HomeMy WebLinkAboutC88-016 cooperative reimbursement agreement with Kurt SchulkeContract Number
COOPERATIVE REIMBURSEMENT AGREEMENT
EAGLE COUNTY DEPARTMENT OF SOCIAL SERVICES
This agreement is executed as of January 1, 1988, by and
between Kurt P. Schulke, District Attorney (hereinafter
"Attorney) and the Eagle County Department of Social Services,
(hereinafter "Department):
WITNESSETH THAT
WHEREAS, the Department, under Part D of Title IV of the
Social Security Act, 45 CFR Parts 232, 301, 302, 303, 304, 305,
and 26 -13 -101, et seq, CRS 1973, as amended, has been delegated
responsibility for the development and implementation of a
program to secure support and establish paternity for children
receiving an assistance payment grant, and
WHEREAS, the Department desires to enter into an agreement
with the Attorney to: 1) assist the Department in providing the
services necessary to establish paternity, establish support
obligations, and secure support for children receiving AFDC and
those otherwise not receiving an assistance payment within the
meaning of Federal regulations pertaining thereto upon
application for such services, and
WHEREAS, the Attorney is desirous of entering into such an
agreement with the Department;
Now, THEREFORE: The Department and Attorney, in
consideration of the promises and mutual covenants as herein-
after contained, do hereby agree as follows:
1. Scope of Services
Services shall be provided to AFDC grant recipients and to
non -AFDC individuals upon application by the Attorney in
compliance with Exhibit I entitled, Scope of Services, a copy of
which is attached hereto and made a part hereof by reference.
2. Duration of Agreement
This agreement shall be in effect from January 1, 1988,
through December 31, 1988, but not to exceed twelve (12) months.
3. Renewal
This agreement may be renewed by mutual consent, provided
that each renewal shall be for a period not to exceed twelve
C
(12) months. Each renewal shall be reduced to writing on Form
CSE -5, "Renewal of Agreement ", properly executed, and made a
part of this agreement. Said renewals shall contain appropriate
amendments to Exhibit II, Cooperative Reimbursement Agreement
Personnel; and Exhibit III, "Cooperative Reimbursement Agreement
Budget ". Said renewals are expressly made subject to the
approval of the Executive Director, Colorado Department of
Social Services, or his designee; however, the State of
Colorado, the Colorado Department of Social Services, the
Executive Director, or his designee, are not parties to the
agreement.
4. Personnel
The Attorney shall identify all personnel by title, who
shall provide services pursuant to this agreement in Exhibit II,
entitled "Cooperative Reimbursement Agreement Personnel ", a copy
of which is attached hereto and made a part hereof by reference.
The actual hourly wage rate, including fringe benefits, and
estimated hours and percent time, of each of these personnel
shall also be identified in Exhibit II.
5. Payment
A. Payment shall be made on the basis of Exhibit III,
entitled "Cooperative Reimbursement Agreement Budget ", a copy of
which is attached hereto and made a part hereof by reference,
for services provided pursuant to Exhibit I. The Cooperative
Reimbursement Agreement Budget shall establish the maximum
reimbursement which shall be paid from combined county, State
and Federal funds during the duration of this agreement.
B. The Attorney shall submit monthly billings for actual
costs incurred pursuant to Exhibit I of this agreement to the
Department in accordance with the rules and regulations of the
State Department of Social Services. The Department shall pay
the Attorney upon receipt of such billing as follows:
1) Personnel service costs (wages or salaries and
employee benefits) determined by multiplying the number of hours
worked by the Attorney and his employees to provide services
under this agreement by their actual hourly rates including
employee benefits.
2) Operating expenses are determined by an allocation
method distributing costs equitably to all activities of the
Attorney's Office. Operating expenses include supplies,
materials, equipment, printing, reproduction, rent, normal
telephone charges, utilities, repairs and maintenance.
3) Direct charges for travel related to providing
services under this agreement. All expenditures for
out -of -state travel for which reimbursement is requested must
receive prior written approval of the State Department of Social
Services.
4) Direct charges for reasonable and essential short
term training for staff providing services under the agreement.
All training for which reimbursement is requested must receive
prior written approval of the State Department of Social
Services.
5) Specific direct changes for other costs related to
providing services under the agreement including filing fees,
long distance telephone calls, blood tests, polygraph tests,
expert witness fees, transcripts and services purchased from
subcontractors.
