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Home My WebLink About20142097.tiff RESOLUTION RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES AND AUTHORIZE CHAIR TO SIGN - NORTH RANGE BEHAVIORAL HEALTH 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 an Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and North Range Behavioral Health, commencing March 1, 2014, and ending June 30, 2014,with further terms and conditions being as stated in said agreement, and WHEREAS,after review,the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Child Protection Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and North Range Behavioral Health, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 14th day of July, A.D., 2014, nunc pro tunc March 1, 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST ,,/ L3� dtyfs�/ tAi Dol s Rademacher, Chair Weld County Clerk to the Board bara Kirkmeyer, ro-Tem BY: ► 1 . � ��. 1...i . i j 1 De' Clerkt' the Bo- �� I' �_� USED P. Conway Fit APPR A M: � / ♦�,,,..I ike Fr un y Attorney dliam . Garcia Date of signature: 7/2y 7-25 2014-2097 HR0085 186r MEMORANDUM `,/ DATE: July 10, 2014 V� G � NTY TO: Douglas Rademacher, Chair, B and of Cynty gmmissioners FROM: Judy A. Griego, Director Hu an er i e � RE: Colorado Community Resp se Program Partnership Agreement between the Weld County Department of Human Services and North Range Behavioral Health Enclosed for Board approval is a Child Protection Agreement for Services between the Department and North Range Behavioral Health. This Child Protection Agreement was reviewed under the Board's Pass-Around Memorandum dated May 22, 2014, and approved for placement on the Board's Agenda. The Weld County Department of Human Services in partnership with North Range Behavioral Health shall provide comprehensive voluntary services for families reported to child protective services but screened out and/or closed after initial assessment; shall increase enrolled families' protective capacities by promoting individual, family, and community strengths; and shall address the link between poverty and child maltreatment by connecting enrolled families to vital economic and other support services. By partnering with families in the early stages of child maltreatment risk, a broader and richer child abuse prevention service continuum will be established for Colorado. The Weld County Department of Human Services shall provide intensive coordination of community based supports (case management, financial decision making, social capital opportunities, and flex funding) based on family identified goals primarily provided in families' own homes, or other locations convenient for the individual family. The term of this Agreement shall be March 1, 2014 through June 30, 2014. If you have any questions, please telephone me at extension 6510. 2014-2097 PY-13.14-CORE-0138 COLORADO COMMUNITY RESPONSE PROGRAM PARTNERSHIP AGREEMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND NORTH RANGE BEHAVIORAL HEALTH This Agreement,made and entered into theit/dayy of J.-v.1g ,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 North Range Behavioral Health, 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, Colorado Community Response Statement of Work,Exhibit B,Scope of Service, and Exhibit C, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH 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 Workforce Development and Infant/Early Childhood Mental Health Consultation;and NOW THEREFORE,in consideration of the premises,the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on March 1,2014,upon proper execution of this Agreement and shall expire June 30,2014, 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,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-13-14-CORE-0138 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. d. 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. 4. Payment a. Payment shall be made in accordance with Exhibit B,Scope of Services and Exhibit C, Payment Schedule,attached hereto and incorporated herein by reference,so long as services are rendered satisfactorily and in accordance with the Agreement. b. Payment pursuant to this Agreement,whether in whole or in part,is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. c. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement,including the Financial Management requirements,program objectives,contractual terms,or reporting requirements. In the event of forfeiture of reimbursement,Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement,Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit 8,Scope of Services and Exhibit C, Payment Schedule: a. If services are funded through Core Services,Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit,Contractor agrees to complete and submit an ACH Form for Colorado Providers,which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. 