01-07 CO 20 26 04-13 CO 21 47 12-01 CO 21 67 12-04 CG 22 44 04-13 LD T�-3R16 03-87 LD-4S35 06-92 LO -6575A 07-97 COMM PROPERTY COV PART EXT OF SUPP DEC BUILDING & PERSONAL PROPERTY COVERAGE BUSINESS INCOME COVERAGE (&/EX EXP) COMMERCIAL PROPERTY CONDITIONS EXCL OF LOSS DUE TO VIRUS OR BACTERTA CAUSES OF LOSS - SPECIAL FORM BUS INCM/EXTRA EXP ACTL LOSS SUSTAINED SMALL BUSINESS PROPERTY EXTENSIONS IDORSEMENTS COMM GENERAL LIABILITY COVERAGE SUP? DEC COMMERCIAL GENERAL LIABILITY COV FORM COND EXCL-TEER (DISP/FED TRIA ACT) ADDL INSD-DESIGNATED PERSON/ORGANIZATION EMPLOYMENT -RELATED PRACTICES EXCLUSION FUNGI OR BACTERIA EXCLUSION EXCL - HEALTH CARE PROVIDER SERVICES EXCLUSION - ASBESTOS EXCLUSION - LEAD POLLUTION EXCL - HOSTILE FIRE EXCEPTION ALL -24626Q (01/08) aoe v,:xnrai PRODUCER I BRANCH 018098 970 Named Insured HEALTHCARE PROVIDERS SERVICE ORGANIZATION PURCHASING GROUP PREFIX HPG Certificate of 3Sit5turantc OCCURRENCE POLICY FORM POLICY NUMBER 0589835486-8 Jill Wyatt 38493 County Road 51 Eaton, CO 80615-9513 Medical Specialty Mental I lealth Counselor Professional Liability Your p'ertsyiunul :,aUd ty a.ove nclude the `u.luw•ina: • Good Samaritan Liability • Malplacement Liability Code 80723 PSO Policy Period: From 11/19/13 to 11/19/14 at 12:01 AM Standard Time Program Administered by: Healthcare Providers Service Organization 159 E. County Line Road Hatboro, PA 19040.1218 1-800-982-9491 www.hpso.com Insurance is provided by: American Casualty Company of Reading, Pennsylvania 333 South Wabash Avenue Chicago, Illinois 60604 $1,000.000 each claim S5,000.000 aggregate • Persona! Injury Liability • Sexual Misconduct included in the PL Limit shown above subject to $25,000 aggregate sublimit Coverage Extensions License Protection Defendant Expense Benefit Deposition Representation Assault inc,uc es Workplace Vmren_e Counseling Medical Payments First Aid Damage to Property of Others Information Privacy (HIPAA) Fines & Penalties Workplace Liability Workplace Liability Fire and Water Legal Liability Personal Liability Total: $162.00 $ S $ $ S S $ 25,000 per proceeding 1,000 per day limit 10,000 per deposition 25,000 per incident 25,000 per person 10,000 per incident 10,000 per incident 25,000 per incident S 25,000 aggregate S 25,000 aggregate $ 10,000 aggregate $ 25,000 aggregate S 100,000 aggregate S 10,000 aggregate S 10,000 aggregate $ 25,000 aggregate Included in Professional Liability Limit shown above Included in the PL limit above subject to 5150,000 aggregate sublimit S1,000,000 aggregate Premium reflects self-employed, part-time rate Policy Forms & Endorsements (Please see attached Ist `or a general description of many Gommon policy torms arc endorsements.) G -121500-D G -121501-C G -121503-C G -145184-A G -147292-A GSL3886 GSL3908 GSL13424 GSL15563 GSL15564 GSL15565 GSL17101 G -123846-005 Chairman of the Board Secretary Keep this Certificate of insurance in a safe place. This Certificate of Insurance and proof of payment are your proof of coverage. There is no coverage in force unless the premium is paid in ;till. In order to activate your coverage. please remit prernium in full by the effective date of this Certificate of Insurance. Form #: G-141241-8 (3/2010) Master Policy: 188711433 -,I' ,, _'i i' cC .CC•`I is 3f. INSURANCE LLC March 21, 2014 Re: Lifeways Counseling LLC To Whom It May Concern: We will be able to insure Lifeways Counseling LLC and do have a proposal back from company. We will bind as soon as she lets us know if this is acceptable to her. Steve Baer, Agent P.O. Box 369 506 Central Ave. Wiggins, CO 80654 Phone: 970-483-6471 Fax: 970-483-7739 baerins@rtebb.net Liberty Mutual. INSURANCE COMMERCIAL INSURANCE PROPOSAL PREPARED FOR: Account Number: 56042149 LIFEWAYS COUNSELING LLC PRESENTED BY: FARMERS UNION SERVICE ASSN DATE OF PROPOSAL: 03/21/2014 POLICY PERIOD: EFFECTIVE DATE: 03/21/2014 EXPIRATION DATE: 03/21/2015 QUOTE NUMBERS INCLUDED Commercial Protector (BOP) 156042149BZS 1 Q 1 *This proposal is valid for 60 days from the Date of Proposal or until the Effective Date (whichever is earlier) and is solely an estimate of premium, based on the information provided, and all amounts are subject to change. This proposal does not bind or provide actual coverage and is not an offer of insurance. Specific terms of coverage, exclusions, and limitations are contained solely in a completed insurance policy for which a premium has been paid. This proposal may vary from your original request for coverage. Please review the proposal carefully for any variances. The terms, conditions and premiums included in this proposal contemplate the sale or renewal of all the quoted insurance lines. Electing to buy or renew only some of the lines of coverage may result in changes to the terms, conditions and premiums of the remaining insurance lines. Liberty Mutual Insurance is the marketing name for the property and casualty insurance operations of Liberty Mutual Insurance Company and its' affiliates. Policies may be written in the following stock insurance company subsidiaries: The Ohio Casualty Insurance Company, Ohio Security Insurance Company, American Fire & Casualty Company, and West American Insurance Company. Not all coverages or policies may be available in all states. COMMERCIAL INSURANCE PROPOSAL - PREMIUM RECAP TOTAL COMMERCIAL PROTECTOR (BOP) PREMIUM $500.00 CERTIFIED ACTS OF TERRORISM COVERAGE:* COMMERCIAL PROTECTOR (BOP) £0.00 STATE CHARGES: COMMERCIAL PROTECTOR (BOP) BALANCE TO MEET MINIMUM PREMIUM(S): 5418.00 TOTAL PROPOSAL PREMIUM: ** 5500.00 **NOTE: ACCOUNT ACCEPTABILITY AND FINAL PREMIUM ARE SUBJECT TO UNDERWRITING REVIEW AND A I'PROVAL. *NP 72 42 Terrorism Insurance Premium Disclosure and Opportunity to Reject: This quote includes coverage for Certified Acts of Terrorism (as defined in the Terrorism Risk Insurance Act ("TRIA")) for the lines of business referenced above with a premium charge. You may elect to reject this coverage for any Commercial Property, General Liability, Inland Marine, Commercial Protector (BOP); or Umbrella for losses resulting from a "certified act of terrorism" according to the instructions included within this document Should you elect to reject this coverage, we will process an endorsement to your policy upon receipt of the signed rejection form. Note this disclosure notice and rejection option does not apply to Workers Compensation, Crime, Professional Liability or Commercial auto coverage, if included in this quote. Please refer to the enclosed notice for additional information regarding this act, its effect regarding your policy coverage, and its impact on your premium. Additional Note: The Certified Acts of Terrorism Coverage does not apply for any Commercial Auto, burglary and theft (i.e. Commercial Crime), or professional liability coverages quoted and a premium charge has not been included for these lines of business. COMMERCIAL GENERAL LIABILITY PROPOSAL LIABILITY LIMITS OF INSURANCE: Liability $1,000,000 Liability and Medical Expenses - Occurrence Medical Expenses $15,000 (Any One Person) Broadened Coverage For Damage To Premises $1,000,000 Rented 'l'o You AGGREGATE LIMITS OF INSURANCE: Products -Completed Operations Other Than Products -Completed Operations $2,000,000 S2,000,000 OPTIONAL LIABILITY COVERAGES - POLICY LEVEL: Employment Practices Liability LIMIT OF INSURANCE 510,000 Aggregate Limit Deductible S 5.000 PROPERTY PROPOSAL OPTIONAL COVERAGE - POLICY LEVEL: EXTENSION ENDORSEMENT: Businessowners Extension Endorsement LIMIT OF INSURANCE: See Endorsement OTHER POLICY LEVEL OPTIONAL COVERAGES: Business Income Changes — 24 Hour Waiting Period Identity Recovery Coverage for Defined Individuals Expense Reimbursement Annual Aggregate Expense Reimbursement Deductible Case Management Service Included $25,000 $250 Included LOCATION NUMBER: ADDRESS: 832 W Eisenhower Blvd Ste C, Loveland, CO 80537 PROPERTY LIMITS OF INSURANCE: BUSINESS PERSONAL PROPERTY: S10,000 Valuation RC Automatic Increase - BPP: 0% Deductible $500 Equipment Breakdown Included OPTIONAL COVERAGE - LOCATION LEVEL -LIMIT OF INSURANCE Spoilage S5,000 BUSINESSOWNERS SPECIAL PROPERTY COVERAGE FORM INCLUDES: ADDITIONAL COVERAGES - TIME ELEMENT: LIMIT OF INSURANCE: Business Income 12 consecutive months - Actual Loss Sustained Extended Business Income 30 consecutive days Business Income From Dependent Properties S5,000 Extra Expense 12 consecutive months Civil Authority 3 consecutive weeks ADDITIONAL COVERAGES - OTHER THAN TIME ELEMENT: Debris Removal S 10,000 Preservation of Property 30 days Fire Department Service Charge $2,500 Collapse _ Included Water Damage, Other Liquids, Powder or Molten Material Damage Included Pollutant Clean Up and Removal S 10,000 annual aggregate Money Orders and Counterfeit Paper S1,000 Forgery or Alteration S2,500 Increased Cost of Construction S 10,000 Glass Expenses Included �~ Fire Extinguisher Systems Recharge Expense $5,000 Electronic Data SI0,000 Interruption of Computer Operations S 10.000 Limited Coverage For "Fungi", Wet Rot, Dry Rot And Bacteria S15,000 COVERAGE EXTENSIONS: Newly Acquired or Constructed Property _ Buildings $250,000 - 30 days _ Business Personal Property S 100,000 - 30 days _ Personal Property Off Premises (Including While In Transit) S10,000 Outdoor Property S2,500 ($500 per tree , plant or shrub) Personal Effects $2,500 at each described premises Valuable Papers and Records(Other Than Accts Receivable) $10,000 at each described premises $5.000 at premises not described Accounts Receivable $10,000 at the described premises $5,000 at premises not described BUSINESSOWNERS EXTENSION ENDORSEMENT INCLUDES: '1f limits are increased, the coverage and increased limit appear in the Optional Coverage section for the location where the coverage is increased (When Employee Dishonesty is increased, it appears in the Policy Level Optional Coverage section. Premium Charge ss.00 Accounts Receivable $35,000 on/5,000 off Amendment Loss Payment Provision Amendment of Limitation Removes coinsurance and property of others provisions See Below Fragile Articles Limitation S5,000 All Covered Causes of Loss Brands and Labels Included in Business Personal Property Limit Business Income From Dependent Property $50,000 or 30 Days Actual Loss Sustained Business Income - Newly Acquired Locations S250,000 at each Newly Acquired Premises/60 days Business Income -Ordinary Payroll Expense Removes the 60 day limitation Business Personal Property Legal Liability requirement deleted, covered within 1,000 feet of premises Business Personal Property - Seasonal Increase 33% Cellular Phones - Coverage $1,000 Computer Equipment $25,000 Consequential Loss to Stock Included in Business Personal Property Limit Debris Removal $25,000 Deductible See endorsement for Deductibles for specific coverages Deductible - Cellular Phones $50 Definitions See Below _ Fine Arts Definition is added, see endorsement Period of Restoration The ending time is clarified, see endorsement Electronic Data $25,000 Employee Dishonesty $25,000 - Employee 'fools $25,000 ERISA Fine Arts None S 10,000 Fire Department Service Charge Fire Extinguisher Recharge Expense $15,000 $15,000 Forgery or Alteration Glass $25,000 or follows Employee Dishonesty Limit Includes damage to glass, encasing frames, lettering, and ornamentation Increased Cost of Construction See Ordinance or Law Coverage Leased Building Property Limits of Insurance $5,000 See Endorsement for Coverages that have limits in addition to the Limits of Insurance Lock Replacement Actual Loss Sustained Loss Adjustment Expenses Money and Securities Money and Securities $5,000 S 10,000 on premises Money Orders and Counterfeit Money Newly Acquired or Constructed Property Building Business Personal Property S5,000 off premises $10,000 See Below $1,000,000 up to 180 days $500,000 up to 180 days Off Premises Power Failure Ordinance or Law Outdoor Property S25,000/24 hours Loss to the Undamaged Property - Included, $150,000 Demolition Cost and Increased Cost of Construction All covered causes of loss Fences, Retaining Walls: Radio and TV Antennas S25,000 aggregate Trees and Shrubs SI,000 each tree, shrub or plant Outdoor Signs $25,000 Occurrence Personal Effects S15,000 Personal Property Off Premises S25,000 j Preservation of Property 60 days Property Not Covered Stained Glass Reward S10,000 Sales Samples None Undamaged Tenant Improvements and Betterments See Below Coverage Covered as Business Personal Property Loss Payment Valuation, See Endorsement Valuable Papers and Records 525,000 on/ 10,000 off Water Back-up and Sump Overflow 525,000 LIABILITY EXTENSION ENDORSEMENT INCLUDES: COVERAGE DESCRIPTION: REVISED LIMITS OF INSURANCE: Aggregate Limits Aggregate limits apply separately to each location and each project. Amendment of Insured Contract Definition Includes anyone as an additional insured the named insured has a writen contract for rental or lease of premises or whom the insured is doing work. Bail Bonds Supplementary Payments for cost of Bail Bonds are increased from 51000 up to 53,000. Blanket Additional Insureds (Owners, Contractors or Lessors) Includes persons or organizations agreed to by written contract, for liability arising from ongoing operations, or premises of the named insured. Bodily Injury Redefined Includes bodily injury, sickness, disease, or incidental medical malpractice injury, including death resulting from any of these at any time. Broadened Coverage for Damage to Premises Rented to You Extends coverage to the named insured for damage to, rented or temporarily occupied premises. Duties in the Event of occurrence, Offense, Claim or Suit Provision only considered breached if known to insured or "employee" authorized by the insured, to give or receive notice of "occurrence" or "claim". Incidental Medical Malpractice Included Loss of Earnings Supplementary Payments for actual loss of earnings are included up to S500, increased from 5250 per day, because of time off from work. Mobile Equipment Who Is An Insured includes any person driving "mobile equipment" with the insured's permission. Newly Form or Acquired Organizations Who is an Insured includes Newly Formed or Acquired Organizations. Personal And Advertising Injury Abuse of process is included in the definition of malicious prosecution. TERRORISM INSURANCE PREMIUM NOTICE This notice contains important information about the Terrorism Risk Insurance Act and its effect on your policy. Please read it carefully. THE TERRORISM RISK INSURANCE ACT The Terrorism Risk Insurance Act, including all amendments ("TRIG" or the "Act'), establishes a program to spread the risk of catastrophic losses from certain acts of terrorism between insurers and the federal government. If an individual insurer's losses from a "certified act of terrorism" exceed a specified deductible amount, the government will reimburse the insurer for S5% of losses paid in excess of the deductible, but only if aggregate industry losses from such an act exceed S100 million. An insurer that has met its insurer deductible is not liable for any portion of losses in excess of S100 billion per year. Similarly, the federal government is not liable for any losses covered by the Act that exceed this amount. If aggregate insured losses exceed 5100 billion, losses up to that amount may be pro- rated, as determined by the Secretary of the Treasury. MANDATORY OFFER OF COVERAGE FOR "CERTIFIED ACTS OF TERRORISM" AND DISCLOSURE OF PREMIUM TRIA requires insurers to make coverage available for any loss that occurs within the United States (or outside of the U.S. in the case of U.S. missions and certain air carriers and vessels), results from a "certified act of terrorism" AND that is otherwise covered under your policy. A "certified act of terrorism" means Any act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State, and the Attorney General of the United States (i) to be an act of terrorism; (ii) to be a violent act or an act that is dangerous to — (1) human life; (II) property; or (Ill) infrastructure; (iii) to have resulted in damage within the United States, or outside of the United States in the case of (I) an air carrier (as defined in section 40102 of title 49, United States Code) or United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States): or (II) the premises of a United States mission; and (iv) to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. REJECTING TERRORISM INSURANCE COVERAGE - WHAT YOU MUST DO We have included in your policy coverage for losses from "certified acts of terrorism" as defined above. THE PREMIUM CHARGE FOR THIS COVERAGE APPEARS ON THE DECLARATIONS PAGE OF THE POLICY AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. IF YOU CHOOSE TO REJECT THIS COVERAGE , PLEASE CHECK THE BOX BELOW, SIGN THE ACKNOWLEDGMENT, AND RETURN THIS FORM TO THE ADDRESS BELOW: Please ensure any rejection is received within thirty(30) days of the effective date of your policy. 1 hereby reject this offer of coverage. I understand that by rejecting this offer, I will have no coverage for losses arising from a "certified acts of terrorism" and my policy will be endorsed accordingly. Policyholder/Applicant's Signature Print Name Date Signed Named Insured: LIFEWAYS COUNSELING LLC Policy Number: 56042149 Effective Date: 03/21/2014 Expiration Date: 03/21/2015 IF YOU REJECTED THIS COVERAGE, PLEASE RETURN THIS FORM TO: Attn: Commercial Lines Division - Terrorism P.O. Box 188060 Fairfield, O1-145018 NOTE:Certain states (currently CA, GA, IA, IL, MA, ME, MO, NY, NC, NJ, OR, RI, WA, and WI) mandate coverage for loss caused by fire following a "certified act of terrorism" in certain types of insurance policies. If you reject TRIA coverage in these states on those policies, you will not be charged any additional premium for that state mandated coverage. The summary of the Act and the coverage under your policy contained in this notice is necessarily general in nature. Your policy contains specific terms, definitions, exclusions and conditions. In case of any conflict, your policy language will control the resolution of all coverage questions. Please read your policy carefully. If you have any questions regarding this notice, please contact your agent. NP 72 42 01 08 IMPORTANT NOTICE REGARDING THE EXPIRATION OF THE TERRORISM RISK INSURANCE ACT AND THE REDUCTION IN COVERAGE FOR TERRORISM LOSSES PLEASE READ THIS NOTICE CAREFULLY Dear Applicant: This is to notify you of a reduction in coverage for terrorism losses under your insurance policy when the Terrorism Risk Insurance Act ("TRIA") expires, which is scheduled to occur on December 31, 2014. This notice DOES NOT apply to Workers Compensation insurance. TRIA, as amended, is a temporary program that spreads losses from government "certified" acts of terrorism between insurers and the federal government. In summary, TRIA requires insurers to make coverage for "certified acts of terrorism" available, and to pay losses from "certified acts of terrorism" up to a deductible amount. If an individual insurer's losses exceed this amount, the government will reimburse the insurer for 85% or losses paid in excess of the deductible. Policyholders have the option to accept or reject this coverage. TRIA will expire on December 31, 2014, unless Congress and the President act to extend it. Otherwise, after 2014, the federal government will no longer "certify" acts of terrorism or reimburse losses caused by "certified acts of terrorism." If you purchase coverage for "certified acts of terrorism," and TRIA expires on or after December 31, 2014, your insurance coverage will be reduced. After the date TRIA expires, where permitted by state law, you will no longer have insurance for losses from acts of terrorism that directly or indirectly involve nuclear or radioactive agents or materials, or pathogenic or poisonous biological or chemical agents or materials ("NBCR").* If you elect not to purchase coverage for "certified acts of terrorism;" and TRIA expires on or after December 31, 2014, losses caused by any terrorist act will be excluded from your policy, where permitted by state law. If you have questions regarding this notice, please discuss them with your agent or broker.* Thank you for considering Liberty Mutual Insurance. `Some states, including New York and Florida, may not approve or allow the use of certain exclusions related to acts of terrorism. Therefore, exclusions for losses caused by acts of terrorism may not apply in all states. PY-14-15-CORE-0224 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MOUNT SAINT VINCENT HOME This Agreement, made and entered into they day of, e4 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 Mount Saint Vincent Home, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for 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 June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CORE-0224 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" of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7" of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. S. 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 2 PY-14-15-CORE-0224 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services, and Exhibit D, Payment Schedule. a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0224 - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. 4 PY-14-15-CORE-0224 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101, et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contactor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0224 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. 6 PY-14-15-CORE-0224 Hi. 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. 