HomeMy WebLinkAbout20150878.tiff Esther Gesick
From: Tobi Vegter
Sent: Friday, March 20, 2015 5:07 PM
To: Robert J. Frick; Barb Connolly
Cc: Cecilia Moreno; Lesley Cobb; Tobi Vegter; Esther Gesick
Subject: Kids Crossing Agreement(Contract#21)
Good evening.
At Esther's request, I have uploaded an Agreement for Professional Services with Kids Crossing, Inc., into CMS (Contract
#21). This agreement was previously routed, reviewed, and approved through the prior email process that was in place
pre-CMS. It was placed on Pass-Around 01/22/15. Esther has asked that it be uploaded to CMS for purposes of tracking
and future maintenance.
She has indicated you both reviewed it previously and as a result is asking that you expedite the review/approval steps
in CMS.
Please do let us know if you have additional questions.
Thank you. Enjoy your weekend!
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)
vepterta@weldpov.com
PI
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. you
If 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.
a0)5-087g
o
�861 MEMORANDUM
r , - 1�
'�' l
1 1�1
DATE: March 6, 2015
Li
U G Q l)-T TO: Barbara Kirkmeyer, Chair, Board of?oun Co rlissioners
yi r,,, ; ,,,
FROM: Judy A. Griego, Director, Hu rfSer cestetn u
tr
RE: Agreement for Professional Services between the Weld
County Department of Human Services and Kids Crossing,
Inc. for Consent Agenda
Enclosed for Board approval is an agreement for professional services between the Department
and Kids Crossing, Inc. The agreement was reviewed under the Board's Pass-Around
Memorandum dated January 16, 2015 and approved for placement on the Board's Consent
Agenda.
The major provisions for this agreement are as follows:
No. Provider/Term Service/Funding Source Rate
1 Kids Crossing, Inc. Professional Services $45.00/group/week
for a maximum
January 1, 2015 — May reimbursement under
31, 2015 the agreement of
$990.00
If you have questions, please give me a call at extension 6510.
lam'V `+ / ,,,,` -t 2015-0878
/4 —o -920/6 ee MS6 , igto
iii--,2 -7.5—
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AGREEMENT is made by and between the County of Weld, State of Colorado,
whose address is 1150 O Street, Greeley, Colorado, 80631 ("County"), by and through the
Board of County Commissioners of the County of Weld, on behalf of the Weld County
Department of Human Services, and Kids Crossing. Inc.whose address is 1440 Fountain
Boulevard, Colorado Springs, Colorado, 80910, ("Contractor").
WHEREAS, County desires to retain Contractor as an independent contractor to perform
services as more particularly set forth below; and
WHEREAS, Contractor has the time available to timely perform the services, and is
willing to perform the services according to the terms of this Agreement.
NOW THEREFORE,in consideration of the mutual promises and covenants contained
herein,the parties hereto agree as follows:
I. Engagement of Contractor. County hereby retains Contractor, and Contractor
hereby accepts engagement by County upon the terms and conditions set forth in this Agreement.
2. Term. The term of this Agreement shall be from January 1. 2015 through and until
May 31. 2015.
3. Services to be Performed. Contractor agrees to perform the Services listed or
referred to in Exhibit A, attached hereto and incorporated herein.
4. Compensation.
a. County agrees to pay Contractor for services performed as set forth on
Exhibit A at the rate of$45.00/Person/Group. Charges shall be based on the time
actually spent performing the services,but shall exclude travel time.
b. Mileage may/may not(circle one)be charged to and from any required job
site at a rate of 0.00 cents per mile. Contractor shall not be paid any other expenses
unless set forth in this Agreement.
c. Payment to Contractor will be made only upon presentation of a proper
claim by Contractor, itemizing services performed and mileage expense incurred.
d. Payment for services and all related expenses under this Agreement shall
not exceed $990.00.