2 PY-13-14-CORE-0138 c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement,Contractor will strictly adhere to all applicable Federal and State laws,order,and applicable standards, regulations,interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records,papers,documents,tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations,including,but not limited to the following: - Title Vi of the Civil Rights Act of 1964,42 U.S.C.Sections 2000d-1 Title VI of the Civil Rights Act of 1964,42 U.S.C.Sections 2000d-1 et.seq.and its implementing regulation,45 C.F.R. Part 80 et.seq.;and - all provisions of the Civil Rights Act of 1986 so that no person shall,on the grounds of race, creed,color,sex,or national origin,be excluded from participation in,be denied the benefits of,or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973,29 U.S.C.Section 794,and its implementing regulations,45 C.F.R. Part 84;and - the Age Discrimination Act of 1975,42 U.S.C.Section 6101 et.seq.and its implementation regulations,45 C.F.R. Part 91;and - Title VII of the Civil Rights Act of 1964;and - the Age Discrimination in Employment Act of 1967;and - the Equal Pay Act of 1963;and - the Education Amendments of 1972;and - Immigration Reform and Control Act of 1986, P.L.99-603,42 C.F.R. Part 2;and - all regulations applicable to these laws prohibiting discrimination because of race,color, national origin,sex,religion,and handicap,including Acquired Immune Deficiency Syndrome (AIDS)or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973,as amended,cited above. If necessary,Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R.Part 2. 45 C.F.R. Part 74,Appendix G 9,which requires that affirmative steps be taken to assure that small and minority businesses are utilized,when possible,as sources of supplies,equipment,construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. 3 PY-13-14-CORE-0138 - 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. 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.sea.,the Department may terminate this Agreement for breach and Contractor shall be liable for actual and consequential damages to the Department. 4 PY-13-14-CORE-0138 Except where exempted try 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 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 5 PY-13-14-CORE-0138 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 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 6 PY-13-14-CORE-0138 evaluation shall be provided to the Board of Weld County Commissioners,the Department and the Contractor. Contractor shall permit the Department,and any other duly authorized agent or governmental agency,to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate,such program data, special analyses,on-site checking,formal audit examinations,or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables,which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission,error,fraud,and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor,or by the Department as a debt due to the Department or otherwise as provided by law. 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: 7 PY-13-14-CORE•0138 Judy A.Griego,Director Larry D. Pottorff,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: For Contractor: Judy A.Griego,Director Larry D. Porttorff, Executive Director P.O.Box A 1300 N. 17th Avenue Greeley,CO 80632 Greeley,CO 80631 (970)352-1551 (970)347-2373 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 8 PY-13-14-CORE-0138 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. 9 PY-13-14-CORE-0138 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 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 10 PY-13-14-CORE-0138 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 and B. 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 11 PY-13-14-CORE-0138 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. 12 PY-13-14-CORE-0138 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 gpii1 RD COUNTY, COLORADO Weld County Clerk to the Board fr 1c4� Rade ac er, C airBy: JUL 420 4 $S)W1RJ2 1� " ' `�' Deputy Clerk to the Board ��, s thin- APP - : E ► . F FO u t\\It• �'� Cr • y Attorney WELD COUNTY DEPARTMENT NORTH RANGE BEHAVIORAL HEALTH OF HUM N SE VICE By: By: Judy riego, Dir or Ltrry D. o rff, Executive Dire r 13 070,9- 07097 EXHIBIT A STATEMENT OF WORK To Original Contract Routing Number ** *** ******** Weld (bunty Department of Iluman Services These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Project Description(Description of Colorado Community Response program): VAcid Counts ._Department of (Inman Sen ices in partnership ssith \ouh Ranee BehacMEd Flcadih shall provide comprehensive voluntary services for families reported to child protective services but screened out and/or closed after initial assessment; shall increase enrolled families' protective capacities by promoting individual, family,and community strengths;and shall address the link between poverty and child maltreatment by connecting enrolled families to vital economic and other support services. By partnering with families in the early stages of child maltreatment risk, a broader and richer child abuse prevention service continuum will be established for Colorado. AA eh' t ,'ions Depanmcnr