7 PY-14-15-CORE-0224 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. Certificaton Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 8 PY-14-15-CORE-0224 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Megan Cook, Associate Clinical Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Megan Cook, LCSW, Associate Clinical Director 4159 Lowell Boulevard Denver, CO 80211 1303-458-7220 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. 9 PY-14-15-CORE-0224 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. Terminat on This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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, director 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 10 PY-14-15-CORE-0224 opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if and t findings have not been resolved after a seven (71 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. 11 PY-14-15-CORE-0224 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CORE-0224 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 covenantor default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CORE-0224 35, Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred ay or on its own behalf. 14 PY-14-15-CORE-0224 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: �J.4GG0s!/1J ..ck; Weld County Clerk to the Board By: APPftQ3IED AS TO /' rodlikity Attorney latd De uty Clerk to the Board WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: 15 BOARD OF COUNTY COMMISSIONERS WELD COUNTY,CalIDRADO Dougla Rademacher, Chair SEP 1 51014 MOUNT SAINT VINCENT HOME By: Megan pdok, Associate Clinical 'rector EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAI. Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK'. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal. inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area :Definition z4` : Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND <CONTRACTOR1n This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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. Contactor 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. Contactor acknowledges that any and all modifications to an existing referral must be approved 1 Bid No. B1400069 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. d. Contractor agrees to submit a monthly report with the billing statement by the 7`° of the month following the month of service for each client receiving ongoing services. One-time services will be verifed 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulaton, 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 deried 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 3 Bid No. 81400069 - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State .aws 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101, et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102)2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contactor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) Combined single limit - $500,000.00 written on an occurrence basis. Additional insurance required if claims reduce the annual aggregate below $500,000.00. Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. c Certificate of Insurance to be provided to Weld County. Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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. Trainin 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 6 Bid No. B1400069 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 Departmen: 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName», «Addressl», «Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. 81400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director uSigFName» «SigLNamea, «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta(Wweldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK}. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. 1. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. 81400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B14OO069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 MOUfT? -`:✓�i SAINT 1:. VINCENT N.' 1 :1, Rrrun„'. Bi'f h r March 20, 2014 EXHIBIT CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL Tobi Vegter Weld County Department of Social Services 315B N. 11th Avenue Greeley, CO 80632 Dear Tobi, Mount St. Vincent (MSV) is submitting a proposal to provide Day Treatment services to Weld County residents. MSV has been providing Day Treatment Services for 25 years and has worked with Weld County for many of those years. The Day Treatment program is managed by a Licensed Clinical Social Worker and our School Director, along with 2 direct supervisors who have several years of experience in the Day Treatment setting. The Day Treatment services will be provided at our main campus, 4159 Lowell Blvd, Denver, 80211. The hours of service are Monday through Friday, 7:30 am to 3:30 pm, year round. Services are available to children, ages 5-13. The Day Treatment program is accredited by the Council on Accreditation within a school that is accredited by North Central. The program is licensed by the Colorado Department of 1-luman Services State Child Care Licensing. Mount St. Vincent's is one of only a handful of agencies in the world to partner with the Child Trauma Academy in the use of the Neurosequential Model of Therapeutics. All of our staff is trained in this trauma informed treatment developed by Dr. Bruce Perry. We look forward to continuing to partner with the Department of Human Services to provide this service to the residents of Weld County. If you require further information or have questions, please contact me. I may be reached at 303.458.7220 x 259. Sincerely, Megan Gook, LCSW Associate Clinical Director 4159 Lowell Boulevard I Denver, CO 80211-1658 P: 303-458-7220 l F: 303-477-7559 l www.rnsvhome.org Mount St. Vincent Request for Proposal Bid No. 81400069 Scope of Service Mount St. Vincent's (MSV) Day Treatment program provides a comprehensive, and highly structured, educational and therapeutic environment for children ages 5-13. The services are geared towards children who have significant trauma, neglect, and/or mental health needs. MSV is a flagship agency for the Neurosequential Model of Therapeutics (NMT) which is a trauma informed approach to providing developmental relevant care and services. The primary goals of the service are to provide the following for each referred client: 1) A comprehensive NMT assessment along with practical and clinical recommendations. 2) Therapeutic services for children with psychiatric, behavioral and emotional difficulties which make it difficult for them to maintain in their home school/community. 3) Collaboration with outside agencies, including the Department, school districts and Medicaid. 4) Involvement of the families/guardians in all aspects of the child's treatment in conjunction with the child's therapist and program staff. 5) Scheduling and facilitation of psychiatric medication assessment and ongoing medication management as appropriate. 6) Partnership with the educational team, to ensure the treatment plan for the child addresses the therapeutic and educational needs. 7) Participation in monthly staffings and transition planning if appropriate. 8) Adherence to the IEP or facilitate the formulation of an IEP if indicated. 9) Facilitation of transportation to and from the program as needed. Children referred will receive services for approximately 6-9 months (average length of stay). Length of services is dependent upon the child's progress, individual and family needs and availability of funding. Services include, but are not limited to, the following: 1) 30 hours per week of education approved by the Colorado Department of Education 2) Weekly individual therapy 3) Weekly family therapy 4) Weekly group therapy 5) Daily recreation activities 6) Psychiatric services 7) Creative arts therapy 8) Specialty therapies as appropriate (Eye Movement Desensitization Reprocessing, Anima! Assisted Therapy) 9) Case Management 10) Monthly reports updating the child's progress towards goals. 11) Attendance at TDM/Family Engagement Meetings Mount St. Vincent Request for Proposal Bid No. 131400069 Services are provided by Master's Level Clinicians and Master's Level Special Education teachers. The ratio in the classroom and Day Treatment milieu are 1:6. When a child is referred, MSV will make at least three (3) attempts to contact the client and arrange services. The first attempt will be made within 24 business hours of the referral. Efforts to reach the client will be documented. If after three (3) attempts, the client does not respond, the caseworker and Core Service Coordinator will be contacted. Rate Schedule The Day Treatment services are provided at the rate of $105/day. LORI MCCLURG South Williams Street Centennial, Colorado, 80122 United Slates 303-730-3845 Ilmccl urg©yahnucom PROFESSIONAL EXPERIENCE Mount Saint Vincent Home, Denver, Colorado United States School Director, Aug 2001 -- present Observe teaching methods and examine learning materials to evaluate and standardize curricula and teaching techniques, and to determine areas where improvement is needed. Confer with parents and staff to discuss educational activities, policies, and student behavioral or learning problems. • Collaborate with teachers to develop and maintain curriculum standards, develop mission statements, and set performance goals and objectives. • Recruit, hire, train, and evaluate primary and supplemental staff Evaluate curricula, teaching methods, and programs to determine their effectiveness, efficiency, and utilization, and to ensure that school activities comply with federal, state, and local regulations. Counseland provide guidance to students regarding personal, academic, vocational, or behavioral issues. • Set educational standards and goals, and help establish policies and procedures to carry them out. • Determine allocations of funds for staff, supplies, materials, and equipment, and authorize purchases. • Prepare and submit budget requests and recommendations, or grant proposals to solicit program funding. • Determine the scope of educational program offerings, and prepare drafts of course schedules and descriptions to estimate staffing and facility requirements. L itwoclone! Coonlinator, : fug 2000 -.I fig 2004 • Observe work of teaching staff to evaluate performance, and to recommend changes that could strengthen teaching skills. • Organize production and design of curriculum materials. • Conduct or participate in workshops, committees, and conferences designed to promote the intellectual, social, and physical welfare of students. • Recommend, order, or authorize purchase of instructional materials, supplies, equipment, and visual aids designed to meet student educational needs and district standards. Develop instructional materials to be used by educators and instructors. Educational ,I dminrstrati vc .1ssistmu, Aug 1995 —.4 up 2000 Operate office equipment such as fax machines, copiers, and phone systems, and use computers for spreadsheet, word processing, database management, and other applications. • Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals. • Greet visitors or callers and handle their inquiries or direct them to the appropriate persons according to their needs. • Set up and maintain paper and electronic filing systems for records, correspondence, and other material. • Locate and attach appropriate files to incoming correspondence requiring replies. • Open, read, route, and distribute incoming mail or other materials and answer routine letters. Review work done by others to check for correct spelling and grammar, ensure that company format policies arc followed, and recommend revisions. Compose, type, and distribute meeting notes, routine correspondence, and reports. • Maintain scheduling and event calendars. • Schedule and confirm appointments for clients, customers, or supervisors. • Manage projects or contribute to committee or team work. • Mail newsletters, promotional material, or other information. • Coordinate conferences and meetings. Special Education 7 cacher, :lug 1993 -- ,,lug 1995 Confer with parents, administrators, testing specialists, social workers, or other professionals to develop individual education plans (IEPs). Confer with parents, guardians, teachers, counselors, or administrators to resolve students' behavioral or academic problems. Develop individual educational plans (IEPs) designed to promote students' educational, physical, or social development. • Develop or implement strategies to meet the needs of students with a variety of disabilities. • Employ special educational strategies or techniques during instruction to improve the development of sensory- and perceptual -motor skills, language, cognition, or memory. Establish and communicate clear objectives for all lessons, units, and projects to students. • Establish and enforce rules for behavior and procedures for maintaining order among students. • Instruct special needs students in academic subjects, using a variety of techniques, such as phonetics, multisensory learning, or repetition to reinforce learning and meet students' varying needs. • Observe and evaluate students' performance, behavior, social development, and physical health. • Prepare objectives, outlines, or other materials for courses of study following curriculum guidelines or school or state requirements. • Attend professional meetings, educational conferences, or teacher training workshops to maintain or improve professional competence. EDUCATION Univeristy of Northern Colorado, , Colorado United States • Bachelor in Arts Elementary Education Certification University of Phoenix„ Colorado United States • Master's Degree in Education/Special Education Generalist ADDITIONAL SKILLS Skilled in Therapuetic Crisis Intervention, Ncuro-Sequential Model of Therapeutics,CPR, First Aid, AED,Educator of the Year Award in 2006, Accreditation Monitoring Team Member JESSICA PFEIFFER, LCSW 4852 Zuni St, Denver, CO, 80221 + (515) 460-4446 • jppfeiffer@gmail.com LICENSES: Licensed Clinical Social Worker Number: 1400 School Social Worker Number: 23500 PROFESSIONAL CERTIFICATIONS: Animal Assisted Therapy Servant Leadership EDUCATION: Masters in Social Work (MSW) University of Denver, Denver, CO (August 2007) Clinical Track: High Risk Youth Certificate: Animal Assisted Therapy Bachelor of Arts degree in Social Work (BSW) Wartburg College, Waverly, IA (May 2006) Minor: Leadership Certificate PROFESSIONAL EXPERIENCE: Supervising Lead Clinician of Day Programs, Mount Saint Vincent, Denver, CO (April 2011 -Current) • Clinically supervise the Sr. Stefani School (K-8), Day Treatment Program, Affective Needs Day Services Program and Early Learning Center • Member of the Clinical Leadership Team • Provide all teaching staff with individual supervision and all classrooms with group supervision • Conduct monthly Neurosenquiential Model of Education trainings for the school team • Supervise three licensed therapists and two program managers • Assess clients for mental health hospitalizations • Provide two trainings (Basic Neurosenquiental Model of Therapeutics (NMT) and Bridging NMT and Therapeutic Crisis Intervention for new staff Admissions Coordinator, Beacon Youth and Family Center, Denver, CO (January 2011 -April 2011) • Coordinated intake and admissions for all programs and assigned therapists to new clients • Ensured that admission paperwork met compliance of all licensing entities • Facilitated coordination of clients in transition process • Attended external meetings for marking and collaboration purposes • Continued with Treatment Coordinator duties Treatment Coordinator, Beacon Youth and Family Center, Denver, CO (September 2009- January 2011) • Supervised therapists, school based staff and mental health counselors • Managed the clinical treatment of children/adolescents placed in a therapeutic residential child care facility for trauma resulting from abuse and/or neglect, mental health issues, and/or substance abuse • Identified the social, emotional, educational and behavioral needs of the clients and created a treatment plan to help transition the client to their respective families, communities and schools • Responsible for the clinical and educational services provided by the facility and maintained evidence -based practices • Lead clinician within the emancipation program, developing and enhancing the independent living curriculum, and facilitating the weekly independent living group • Identified and utilized the necessary clinical assessments to provide accurate diagnosis and develop on -going treatment plans to address trauma, family dynamics and implement individual education plans formulated by the school districts • Partnered with Community Mental Ilealth Centers to provide 24hour/7days a week clinical assessment of children ages 10-17 to assess for TRCCF crisis placement Clinical Therapist, Beacon Center Youth and Family Center, Denver, CO (August 2007 -September 2009) • Licensed therapist with high -risk males and females, ages 13 years old to 19 years old • Conducted individual and family therapy utilizing strength based practices and cognitive behavioral therapy to provide individualized treatment • Functioned as a liaison between the agency and families, courts, social services agencies and other service providers • Participated in the on -call therapist rotations to address clinical emergences in the agency • Wrote monthly clinical and administrative reports and develop, implement and review treatment plans Juvenile Diversion Counselor (Internship), I 815 Judicial District, Denver, CO (January 2007 -August 2007) • Provided direct individualized therapeutic interventions to clients • Co -facilitated a boys' therapy group and a multi -family therapy group • Conducted comprehensive intake assessments and developed multidisciplinary treatment plans • Designed and implemented wilderness therapy day trips and overnight trips Case Manager (Senior Practicum), Mount Saint Vincent Home, Denver, CO (January 2006 -April 2006) • Case managed four clients: facilitated staffing's, medical reviews, unit rounds; presented clinical information at individual therapy sessions, educational meetings and county reviews • Wrote monthly reports, quarterly reviews, in -take summaries and discharge summaries • Facilitated a "self-esteem" group, designed and developed all the group ideas used • Provided support in the Day Treatment Program and Therapeutic Pre-school Youth Associate: Lead Staff, Lutheran Services in Iowa, Waverly, to (November 2003 —December 2005) • Advocated for residents, completed staffing reports, and presented information on residents during weekly staff meetings • Cared for and provided emotional support for female cottage residents, ages 12-17. in daily activities • Encouraged and supported residents to follow individual treatment plans and utilize the therapeutic environment Wilderness Counselor, New Horizons Treatment Center, Springfield, Maine (June -August 2005) • Counseled and supported residents to follow individual treatment plans & residential rules • Guided and helped residents utilize the wilderness as a form of therapy and learning experience WORK EXPERIENCE: Youth Mentor, Thrivent Diakonia Youth Leadership Program, Wartburg College (January 2005 -May 2006) • Helped Diakonia Youth Leaders (DYL) understand leadership and service learning theories, skills and practices at a weeklong workshop at Wartburg • Mentored two DYLs while they developed their leadership projects and portfolios, preparing them for result presentations Research Assistant, University of Denver, Denver, CO (January 2007 -August 2007) • Aided a professor in research on high risk youth • Compiled and entered data, transcribed interviews and organized all aspects of the project Work Study, DU Graduate School of Social Work's Bridge Project, Denver, CO (January 2007 -August 2007) • Organized donors and completed needed tasks for the Yearly Gala Volunteer Research Assistant, Community Partnership for Protecting Children, Waverly, IA (2005) • Conducted a child safety community needs assessment • Collaborated with key community members to insure the best possible outcomes for community Community Builders, Wartburg College, Waverly, IA (September 2004 -December 2004) • Piloted learning partnership with area schools 4°i-6'" grade • Fostered learning, the development of community, and problem solving abilities with children RITA M. BARAN 10709 Murray Drive Northglenn, CO 80233 (303) 801-8919 ritabaran@gmail.com SUMMARY OF QUALIFICATIONS My substantial experience in psychosocial assessments, crisis intervention, treatment planning, and rapport building will help contribute to agency success. I am efficient, have strong oral and written communication skills, and work best in a multi -disciplinary environment. I have facilitated psycho -educational groups in several different settings. PROFESSIONAL EXPERIENCE August 2012 to Present Mount Saint Vincent Home Denver, Colorado Day Treatment Manager • Effectively manage Day Treatment program with an average census of 24 kids. • Facilitate monthly medication consultations with psychiatrist, nurse, and therapists. • Maintain and update monthly Individual Crisis Management Plans for each Day Treatment student. • Directly supervise para-professionals and educational mental health workers and provide constructive feedback, coaching, and support. August 2007 to August 2012 Educational Mental Health Worker II • Assist special education teacher in planning and instruction for educational program within a residential setting. • Provide direct, immediate, and effective intervention with therapeutic follow-up. • Trained in TCI lower and higher level interventions, CPR, first aid, and AED. • Maintain