6) All other expenses must receive prior written
approval by the State Department. These may include, but are
not limited to, capital outlay, automated data processing, lease
or purchase of vehicles, and purchase of services from
subcontractors.
C. Federal reimbursement of costs incurred pursuant to this
agreement is expressly contingent upon the availability of
federal funds.
D. Attorney shall not bill department for and shall not be
reimbursed for time involved in activities outside of those
defined in Exhibit I, unless prior written approval of the
department and state department is obtained.
6. Duties of the Department
The Department shall provide the Attorney with all pertinent
information available to the extent that such information is
relevant to the services to be performed pursuant to this
agreement.
7. Termination for Convenience
This agreement may be terminated without cause by either
party upon written notice of at least thirty (30) days. Upon
such termination, the Attorney shall furnish to the Department,
as property of the Department, all property, records and
pertinent information which the Department provided under this
agreement. When the attorney provides said property, records
and information to the Department, the Department shall pay the
Attorney for actual costs incurred through the last day of this
agreement in accordance with clause 5 entitled, "Payment ".
8. Amendment
This agreement may be amended in whole or in part by mutual
consent, provided that said amendment be reduced in writing on
Form CSE -4, properly executed and made a part of this
agreement. All amendments are expressly made subject to the
approval of the Executive Director, Colorado Department of
Social Services, or his designee; however, the State of Colorado
the Colorado Department of Social Services, the Executive
Ci
C
Director, or his designee, are not parties of the agreement.
9. Reports, Records, and Retention Periods
The Attorney shall maintain such records as are deemed
necessary pursuant to the State Department of Social Services,
rules to assure a proper accounting for all costs and funds
collected. These records will be made available for audit
purposes to the U.S. Department of Health and Human Services,
the State Department of Social Services, the County Department
of Social Services, or any authorized representative of the
State of Colorado, and will be retained for six (6) yeras after
the expiration of this contract unless permission to destroy
them is granted by the State Department of Social Services. The
Attorney shall make financial, program progress and other
reports as requested by the County or State Department of Social
Services.
10. Equipment Purchased with Federal, State and County Money
Equipment with an acquisition cost of less than $300 may be
purchased by the Attorney pursuant to this agreement. Equipment
with an acquisition cost of $300 or more may be purchased upon
prior written approval by the State department and shall be
capitalized and depreciated over the useful service life of the
equipment.
11. Confidentiality
Information provided by the County Department of Social
Services in furtherance of the aims and purposes of this
agreement shall be used only for the purpose intended and in
accordance with Federal and State Laws and regulations.
12. Safeguarding Information
The attorney shall provide for the security of information
collected pursuant to this agreement and as provided in the
rules and regulations of the State Department.
13. Political Activities
None of the funds, materials, property, personnel or
services contributed by the United States, the State Department
of Social services or the County Department of Social Services
under this agreement shall be used for any partisan political
activity, or to further the election or defeat of any candidate
for public office in a manner which would constitute a violation
of 5 U.S.C. Sections 1501 et seq.
14. Religious Activity
There shall be no religious worship, instruction or
proselytization as part of or in connection with the performance
of this agreement.
15. Non - Discrimination
In connection with the performance of services under this
agreement the Attorney agrees to comply with the provisions of
the laws of Colorado, the CIVIL RIGHTS ACT of 1964, as amended,
the Regulations of the Department of Health and Human Services
isued pursuant to that Act, the provisions of Executive Order
11246, EQUAL EMPLOYMENT OPPORTUNITY, dated September 24, 1965,
as amended, and Section 504 of the REHABILITATION ACT of 1973,
as amended.
16. Studies and Investigations
All offical reports of cases, recoveries, investigations,
studies, etc., made as a result of this agreement shall
acknowledge the support provided by the Department of Health and
Human Services and Colorado Department of Social Services.
17. Federal and State Laws and Regulations
This agreement shall be performed in compliance with the
Social Security Act, as amended, the Federal regulations and
amendments thereto which implement the Social Security Act, and
the rules and regulations of the State Department of Social
Services, as amended.
18. Subcontracts
No subcontract shall be made by the Attorney with any other
party for furnishing any services contracted for without the
prior written consent, and approval, of the Department. For
services provided under any subcontract, the Attorney shall be
responsible for contract performance and compliance with the
terms and conditions of this agreement. The Attorney shall
select subcontractors on a competitive basis to the maximum
practical extent consistent wtih the objectives and requirements
of this agreement.