5. Additional Work. In the event the County shall require changes in the scope,
character, or complexity of the work to be performed, and said changes cause an increase or
decrease in the time required or the costs to the Contractor for performance, an equitable
adjustment in fees and completion time shall be negotiated between the parties and this
Agreement shall be modified accordingly by a supplemental Agreement. Any claims by the
Contractor for adjustment hereunder must be made in writing prior to performance of any work
covered in the anticipated supplemental Agreement. Any change in work made without such
prior supplemental Agreement shall be deemed covered in the compensation and time provisions
of this Agreement.
6. Independent Contractor. Contractor agrees that Contractor is an independent
contractor and that neither Contractor nor Contractor's agents or employees are, or shall be
deemed to be, agents or employees of the County for any purpose. Contractor shall have no
authorization,express or implied,to bind the County to any agreement, liability, or
understanding. The parties agree that Contractor will not become an employee of County, nor is
Contractor entitled to any employee benefits from County as a result of the execution of this
Agreement.
7. Warranty. 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.
8. Reports County Property. All reports, test results and all other tangible materials
produced in connection with the performance of this Agreement,whether or not such materials
are in completed form, shall at all times be considered the property of the County. Contractor
shall not make use of such material for purposes other than in connection with this Agreement
without prior written approval of County.
9. Acceptance of Product not a Waiver. Upon completion of the work, Contractor
shall submit to County originals of all test results,reports, etc., generated during completion of
this work. Acceptance by County of reports and incidental material furnished under this
Agreement shall not in any way relieve Contractor of responsibility for the quality and accuracy
of the work. Acceptance by the County of, or payment for, any services performed under this
Agreement shall not be construed as a waiver of any of the County's rights under this Agreement
or under the law generally.
10. Insurance and Indemnification. Contractor shall defend and indemnify County, its
officers and agents, from and against loss or liability arising from Contractor's acts, errors or
omissions in seeking to perform its obligations under this Agreement. Contractor shall provide
necessary workers' compensation insurance at Contractor's own cost and expense.
2
11. Termination. Either party may terminate this Agreement at any time by providing
the other party with a 10 day written notice thereof. Furthermore,this Agreement may be
terminated at any time without notice upon a material breach of the terms of the Agreement. In
the event of an early termination, Contractor shall be paid for work performed up to the time of
notice and County shall be entitled the use of all material generated pursuant to this Agreement.
12. Non-Assignment. Contractor may not assign or transfer this Agreement,any
interest therein or claim thereunder, without the prior written approval of County.
13. Access to Records. County shall have access to Contractor's financial records as
they relate to this Agreement for purposes of audit. Such records shall be complete and available
for audit 90 days after final payment hereunder and shall be retained and available for audit
purposes for at least five years after final payment hereunder.
14. Time of Essence. Time is of the essence in each and all of the provisions of this
Agreement.
15. Interruptions.Neither party to this Agreement shall be liable to the other for delays
in delivery or failure to deliver or otherwise to perform any obligation under this Agreement,
where such failure is due to any cause beyond its reasonable control, including but not limited to
Acts of God, fires, strikes,war, flood,earthquakes or Governmental actions.
16. Notices. Any notice required to be given under this Agreement shall be in writing
and shall be mailed or delivered to the other party at that party's address as stated above.
17. Compliance. This Agreement and the provision of services hereunder shall be
subject to the laws of Colorado and be in accordance with the policies,procedures, and practices
of County.
18. Non-Exclusive Agreement. This Agreement is nonexclusive and County may
engage or use other contractors or persons to perform services of the same or similar nature.
19. Certification. Contractor certifies that Contractor is not an illegal immigrant, and
further, Contractor represents, warrants, and agrees that it has verified that Contractor does not
employ any illegal aliens. If it is discovered that Contractor is an illegal immigrant, employs
illegal aliens or subcontracts with illegal aliens, County can terminate this Agreement and
Contractor may be held liable for damages.