communication with cottage staff, therapists, nurse, and case managers. • Only EMI-IW to facilitate weekly therapy group and invited to participate in School Solutions Team. • Chosen Staff of the Quarter in 2009. June 2003 to August 2007 Espo's Cucina Dolce, Inc. Denver, Colorado Co -Owner & General Manager • Assisted in day to day business activities of restaurant and gelato manufacturing facility. • Directly involved in all interviewing, hiring and training processes. • Responsible for management of all restaurant personnel as well as gelato packaging and dock staff members. • Facilitated team meetings to create open communication and an efficient work environment. • Responsible for coordinating and executing all marketing events. September 2001 to June 2003 Aurora Mental Health Aurora, Colorado Case Manager • Met with mentally ill adults in acute residential facility to obtain psycho -social information. • Contacted family members/significant others to obtain ancillary information and independently conduct family meetings. • Facilitated weekly psycho -educational group. • Contacted outside providers with information relating to client's treatment, progress, and discharge plan. • Diligently maintained open and clear communication with facility psychiatrist, nurse and program director on treatment plans and discharge plans for each client. April 1999 to Kings and Richmond County Supreme Court July 2001 Brooklyn and S.I., New York Family Counseling and Case Analyst • Met with divorcing couples to aid in the agreement of child residence issues and co -parenting schedule. • Met with children to further evaluate cases and provided both written and verbal assessments to Judges. • Observed case hearings and court proceedings in order to remain current as each case progressed. • Participated in case conferences with Judges and attorneys. January 1997 to April 1999 New York Foundling S.I., New York Social Worker • Met weekly with adolescents and teenage mothers residing in a group home. • Maintained regular contact with family, including home visits. • Prepared and counseled adolescents awaiting independent living and reunion with natural family. • Prepared detailed psycho -social reports supported by information gathered from family and other providers. • Developed parenting skills training program for teenage mothers. • Trained and supervised new staff members. February 1993 to May 1994 Kidspeace National Center for Kids in Crisis Bethlehem, Pennsylvania Residential Child Care Counselor • Responsible for milieu management of children ages 8-15. • Developed and managed summer recreation program. • Prepared and counseled children awaiting adoption, foster home placement and reunion with natural family. • Successfully implemented Individual Treatment Plans utilizing positive reinforcement. EDUCATION (1994-1996) Hots 1/a University Hempstead, NY Masters of Science in Education Specialization in Counseling (1988 —1992) Albright College Reading, PA Bachelor of Arts Major -Psychology and French PENNY CORDILLO (303) 807-4617 3299 Lowell Blvd Apt #203 Denver, CO. 80211 pcordillo@yahoo.com Objective To provide an environment in which individuals feel empowered to change the quality of their lives and to serve as the catalyst for goal setting, decision making, and problem resolution. Key Strengths • Outstanding leadership and organizational skills • Works well with others to achieve common goals • Exceptional time management and communication skills • 8 years supervisory experience Education Walden University, Master of Science in Early Childhood Studies and Administration, to be completed in the Fall of 2015. Current GPA: 4.0 Metropolitan State College of Denver, Bachelor of Arts in Behavioral Science, Minor in Psychology, May 2005 Professional Experience Early Learning Center/Young Day Treatment Unit Manager, Mount Saint Vincent Early Learning Center & Residential Treatment Center, 2007 -present. • Ensures Early Learning Center and Day'freatment Program adhere to the Colorado Department of Education, Qualistar, and State Licensing requirements and guidelines. • Participates in the selection of educators, preparing and reviewing performance evaluations, and provides regular supervisions regarding work performance for a team of 10. • Facilitates professional and educational training for the early childhood team and parents. • Collaborates with Marketing and Donor Relations teams to increase enrollment and program awareness. • Provides direct, immediate, and effective intervention with children in crisis with therapeutic follow- up. • Coordinates with clinicians regarding treatment plans and communicates with caseworkers, families and other necessary parties. • Prepares for and attends psychiatric med consultations and oversees administration of medication. • Partners with Treatment Leader to oversee annual budget and all program expenses. Lead Teacher, Mount Saint Vincent Early Learning Center, 2005-2007. • Taught 20 students in a full day preschool classroom. • Planned and implemented whole class, small group, and one-to-one instruction using developmentally appropriate practice. • Maintained student portfolios including developmental checklists, work samples and narrative reports. • Met with parents/guardians four times annually to discuss their child's progress, how to best promote learning from school to home, and answer questions. Collaborated with fellow teachers and administrators in the development, evaluation, and revision of preschool programs. • Attended professional meetings, educational conferences, and teacher training workshops to maintain and improve professional competencies. Youth Care Worker, Department of Juvenile Corrections/Sex Abuse Unit, October 2002- August 2004 • Supervised and mentored women ages 14-20. • Worked as a member of a large team to provide safety and security to disadvantaged youth. • Promoted an encouraging learning environment. • Implemented behavior plans based on individual needs. • Participated in the development and implementation of client's formal treatment plans. • Provided emergency on -call and crisis intervention as needed. • Supported termination, transitional, and/or discharge planning for clients. Co- Teacher, Auraria Early Learning Center, 2000-2003, February 2004-2005 • Planned and created lessons based on student's needs and interests as well as implemented NAEYC accreditation standards and curriculum. • Worked in a diverse classroom setting with children and families from all backgrounds. • Effectively involve parents, colleagues and support staff to maximize learning and success of students. • Provide a safe and secure environment for children to learn. • Clearly and effectively communicate in a manner that children understand. • Observe children and make note of progress. Additional Skills and Rewards • Director qualified through the Colorado Division of Childcare. • Certified in Therapeutic Crisis Management. • Certified in CPR, First Aid, and AED. • QMAP certified/ Medication Administration. • Colorado Association of Family and Children's Agencies award recipient, June 2011. Megan Cook, LCSW 5086 S. Shenandoah Way Aurora, CO 80015 (303) 909-1769 Email: cookfatsam@hotmailcom RELATED WORK EXPERIENCE Mount Saint Vincent January 2012 -Present Denver, CO Associate Clinical Director -Oversee residential treatment, school, day treatment, intervention, intake, Early Learning Center, quality assurance and in home therapeutic programs; supervise the program managers and staff of these programs; participate in Board meetings and Board Committees; develop and implement program budgets; negotiate and finalize contracts; collaborate with Departments of Human Services, Behavioral Health Organizations and other community partners; facilitate and participate in Continuous Quality Improvement Councils and projects; provide various clinical and administrative topic trainings. Catholic Charities -The Family Service Division July 1998 - December 2011 Denver, CO Executive Director -Child Placement Agency/Division Director -Family Services (April 2002 to Present) -Oversaw the child placement agency, clinical and community services, adult services and developmentally disabled services; supervised the management, program and administrative staff of these programs; developed and maintained the division budget; built partnerships and collaborated with other community agencies and County Departments of Social Services; interacted with the Board of Directors; initiated and implemented program development for the division; wrote for grants and other funding opportunities; planned and participated in fundraising initiatives; negotiated contracts; and participated in various city and county wide committees with regard to programming, development, and legislative issues. Director of Child Welfare Services (May 2000 -April 2002) -Managed the foster care, birth parent, adoption, kinship and expedited permanency planning programs in Denver and Northern Colorado; supervised the staff of these programs; implemented and monitored program budgets; attended community meetings; and formed partnerships with the surrounding County Departments and other community organizations. Birth Parent Social Worker (July 1998 to May 2000) -Provided decision -making counseling to birthparents and their families regarding the pregnancy and plan for the child; connected clients to appropriate community resources; assisted clients in navigating systems (i.e. hospitals, social services); facilitated the adoption legal process; and provided ongoing post finalization support via the search process. Jefferson Hills July 1999 - June 2000 Lakewood, CO On Call Milieu Counselor -Provided support and intervention to youth ages 12-18 through group and individual activities, including restraint and de-escalation techniques. Brigham & Women's Hospital August 1995 - June 1998 Boston, MA HIV Team Social Worker. -Collaborated with teams of doctors and nurses to facilitate timely discharges of patients who were hospitalized, provided supportive counseling to patients and families on an ongoing basis, both in- and out -patient; discussed concrete issues such as housing and economics as well as psychosocial issues (i.e. the coping with HIV and disclosure to family and friends). • Women and Infant Transmission Study (WITS) Social Worker- Partnered with the study team to support and provide care for women who are HIV -positive and their children and facilitated an HIV Positive Mothers support group. • Obstetrical Faculty Practice Social Worker -Provided emotional support and concrete services to women with a high -risk pregnancy secondary to medical or social problems. • HIV Pre- and Post -Test Counselor- Provided pre- and post-test HIV counseling to any interested hospital patient. : Staff Committee Chairperson -Addressed concerns of front-line staff by facilitating communication with the Department administration. HIV Education Committee Chairperson -Organized events throughout the hospital to educate employees and increase awareness of HIV -related issues. KEY ACCOMPLISHMENTS • Licensure-Licensed Clinical Social Worker in Colorado. • Certifications: SAFE, Placement Supervisor, Search and Reunification Trainer, TCI • Community Offices -Catholic Charities USA Children, Youth and Family Section Chairperson, Adoption Intermediary Commission, CAFCA Foster Care Committee Chairperson, CAFCA Board Member, and Adoption Coalition Chairperson. • Training EMDR trained, Neurosequential Model of Therapeutics Train the Trainer EDUCATION Columbia University School of Social Work New York, NY • Master's in Social Work, May 1995. • Concentration in Program, Planning, and Supervision with a specialization in Family and Children. Harvard College Cambridge, MA • B.A. in Sociology, Cum Laude, May 1993. • Senior honors thesis - quantitative analysis of the sociological causes of domestic violence. • Elizabeth Cary Agassiz Certificate of Merit and Harvard College Scholar Award for academic distinction. References Available Upon Request C) O co O PY-14-15-CORE-0224 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide comprehensive, highly structured day treatment services, as proposed, to female and male children, ages 5-13, as referred by the Department. 2. Contractor will provide day treatment services, as proposed, at 4159 Lowell Blvd., Denver, CO 80211, 7:30 a.m.-3:30 p.m., Monday through Friday, year round. 3. Contractor is accredited by North Central and licensed by the Colorado Department of Human Services State Child Care Licensing (license number 45174). Program supervision is provided by a Master's level clinician. 4. Contractor is Medicaid approved provider. 5. Services are geared toward to children who have significant trauma, neglect and/or mental health needs. 6. The primary goals of service are to provide the following for each referred client: a. A comprehensive Neurosequential Model of Therapeutics (NMT) assessment along with practical and clinical recommendations. b. Therapeutic services for children with psychiatric, behavioral and emotional difficulties which make it difficult to maintain in their community. c. Collaboration with outside agencies such as the Department, school districts and Medicaid. d. Involvement of families/guardians in all aspects of the child's treatment by in close conjunction with the child's therapist and program staff. e. Scheduling and facilitation of psychiatric medication assessment and ongoing medication monitoring as appropriate. f. Partnership with the educational team, to ensure the treatment plan for the child addresses the therapeutic and education needs. g. Participation in monthly staffings and in transition planning if appropriate. h. Adherence to the IEP or facilitate the formulation of an IEP if indicated. i. Facilitation and/or provision of transportation to and from the program as appropriate. 7. Teacher/Student ratio is 1 to 6 8. Contractor will provide individual, group and family therapy, unless otherwise directed by the Department. Family therapy can be provided in -home if clinically appropriate. Additionally, Contractor will provice psychiatric services, case management, assessment and treatment planning at no additional cost. 9. Contractor will assign each referred client a Master's level clinician. 10. All classes are taught by Master's level special education teachers. Teacher to student ratio is 1:6. 11. Contractor is able to provide bilingual services. 12. Referred youth will receive services for approximately six (6) to nine (9) months (average length of stay). Length of services is dependent upon the referred youth's daily/weekly progress, individual/family needs and availability of funding. Services will include, but are not limited to, the following as appropriate: a. 30 hours per week of education approved by the Colorado Department of Education. b. Weekly individual therapy. 1 PY-14-1S-CORE-0224 c. Weekly family therapy (in -home if clinically appropriate). d. Weekly group therapy. e. Daily recreation activities. f. Psychiatric services. g. Creative arts therapy. h. Specialty therapies as appropriate (Eye Movement Desensitization Reprocessing, Animal Assisted Therapy). i. Case management. 13. 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. 14. 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. 15. 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. 16. 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. 17. 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. 18. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 19. 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. 2 PY-14-15-CORE-0224 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and serv-ces 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 :ncurred 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 $105.00/Day (Day Treatment) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsib e, 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. 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. 1 AFRO CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD W, 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: It the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH uSA :N COO N MA_3CN Ch,Cd9L L 60061 All Cncago Ce9Renuenl©Va'sh corn 0155/5 Nor -Ex CAW 13. 15 CONTACT MHO) PHONE I FAX INC.Nv.Eatl: INC. Nu)- E-MAIL ADDRESS --- INSURER(S3AFFORDING COVERAGE NAICI INSURER A Leaven Insurance Co CJ LI2711202 INSURED Mc '1' •i n el' Jcne 1.59 aE: 6'31 :.'9'Vn' n .. C12' INSURER 9 I lavelers ?Geed) y Casnaily Co Ul Amen 2r:C74 .''�'C INSURER C Sale9 Nu O J -`.'I ,u'V INSURER D INSURER E INSURER F CERTIFICATE NUMBER: CHI -004950350-01 V INDICATED INSR— LTR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - LiRaR ISUDRR POLICY MIDDEFF TYPE OF INSURANCE POLICY NUMBER MEFF R POLICY ESP )MM MIDDIYWYI4 LIMITS 0. GENERAL LIAB LITT CCM000C _L_ -Jv ASI. ^.E OTT.9 _ _ C^2313 3:.3'.2011 EACH CCC.RRB.CE $ WO 002 .4 17E CF"o Eb Epr'I SES 'Ea act a a ice aCC X: L AI :. TV(Ray one v`es'.'.I +FRSOnAI AA 3,3533ill_• GPhF FAf AGGREGATE a'�• 5 1D0QCC; S 3'000 WO SFNI AGGREGATE LIMIT APPLIES PER IPRO PCLICv LOC PREDDC IS COMPIOP AGO I 3,000000 5 %3 JEG- AUTOMOBILE LIABILITY 863289--1L-13 `O:CI 2313 2. 11Y0,4 r T "CS 5; He"uL°p 'CS _ - L . NO'I.J Mf D LMB CED151NGLE LIMIT OM COO uc-`.. r IN_JRv. Pei se -50r; - B o_.I,+wJURY IPeraaldenp 3 rF''v CAMAUE �'a -e' ao denll—,_ A 4 UMBRELLA LIAR EXCESS LIAR ` CAIMS-MADE U2'CO:13 /001/2313 234 EACHOCCURRENCE 5 ICOO A00 AGTREGATE 5 1, 000,003 5 I OED RETENTION WORKERS COMPENSATION "..,E.40`0133 III Ot2014 3121'2015 AND EMPLOYERS' LIABILITY YIN RCPR RP JNFR E-J`V` _4M ad F L, CD. N/A R (Mandatory NH) 'S' 0052. )00; IyeJesc w pFSCRIPr. E'+.w^n5 Ge a« %I WC STATU I OTH. TGAY " 5 S I I Lei_ F ERG ACCIDENT :'EASE - AEMP'.GVEc�5 1,000 MO S '000: 000 C '15EASE-. CL oV UM 'ACC.OJJ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. Addlllenal Remarks Schedule, II more space Is required) Pf_1 ()orally (Lin Board cr ;Inca '.y G Sn'o nero 011Aeld Car r'.y iIn a'S:e n. and nnlpiny een iS added a5 vldrfilr0 ](r`Lured aS respects GTIef al Let II/ en 'ernred by cCnb-acl CERTIFICATE HOLDER CANCELLATION Weld County Oepa'tmen'. of Soaai Se"Ices 3138 N I,' Ave (weer(, I C 3CT32 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Macau 9I MJkne;ee .a'�ODk. ....)..k—...4.c.,..4,.._ ACORD 25 (2010/05) 'u'Ivnn-/ulu Hl�V nu L,vl(rVrw'Ivrv. nu ,l4:,.a ,cac .cam. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 015578 LOC #: Kansas City ACORn ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARS" USA di: NAMED INSURED M:um Sa.nl /nicerI Tome .r=n ,cne, Sled _ Iuwr CO fiCZ'I POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance '-e Leaver es, arc. CC'"na^/ Ell c.d,Fole 5 a disci dater -en, Yv Marayer'crr Sr.ts. IRTrirr.mYeYeires the Glj;ve is me dire wit rescercl IT Ir s rr.temen*nen i ndrate -Oro tar troy aortae-, ^5R Genera. l iabIIIy 110 Insured is 5Avered under a Self IIISuled Trust for the foils of liability mown the Unorel'a Liability Policy sill ate Ne Sell.Insured f roll. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PY-14-15-CORE-0233 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND STEPPING STONES, INC. ih CC� This Agreement, made and entered into the day ofJP�}"/y n014, 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 Stepping Stones, Inc., hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Life Skills. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014 upon proper execution of this Agreement and shall exp re May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CORE-0233 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. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0233 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.• and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0233 - 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. 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. 4 PY-14-15-CORE-0233 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0233 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. U. 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. 6 PY-14-15-CORE-0233 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CORE-0233 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 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. 8 PY-14-15-CORE-0233 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Marsha Jones, Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 {970) 352-1551 18. Litigation For Contractor: Marsha Jones, Director 2032 35th Avenue, f#A-152 Greeley, CO 80634 (970-518-2977 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 9 PY-14-15-CORE-0233 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 furding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 office-, 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 10 PY-14-1S-CORE-0233 Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 11 PY-14-15-CORE-0233 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and 12 PY-14-15-CORE-0233 incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 13 PY-14-15-CORE-0233 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: amt 144P Delputy Clerk to the Board APP$OVED AST RM; Count` Attorney WELD COUNTY DEPARTMENT OF HUMAN ERVICES By: 14 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO r -fry M.. 0 ( ��A Douglas Rademacher, Chair 52014 STEPPING STONES, INC. By: olfi/ '- cg//e EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11t1 Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. 81400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. i. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND « CONTRACT0R1n This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor", hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on <TermStartn, upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7t° 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof, d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B14OOO69 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliarce 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 3 Bid No. B1400069 - 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. 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 «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. - Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) o Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. o Certificate of Insurance to be provided to Weld County. o Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B14OOO69 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 1970)352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName» «Addressl», « Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. 61400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR!» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCKI. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. ii. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. 81400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. 81400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 Fxurri r B CONTRACTORS RESPONSE TO TI IF RE UEST FOR PROPOSAL Dear Reviewers of the Family Youth and Children's Commissions, I developed the company of Stepping Stones Inc., in 2006 with the intentions of working with youth who would be best described as at risk. This would include youth that many times fall within the poverty level, come from single family households, are involved with the legal system, experience out of home placement and are ill prepared for transition into adulthood. Many transition from placement and are homeless, without employment, and very few resources. I am Marsha Jones, BA, Sociology emphasis in family studies, who had held numerous positions over a 15 year period of time that has included residential work, case management services, mentoring, tracking, parental coaching, and skill building in the behavioral health spectrum of services. I am operating on a solo basis. I currently offer transitional services that include, but not limited to family integration, conflict management resolution, parent coaching with triage and referral to therapeutic services. There is a focus on life skills that address education and employability. Monitoring and ongoing follow up is provided. Case management is offered to enhance the appropriate connection and utilization of natural and professional resources. Services are being provided, at this time, to youth lsyears to 21 years of age, including families. I am available to work with youth starting at age 12. The services are offered in their homes and local communities. I have a home based office that I utilize only for administrative duties. My primary location has been Weld County as I reside here, however services are provided in a geographic area that includes the Front Range and eastern Colorado. In summary, I possess skills in working with difficult and challenging people. I am able to implement conflict resolution, I am culturally competent, have established key relationships with stake holders and I am knowledgeable of available resources. I see myself as flexible, realistic, and have the ability to develop solid strategies. Thank you for your support and attention to this proposal. Sincerely Marsha Jones Stepping Stones Inc. (970) 518-2977 steppingstonescolorado@comcast.net 2032 351' Avenue Suite A #152 • Greeley, CO 80634 Stepping Stones Inc. -Transition Programing and Services — Northeast and Central Region -Between $40 per hour and $2000.00 per month To Colorado Department of Human Services: Stepping Stones Inc. has been providing transitional services for DYC since Jan. 2008. I provide services for both male and female clients on committed status and have worked with youth with mental health issues and learning disabilities, sex offenders and substance abusers. I have helped develop programs for independent living skills and help them to connect with positive support systems including community resources. Many of my clients have been in multiple out of home placements and have committed more than one criminal offense. I currently offer transitional services that include, but are not limited to, family integration, conflict management resolution, parent coaching with triage and referral to therapeutic services. I provide a focus on life skills that address education and employability. Monitoring progress and ongoing follow up is provided. Case management is offered to enhance the appropriate connection and utilization of natural and professional resources. For the past year I have typically carried, on average, a caseload of ten youth. Each youth is seen weekly. The amount of time spent with each youth may vary due to objectives, goals, and requests from referral sources. The average length of time for provided services is from three to six months. My success rate is approximately 80%, which would be described as meeting goals and objectives that may include employment, attending school, living independently, returning to their homes and remaining substance free and not participating in delinquent behavior. I possess skills in working with difficult and challenging people. I am able to implement conflict resolution. I am culturally competent and have established key relationships with stake holders and I am knowledgeable of available resources. I see myself as flexible, realistic, and have the ability to develop solid strategies. Stepping Stones Inc. -Transition Programing and services -Northeast and Central Regions -Between $40 and hour and $2000 a month Stepping Stones Inc. has complied with all applicable policies and procedures of DYC and has monitored successfully on a quarterly basis since Jan of 2008. Stepping Stones Inc. has always had a CPA firm that completes all bookkeeping and financial documentation in compliance with generally accepted accounting principles. All financial records are available upon request. Stepping Stones Inc. uses information from the OAR domains furnished by the client manager or parole officer, to design individual programs and services that will best serve the youth's needs. By utilizing the MDT, services are tailored to meet the youth's goals and objectives of being successful in placement and parole. Services including, but not limited to family integration, conflict management and resolution, family intervention, parenting skill building, and referral to family therapy when needed are offered. Independent living assistance, including but not limited to housing assistance, lease awareness, money management, time management, survival skills and pro social activities are also available. I have taken informed supervision training in accordance with SOMB standards through the Department of Youth Corrections. Stepping Stones Inc. is a corporation comprised of only myself. I am Marsha Jones, BA , Sociology with emphasis in family studies. I have held numerous positions over a 15 year career that has included residential work, case management services, mentoring, tracking, parental coaching, and skill building in the behavioral health spectrum of services. I am operating on a solo basis. Monitoring (Intensive) (Transition, Case Management/Youth Advocacy/Transition Assistance) $100.00/week. Phone contact five to seven times per week for assistance in planning and structuring daily activities for a successful transition. Community Transition (Hourly, Local) (Transition, Case Management/Youth Advocacy/Transition Assistance) For services provided within 40 miles of Greeley. $60.00/hour. Community Transition Pkg. (Intensive, Local) (Transition, Case Management/Youth/Transition Assistance) For services within 40 miles of Greeley includes 15-20 hours/month. $1300.00/month. Stepping Stones Inc. -Transition Programing and Services -Northeast and Central Regions -$40 per hour to $2000 per month Community Transition Pkg. (Medium, Local) 5900.00/ month. (Transition, Case Management/Youth Advocacy/Transition Assistance). For services within 40 mile radius of Greeley. Include 10-15 hours/month. Community Transition Pkg. (Low, Local) $600.00/month. (Transition, Case Management,/Youth Advocacy/Transition Assistance) For services within 40 mile radius of Greeley. Includes 1-10 hours/month. Community Transition (Hourly, Remote) $90.00/month. (Transition, Case Management/Youth Advocacy/Transition Assistance) For services provided more than 40 miles from Greeley. Family connects, including but not limited to family integration, conflict management and resolution, family intervention, parenting skills building, and referral to family therapy when needed. Independent living assistance including but not limited to housing assistance, lease awareness, money management, survival skills and pro social activities. Community Transition Pkg. (Intensive, Remote) (Transition, Case Management/Youth Advocacy/Transition Assistance) $2000.00/month. For services outside 40 mile radius of Greeley. Includes 15-20 hours/month. Community Transition Pkg. (Medium, Remote) (Transition, Case Management/Youth Advocacy/Transition Assistance) $1300.00/month. For services outside 40 mile radius of Greeley. Includes 10-15 hours/month Community Transition Pkg. (Low, Remote) (Transition, Case Management/Youth Advocacy/Transition Assistance) $1000.00/month. For services outside 40 mile radius of Greeley. Includes 1-10 hours/month. Electronic Home Monitoring (EHM)(surveillance, Electronic Monitoring) $13/day. Cellular Electronic Home Monitoring(EHM)(surveillance, Electronic Monitoring) $20/day. Urinalysis (UA)-Seven Panel(Surveillance, Substance use monitoring) $15/incident. Includes management of the UAs ordered and the results provided to the parole officer. Travel Costs (Transition, Professional Services) $25/hour. Can be billed for services provided outside of the Greeley municipal area. Independent Living Skills Live survival skills - cooking, cleaning, laundry Money Management Housing consultation Lease Awarness Pro social activities School enrollment and monitoring Job searching, job coaching, job readiness Mentoring Family intigration Parenting coaching Conflict resolution and management Groups - 3 to 6 client in a group Independent living skills Parent coaching and skill building Cafeteria plan low - up to 10 hours a month Medium - up to 15 hours a month High - up to 20 hours a month The hourly charge is strictly for direct services Transportation and mileage is absorbed by this worker Basic Rate Weld County, Fort Collins Loveland Longmont $55 p/h Outlying Area All areas not in basic rate $85 p/h $55.00 $85.00 $55.00 $55.00 $55.00 $55.00 $55.00 $55.00 $30.00 $30.00 $500 P/Month $775 P/Month $1050 P/month $85.00 $85.00 $ 85.00 $85.00 $85.00 $85.00 $70.00 $70.00 $800 P/M $1225P/M $1600P/M Summary of Services My proposal to Weld County Department of Human Resources is to provide life skills to enhance self- sufficiency and increase an individual's level of independence that better assures an ability to maintain a level of wellbeing. I see my role as a life coach, mentor, an advocate, parent coach, and a case manager whose focus and goal is to aid in transition or change for youth and their family. My initial approach to a youth and his family, when appropriate, is to complete an assessment of their current skills, strengths, resources, and barriers. (Exhibit A) This would be followed by establishing goals and objectives (Exhibit B) that insure the focus and interventions are understood and appropriately addressed. (Exhibit C) I would tailor treatment and action plan based on each child's needs and requirements of the Department of Human Resources caseworker. The majority of the interventions would be interactive, real life application, providing information exploring options, providing opportunities, practice, identifying resources, homework, and assessing results and outcomes. I will respond to all referrals or requests approved for services within 5 working days. I am currently providing services for the Department of Youth Corrections and have demonstrated my ability to respond utilizing this time frame. I successfully meet my personal goal of meeting with my current assigned youth weekly if not more frequently. I have on going communication with the referring source through email, phone call, or text as appropriate to share the progress of the youth. I am expected to turn in monthly reports and billing with completion in a timely manner. For the past year I have typically carried, on an average, a caseload of ten youth. Each youth is seen weekly. The amount of time spent with youth may very due to objectives, goals, and request of referral source. The average length of time is from three to six months. My successes are approximately 80%, which would be defined as meeting goals and objectives that may include employment, attending school, living independently, returning to their home and remaining substance free. I have demonstrated success by maintaining a contract with DYC since 2006. Attachments: Exhibit A, B, C, and brochure EXHIBIT A ASSESSMENT STRENGTHS, SKILLS, SUPPORTS, RESOURCES Please circle Are you: Strengths (3) (2) (1) Adaptable very somewhat not at all Aware of issues/problems very somewhat not at all Confident very somewhat not at all Dependable very somewhat not at all Emotionally Stable very somewhat not at all Empathetic very somewhat not at all Friendly very somewhat not at all Good choice of friends very somewhat not at all Good Grades very somewhat not at all Good Judgment very somewhat not at all Healthy very somewhat not at all Honest very somewhat not at all Hopeful very somewhat not at all Insightful very somewhat not at all Intelligent very somewhat not at all Involved in outside activities very somewhat not at all Likeable very somewhat not at all Logical very somewhat not at all Motivated to change very somewhat not at all Neat/organized very somewhat not at all Nice appearance very somewhat not at all Optimistic very somewhat not at all Resourceful very somewhat not at all Responsible very somewhat not at all Sense of Humor very somewhat not at all Spiritual/faith very somewhat not at all Think clearly very somewhat not at all Tolerant very somewhat not at all Very = 3, somewhat =2, not at all=1 Skills (3) (2) (1) Analytical very somewhat not at all Artistic very somewhat not at all Athletic very somewhat not at all Cleaning skills very somewhat not at all Daily Living very somewhat not at all Dance/sing very somewhat not at all Drawing very somewhat not at all Education very somewhat not at all Employment very somewhat not at all Good people skills very somewhat not at all Interpersonal skills very somewhat not at all Job skills very somewhat not at all Language skills very somewhat not at all Math/numbers very somewhat not at all Mechanical ability very somewhat not at all Music very somewhat not at all Organizational skills very somewhat not at all Reading very somewhat not at all Self -care very somewhat not at all Social skills very somewhat not at all Verbal skills very somewhat not at all Writing very somewhat not at all Very=3, somewhat=2, not at all=1 Supports (3) (2) (1) • Teachers • Significant others • Siblings • Relatives • Professionals • Pets • Peers • Partner • Parents • Friends • Faith community • Employer • Co-worker • Children Resources very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all very somewhat not at all • Assistance program very somewhat not at all • Community organizations very somewhat not at all • Family very somewhat not at all • Friends very somewhat not at all • Housing very somewhat not at all • Income/finances very somewhat not at all • Insurance very somewhat not at all • Neighbors very somewhat not at all • Transportation very somewhat not at all Very=3, somewhat=2, not at all=1 Pre and Post evaluation: Number value simplifies movement with youth EXHIBIT B GOALS AND OBJECTIVES EXAMPLE GOAL - Parenting Skill: Gain the skills needed to improve effective parenting. OBJECTIVES: • Determine if there is a parenting issue. • If there is a parenting issue, work with parent and or client to identify issues. • Identify three behaviors the parent would like the child to improve. • Identify appropriate rewards for targeted behavioral changes. • Implement appropriate rewards for one month. • Implement appropriate rewards for three months. GOAL— Employment: Obtain full time employment. OBJECTIVES: • Prepare a resume identifying skills, experience, especially volunteer activities. Prepare a cover letter. • Participate in job search activities including visiting state work force centers, searching on line job possibilities, networking with family and friends. • Practice and role play interviewing skills. • Apply and interview for employment. Review and debrief experience. • Accept employment. Exhibit C Areas of Interest and Concerns Please check areas of interest and concerns Life Skills o Using basic appliances and tools o Preparing and consuming food o Money management o Shopping o Household cleaning o Laundering of clothing o Care of clothing o Maintaining house and grounds o Appropriate dress o Personal hygiene/grooming o Social skills o Care of medical conditions o Safety o Sex education o Marriage, children, parenting o Fitness/wellness/nutrition House Options o Live alone o Live with roommate o Live with existing family o Live with other family member o Apartment o House o Supervised apartment/house o Group home Career/employment o Full time job o Part time job o Self-employment o Military service Employment Development o Awareness of job possibilities o Understanding personal strengths and areas that need work o Being mindful of work habits o Appropriate behaviors o Finding and keeping a job o Knowing appropriate dress Financial concerns o Bank account (savings) o Bank account (checking) o Budgeting o Understanding credit o Paying bills o State Identification (ID) Transportation o Driver's License/access to car o Walk/ride bike o Ride bus/taxi/train o Finding way around community o Knowledge of traffic rules Medical/support services o Seeking medical/dental care o Counseling o Managing personal medication o Personal care services (haircuts ect) Education o College or University o Community college o Technical college o Vocational training o On the job training Social Skills o Handling praise and criticism o Self confidence o Aware of emotions o Respect for others o Respect for authority o Appropriate behavior in public o Honesty o Developing friendships o Listening and responding Community Participation o Voting o Obeying laws o Locate and use local businesses, stores, banks, restaurants, theaters, and libraries o Volunteer work Leisure/recreation o Community Center o Community education classes o Clubs o Team sports o Hobby clubs o Church groups o Choosing and planning activities o Independent recreational activities (bowling, tennis, ect.) Trauma Informed Care Although I was unable to attend the resent seminar on trauma informed care, as soon as another program is offered, I will register and attend the seminar. I have not found any programs being offered at this time in the State of Colorado. As you can see from my resume, I have participated in continuing education concerning "Healing Traumatized Children in Substitute Care". The training I attended did not provide certificates upon completion of the program. Marsha Jones 1632 361h Ave Court Greeley, CO 8062 970-518-2977 Education 1995 University of Northern Colorado Bachelor of Arts: Sociology - Family Studies 1993 Aims Community College - Associate of Liberal Arts - Paraprofessional Counseling 1995 to present - Continuing training: Motivational Interviewing, Colorado Department of Human Resources Core Training 1,2,3,and 4, Healing Traumatized Children in Substitute Care, Principles of Addiction Treatment, Counseling Diverse Treatment Populations Culture Of Poverty, Independent Living Skills, Life Skills Professional Experience 2007 -to present Stepping Stones Inc. Greeley, CO Owner - Director - Service Provider • Responsible for daily operations of business, responding to referrals, reports, and billing. Duties include providing services for referred clients including but not limited to transition services, independent living skills, mentoring, school enrollment assistance, family integration, parental coaching, electric home monitoring, and drug testing. 2005 - 2007 North Range Behavioral Health Greeley, CO Case Manager/Parenting Coach • Responsible for responding to referral from therapist who need assistance with client and the families. Duties included in home observation, parent coaching, problem solving, conflict management, life skills, and reporting back to referring therapist. 2003 -2005 Catholic Charities Greeley, CO Caseworker - Promoting Safe and Stable Families • Responsible for referrals of families in crisis. Duties included but not limited to case management helping families struggling with potential homelessness, parental issues, and income insufficiencies. Also responsible for facilitating groups for grandparents raising grandchildren. 