19. Special Provisions
The attorney and Department agree to the special provisions
described in Exhibit IV, entitled, "Cooperative Reimbursement
Program Special Provisions ", a copy of which is attached hereto
and made a part hereof by reference.
20. Responsibility for Conduct of Individuals
The attorney is solely responsible for the conduct of
individuals employed by the attorney, or under the direct
supervision or control of the attorney, identified in Exhibit
II, "Cooperative Reimbursement Agreement Personnel ".
Governmental functions provided in support of the child support
enforcement program by individuals other than those identified
in Exhibit II are not the responsibility of the attorney except
for acceptance or rejection of the work product of such
individuals.
IN WITNESS WHEREOF
Department and Attorney have caused this agreement to be
executed by their respective officers duly authorized to do so.
This agreement is expressly made subject to the approval of the
Executive Director, Colorado Department of Social Services, or
his designee; however, the State of Colorado, the Colorado
Department of Social Services, the Executive Director, or his
designee, are not parties of the agreement.
RM On
IR • - L) ate
APPROVED: STATE OF COLORADO
ROY ROMER, GOVERNOR
County D' ector a e
Member G6unty Board of Date
Social Services
Executive Director Date
Colorado Dept. of Social Services
Social Services
*If the Board of Social Services resolves to empower the
Chairman of the Board of Social Services to enter into and sign
this agreement for the County Commissioners then a copy of the
Board's resolution to do so must be attached.
EXHIBIT I
SCOPE OF SERVICES
Page 1 of 2
A. Mandatory Services (check appropriate boxes)
AFDC Non -AFDC
1. (A) (A) PARENTAGE DETERMINATION - Activities related
to determining the parentage of dependent
children (CRS 19 -6 -101, et seq, 14 -5 -128).
2. (A) (A) ESTABLISHMENT OF THE AMOUNT OF SUPPORT -
Activities related to determining the amount
of an absent parent's child support obliga-
tion including methods and terms of payment
(CRS 14 -10 -115, 19 -6 -116, 19 -7 -103, 14 -5 -125)
3. (A) (A) ESTABLISHMENT OF THE LEGAL OBLIGATION TO
SUPPORT - Activities related to determining
an absent parent's legal obligation to
support his /her children) (CRS 14 -10 -115,
19 -6 -116, 19 -7 -103, 14 -5 -125).
4. (A) (A) URESA - Activities related to child support
enforcement reciprocal support actions
(14 -5 -101, et seq).
5. (A) (A) ENFORCEMENT - Activities to enforce the
collection of support including, but not
limited to, obtaining judgments (CRCP Rule
54), executing post judgment remedies (such
as continuing wage garnishment - CRS
14 -14 -105 and 13 -54- 104(3), CRCP Rule 103,
property liens - CRS 13 -52 -101, et seq, CRCP
Rule 102, CRCP Rule 69) and obtaining wage
assignments (CRS 14 -14 -107).
6. (D /A) (D /A) REPORTING - Activities related to providing
statistical, fiscal, and other records
necessary for reporting and accountability
as required by the State Department and the
Department of Health and Human Services
(HHS).
Note: A = Attorney
D = Department of Social Services
Page 2 of 2
B. Other services which may be performed (check appropriate
box) and for which a program plan is required:
AFDC Non -AFDC
1. (D) (D) INTAKE - Activities associated with initial
child support case opening and information
collection.
2. (D) (D) LOCATE - Activities associated with locating
an absent parent and assets of the absent
parent.
3. (A &D) (A &D) FINANCIAL ASSESSMENT - Activities related to
determining an absent parent's ability to
provide support.
4. (D) (D) COLLECTION - Activities related to
monitoring support payments and processing
cash flow pursuant to the Finance Staff
Manual requirements.
5. (A /D) (A /D) INVESTIGATION - Activities related to
investigation necessary to accomplish child
support enforcement functions.
6. (D) (D) REPORTING - Activities related to providing
statistical, fiscal, and other records
necessary for reporting and accountability
as required by the State Department and HHS.
C. Address(es) and telephone number(s) where services will be
provided:
Office of the District Attorney
P.O. Box 265
Eagle, CO 81631
(30 3) 328 -6947
Eagle County Social Services
Eagle, CO 81631
(303) 328 -6328
EXHIBIT II
COOPERATIVE REIMBURSEMENT AGREEMENT PERSONNEL
A. Instructions
Supervisor: List the name and official title of the person
who will set personnel policies, appoint new employees and will
otherwise exercise supervisory authority for services to be
provided under this agreement. Also include his actual hourly
rate including employee benefits, the estimated number of his
hours to be charged under this agreement, and estimated cost.