20. Entire Agreement/Modifications. This Agreement contains the entire agreement
between the parties with respect to the subject matter contained in this Agreement. This
instrument supersedes all prior negotiation,representation, and understanding or agreements with
respect to the subject matter contained in this Agreement. This Agreement may be changed or
supplemented only by a written instrument signed by both parties.
3
21. Funding Contingency. No portion of this Agreement shall be deemed to create an
obligation on the part of County to expend funds not otherwise appropriated or budgeted for.
22. No Conflict. No employee of Contractor nor any member of 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 Contractor's operations, or authorizes
funding to Contractor.
23. Severability. If any term or condition of this Agreement shall be held to be invalid,
illegal, or unenforceable,this Agreement shall be construed and enforced without such provision,
to the extent that this Agreement is then capable of execution within the original intent of the
parties.
24. Governmental Immunity. No portion of this Agreement shall be deemed to
constitute a waiver of any immunities the parties or their officers or employees may possess.
25. No Third Party Beneficiary. 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.
4
IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the
day,month, and year first above L written.
nd�ATTEST: C! �•ab Jedi 'ck BOARD OF COUNTY COMMISSIONERS
Weld or lerk to the B and WELD COUNTY, COLORADO
BY: // ` — (-'Lid ki_2'r/�t A- e-'`�
p f`.\ Barbara Kirkmeycr,Chair PR 0 1 2015
OVED AST F < APPROVED A ,TO TBSTANCE:
Hil / d /
Q /�
"� S
Controller +.: , E}t;Qted OWL or DeehrtmeilHead
4
ROVED A N 0J .S Director of General Services
County Attorney
KIDS CROSSING,INC.
Amy Har er,Executive Director
5
O2O/5- otli
EXHIBIT"A"
CONTRACTOR:
Name: Kids Crossing, Inc.
Address: 1440 Fountain Boulevard, Colorado Springs, Colorado 80910
Tax I.D. or Social Security Number: 84-1251585
1. Services to be Provided by Contractor: Sexual Abuse Treatment(Juvenile Sex Offender Group
Therapy)
To Name of Client: C.C. (Trails Case ID 1753645)
Location of Services to be provided to the Client: 1440 Fountain Boulevard. Colorado Springs.
Colorado 80910.
2. County agrees to purchase and Contractor agrees to furnish up to 22 units of Juvenile Sex Offender
Group Therapy at the cost of$45.00 per unit of service for a maximum amount of$990.00.
3. The parties agree that payment pursuant to this Contract is subject to and contingent upon the continuing
availability of funds for the purpose thereof. The payment of such services shall be from:
X Core Services as defined in Rule Manual Volume 7 Section 7.303.1 and, if
appropriate,the Colorado Department of Human Services approved County Core Services Plan.
Child Welfare Administration
Other as defined as
4. County agrees:
a) To determine child eligibility and as appropriate,to provide information regarding rights to fair
hearings.
b) To provide Contractor with written prior authorization on a child or family basis for services to be
purchased.
c) To provide Contract with referral information including name and address of family, social, medical,
and educational information as appropriate to the referral.
d) To monitor the provision of contracted service.
e) To pay Contractor after receipt of billing statements for services rendered satisfactorily and in
accordance with this Contract.
5. Contractor agrees:
a) Not to assign any provision of this Contract to a subcontractor.
b) Not to charge clients any fees related to services provided under this Contract.
- c) To hold the necessary license(s)which permits the performance of the service to be purchased,
and/or to meet applicable Colorado Department of Human Services qualification requirements.
d) To comply with the requirements of the Civil Rights Act of 1964 and Section 504, Rehabilitation
Act of 1973 concerning discrimination on the basis of race,color, sex, age,religion,political beliefs,
national origin, or handicap.
1
e) To provide the service described herein at cost not greater than that charged to other persons in the
same community.
1) To submit a billing statement in a timely manner, no later than forty-five (45)days after services.