of I Inman services shall provide intensive coordination of community based supports (case management, financial decision making, social capital opportunities, and flex funding) based on family identified goals primarily provided in families' own homes, or other locations convenient for the individual family. II. Definitions(Explanation of acronyms): CCR=Colorado Community Response Dll IIS=Department of Health and !Ionian Sers ices ( ( VI: (bnununity Case Manager III. Performance(Work Plan and Requirements): 1. The Contractor's performance shall comply with Exhibits A, B, C, and D of the contract Exhibit A is this Statement of Work (SOW), Exhibit B is the Contractor's Budget and Budget Narrative, Exhibit C HIPAA Business Associate Addendum,and Exhibit D is the Option Letter. 2. The Contractor shall act in a fiduciary capacity as the fiscal agent, whose duties include but are not limited to the following: a. Ensure the completion of duties, br itself or through subcontracts, as described in the SOW. The Contractor shall ensure that any service provided by any service provider (subcontractors) in the targeted area complies with the SOW. b. Gather data and provide bi-annual reports to the State regarding the attainment of the SOW goals and objectives, account for funds going to each served population and final financial and narrative reports detailing the amounts of funds obligated and liquidated. These reports and database information must be submitted br June 30,2014,for the first six months of operations. c. Provide qualified staff to coordinate and oversee the appropriate and lawful obligation and expenditure of CCR funds, receiving and distributing funds, keeping records, and auditing procedures of sub-contractors.Set up a separate account for the State CCR funds. d. As fiscal agent, disburse funds hereunder in compliance with State requirements to agencies/individuals providing CCR services. e. Notify the State in writing of any anticipated or actual deviations from the agreed upon timeline, or deviations within the SOW. Such deviations shall require the prior written approval of the State through the amendment format as provided by the State. f Respond to and gather appropriate data for the State evaluation of CCR as determined by the external evaluator. g. Maintain confidentiality of records. h. Agree that any and all work products, which are the result of this contract(in whole or part), will be the property of the State. Any product of this contract which is distributed to the public or made Page I of 4 Exhibit A-Statement of Work CCR—November 2013 14 EXHIBIT A available to the public must prominently acknowledge the use of CCR funds through the Colorado Department of Human Services;Division of Community and Family Support. i. Ensure participation with the State staff, as requested, to allow for open discussions of progress, problems encountered and problem solutions both at local and state level of operations. j. Ensure participation with the other CCR sites in aspects of the ongoing technical assistance provided by the State, specifically; but not limited to, monthly peer conference calls, Annual training, and semi-annual Grantee Meetings. k. Ensure participants are informed of the short-term nature of benefits and ensure participants are not financially harmed by this program. L Participate in infant/early mental health activities and training to move towards Endorsement for Culturally Sensitive, Relationship-Focused Practice Promoting Infant Mental Health (IMH-E©) as recognized Colorado Infant Mental Health Association. by f Sample: Please edit Activity, Deadline, and Position of Person Responsible as appropriate for your program Primary Task 1.0: Shall provide comprehensive voluntary services for up to 25 families reported to child protective services but screened out and/or closed after initial assessment during the 2013-14 grant year. Activity Quarters of Measurement Deadline Position of Person/Agency activity Responsible I.l Referrals provided to program daily Q3-Q4 Referrals received Ongoing County worker, RED Team via email or RED Team to the Prevention by CCR program. Supervisor Programs Supervisor 1.2 Referred families are assigned to Q3-Q4 CCR Referral 06/30/14 Prevention Programs CCR staff. Forms completed Supervisor for each referred family. 1.3 CCM will outreach to all referred Q3-Q4 Outreach protocol 06/30/14 CCM families. will be captured in CCM Operational Manual 1.4 Families will voluntarily enroll in the Q3-Q4 Up to 25 06/30/14 CCM CCR program, completing intake process unduplicated Family Engagement and setting goals. This will involve the families will Facilitator start of the Family Engagement Process. complete CCR Intake packet and complete CCR Family Service Plan 1.5 Families will voluntarily engage in Q3-Q4 Up to 25 06/30/14 CCM prevention service areas identified by the unduplicated Prevention Programs family during the goal setting phase of families will Supervisor program. receive prevention services; participation will he reported in CCR year-end report. 