Actual
Supervisor Supervisor Hourly Estimated Estimated
Name Title Rate Hours Cost
Kurt P. Schulke District $30 5 $150.00
Attorney
B. Instructions
Personnel: List the name and official title of all
personnel who will be providing services under this agreement.
Also include his /her actual hourly rate including employee
benefits, the estimated number of his /her hours to be charged
under this agreement.
Actual
Employee Percent Hourly Estimated Estimated
Title CSE Time Rate Hours Cost
Robyn Hamilton $16.25 60 $975/yr.
Deputy District Attorney
Sandra Sue Carver $11.65 180 $2,097/yr.
Legal Secretary
Gerry Sandberg $17.00 20 $370.00 /yr
Investigator
C. Total Personnel Costs (transfer to Exhibit III, Item 1)
$3,562.00 /year
EXHIBIT III
COOPERATIVE REIMBURSEMENT AGREEMENT BUDGET
FOR PERIOD OF January 1, 1988, through December 31, 1988.
1. Total personnel costs including employee benefits.
(From Exhibit II, Item C)
$3,562.00
2. Operating costs (rent, utilities, telephone,
supplies, etc. (itemize)
3. Travel (itemize by purpose)
IVD quarterly meetings
C.F.S.C. Annaul Conference /per diem
4. Training costs (itemize)
Registration Fee
5. Specific Direct Costs (itemize)
6. Other expenses (itemize)
$100.00
$368.00
$300.00
TOTAL COSTS $4,330.00
DEPARTMENT OF SOCIAL SERVICES
717 Seventeenth Street
P.O. Box 181000
Denver, Colorado 80218 -0899
Phone (303) 294 -5700
Mr. Richard L. Gustafson
Eagle County Commissioner
P.O. Box 850
Eagle, Co. 81631
Dear Commissioner Gustafson:
C
STATE OF COLORADO
April 5, 1988
of .00
He 90
* 1876
WAA" ' A
This letter is to inform you that the Renewal of the Cooperative Reimbursement
Agreement between Kurt P. Schulke, District Attorney, and the Eagle County
Department of Social Services has been approved by this office.
However, it should be noted that the budgeted amount under this agreement is
greater than the amount shown in your county's 1988 Annual Program Plan.
Approval of this agreement does not constitute approval for your county to
expend more than the total administrative costs for 1988 as submitted in the
1988 Plan.
All claims for reimbursement under the terms of this contract must be
submitted to the State Accounting Office on form 5310.211 as specified in Vol.
5310.211 rules. The Agreement's budget is approved for purposes of allocation
only. Specific line item expenditures which require the prior written
approval of the State Department, pursuant to Staff Manual Volume 6, must be
requested on an expenditure by expenditure basis using Form CSE -23, Approval
for Expenditures.
If you have questions, please call the State Division of Child Support
Enforcement at 866 -5994.
Sincerely,
)�Wvv-� OL. SA-L��
Kathryn A. Stumm, Director
Division of Child Support Enforcement
KAS:gm RECEIVED
cc: Mable Risch, APR 8 1988
Director of Eagle County
Department of Social Services
Nancy Baker, ,EAGLE .COUNT'
Eagle County IV -D Administrator
Kurt P. Schulke, D.A.
Paul Rayman, Field Administration
I CI -s- S-0 /
Contract Number
COOPERATIVE REIMBURSEMENT AGREEMENT
EAGLE COUNTY DEPARTMENT OF SOCIAL SERVICES
This agreement is executed as of January 1, 1988, by and
between Kurt P. Schulke, District Attorney (hereinafter
"Attorney) and the Eagle County Department of Social Services,
(hereinafter "Department):
WITNESSETH THAT
WHEREAS, the Department, under Part D of Title IV of the
Social Security Act, 45 CFR Parts 232, 301, 302, 303, 304, 305,
and 26 -13 -101, et seq, CRS 1973, as amended, has been delegated
responsibility for the development and implementation of a
program to secure support and establish paternity for children
receiving an assistance payment grant, and
WHEREAS, the Department desires to enter into an agreement
with the Attorney to: 1) assist the Department in providing the
services necessary to establish paternity, establish support
obligations, and secure support for children receiving AFDC and
those otherwise not receiving an assistance payment within the
meaning of Federal regulations pertaining thereto upon
application for such services, and
WHEREAS, the Attorney is desirous of entering into such an
agreement with the Department;
Now, THEREFORE: The Department and Attorney, in
consideration of the promises and mutual covenants as herein-
after contained, do hereby agree as follows:
1. Scope of Services
Services shall be provided to AFDC grant recipients and to
non -AFDC individuals upon application by the Attorney in
compliance with Exhibit I entitled, Scope of Services, a copy of
which is attached hereto and made a part hereof by reference.