Failure to do so may result in nonpayment.
g) To safeguard information and confidentiality of the child and the child's family in accordance with
rules of the Colorado Department of Human Services and the County Department of Human
Services.
h) To provide County with reports on the provision of services as follows:
Not applicable.
i) To provide access for any duly authorized representative of the County or the Colorado Department
of Human Services until the expiration of five(5)years after the final payment under this Contract,
involving transactions related to this Contract.
j) Indemnify the County and the Colorado Department of Human Services from the action based upon
or arising out of damage or injury, including death,to persons or property caused or sustained in
connection with the performance of this Contract or by conditions created thereby,as based upon
any violation of any statute,regulation,and the defense of any such claims or actions.
6. In addition to the foregoing,the County and Contractor also agree:
a) Core Services Program expenditures will not be reimbursed when the expenditures may be
reimbursed by some other source. (As set forth in Rule Volume 7. at 7.414,B (12 CCR 2509-
b) Individual and Family Therapy will be billed to Medicaid.
c)
2
•
•
Date: 12/30/2014 Time: 4:07 PM To: 917196326573 16 Colorado Page: 002
DATE(MMfD01YYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE 12/30/2014
THIS CERTIFICATE tS 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 poiicy(iesj 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 1-303-534-4567 CONTACT
NAME:
IRA, Inc. - Colorado Division PHONE I FAX
LAI C,No.EslI' (AIC,Not:
EMAIL •
DENPAM@IMACORP.COM
1705 17th Street ADDRESS:
Suite 100 INSURER(3)AFFORDING COVERAGE NAIC
Denver, CO 60202 INSURERA. TWIN CITY FIRE INS CO CO (Hartford InC. 29459
INSUREO INSURER e
Kido Crossing, :OC.
INSURER C'
INSURER D:
1440 Fountain Blvd.
INSURER E
Colorado Springs, CO 80910 INSURER F:
COVERAGES CERTIFICATE NUMBER:42609181 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
INDICAFED 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 ANO CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE A0DL SUER POLICY EFF POLICY EXP LIMITS
LTR INSO 1MV0 POLICY NUMBER (MMJDD/YYTY1 IMMIDDIYYYTI
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3
DAMAGE TO RENTED $
CLAIMS•MAOE OCCUR PREMISES(EA occuuencd
MED EXP(Any one hereon) I
PERSONAL 6 ACV INJURY 3
GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
PRO
POLICY[ I JECT LOC PRODUCTS•COMPIOP AGO 3
OTHER. 3
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3
Me aced ant)
ANY AUTO BODILY INJURY(Per person) 3
ALL OWNED —SCHEDULED I BODILY INJURY(Per accident) 3
AUTOS AUTOS
NON•OWNED PROPERTY DAMAGE 3
HIRED AUTOS AUTOS Per ecodent)
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE f
• EXCESS LIAB CLAIMS•MADE _AGGREGATE 3
DED I [RETENTION$ 3
WORKERS COMPENSATION X r I H•
A 34WEBL7932 06/08/14 06/08/15 LI tSTATUTE 4 ER
AND EMPLOYERS' ABILITY
Y IN
ANY PROPRIE i01UPART NE PJEXECUTIVE I E.L.EACH ACCIDENT 3100,000
OFF ICERIMEMBER EXCLUDED? )N I N I A
(Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ 100,000
II yes.desvNe under
DESCRIPTION OF OFERATIONS aelaw E.L.OISEASE•POLICY LIMIT 3 500,000
DESCRIPTION Of OPERATIONS I LOCATIONS'VEHICLES(ACORD 101.Additional Remarks Schedule,rray be agacned it n,,,,c space is requne')
CERTIFICATE HOLDER CANCELLATION
•
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Weld County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
• 1150 0 Street AUTHORIZED REPRESENTATIVE / ` /
Greeley, CO 80631 / /!v�•//�
USA 111 d
• C1988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
VhS a ma r
42609181
Hello