1.6 Complete and submit year-end Q4 Submit year-end 06/30/2014 Prevention Programs progress report to CONS. Report shall progress report. Supervisor contain descriptions of accomplishments with reporting standards provided by CDHS. Page 2 of 4 Exhibit A-Statement of Work CCR—November 2013 15 EXHIBIT A Primary Task 2.0: Shall increase enrolled families'protective capacities by promoting individual,family,and community strengths during the 2013-14 grant year. Activity Quarters of Measurement Deadline Position of Person/Agency activity Responsible 2.1 Individual'.s and families existing Q3-Q4 Caregiver 06/30/2014 CCM strengths will be identified and Strengths and acknowledged Stressor Inventory, Protective Factors Survey 2.2 Strengthening homilies Protective Q3-Q4 All CCM staff will 06/30/14 CCM, Prevention Programs Factors are integrated throughout all complete the Supervisor CCR services offered online Strengthening Families training. Primary Task 3.0: Shall address the link between poverty and child maltreatment by connecting enrolled families to vital economic and other support services during the 2013-14 grant year. Activity Quarters of Measurement Deadline Position of Person/Agency activity Responsible 3.1 Enhance families'capacity to meet Q3-Q4 CCR Financial 06/30/2014 CCM their expenses and, when possible Education Intake encourage savings. form. 3.2 CCR program will assess families' O3-O4 Financial Income 06 30 14 CC.If eligibility for public benefits and help and Benefits families apply for these benefits- Inventory Form completed. Appropriate applications completed. 3.3 Provide financial consultation to Q3-Q4 Financial literacy 06'32'14 CCa4 assist families in: resolving credit program problems, making plans to pay off existing debts,prioritizing bill payments, and enhancing capacity to save. 3.4 Connect the family to one-time Q3-Q4 Completed CCR 06/30/14 CCM, Prevention Programs flexible funds to address concrete Flex Funds form. Supervisor economic need that has child well-being hinds distributed and'or family stability implications. IV. Monitoring: CDHS's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Colorado Community Response Project Manager at CDIIS. Methods used will include a review of documentation determined by CDHS to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. V. Resolution of Non-Compliance: The Contractor will be notified in writing within 30 calendar days of discovery of a compliance issue. Within 45 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s)and time line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line,the Contractor must email a request to the Colorado Community Response Project Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Page 3 of 4 Exhibit A-Statement of Work CCR—November 2013 16 EXHIBIT A Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. VI. Term and Renewal: The State may require continued performance for a period of one year for any services at the rates and terms specified in the contract.The State may exercise the option by providing written notice to the Contractor within 30 days prior to the end of the current term in a form substantially equivalent to Exhibit D. If the State exercises this option, the extended contract will be considered to include this option provision. The total duration of this contract, including the exercise of any options under this clause shall not exceed three years.Notwithstanding the state contract term,the Contractor shall have a continued obligation to provide the final report stated in Paragraph III.2.b and Activity 1.6 of this Exhibit A. Page 4 of 4 Exhibit A-Statement of Work CCR—November 2013 17 Colorado Community Response (CCR) Budget Form Applicant Name: Weld County Department of Human Services Budget Period: March 15,2014--June 30,2014 PERSONNEL EXPENSES Percent of Actual Additional Gross or Time Resources Amount Requested Personnel Services Annual Fringe g (FTE)on from CDHS Salary Purchase (not Order reauired) Description of Work Position Title/Employee (for hourly employees, please include Name the hourly rate and number of hours in your description) Community Case Manager Provide case management and 4,200/mo. 1,550/mo. 100% $0.00 $20,125.00 education to families referred to them Family Engagement Provide facilitation to all families within 4,100/mo. 800/mo. 100% $0.00 $17,150.00 Facilitator the grant $0.00 $0.00 $0.00 $0.00 Total Personal Services $37,275.00 (including fringe benefits) SUPPLIES&OPERATING EXPENSES Additional Resources Amount Requested Item Description of Item Rate (not from CDHS reauiredl Printing/Copying $0.00 Postage/Shipping $0.00 Phone/Fax/Internet $0.00 Supplies $0.00 Meeting $0.00 Other(Please list below by item) $0.00 Certification Course- National Financial Education Council Certified Financial $297.00 Planner Total Supplies $297.00 &Operating Expenses TRAVEL Amount Requested Item Description of Item Rate Quantity from CDHS Round Trip- Mileage-Denver Training-5-day Training $0.545/Mile 550 $299.75 Greeley/Denver Average 350 Miles Mileage-Other Travel-Training/Home Visits $0.545/Mile 1225 $667.63 per Month Lodging $0.00 Meals Meals during Training $23 per Day 12 Days $276.00 and Home Visits $0.00 Total Travel $1,243.38 OTHER COSTS Amount Requested Item Description of Item Rate Quantity from CDHS Equipment $0.00 Flex Funds($5,000 required in first year and$10,000 $5,000.00 required in second year) 18 Other(Please detail each item) $0.00 $0.00 Total Other Costs $5,000.00 CONTRACTUAL(payments to third parties or entities) Amount Requested Item Description of Item Rate Quantity from CDHS Consulting $0.00 Consulting-Infant/Early Childhood Mental Health consultatin for families as well as community case North Range $75/Hour(@4 • managers.Joint home visits for the purpose of mentoring Behavioral Health Hours per Week) 15 $4,500.00 case managers and assessment needs for mental health needs. Training-Intro to Infant/Early Mental Health-Research related to Children's Mental Health-Toxic Stress/ACES- Intro to Infant Mental Endorsement-Infant Mental Health Portfolio Preparation-Reflective Practice:Ghosts in the North Range Nursery-Reflective Practice:Angels in the Nursery- Behavioral Health $75/Hour 17 $1,275.00 Diagnostic Classification birth to three(DC:0-3R)- Diagnostic Classification birth to three(DC:0-3R-Case Study)-Developmental Screening Tools-Reflective Supervision. $0.00 Total Contractual $5,775.00 SUB-TOTAL BEFORE INDIRECT $49,590.38 INDIRECT Amount Requested Item Description of Item from CDHS Indirect(other):Please list specific indirect costs in $0.00 description-NOT TO EXCEED 15%of Total Personnel. Total Indirect $0.00 TOTAL AMOUNT REQUESTED FROM CDHS $49,590.38 • 19 Colorado Community Response (CCR) Budget Justification Applicant Name: Weld County Department of Human Services Budget Period: March 15,2014--June 30,2014 Performance Duty and/or Activity PERSONNEL EXPENSES from Statement of Work(le 2.a-k; 1.3 8.3.21 Community Case Manager will provide case management and education services to referred families. 1.3-1.5;2.1-2.2;3.1-3.4 1 FTE at$20,125 prorated for 1.5 months of salary. Family Engagement Facilitator will facilitate Family Engagment Meetings and Team Decision Making 14 Meetings at the onset and throughout the case. Performance Duty and/or Activity SUPPLIES&OPERATING EXPENSES from Statement of Work(le 2.a-k; Community Casemanager(s)will complete fnanical planner certification course thorough National 3.1-3.3 Financial Education Council. Performance Duty and/or Activity TRAVEL from Statement of Work(le 2.a-k; Mileage-Denver Training-5-day Training 2.i;2.j Mileage-Other Travel-Training/Home Visits 1.3-1.5 Meals during Training and Home Visits 2.i;2.j Performance Duty and/or Activity OTHER COSTS from Statement of Work(le 2.a-k; Flex Funds are required by CDHS to provide one-time fund disbursement to families to allievate an 3.4 acute economic stressor. CONTRACTUAL(payments to third parties or entities) Performance Duty and/or Activity North Range Behavioral Health will provide workforce development training to CCR worker through 1) direct education on the following topics:training-Intro to Infant/Early Mental Health-Research related to Children's Mental Health-Toxic Stress/ACES-Intro to Infant Mental Endorsement-Infant Mental Health Portfolio Preparation-Reflective Practice:Ghosts in the Nursery-Reflective Practice:Angels in the Nursery-Diagnostic Classification birth to three(DC:0-3R)-Diagnostic Classification birth to three 2.d;1.5; (DC:0-3R-Case Study)-Developmental Screening Tools(electronic tablet for the purpose of screening will be provided)-Reflective Supervision,and 2)1:1 consultation regarding mental health topics in general and/or specific to individual families,3)guidance related to the infant mental health health endorsement process. North Range Behavioral Health will providel Infant/Early Mental Health consultation to referred families and/or onoing mental health services as needed. INDIRECT N/A junk expense with specific project 20 Colorado Community Response (CCR) Budget Form Sub-Contractor Name: North Range Behavioral Health Budget Period: March 15,2014--June 30,2014 PERSONNEL EXPENSES Percent of Actual Additional Gross or Time Resources Amount Requested Personnel Services Annual Fringe (FTE)on from CDHS Salary Purchase Purchase (not Order required) • Description of Work Position Title/Employee (for hourly employees,please include Name the hourly rate and number of hours in your description) Early Mental Health Providing diagnostic training to CCR $1,275 00 • ConsultanVNoelle Hause, worker$75/hr for 17 hours Early Mental Health Child Mental Health Services$75/hr @ Consultant/Amanda $4,500.00 4/hrs per week for 15 weeks. Kearney MA IMH-Efll $0.00 $0.00 $0.00 $0.00 Total Personal Services $5,775.00 (including fringe benefits) SUPPLIES&OPERATING EXPENSES Additional Resources Amount Requested Item Description of Item Rate (not from CDHS reouiredl Printing/Copying $0.00 Postage/Shipping $0.00 Phone/Fax/Internet $0.00 Supplies Meeting $0.00 Other(Please list below by item) $0.00 $0.00 Total Supplies $0.00 &Operating Expenses TRAVEL Amount Requested Item Description of Item Rate