1996 — 2002 Alternative Homes for Youth Greeley, CO Counselor, Case Manager, Tracker • As a counselor, responsible for providing a secure and safe environment for youth who resided at the facility. Duties included weekly counseling session with youth, facilitated groups, conducted educational groups, taught conflict resolution/problem solving, documented youth progress, administered medication to youth, and conducted life skills classes. • As a case manager, responsible for management of the youth living at the residential center. Duties included daily monitoring of behavior, medication and milieu activities, liaison with caseworkers, probations officers, judges, district attorneys, therapist, and educational providers, arranged family and home visits for youth, documentation of all, special meetings, hearings, visits, and meeting with youth. • As parole tracker, responsible for evaluating, implementing and coordinating treatment, educational and employment plans for youth offenders supervised by the Department of Youth Corrections. Duties included home visits, school visits, employment monitoring, substance abuse monitoring, crisis intervention with family, documentation involving daily and weekly client progress to parole officers and coordination with law enforcement and social service agencies. 1991-1998 Alpha Delta Pi Sorority Greeley, CO House Director • Supervised day to day activities of the chapter house and residents. Duties included supervision of employees and contract workers, liaison between chapter house, Housing Corporation, and administration, over saw health and safety standards, facilitated conflict management between house occupants, and served as official hostess and chaperon for sorority functions when necessary. 1992-1996 Homestead Title Greeley, CO Marketing Assistant • Responsible for customer relations and marketing. Duties included participating in realtor and community functions, communicating with realtors weekly, and investigating complaints from customers. 1995 Hope Counseling Center Fort Collins, CO Internship • Reviewed medical -social profiles with perspective clients for admittance into the counseling program, interviewed clients for pre -intake into the programs, compiled progress notes concerning clients, co -facilitated group counseling sessions, and created a pre and post behavioral change instrument to evaluate changes made by clients of the center. 1973-2003 F -J Ranch Grover, CO Owner/Operator family farm and ranch • Responsibilities include fiscal management, bookkeeping and seasonal management of employees. References: Paulette Tarnasky ICSW Program Director Integrated Care North Range Behavioral Health 970-359-1104 Colleen Schott Client Manager/Parole Officer Division of Youth Corrections 970-518-2652 PY-14-15-CORE-0233 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide the following Life Skills services to children, youth and families referred by the Department. 2. The goal of services is to enhance self-sufficiency and increase an individual's and/or family's level of independence that better assures an ability to maintain a level of wellbeing. 3. Contractor will conduct an assessment of current skills, strengths, resources and barriers. Utilizing the assessment results, Contractor will work with referred client(s) to establish individual goals and objectives that insure the focus and interventions are understood and appropriately addressed. The majority of interventions will be: a. Interactive b. Real Life Application c. Providing Information and Exploring Options d. Providing Opportunities e. Practice f. Identifying Resources g. Homework h. Assessing Results and Outcomes 4. Services can include the following: a. Independent Living Skills i. Basic Living Skills —Cooking, Cleaning and Laundry ii. Money Management Housing iiv. Pro -Social Activities b. School Enrollment and Monitoring c. Job Searching, Job Coaching and Job Readiness d. Mentoring e. Family Integration f. Parent Coaching g. Conflict Resolution and Management 5. 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. 6. 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. 7. 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. 8. 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. 1 PY-14-15-CORE-0233 9. 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. 10. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 11. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 2 PY-14-15-CORE-0233 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 $55.00/Hour (Weld County, Fort Collins, Loveland, and Longmont) $85.00/Hour (Areas outside of Weld County, Fort Collins, Loveland, and Longmont) 5500.00/Month (Low Level - Up to 10 Hours per Month, Pro -rated for Partial Month) 5775.00/Month (Medium Level - Up to 15 Hours per Month, Pro -rated for Partial Month) $1,050.00/Month (High Level - Up to 20 Hours per Month, Pro -rated for Partial Month) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the 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 PY-14-15-CORE-0233 b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 A�O R0 CERTIFICATE OF LIABILITY INSURANCE DATE O3/20/2014YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER EVERETT GONZALES 3257 W 20TH STREET -% 1' GREELEY, CO 80634 NAMEACT EVERETT GONZALES PHONE I FAX sac No. Exit: 970-356-7722 (ac, No) -.970-356-7773 EMAIL ADDRESS. EVERETT GONZALES C2HI@STATEFARM COM _ INSURER(S) AFFORDING COVERAGE NAICN INSURER A • State Farm Fire and Casualty Company 25143 INSURERS . INSURED JONES, MARSHA ANN DBA STEPPING STONES 2032 35TH AVENUE STE A-152 GREELEY, CO 80634-3962 -._ INSURER C. _INSURER D: INSURER E- INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED CR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR, TA . POLICY Ern POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER WMIDD MMIDDII'1'YY GENERAL LIABILITY Y y 96 -VA -8842-1 F 12/01/2013 12101/2014 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL. LIABILITY DAMAGE TO RENTED I $ PREMISES (Ea occurrence) --'. CLAIMS -MADE X OCCUR '. MED EXP (Any one person) $ 5.000 X DEDUCTIBLE $500 X , PERSONAL B ADV INJURY S GENERAL AGGREGATE $ 1,000,000 CENL AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP ACC $ 1,000,000 - I PRO_ -1 LOG POLICY BUSINESS PROP $ 5,800 AUTOMOBILE LIABILITY ANY AUIO aSINGLE LIMIT COMBINED $ c BODILY INJURY (Porperson) I $ — ALLOWNED SCHEDULED BODILY INJURY (Per arrarmml $ AUTOS AUTOS NUN -OWNED I PROPERTY DAMAGE $ (Per accident)__.J _..._ HIRED AUTOS AUTOS I 5 UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ S DED I I RETENTIONS I $ WORKERS COMPENSATION TORC SL Y L MIT OTH- WC STATU- ER, PROPRIAND EMPLOYERS' LIABILITY YIN ANY EMPLOYERS'PABILITY hECUTIVE EL: EACH ACCIDENT $.. OFFldEory in NH EXCLUDED? ll �_i {Mandatory in NH) If yes desmO' undm -IDER TION` QPISry NIA '.,. E L. DISEASE EA EMPLOYEE E L DISEASE POLICY LIMIT _. S E t_Of DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101, AddIUonal Remarks Schedule If more space Is required) LOCATION: 1632 36TH AVENUE CT GREELEY, CO 80634 CERTIFICATE HOLDER CANCELLATION WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND CHILD WELFARE ADMINISTRATION FUNDING 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 9\1-C141 ht (17� © 1988-2010 ACOR CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013 PY-14-15-CPS-0043 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND STRONG FOUNDATIONS, LLC This Agreement, made and entered into thej5 day ofr Ar , 20144 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 Strong Foundations, LLC, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration funding to the Department for Home Studies and Relinquishment Counseling. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014 upon proper execution of this Agreement and shall expire May 31, 2015 unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services a -e 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 1 PY-14-15-CPS-0043 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CPS-0043 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, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CPS-0043 - 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. c. Contactor 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 Child Welfare Administration. 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 4 PY-14-15-CPS-0043 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, Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 5 PY-14-15-CPS-0043 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; $2,000,000 general aggregate; 6 PY-14-15-CPS-0043 - $50,000 any one fire; and - $500,000 errors and omissions iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. 7 PY-14-15-CPS-0043 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 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. 8 PY-14-15-CPS-0043 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Julie Box, Executive Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 9 For Contractor: Julie Box, Executive Director 1702 68th Avenue Greeley, CO 80634 J970) 302-1471 PY-14-15-CPS-0043 18. Litigation Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 10 PY-14-15-CPS-0043 pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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, 11 PY-14-15-CPS-0043 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 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 rature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CPS-0043 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. §524-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CPS-0043 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15-CPS-0043 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: ..c :&k. Weld County Clerk to the Board By: De uty Clerk to the Board AP \D AS C� o2,4 County Attorney WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: 15 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COI ORADO frAr Douglas Rademacher Chair 'EP i 5 2014 STRONG FOUNDATIONS, LLC By: Jo ie Box, Executive Director EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOS,V. Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11410, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. i. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. B1400069 Protect Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area Definition =r Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (F5P), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. 81400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND «CONTRACT0R1» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor>, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided « funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. 81400069 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 71h of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7tH of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D , Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. B1400069 - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(6). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq. the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. Standard Workman's Compensation and Employer's Liability As required by State statute including occupational disease, covering all employees at the work site. - General Liability (PL and PD) (Minimum) .. Combined single limit - $500,000.00 written on an occurrence basis. ix Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. Certificate of Insurance to be provided to Weld County. • Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 providec under this Agreement. The Department will not compensate the Contractor for said training in 6 Bid No. B1400069 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. 7 Bid No. B1400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», «RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: «NoticeFName» «NoticeLName» «Addressl», «Address2» «City», «State» «Zip» «Phone» 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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, 9 Bid No. B1400069 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 or the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTORI» OF HUMAN SERVICES By: By: Judy A. Griego, Director «SigFName» «SigLName», «Title» 13 Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. B1400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. I. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 20 Bid No. 81400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area Definition ,�-, Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program'A'rea i Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area ,.... Definition`"` `` 1.44 Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 «Rate Schedule» Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 30 EXHIBIT B CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL Strong Foundations, LLC Julie Box, LCSW 1702 68th Avenue, Greeley, CO 8634 970.302.1471 strongfoundations@q.com COVER LETTER 03.19.2014 Program Year 2014-15 Core and Contracted Services Julie Box, LCSW, the executive director of Strong Foundations, LLC, has been providing clinical services to the children and families of Weld County and Northern Colorado for over 27 years. Strong Foundations, LLC, is based in Greeley, Colorado, but provides services for families anywhere in the state. Julie is the only staff at Strong Foundations, LLC. She earned her Bachelors of Art Degree in Psychology in 1984, her Masters of Social Work in 1996, and she has been a Licensed Clinical Social Worker in Colorado since January of 2003. She is also a clinically certified juvenile treatment specialist. Julie has worked as a juvenile counselor with adolescents adjudicated as delinquent (8 years), as a child protection caseworker in Boulder County (2 years), as a mental health therapist and case manager in Fort Collins (8 years), and, for the past nine years, as a SAFE home study provider, relinquishment counselor, foster parent trainer and a consultant provider for Weld County. Julie has also developed Strong Foundations, LLC, as a Child Placement Agency (CPA) foster care and adoption agency. She developed this agency in the hopes of helping find permanent homes for difficult to place children currently available for adoption. These are generally older children, some with medical issues, which are overlooked by individuals hoping to grow their families through adoption. Julie thoroughly enjoys her work as a clinical social worker and has genuinely enjoyed working with various professionals in the field of child welfare over the past 27 years and hopes to continue developing and refining her skills to be of more help to children in need. Provider Contract Checklist and Reference FY2014-15 Foster Parent Consultation General Description of Contractor: Contractor is a Licensed Clinical Social Worker located at 1702 68' Avenue, Greeley, Colorado, 80634, and provides professional and clinical group and individual consultations for Weld County Department of Human Services foster families located within a 50 -mile radius of Greeley. Services for South County will occur in South County. Type of Service: Contractor will provide group, one-on-one and corrective action consultation services. Contractor will provide consultation and foster parent group support around safety of foster children, permanency for foster children, the well-being of families, placement issues, behavioral management, foster home issues involving biological children in the home, transition and loss issues, work with the foster parents and caseworkers around interpretation and implementation of treatment plans, discipline in the home, group training for foster parents with access to training materials, work with foster/adopt parents on legal risk and commitment issues, visitation issues and solution oriented planning. Contractor proposes that, for specific cases and only with Departmental approval, that consultations also include direct, face-to-face contact with the foster child's biological parent(s) in an effort to better serve the endeavor to reunify the child(ren) with their biological family. Contractor will meet with the foster parent(s) and the foster child(ren) at the foster home and then meet with the biological parent(s) at their home in an effort to combine therapeutic interventions and meet the permanency needs of the child(ren). Contractor will also provide individual foster parent consultation on a time -limited basis only with approval of the Department. Contractor will provide mandated training for foster parents under corrective action plans as well as referring foster parents to follow-up services as referred by the Department. Contractor will provide training to foster parents to satisfy State training requirements within the following guidelines: two training credits per month will be recorded for each critical care foster parent participating in the mandated monthly consultation group; alp additional foster parent training will be pre -approved by Department staff, i.e., Foster Care Coordinators or Resource Services Manager. Contractor stipulates that all training will be offered to all Weld County foster parents, whether they are involved in the consultation program or not. Contractor will not be providing foster parent group consultation if Contractor is also providing therapeutic services for a child in the same home. Contractor will provide all assessments, clinical recommendations and other opinions directly to the assigned caseworker of the children involved in consultations. If there is disagreement over the implementation of the treatment plan with the caseworker, a meeting shall be held with this Contractor, assigned caseworker, foster parents and the caseworker's supervisor. The objective will be to determine a unified response for the court. Contractor will not use the legal system to oppose the Department's recommendations. Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying information in those reports are strictly confidential. Contractor assures the FYC Commission and the Department that Contractor's resources will not supplant existing and available services in the community; e.g., mental health capitation services, ADHD and professional services otherwise funded. Contractor will provide improvement of household management competency as measured by pre and post assessment instruments. Contractor will also provide improvement of parental competency as measured by pre and post assessment instruments. Contractor will assess foster parents ability to independently work with other sources in the community and within the local, state and federal governments by direct observation. Contractor will assess whether foster parents are able to demonstrate higher skill and competency levels in fulfilling their designated function for children in out -of -home placement by direct observation as well as discussion with Foster Parent Coordinator about the foster parents required training hours. Contractor will observe foster parents' ability to positively meet their biological children's needs in adjusting to and coping with the presence of foster children in the home, assessing the well-being of the family. Contractor w Il also assess, on an on -going basis, the safety and permanency risks to each child in the foster homes. Contractor recognizes that children should be, first and foremost, protected from abuse and neg'ect and that the children are safely maintained in their homes. Monthly reports will continually document an assessment of risk and safety concerns and any interventions offered to ameliorate concerns. Contractor will make recommendations in each monthly report regarding services and/or safety measures that the Contractor believes should be implemented to ensure the safety of the children. Contractor will specifically document efforts to engage families in services to control for safety. Contractor will assess for permanency and stability in foster children's living situations. Contractor will work with foster parents to promote the preservation and continuity of biological family relationships and connections. Contractor will note permanency goals for children referred to the program and document how interventions are working toward achieving the child's permanency goal. Contractor will assess progress toward achieving permanency, make recommendations regarding the need for further, out -of -home placement, make recommendations when or if changes should be made in this area, assess family relationships and report any concerning relationship issues which could be a barrier to achieving permanency. Contractor agrees to provide on going efforts to resolve identified issues, make recommendations for additional services if appropriate, and document recommendations for on -going services or changes to services and/or placements. Contractor will use the Trauma Informed Care model when working with foster and biological family members in an effort to help the children's caregivers understand the need to address the children's trauma before addressing behav oral issues. Contractor recognizes that families have an enhanced capacity to provide for their children's needs. Contractor will assess foster families abilities to receive appropriate services to meet their educational needs. Contractor will assess whether children are receiving adequate services to meet their physical and mental health needs. Contractor will engage in on -going assessments of the foster parents' capacity to appropriately care for the foster children and whether or not tie service being provided continues to be appropriate. Contractor will specifically detail areas of continued concerns within the family and make recommendations regarding whether Contractor's service continues to be appropriate. Contractor will document any and all observed concerns regarding any child with whom the Contractor is working. Documentation will include any concerns regarding physical, emotional, educational and behavioral well being of the child. When appropriate, Contractor agrees to provide recommendations regarding any additional services that may address any and all noted concerns. Services are provided at the foster and/or the biological family member's homes. Rates: $60.00 per individual for group consultations. $100.00 per hour for face-to-face consultations. $100.00 per hour for court preparation and court testimony. I hereby waive my right to a sealed bid. Julie Bo), LCSW Provider Contract Checklist and Reference FY2014-15 Foster Parent Training General Description of Contractor: Contractor is a Licensed Clinical Social Worker located at 1702 68th Avenue, Greeley, Colorado, 80634, and provides professional and thorough trainings for foster parents. Contractor has developed a curriculum that covers all areas required by Colorado State's Volume VII Regulations. Type of Service: Contractor will provide Core Certification Training to foster care certification applicants in Weld County. These trainings will satisfy all training requirements of the State of Colorado Volume VII and those required by the Weld County Department of Human Services, which will include a como;etc review of issues on safety, permanency and the well being of foster families and fester children. Contractor will provide the required 27 hours for completion of the training and will complete trainings in a block covering no more than 4 weeks in length. Contractor will separate out blocks of 12 hours, 15 hours and 27 hours as requested by the Department. Contractor will cover the 10 State Mandated topics during the first 12 hours of training and then cover said topics in more depth during the remaining 15 hours of training. Contractor will supply a syllabus to the Department indicating the time each topic will be covered. Training cycles may vary, but trainings will generally take place every 6 weeks throughout the year, in approximately 4 cycles. Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying information in those reports are strictly confidential. In addition to providing mandated curriculum, Contractor will assess perceived strengths and weaknesses of general functioning of applicants relative to caring for children with special needs. Areas of concern will be shared with the Department Foster Care Certification staff. Contractor will be available for court testimony, given proper notification. Contractor uses a comprehensive and experiential training curriculum that directly improves the foster parents' ability to provide quality care for foster children. This curriculum includes Trauma Informed Care focus on helping heal foster children. At a minimum, Contractor covers attachment and bonding issues, grief, loss and separation issues, adoption issues, child growth and development, boundary setting and discipline, providing for children of differing races, cultures and ethnicities, confidentiality, understanding adoption laws and procedures, including termination of parental rights, relinquishment and expedited permanency plans, contact and communication with the child's biological family members, safety and permanency for foster children, the well-being of families and the use of community resources. Contractor also specifically addresses infant care, Shaken Baby Syndrome, Fetal Alcohol/Substance Abuse Syndrome, the oft times misleading or incomplete historical information foster parents receive regarding the child and their biological family members, special medical or emotional needs, parenting the neglected, emotionally, physically and/or sexually abused child, parenting the physically, mentally or emotionally challenged child and accessing available benefits and resources. Outcomes will be measured by confirmation that 90 percent of all applicants enrolled in the trainings have successfully completed the course. Contractor will document any participants not completing the course, reasons why the course was not completed and the Foster Care Certification staff provided with this information. Contractor will use an Evaluation Form provided by the Department at each training to assess Contractor's abilities. Trainings are held at Contractor's home office in Greeley, Colorado. Rates: $150 per person for 12 hours. $200 per person for 15 hours. $250 per person for 27 hours. $200.00 per hour, per couple, for couples attending a 2 -hour training. $100.00 per hour, per individual, for individuals attending a 2 -hour training. $100.00 per hour for court testimony $810.00 flat rate for interpreter, to be paid directly to the interpreter by the Department. I hereby waive my right to a sealed bid. lulu Box, LCSW Provider Contract Checklist and Reference FY2014-15 Home Studies and Relinquishment Counseling General Description of Contractor: Contractor is a Licensed Clinical Social Worker located at 1702 68' Avenue, Greeley, Colorado, 80634, and provides professional, timely home studies using the State mandated SAFE home study protocol. Contractor also provides professional and timely relinquishment counseling. Both home studies and relinquishment counseling are provided for families within a 100 -mile radius of Greeley. South County services will occur in South County. Type of Service: Contractor uses the Structured Analysis Family Evaluation (SAFE) protocol developed by the Consortium for Children. This is the format that was taught in state sponsored training that Contractor attended in Greeley, Colorado, on October 10 and 11, 2005. Contractor has also attended the SAFE Supervisor Training on November 16, 2006, and is now certified to supervise other's using the SAFE format. Contractor has also attended the SAFE Refresher Course on November 16, 2010. These home studies are 'adoptive quality' and meet the state prescribed format. The Psychosocial Inventory aspect of the SAFE format provides quantitative measures as they directly relate to the applicant's abilities to provide for a foster child's safety, permanency and the well being of the family. There is no difference between adoption, foster care or kinship care home studies. Contractor is currently on the state vendor list for adoptive home study providers. Services are provided at the Home Study applicant's home. All background check information will be completed by the Weld County Department of Human Services with the results being forwarded to Contractor as soon as it is received. A copy will be retained in Contractor's files, per State Regulations for 7 years. Also included with the final home study will be the SAFE questionnaires one and two, completed by the applicants, the four references and any other original documents submitted to the Contractor by the applicant(s). The goal for each home study referral is to complete a quality, comprehensive, written home study within six weeks of initiation of the home study. Outcomes will be measured through timely submission of the home study to the referring caseworker, therefore ensuring more expedient placement of children. Contractor will also track the number of home studies referred that Contractor did not accept and the number of home studies referred and subsequently cancelled by the Department. The SAFE protocol provides a psychosocial inventory used to measure the risk of the placement in an applicant foster family or adoption of a child in any given home. Contractor will use the psychosocial inventory to measure, evaluate and monitor safety, permanency and the well being of the family. Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying information in those reports are strictly confidential. RELINQUISHMENT COUNSELING SERVICES Relinquishment counseling services will be provided to all adult individuals referred for this service by the WCDHS as well as to their children age 12 and older. Services will be provided individually and Contractor will submit a written report and the appropriate affidavits/interrogatories. Relinquishment counseling referrals will be tracked and measured in the same way as home studies. Contractor uses the state format to interview and assess consumer's intent regarding relinquishment. Services are provided at the applicant's home. Rates: Home studies: $950: Flat rate for full home study. $425: Updated home study. $250: Per adult for each additional adult living in the home; after initial 2 adults. 5225: Cancellation fee after 3.5 hours of direct, face-to-face contact. $100: Per hour for court preparation and court testimony. $300.00/Episode/Flat rate for interpretive services for family home study $150.00/Episode/Flat rate for interpretive services for individual home study Relinquishment counseling: $110.00: Per hour for face-to-face interviews. I hereby waive my right to a sealed bid. Julie Box, LCSW Julie Box, LCSW 1702 68 Avenue Greeley, CO, 80634 970.339.9036 or 970.302.1471 Education: Adams State College; BA in Psychology. Graduated 1984. Colorado State University; MSW; Masters in Social Work. Graduated 1996. Licensed Clinical Social Worker as of January of 2003; License # 992996. Clinically Certified Juvenile Treatment Specialist since November 29, 2007. Work History: Strong Foundations, LLC, Adoption Agency September 2010 to Present Strong Foundations, LLC, has been licensed as a CPA, foster care and private, for-profit, domestic adoption agency in the state of Colorado. Julie Box, LCSW, is currently acting as executive director of Strong Foundations, LLC. Responsibilities include CORE Adoptive Parent Trainings, marketing, engaging with potential clients, completing SAFE Home Studies, relinquishment counseling, provision of court reports, managing the budget and all other necessary activities attached to an adoption agency. Private Practice: June 01, 2004, to present This clinician currently has a contract with the Weld County Department of Human Services (WCDHS) to complete SAFE home studies for individuals applying as foster/adoptive parent(s) in Weld County, to provide CORE Foster Parent Trainings, relinquishment counseling and to provide individual and group consultations with foster parents. Responsibilities for home studies include the use of the SAFE, Structured Analysis Family Evaluation, a written, narrative home study provided to the WCDHS, with recommendations, background checks through the Department of Motor Vehicles and local law enforcement, four letters of reference for the applicant parent(s) and SAFE Questionnaires one and two, completed by the applicant parent(s). The WCDHS completes other background checks through the CBI and FBI, Trails, and Lexis Nexis on their own. Responsibilities for the CORE Foster Parent Trainings include providing 27 hours of state mandated training for applicant foster parents. Responsibilities for individual and group foster parent trainings include meeting with foster parents to address clinical issues with which foster children and the families may be struggling. Responsibilities for relinquishment counseling include meeting with the parent(s) that wish to relinquish their parental rights, providing counseling, explaining the court process and completing all relevant paperwork for the court. Clinician at Lutheran Family Services May 11, 1998, to January 13, 2006. Program Manager for Family Preservation Program, Home Study Program and Relinquishment Counseling Program for Lutheran Family Services June of 2003 to January of 2004. The rest of the time was a position as clinician. Responsibilities as a clinician included crisis intervention, therapeutic services for foster children dealing with grief and loss issues in LFS homes, case management services for foster children, foster parents, birth parents and county caseworkers, attending and testifying at court hearings, completion of home studies for Lutheran Family Services homes as well as for the Weld County Department of Human Services, completion of all related paperwork including but not limited to monthly reports, ongoing progress notes, interactional assessments, monthly staffing notes and development of treatment plans. Responsibilities as a program manager included responsibility for clinical and administrative oversight of the three programs listed above, assisting in selecting staff, assisting in program development and definition, identifying community resources to supplement program activities and ensuring that consistently high quality clinical care and case management services are provided for each program consumer. Social Caseworker Ill: Child Protection for the Boulder County Department of Social Services August OS, 1996, to May 11, 1998 Responsibilities included family assessments, family and individual therapy, updated written reports on case progress, written court reports, attendance and testimony at court hearings, school staffing's, therapeutic staffing's, crisis intervention, written social histories, attending interagency staffing's, development of treatment plans and general case management. Supervisor for Work Release and Home Detention Inmates for the Weld County Sheriff's Department December of 1994 to July of 1996 Responsibilities include direct supervision of inmates in the work release and home detention programs, daily record keeping of inmate activities, home visits to verify the inmate's whereabouts, crisis intervention and counseling of inmates. Counselor II/Assistant Program Director for the Weld County Shelter Home and Alternative Homes for Youth November of .1986 to August of 1994 Responsibilities included all financial management, supervision of adjudicated delinquent youth aged twelve to eighteen, counseling youth with a focus on grief and loss issues, development of treatment plans, USDA liaison, supervision of staff, training for all new staff and interns, assumption of the program directors duties when the director was absent, communicating effectively with all other professionals and the upkeep of statistics. Continuing training Family Group Decision Making: November 1998 Understanding Anxiety: October 1999 Play Therapy and Therapeutic Care of Children in Foster Care and Adoption: October 1999 Oppositional Behavior and ODD: 2000 Attachment and Bonding: January 2001 Verbal De-escalation and Personal safety: February 2002 Psychiatric Medications in Children Placed in Foster or Adoptive Care: March 2002 Building Skills in High Risk Families: June 2002 Confirming Safe Environments: September 2002 Foster Family Assessment Training: September 2002 EMDR; Basic Training: November 2002 Attachment and Bonding: February 2003 Understanding and Responding to the Sexual Behavior of Children: May 2003 Advanced Training for Special Advocates: September 2003 Helping Grieving Children and Teens: October 2003 Structured Analysis Family Evaluation (SAFE) Training 2005 Mediation Course: June 2006 SAFE Supervision Training 10 of 2006 Trauma, PTSD, and Traumatic Grief: October 2007 2007 Child and Adolescent Mental Health Conference: November 2007 Ethics in Court Testimony 2009 Family Centered Parenting for Foster Kids 2009 SAFE Refresher Training 11.16.2010 Beyond Consequences 02.22.2012 Anxiety Disorders 04.19.2012 75 Quick On The Spot Techniques For Children With Emotional and Behavioral Problems 03,01.2013 Early Attachment Theory 08.12.2013 Gang Violence in America 08.12.2013 Bullying in Children and Youth 08.12.2013 Taking Care of Yourself While Helping Others 08.13.2013 Trauma Informed Care for Adolescent Survivors of Sexual Assault-Webinar 03.13.2014 References: Lutheran Family Services Human Resources Department: 1.800.579.9496; 363 S. Harlan, Suite 200, Denver, CO., 80226-3552. Sharon Thomas: Supervisor at LFS from May of 1998 to December of 2003: 970.663.1039; 3733 Lincoln Court, Loveland, CO, 80538. Email: Skt1225@aol.com Diane Baird: LCSW Consultant: Private Practice. 720.217.9352. Maria Baladez: Caseworker at the Boulder County Department of Social Services: 303.441.1505; 640 Gooseberry Drive, #402, Longmont, CO., 80503. Email: mbass@co.boulder.co.us. PY-14-15-CPS-0043 EXHIBIT C SCOPE OF SERVICES 1. CONTRACTOR will provide Home Study and Relinquishment Counseling services to families referred by the Department. 2. CONTRACTOR utilizes the Structured Analysis Family Evaluation (SAFE) tool developed by the Consortium of Children. All staff completing studies under this contract are SAFE certified and appear on the State's approved home study vendor list. 3. CONTRACTOR will ensure that all staff conducting studies under this contract attend SAFE Refresher training during the term of the contract. 4. CONTRACTOR will ensure that all studies are completed utilizing the most up-to-date forms and templates as found on www.consortforkids.org or www.SAFEhome.tudy c,rg. 5. CONTRACTOR will complete a Department of Motor Vehicle background check at no additional charge. All CBI, FBI and LexisNexis background check information will be completed by the Department, unless otherwise directed by the Department. 6. CONTRACTOR will notify the Department within three days of receipt of a referral if the referral will be accepted and acted upon. 7. CONTRACTOR will submit a completed home study to the Department with their billing within 60 days of receipt of the home study referral. A complete home study will include the study in SAFE format, background check information, SAFE questionnaires completed by the applicants, references and all other original documents submitted by the home study applicant. 8. Relinquishment counseling services will be provided to all adult individuals referred by the Department, as well as associated children 12 years of age and older, utilizing the required State format. CONTRACTOR will submit a written report and the appropriate affidavits and interrogatories. 9. CONTRACTOR will document in detail any and all observed or verbalized concerns regarding any specific Weld County home. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Child abuse must be reported immediately per law. 1 PY-14-15-CPS-0043 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department 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 $950.00/Episode (Home Study, 2 Adults) $425.00/Episode (Updated Home Study) $250.00/Episode/Per Person (Additional adult after two adults) $225.00/Episode (Partial Home Study rate after the first interview) $300.00/Episode (Interpretive Services -Family Home Study) $150.00/Episode (Interpretive Services -Individual Home Study) $ .54/Mile (After first 30 miles) 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. 1 PY-14-15-CPS-0043 a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 Julie Box, LCSW Strong Foundations, LLC 1702 68th Avenue Greeley, CO 80634 970.302.1471 ; gxoni 03.18.2014 Re: Certificate of Insurance with Specific Services On March 15, 2013, this clinician spoke to a representative of American Home Assurance Company, requesting that they include coverage for specific services provided by this clinician for Weld County. The representative stated that American Home Assurance Company does not list specific services on the certificate. Please let me know if you need further specifics on this issue. Thank you. Respectfully, _, ! . vti Vi I ,/ LCSW AMERICAN HOME ASSURANCE Cc) . THIS is A CLAIM'S: MADE, POLICY - PLEASE READ CARPI L:LLI' 1 1/31/14 Social Worker Professional Liability Policy *** RENE IAL *** F.N 1.11:1'1 t?t• 1F-1HifI.(; `�{,`/�t11f. { 12()\I:>Il)\ "Sit OR "Cr i� I l?�?I•if:. 1'UI.IC?lEt..\RL. ALLEGATIONS ttil SEXU:\l.\iISC0ND(:C 1 t5c r'(il.It..V NO: SWT_ -0019:9 ",) 52 Cl'EM I. i..1) N,V!L ANt) :\D!'R SS STRONG FOUNDATIONS LLC 1702 68TH AVE GREELE=', CC 80634 :\DI)! I i ;' Al.. INSUREDS. STATE OF COLORADO/THE WELD CN` i' . DEPT. OF S. P.O. BOX A GRE1 LEY, CO 806_:1 I I E \f t'UI,it'Y i'h.iaC•ii: llvl'1'JOI' HABIT]; )EC L, RAIlONS ACCOI.INI NO- CO-STRO170 •• 0 I I M i. thi ADDI I IONA!. NAMED INSUREDS: JULIE E BOX 04269745 LA2IMER COUNTY DEPT OF S. HUMAN SERVICES 2(01 MIr..POINT DR STE 112 PORT COLLINS, CO 80525 02/20/14 TO: 02/20/15 S1:\Nl')AIZU I I\1}-.A'I' 11 il'.ADDRESS iuF'I'l IL IBSUitl?D :\; STATED Illa(L• I'•• EACH WRONGFUL ACT OR SERIES OI (:O\ t'IN OLS. t(f 'hA I ED (J)S 1 000 , 000 OR ilk t'I.`.I:I:ELA t'CD WRONGFUL ACTS OR OCCURRENCE ;. , 0 0 i) , 0 00_ AC GttE(.; +T% I c 5 00 DEFENSE RLIMIiURSi 11'.1`•I' i l't.tt ^- - I'1(i \1It \t S(.Iihl)l:l..l. _-- - --- - -1-C,l:\ifil•R ' ft:\ i�h: :1'i\1 -:1L PitF... ._____ _ PROF '' N LS i 1 186.001 186.001 INDEPENDENT CONTRACTORS I 1 22.0` l 22.00, .0D' a DEFENSE LIMIT I $4.00 ADDITIONAL INSUREDS 2 2.00: 1 1 I • 1I'I? t G. RI_j!(t).^.CTNI•::>:\I'I:: 02/20 /04 4 I i EN! 7 EX I ENI)I1) REPORTING PERIOD \T)11Ii1O1NAI, EM S. I'ULICY FORMS .\\D ENDORSEMENTS .tTTACI lED I O ) THIS POLICY: AUTHOR _f�iCOMPANY tthi IZi: t.NlAiIV FORM #615852 7/96 #658',3 (7/96) 52134 10/91 66053___ 6/97 83191 I!!S, , x.10 / 0 3,•:,•:ati: �:.i HAS �h:ry PAID 13 , EA L PR LM I'..! Mt: 292.00 292.001 78711 0 \PAZ? (i Ira±,: i ;s `•lt..\ 3. 1 I.. i . r\l)13E\lH 1TUTideIDECLVRAIkr.S ,nt;n �sldea a: 1 the Insurer io all tlx: terms cFthis Policy. 1:; I RLH;7:t1:A! anion St -1..2 Inst.;rincc l Ilinois Lana LL'. I L�r.1p;h is c In:ur�txc Curn'. .-Am_ c ,il 1 toh U :A�>t LL1 CC Crn,pttel< “sl t.nion I Inca .ileaCennnanoP�'tshans (_'inRIer 1 nd if'C ,..try l��W i1Lc t m?nlIv SECRETARY oilhC laai1CC ❑t all ibik): VCtI I the n tl,t Dechtcations Ir yA: tI c Policy - t C.:= At. I1-IORI/El 1. RiL:/PN1 A.1i /P LOT.. I .1 ' I LOLL..]RSICNLD AT 7S71 ii; ._ PY-14-15-CORE-0199 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND STRONG FOUNDATIONS, LLC th This Agreement, made and entered into the/5 day of bet 2014, 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 Strong Foundations, LLC, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Foster Parent Consultation. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2014 upon proper execution of this Agreement and shall expire May 31, 2015, unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for Proposal, and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or 1 PY-14-15-CORE-0199 through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 PY-14-15-CORE-0199 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to the Request for Proposal, Exhibit B, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.' and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 PY-14-15-CORE-0199 - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State Iaws 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. 4 PY-14-15-CORE-0199 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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. 5 PY-14-15-CORE-0199 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i. Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. 6 P PY-14-15-CORE-0199 iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self- insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. PY-14-15-CORE-0199 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. Trainin Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 8 PY-14-15-CORE-0199 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. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Julie Box, Executive Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 9 For Contractor: Julie Box, Executive Director 1702 68th Avenue Greeley, CO 80634 (970) 302-1471 PY-14-15-CORE-0199 18. Litigation Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 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 10 PY-14-1S-CORE-0199 pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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, 11 PY-14-15-CORE-0199 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 PY-14-15-CORE-0199 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 13 PY-14-15-CORE-0199 35. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 14 PY-14-15-CORE-0199 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the daymonth, and year first above written. ATTEST: iIth ) K.[ ;1A Weld County Clerk to the Board By: Duty Clerk to the Board AP VEiv ASM County Attorney WELD COUNTY DEPARTMENT OF HUMAN SERVICES By. 15 BOARD OF COUNTY COMMISSIONERS 'LD COUNTY, COLORADO -,S" crs 4ii is-�1,� lDeug'!a5 Rademacher, Char SEP 15 [014 STRONG FOUNDATIONS, LLC 7 Byu -��i L'til% Julie Box, Executive Director c/9- a8-' EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. Page 1 Bid No. B1400069 III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Page 2 Bid No. B1400069 Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. 1. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. Page 3 Bid No. B1400069 If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. Page 4 Bid No. B1400069 B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental Page 5 Bid No. B1400069 beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. i. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: Page 6 Bid No. B1400069 $1,000,000 each occurrence; $2,000,000 general aggregate; $2,000,000 products and completed operations aggregate; $50,000 any one fire; and $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on Page 7 Bid No. B1400069 www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. Page 8 Bid No. 81400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. Page 9 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. Page 10 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. Page 11 Bid No. B1400069 SERVICE AREA DEFINITIONS Program Area r. Definition, h � Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Page 12 Bid No. B1400069 Program Area ` Definition h p ` Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. Page 13 Bid No. B1400069 Program Area •` k is �.... Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Page 14 Bid No. B1400069 EXHIBIT A CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND«CONTRACTOR"» This Agreement, made and entered into the _ day of by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A Department's Request for Proposal, Exhibit B, Scope of Services, Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided «funding» to the Department for «Services»; and NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on «TermStart», upon proper execution of this Agreement and shall expire «TermEnd», unless sooner terminated as provided herein. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A, Weld County's Request for 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 1 Bid No. B1400069 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. 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, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds 2 Bid No. B1400069 expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Department's Request for Proposal, Exhibit B, Scope of Services, , Exhibit C, Contractor's Response to the Request for Proposal, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.• and all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and 3 Bid No. 81400069 - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is «funding». 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. 4 Bid No. B1400069 e. Contractor certifies that it shall comply with the provision of the Colorado Revised Statutes (C.R.S.) 8- 17.5-101 et. seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requires made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractors fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et. seq., the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. Except where exempted by Federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor receives federal or state funds under this Agreement, Contractor 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 this Agreement. If Contractor operates as a sole proprietor, it hereby affirms under penalty of perjury that s/he (a) is a citizen of the United States or is otherwise lawfully present in the United State 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 this Agreement. 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 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 5 Bid No. B1400069 Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provided the liability (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. 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. - Standard Workman's Compensation and Employer's Liability o As required by State statute including occupational disease, covering all employees at the work site. General Liability (PL and PD) (Minimum) o Combined single limit - $500,000.00 written on an occurrence basis. o Additional insurance required if claims reduce the annual aggregate below $500,000.00. o Weld County, State of Colorado, to be named as additional insured on each comprehensive general liability policy. o Certificate of Insurance to be provided to Weld County. o Insurance shall include provision preventing cancellation without 60 days prior notice by certified mail to Weld County. - Automobile Liability (Minimum) for any Contractor transporting children or any party to whom Department services are being provided. Additional coverage may be required in specific program areas. For any insurance that are required by this Agreement, a completed Standard Certificate of Insurance shall be provided to the Department by the Contractor prior to the start of any Agreement. 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 6 Bid No. B1400069 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. 7 Bid No. 01400069 Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator «RepFName» «RepLName», « RepTitle» 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 970) 352-1551 18. Litigation For Contractor: eNoticeFName» «NoticeLName» «Addressl»,«Address2» «City», «State» «Zip» «Phone» 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 individua s 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. 8 Bid No. B1400069 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq. as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationship 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 shah 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, 9 Bid No. B1400069 amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 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 10 Bid No. B1400069 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 Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of this Agreement. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 11 Bid No. B1400069 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 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. 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. 12 Bid No. B1400069 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Weld County Clerk to the Board Douglas Rademacher, Chair By: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney WELD COUNTY DEPARTMENT «CONTRACTOR1» OF HUMAN SERVICES By: By: Judy A. Griego, Director 13 «SigFName» «SigLName», «Title» Bid No. B1400069 EXHIBIT A REQUEST FOR PROPOSAL Bid No. B1400069 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES DATE: 03/05/2014 PAGES 1-4 OF THIS REQUEST FOR PROPOSAL CONTAIN GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-4 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 4. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES (AS DESCRIBED ON PAGES 12-14) B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at vegterta@weldgov.com or P.O. Box A, 315 A North 11th Avenue, Greeley, CO 80631, through: WEDNESDAY, MARCH 21, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described on pages 12-14). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph II D below. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Service 14 Bid No. B1400069 Utilization Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 15 Bid No. B1400069 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 16 Bid No. B1400069 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age 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 this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV. General Specifications. 17 Bid No. 81400069 A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of 18 Bid No. B1400069 action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant 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, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. i. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. 19 Bid No. B1400069 (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $2,000,000 products and completed operations aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * Contractual liability covering the indemnification provisions of this Agreement; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. ii. 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 20 Bid No. B1400069 company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance on www.lns-Cert.com and link the information to County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 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. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. 21 Bid No. B1400069 Project Overview: The Weld County Department of Human Services (WCDHS) is seeking various services. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intensive Services, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. Refer to pages 12-14 for specific definitions related to the above -mentioned service areas. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) A bidder must submit a completed Provider Information Form. 2) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff. 1) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 3) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 4) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 5) A bidder must provide a current resume, as well as proof of licensure, for self and staff members. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 6) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 22 Bid No. B1400069 7) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 8) A bidder must agree to enter into a contract, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the contract. Contract Period and Pricing: 1) The initial contract period shall commence on June 1, 2014, through May 31, 2015, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or Child Welfare Administration funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Proposal. All proposals must contain the following specific information: 2) Completed Provider Information Form with original signature of authorized representative. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff. 4) Sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Proposal. 23 Bid No. B1400069 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 8) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 9) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 24 Bid No. 81400069 SERVICE AREA DEFINITIONS Program Area � �� Definition . " "�� Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. 25 Bid No. B1400069 Program Area. Definition Homes Studies/Relinquishment Counseling Home studies and home study updates per the standardized SAFE home study tool for the purpose of adoption, foster care, and expedited permanency planning. Relinquishment counseling for parents considering relinquishment of their children. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Sex Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetrations, and to prevent further sexual abuse and victimization. 26 Bid No. B1400069 Program Area Definition Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 27 Bid No. B1400069 EXHIBIT B SCOPE OF SERVICE 1. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 2. 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. Upon receipt of an invitation from the Department, Contractor must contact the Child Welfare Contract and Services Coordinator to request approval to bill for participation if Contractor wishes to be reimbursed. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor requests approval to bill in advance of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. 3. 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. 28 Bid No. B1400069 EXHIBIT C CONTRACTOR'S RESPONSE TO THE REQUEST FOR PROPOSAL 29 Bid No. B1400069 EXHBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 aursuant 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 <<Rate Schedule» 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'° 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. 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. 30 EXHIBIT Ii CONTRACTOR'S RESPONSE' 1'O TI 1E REQUEST FOR PROPOSAI. Strong Foundations, LLC Julie Box, LCSW 1702 68t 1 Avenue, Greeley, CO 8634 970.302.1471 strongfoundations@q.com COVER LETTER 03.19.2014 Program Year 2014-15 Core and Contracted Services Julie Box, LCSW, the executive director of Strong Foundations, LLC, has been providing clinical services to the children and families of Weld County and Northern Colorado for over 27 years. Strong Foundations, LLC, is based in Greeley, Colorado, but provides services for families anywhere in the state. Julie is the only staff at Strong Foundations, LLC. She earned her Bachelors of Art Degree in Psychology in 1984, her Masters of Social Work in 1996, and she has been a Licensed Clinical Social Worker in Colorado since January of 2003. She is also a clinically certified juvenile treatment specialist. Julie has worked as a juvenile counselor with adolescents adjudicated as delinquent (8 years), as a child protection caseworker in Boulder County (2 years), as a mental health therapist and case manager in Fort Collins (8 years), and, for the past nine years, as a SAFE home study provider, relinquishment counselor, foster parent trainer and a consultant provider for Weld County. Julie has also developed Strong Foundations, LLC, as a Child Placement Agency (CPA) foster care and adoption agency. She developed this agency in the hopes of helping find permanent homes for difficult to place children currently available for adoption. These are generally older children, some with medical issues, which are overlooked by individuals hoping to grow their families through adoption. Julie thoroughly enjoys her work as a clinical social worker and has genuinely enjoyed working with various professionals in the field of child welfare over the past 27 years and hopes to continue developing and refining her skills to be of more help to children in need. Provider Contract Checklist and Reference FY2014-15 Foster Parent Consultation General Description of Contractor: Contractor is a Licensed Clinical Social Worker located at 1702 68' Avenue, Greeley, Colorado, 80634, and provides professional and clinical group and individual consultations for Weld County Department of Human Services foster families located within a 50 -mile radius of Greeley. Services for South County will occur in South County. Type of Service: Contractor will provide group, one-on-one and corrective action consultation services. Contractor will provide consultation and foster parent group support around safety of foster children, permanency for foster children, the well-being of families, placement issues, behavioral management, foster home issues involving biological children in the home, transition and loss issues, work with the foster parents and caseworkers around interpretation and implementation of treatment plans, discipline in the home, group training for foster parents with access to training materials, work with foster/adopt parents on legal risk and commitment issues, visitation issues and solution oriented planning. Contractor proposes that, for specific cases and only with Departmental approval, that consultations also include direct, face-to-face contact with the foster child's biological parent(s) in an effort to better serve the endeavor to reunify the child(ren) with their biological family. Contractor will meet with the foster parent(s) and the foster child(ren) at the foster home and then meet with the biological parent(s) at their home in an effort to combine therapeutic interventions and meet the permanency needs of the child(ren). Contractor will also provide individual foster parent consultation on a time -limited basis only with approval of the Department. Contractor wi'l provide mandated training for foster parents under corrective action plans as well as referring foster parents to follow-up services as referred by the Department. Contractor will provide training to foster parents to satisfy State training requirements within the following guidelines: two training credits per month will be recorded for each critical care foster parent participating in the mandated monthly consultation group; all additional foster parent training will oe pre -approved by Department staff, i.e., Foster Care Coordinators or Resource Services Manager. Contractor stipulates that all training will be offered to all Weld County foster parents, whether they are involved in the consultation program or not. Contractor will not be providing foster parent group consultation if Contractor is also providing therapeutic services for a child in the same home. Contractor w'll provide al! assessments, clinical recommendations and other opinions directly to the assigned caseworker of the children involved in consultations. If there is disagreement over the implementation of the treatment plan with the caseworker, a meeting shall be held with this Contractor, assigned caseworker, foster parents and the caseworker's supervisor. The objective will be to determine a unified response for the court. Contractor will not use the legal system to oppose the Department's recommendations. Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of chid abuse and any identifying information in those reports are strictly confidential. Contractor assures the FYC Commission and the Department that Contractor's resources will not supplant existing and available services in the community; e.g., mental health capitation services, ADHD and professional services otherwise funded. Contractor will provide improvement of household management competency as measured by pre and post assessment instruments. Contractor will also provide improvement of parental competency as measured by pre and post assessment instruments. Contractor will assess foster parents ability to independently work with other sources in the community and within the local, state and federal governments by direct observation. Contractor will assess whether foster parents are able to demonstrate higher skill and competency levels in fulfilling their designated function for children in out -of -home placement by direct observation as well as discussion with Foster Parent Coordinator about the foster parents required training hours. Contractor will observe foster parents' ability to positively meet their biological children's needs in adjusting to and coping with the presence of foster children in the home, assessing the well-being of the family. Contractor will also assess, on an on -going basis, the safety and permanency risks to each child in the foster homes. Contractor recognizes that children should be, first and foremost, protected from abuse and neglect and that the children are safely maintained in their homes. Monthly reports will continually document an assessment of risk and safety concerns and any interventions offered to ameliorate concerns. Contractor will make recommendations in each monthly report regarding services and/or safety measures that the Contractor believes should be implemented to ensure the safety of the children. Contractor will specifically document efforts to engage families in services to control for safety. Contractor will assess for permanency and stability in foster children's living situations. Contractor will work with foster parents to promote the preservation and continuity of biological family relationships and connections. Contractor will note permanency goals for children referred to the program and document how interventions are working toward achieving the child's permanency goal. Contractor will assess progress toward achieving permanency, make recommendations regarding the need for further, out -of -home placement, make recommendations when or if changes should be made in this area, assess family relationships and report any concerning relationship issues which could be a barrier to achieving permanency. Contractor agrees to provide ongoing efforts to resolve identified issues, make recommendations for additional services if appropriate, and document recommendations for on -going services or changes to services and/or placements. Contractor will use the Trauma Informed Care model when working with foster and biological family members in an effort to help the children's caregivers understand the need to address the children's trauma before addressing behavioral issues. Contractor recognizes that families have an enhanced capacity to provide for their children's needs. Contractor will assess foster families abilities to receive appropriate services to meet their educational needs. Contractor will assess whether children are receiving adequate services to meet their physical and mental health needs. Contractor will engage in on -going assessments of the foster parents' capacity to appropriately care for the foster children and whether or not the service being provided continues to be appropriate. Contractor will specifically detail areas of continued concerns within the family and make recommendations regarding whether Contractor's service continues to be appropriate. Contractor will document any and all observed concerns regarding any child with whom the Contractor is working. Documentation will include any concerns regarding physical, emotional, educational and behavioral well being of the child. When appropriate, Contractor agrees to provide recommendations regarding any additional services that may address any and all noted concerns. Services are provided at the foster and/or the biological family member's homes. Rates: $60.00 per individual for group consultations, $100.00 per hour for face-to-face consultations. 5100.00 per hour for court preparation and court testimony. I hereby waive my right to a sealed bid. Julie So), LCSW Provider Contract Checklist and Reference FY2014-15 Foster Parent Training General Description of Contractor: Contractor is a Licensed Clinical Social Worker located at 1702 68th Avenue, Greeley, Colorado, 80634, and provides professional and thorough trainings for foster parents. Contractor has developed a curriculum that covers all areas required by Colorado State's Volume VII Regulations. Type of Service: Contractor will provide Core Certification Training to foster care certification applicants in Weld County. These trainings will satisfy all training requirements of the State of Colorado Volume VII and those required by the Weld County Department of Human Services, which will include a complete review of issues on safety, permanency and the well being of foster families and foster children. Contractor will provide the required 27 hours for completion of the training and will complete trainings in a block covering no more than 4 weeks in length. Contractor will separate out blocks of 12 hours, 15 hours and 27 hours as requested by the Department. Contractor will cover the 10 State Mandated topics during the first 12 hours of training and then cover said topics in more depth during the remaining 15 hours of training. Contractor will supply a syllabus to the Department indicating the time each topic will be covered. Training cycles may vary, but trainings will generally take place every 6 weeks throughout the year, in approximately 4 cycles. Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying information in those reports are strictly confidential. In addition to providing mandated curriculum, Contractor will assess perceived strengths and weaknesses of general functioning of applicants relative to caring for children with special needs. Areas of concern will ne shared w th the Department Foster Care Certification staff. Contractor will be available for court testimony, given proper notification. Contractor uses a comprehensive and experiential training curriculum that directly improves the foster parents' ability to provide quality care for foster children. This curriculum includes Trauma Informed Care focus on helping heal foster children. At a minimum, Contractor covers attachment and bonding issues, grief, loss and separation issues, adoption issues, child growth and development, boundary setting and discipline, providing for children of differing races, cultures and ethnicities, confidentiality, understanding adoption laws and procedures, including termination of parental rights, relinquishment and expedited permanency plans, contact and communication with the child's biological family members, safety and permanency for foster children, the well-being of families and the use of community resources. Contractor also specifically addresses infant care, Shaken Baby Syndrome, Fetal Alcohol/Substance Abuse Syndrome, the oft times misleading or incomplete historical information foster parents receive regarding the child and their biological family members, special medical or emotional needs, parenting the neglected, emotionally, physically and/or sexually abused child, parenting the physically, mentally or emotionally challenged child and accessing available benefits and resources. Outcomes wi;l be measured by confirmation that 90 percent of all applicants enrolled in the trainings have successfully completed the course. Contractor will document any participants not completing the course, reasons why the course was not completed and the Foster Care Certification staff provided with this information. Contractor will use an Evaluation Form provided by the Department at each training to assess Contractor's abilities. Trainings are held at Contractor's home office in Greeley, Colorado. Rates: $150 per person for 12 hours. $200 per person for 15 hours. $250 per person for 27 hours. $200.00 per hour, per couple, for couples attending a 2 -hour training. $100.00 per hour, per individual, for individuals attending a 2 -hour training. $100.00 per hour for court testimony $810.00 flat rate for interpreter, to be paid directly to the interpreter by the Department. I hereby waive my right to a sealed bid. �.. *Julie.ox, LCSW Provider Contract Checklist and Reference FY2O14-15 Home Studies and Relinquishment Counseling General Description of Contractor: Contractor is a Licensed Clinical Social Worker located at 1702 68th Avenue, Greeley, Colorado, 8O634, and provides professional, timely home studies using the State mandated SAFE home study protocol. Contractor also provides professional and timely relinquishment counseling. Both home studies and relinquishment counseling are provided for families within a 100 -mile radius of Greeley. South County services will occur in South County. Type of Service: Contractor use. the Structured Analysis Family Evaluation (SAFE) protocol developed by the Consortium for Children. This is the format that was taught in state sponsored training that Contractor attended in Greeley, Colorado, on October 10 and 11, 2005. Contractor has also attended the SAFE Supervisor Training on November 16, 2006, and is now certified to supervise other's using the SAFE format. Contractor has also attended the SAFE Refresher Course on November 16, 2010. These home studies are `adoptive quality' and meet the state prescribed format. The Psychosocial Inventory aspect of the SAFE format provides quantitative measures as they directly relate to the applicant's abilities to provide for a foster child's safety, permanency and the well being of the family. There is no difference between adoption, foster care or kinship care home studies. Contractor is currently on the state vendor list for adoptive home study providers. Services are provided at the Home Study applicant's home. All background check information will be completed by the Weld County Department of Human Services with the results being forwarded to Contractor as soon as it is received. A copy will be retained in Contractor's files, per State Regulations for 7 years. Also included with the final some study will be the SAFE questionnaires one and two, completed by the applicants, the four references and any other original documents submitted to the Contractor by the applicant(s). The goal for each home study referral is to complete a quality, comprehensive, written home study within six weeks of initiation of the home study. Outcomes will be measured through timely submission of the home study to the referring caseworker, therefore ensuring more expedient placement of children. Contractor will also track the number of home studies referred that Contractor did not accept and the number of home studies referred and subsequently cancelled by the Department. The SAFE protocol provides a psychosocia' inventory used to measure the risk of the placement in an applicant foster family or adoption of a child in any given home. Contractor will use the psychosocial inventory to measure, evaluate and monitor safety, permanency and the well being of the family. Contractor agrees to comp!y with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying in'ormation in those reports are strictly confidential. RELINQUISHMENT COUNSELING SERVICES Relinquishment counseling services will be provided to all adult individuals referred for this service by the WCDHS as well as to their chi'dren age 12 and older. Services will be provided individually and Contractor will submit a written report and the appropriate affidavits/interrogatories. Relinquishment counseling referrals will be tracked and measured in the same way as home studies. Contractor uses the state format to interview and assess consumer's intent regarding relinquishment. Services are provided at the applicant's home. Rates: Homee studies: $950: Flat rate for full home study. $425: Updated home study. $250: Per adult for each additional adult living in the home; after initial 2 adults. $225: Cancellation fee after 3.5 hours of direct, face-to-face contact. $100: Per hour for court preparation and court testimony. $300-00/Episode/Flat rate for interpretive services for family home study $150.00/Episode/Flat rate for interpretive services for individual home study Relinquishment counseling: $110.00: Per -lour for face-to-face interviews. I hereby waive my right to a sealed bid. Julie ao, LCSW Julie Box, LCSW 1702 68 Avenue Greeley, CO, 80634 970.339.9036 or 970.302.1471 Education: Adams State College; BA in Psychology. Graduated 1984. Colorado State University; MSW; Masters in Social Work. Graduated 1996. Licensed Clinical Social Worker as of January of 2003; License # 992996. Clinically Certified Juvenile Treatment Specialist since November 29, 2007. Work History: Strong Foundations, LLC, Adoption Agency September 2010 to Present Strong Foundations, LLC, has been licensed as a CPA, foster care and private, for-profit, domestic adoption agency in the state of Colorado. Julie Box, LCSW, is currently acting as executive director of Strong Foundations, LLC. Responsibilities include CORE Adoptive Parent Trainings, marketing, engaging with potential clients, completing SAFE Home Studies, relinquishment counseling, provision of court reports, managing the budget and all other necessary activities attached to an adoption agency. Private Practice: June 01, 2004, to present This clinician currently has a contract with the Weld County Department of Human Services (WCDHS) to complete SAFE home studies for individuals applying as foster/adoptive parent(s) in Weld County, to provide CORE Foster Parent Trainings, relinquishment counseling and to provide individual and group consultations with foster parents. Responsibilities for home studies include the use of the SAFE, Structured Analysis Family Evaluation, a written, narrative home study provided to the WCDHS, with recommendations, background checks through the Department of Motor Vehicles and local law enforcement, four letters of reference for the applicant parent(s) and SAFE Questionnaires one and two, completed by the applicant parent(s). The WCDHS completes other background checks through the CBI and FBI, Trails, and Lexis Nexis on their own. Responsibilities for the CORE Foster Parent Trainings include providing 27 hours of state mandated training for applicant foster parents. Responsibilities for individual and group foster parent trainings include meeting with foster parents to address clinical issues with which foster children and the families may be struggling. Responsibilities for relinquishment counseling include meeting with the parent(s) that wish to relinquish their parental rights, providing counseling, explaining the court process and completing all relevant paperwork for the court. Clinician at Lutheran Family Services May 11, 1998, to January 13, 2006. Program Manager for Family Preservation Program, Home Study Program and Relinquishment Counseling Program for Lutheran Family Services June of 2003 to January of 2004. The rest of the time was a position as clinician. Responsibilities as a clinician included crisis intervention, therapeutic services for foster children dealing with grief and loss issues in LFS homes, case management services for foster children, foster parents, birth parents and county caseworkers, attending and testifying at court hearings, completion of home studies for Lutheran Family Services homes as well as for the Weld County Department of Human Services, completion of all related paperwork including but not limited to monthly reports, ongoing progress notes, interactional assessments, monthly staffing notes and development of treatment plans. Responsibilities as a program manager included responsibility for clinical and administrative oversight of the three programs listed above, assisting in selecting staff, assisting in program development and definition, identifying community resources to supplement program activities and ensuring that consistently high quality clinical care and case management services are provided for each program consumer. Social Caseworker Ill: Child Protection for the Boulder County Department of Social Services August 05, 19%, to May 11, 1998 Responsibilities included family assessments, family and individual therapy, updated written reports on case progress, written court reports, attendance and testimony at court hearings, school staffing's, therapeutic staffing's, crisis intervention, written social histories, attending interagency staffing's, development of treatment plans and general case management. Supervisor for Work Release and Home Detention Inmates for the Weld County Sheriff's Department December of 1994 to July of 1996 Responsibilities include direct supervision of inmates in the work release and home detention programs, daily record keeping of inmate activities, home visits to verify the inmate's whereabouts, crisis intervention and counseling of inmates. Counselor II/Assistant Program Director for the Weld County Shelter Home and Alternative Homes for Youth November of 1986 to August of 1994 Responsibilities included all financial management, supervision of adjudicated delinquent youth aged twelve to eighteen, counseling youth with a focus on grief and loss issues, development of treatment plans, USDA liaison, supervision of staff, training for all new staff and interns, assumption of the program directors duties when the director was absent, communicating effectively with all other professionals and the upkeep of statistics. Continuing training Family Group Decision Making: November 1998 Understanding Anxiety: October 1999 Play Therapy and Therapeutic Care of Children in Foster Care and Adoption: October 1999 Oppositional Behavior and ODD: 2000 Attachment and Bonding: January 2001. Verbal De-escalation and Personal safety: February 2002 Psychiatric Medications in Children Placed in Foster or Adoptive Care: March 2002 Building Skills in High Risk Families: June 2002 Confirming Safe Environments: September 2002 Foster Family Assessment Training: September 2002 EMDR; Basic Training: November 2002 Attachment and Bonding: February 2003 Understanding and Responding to the Sexual Behavior of Children: May 2003 Advanced Training for Special Advocates: September 2003 Helping Grieving Children and Teens: October 2003 Structured Analysis Family Evaluation (SAFE) Training 2005 Mediation Course: June 2006 SAFE Supervision Training 10 of 2006 Trauma, PTSD, and Traumatic Grief: October 2007 2007 Child and Adolescent Mental Health Conference: November 2007 Ethics in Court Testimony 2009 Family Centered Parenting for Foster Kids 2009 SAFE Refresher Training 11.16.2010 Beyond Consequences 02.22.2012 Anxiety Disorders 04.19.2012 75 Quick On The Spot Techniques For Children With Emotional and Behavioral Problems 03.01.2013 Early Attachment Theory 08.12.2013 Gang Violence in America 08.12.2013 Bullying in Children and Youth 08.12.2013 Taking Care of Yourself While Helping Others 08.13.2013 Trauma Informed Care for Adolescent Survivors of Sexual Assault-Webinar 03.13.2014 References: Lutheran Family Services Human Resources Department: 1.800.579.9496; 363 S. Harlan, Suite 200, Denver, CO., 80226-3552. Sharon Thomas: Supervisor at LFS from May of 1998 to December of 2003: 970.663.1039; 3733 Lincoln Court, Loveland, CO, 80538. Email: Skt1225@aol.com Diane Baird: LCSW Consultant: Private Practice. 720.217.9352. Maria Baladez: Caseworker at the Boulder County Department of Social Services: 303.441.1505; 640 Gooseberry Drive, #402, Longmont, CO., 80503. Email: mbass@co.boulder.co.us. PY-14-15-CORE-0199 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide time -limited Foster Parent Consultation (FPC) services to children and youth residing in Weld County foster homes within a 50 -mile radius of Greeley, CO., as referred by the Department. 2. The goal of FPC services is to enhance and improve the quality of care being provided to Weld County's children and youth. 3. Contractor will work collaboratively with children, foster parents, caseworkers, foster care coordinators and other service providers to identify and address issues, in a solution -focused manner, which could potentially disrupt placements. 4. Contractor will make recommendations to foster family following assessment of the child. Contractor will document recommendations and follow through of foster family with regard to recommendations. 5. Contractor will assess foster families abilities and capacity on an ongoing basis to appropriately care for the foster children in their home and report this information on a monthly basis to the Department. 6. 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. 7. 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. 8. 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. 9. 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. 10. 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. 11. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 12. 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. 1 PY-14-15-CORE-0199 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 $100.00/Hour (Foster Parent Consultation) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 1 Julie Box, LCSW Strong Foundations, LLC 1702 68th Avenue Greeley, CO 80634 970.302.1471 bitiuiiti G. C .e litc^ 03.18.20 1,1 Re: Certificate of Insurance with Specific Services On March 15, 2013, this clinician spoke to a representative of American Home Assurance Company, requesting that they include coverage for specific services provided by this clinician for Weld County. The representative stated that American Home Assurance Company does not list specific services on the certificate. Please let me know if you need further specifics on this issue. Thank you. Respectfully, _Julie Box, LCSW NOV I I I IS 6 V( L.A INI C V U L POI i C}- P I. } ; L I I -AD i ♦P t I C LL1 V1 'I}:,lllUII iiil,.1ItiV'I'II5 H Iv.;AlFV tc C2I.7iii ItA:A41I I IliI.ARI. AI II GA I PPH \_It.r �v.Di V'I ,, I i_II_>I'; c; V_PicoA I'tI; 7 .1L APc.; .1 )CII loom I" .i.IK. STATE OF Cii1UR r{;!i_`-.E 0,; are oNTY. OFOT. OF S.S O.. PDX .. oPEF.LEY„ CC ',I PLI I A .`UI I' '.illl l.1 Li,..itLYIER COUNTY 1111P'11 SERVICED _,J IC.A1'1IA 1 ND HPE,Pfl HAT 1 _„,_ 44-6SOhl ' 5213:: i 8'191 (.LLB 31 73711 ilL LT •i ,rip I .... 1..., i:. STE L12 CS 2 tl_ 02/2C1 JI. . C:. L.,1 I)F_;t, .I ,.. Pc: mot ;; _.'6.1-_.. , 1Ci1RIG:AII I) V Pp, ICI IV'.I ..- COAT tL='IE 110111_ PPP NIP, \1 _9'.01 IKIP' I I)ll'V('VNx 121 PI:P`1. A11IILL ADDENDUM TO THE DECLARATIONS }3y signing below, the President and the Secretary of the Insurer agree on behalf of the Insurer to all the terms of this Policy. Denis M. 13utko•: is SECRETARY Robert Sehimek PRESIDENT Granite State Insurance Company The Insurance Company of the State of Pennsylvania Illinois National insurance Co. New Hampshire Insurance Company American Home Assurance Company National Union Fire Insurance Company of Pittsburgh, Pa. Commerce and Industry Insurance Company This Policy shall not he valid unless signed at the time of issuance by an authorized representative of the Insurer, either below or on the Declarations page of the Policy. Ethan D. Allen AUTHORIZED RF!'RESENTATIVE .'OU .TERSICiNATI;RE DATE 78711 05 13 COUNTERSIGNED AT Hello