Quantity from CDHS Mileage $0.00 Lodging $0.00 Meals $0.00 Other Travel $0.00 $0.00 Total Travel $0.00 OTHER COSTS Amount Requested Item Description of Item Rate Quantity from CDHS Equipment $0.00 Training $0.00 Flex Funds($5,000 required in first year and$10,000 $0.00 required in second year) Other(Please detail each item) $0.00 $0.00 21 Total Other Costs $0.00 CONTRACTUAL(payments to third parties or entitles) Amount Requested • Item Description of Item Rate Quantity from CDHS Consulting $0.00 Other sub-contract(Please list each additional sub-contract $0.00 individually) $0.00 $0.00 $000 Total Contractual $0.00 SUB-TOTAL BEFORE INDIRECT $5,775.00 INDIRECT Amount Requested Item Description of Item from CDHS Indirect(other)'. Please list specific indirect costs in description-NOT TO EXCEED 15%of Total Personnel. Total Indirect $0.00 TOTAL AMOUNT REQUESTED FROM CDHS $5,775.00 22 Colorado Community Response (CCR) Budget Justification Sub-Contractor Sub-Contractor Name: North Range Behavioral Health Budget Period: March 15,2014--June 30,2014 Performance Duty and/or Activity PERSONNEL EXPENSES from Statement of Work(ie 2.a-k; 1.3&3.21 Link expense with specific project Include narrative justifying the budgetary expense activity. Link expense with specific project Include narrative justifying the budgetary expense activity. Performance Duty and/or Activity SUPPLIES&OPERATING EXPENSES from Statement of Work(ie 2.a-k; 1.3&3.2) Link expense with specific project Include narrative justifying the budgetary expense activity. Performance Duty and/or Activity TRAVEL from Statement of Work(ie 2.a-k; 1.3&3.2) Link expense with specific project Include narrative justifying the budgetary expense activity. Performance Duty and/or Activity OTHER COSTS from Statement of Work(ie 2.a-k; 1.3&3.2) Link expense with specific project Include narrative justifying the budgetary expense activity. Performance Duty and/or Activity CONTRACTUAL(payments to third parties or entities) from Statement of Work(ie 2.a-k; 1.3&3.2) Link expense with specific project • N/A activity. Performance Duty and/or Activity INDIRECT from Statement of Work(ie 2.a-k; 1.3&3.2) Link expense with specific project N/A activity. • 23 PY-13-14-CORE-0138 EXHIBIT B SCOPE OF SERVICE Contractor's Role: 1. Contractor,in partnership with the Weld County Department of Human Services, will provide comprehensive voluntary services for families reported to child protective services but screen out and/or closed after initial assessment, and as referred by the Department. 2. Services shall: • increase referred families' protective capacities by promoting individual, family,and community strengths; and • shall address the link between poverty and child maltreatment by connecting referred families to vital economic and other supportive resources. 3. Contractor will provide 17 hours of workforce development trainings in infant and early mental health practices,including support related to Endorsement for Culturally Sensitive, Relationship- Focused Practice Promoting Infant Mental Health (IMH-E®)as recognized by the Colorado Infant Mental Health Association. Trainings will include: • Introduction to Infant Early Mental Health • Research related to Children's Mental Health • Toxic Stress/ACES • Introduction to Infant Mental Endorsement • Infant Mental Health Portfolio Preparation • Reflective Practice: Ghosts in the Nursery • Reflective Practice: Angels in the Nursery • Diagnostic Classification Birth to Three(DC:0-3R) • Diagnostic Classification Birth to Three(DC:0-3R—Case Study) • Developmental Screening Tools • Reflective Supervision 4. Contractor will provide weekly Infant/Early Childhood Mental Health consultation for referred families as needed and for community case managers at four(4) hours per week for 15 weeks. Consultation may include joint home visits for the purpose of mentoring community case managers and providing for the assessment of mental health needs.) Department's Role. 1. The Department, in partnership with the Contractor,and as the fiscal agent,will ensure that services provided by the Contractor comply with all aspects of the funding source, in conjunction with the Colorado Community Response Statement of Work, herein attached as Exhibit A. 2. The Department shall refer families reported to child protective services but screened out and/or closed after initial assessment. 24 PY-13-14-CORE-0138 3. The Department shall provide intensive coordination of community-based supports(case management,financial decision making,social capital opportunities,and flex funding)based on families'identified goals. Supports shall be provided primarily in the families' homes,or other locations convenient for the individual family. 25 PY-13-14-CORE-0138 EXHIBIT C PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after June 30, 2014. 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 $75.00/Hour(Workforce Development Trainings. Infant/Early Childhood Mental Health 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. 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. 26 Hello