2. Duration of Agreement
This agreement shall be in effect from January 1, 1988,
through December 31, 1988, but not to exceed twelve (12) months.
3. Renewal
This agreement may be renewed by mutual consent, provided
that each renewal shall be for a period not to exceed twelve
UJ
(12) months. Each renewal shall be reduced to writing on Form
CSE -5, "Renewal of Agreement ", properly executed, and made a
part of this agreement. Said renewals shall contain appropriate
amendments to Exhibit II, Cooperative Reimbursement Agreement
Personnel; and Exhibit III, "Cooperative Reimbursement Agreement
Budget ". Said renewals are expressly made subject to the
approval of the Executive Director, Colorado Department of
Social Services, or his designee; however, the State of
Colorado, the Colorado Department of Social Services, the
Executive Director, or his designee, are not parties to the
agreement.
4. Personnel
The Attorney shall identify all personnel by title, who
shall provide services pursuant to this agreement in Exhibit II,
entitled "Cooperative Reimbursement Agreement Personnel ", a copy
of which is attached hereto and made a part hereof by reference.
The actual hourly wage rate, including fringe benefits, and
estimated hours and percent time, of each of these personnel
shall also be identified in Exhibit II.
5. Payment
A. Payment shall be made on the basis of Exhibit III,
entitled "Cooperative Reimbursement Agreement Budget ", a copy of
which is attached hereto and made a part hereof by reference,
for services provided pursuant to Exhibit I. The Cooperative
Reimbursement Agreement Budget shall establish the maximum
reimbursement which shall be paid from combined county, State
and Federal funds during the duration of this agreement.
B. The Attorney shall submit monthly billings for actual
costs incurred pursuant to Exhibit I of this agreement to the
Department in accordance with the rules and regulations of the
State Department of Social Services. The Department shall pay
the Attorney upon receipt of such billing as follows:
1) Personnel service costs (wages or salaries and
employee benefits) determined by multiplying the number of hours
worked by the Attorney and his employees to provide services
under this agreement by their actual hourly rates including
employee benefits.
2) Operating expenses are determined by an allocation
method distributing costs equitably to all activities of the
Attorney's Office. Operating expenses include supplies,
materials, equipment, printing, reproduction, rent, normal
telephone charges, utilities, repairs and maintenance.
3) Direct charges for travel related to providing
services under this agreement. All expenditures for
out -of -state travel for which reimbursement is requested must
receive prior written approval of the State Department of Social
Services.
4) Direct charges for reasonable and essential short
term training for staff providing services under the agreement.
All training for which reimbursement is requested must receive
prior written approval of the State Department of Social
Services.
5) Specific direct changes for other costs related to
providing services under the agreement including filing fees,
long distance telephone calls, blood tests, polygraph tests,
expert witness fees, transcripts and services purchased from
subcontractors.
6) All other expenses must receive prior written
approval by the State Department. These may include, but are
not limited to, capital outlay, automated data processing, lease
or purchase of vehicles, and purchase of services from
subcontractors.
C. Federal reimbursement of costs incurred pursuant to this
agreement is expressly contingent upon the availability of
federal funds.
D. Attorney shall not bill department for and shall not be
reimbursed for time involved in activities outside of those
defined in Exhibit I, unless prior written approval of the
department and state department is obtained.
6. Duties of the Department
The Department shall provide the Attorney with all pertinent
information available to the extent that such information is
relevant to the services to be performed pursuant to this
agreement.
7. Termination for Convenience
This agreement may be terminated without cause by either
party upon written notice of at least thirty (30) days. Upon
such termination, the Attorney shall furnish to the Department,
as property of the Department, all property, records and
pertinent information which the Department provided under this
agreement. When the attorney provides said property, records
and information to the Department, the Department shall pay the
Attorney for actual costs incurred through the last day of this
agreement in accordance with clause 5 entitled, "Payment ".
8. Amendment
This agreement may be amended in whole or in part by mutual
consent, provided that said amendment be* reduced in writing on
Form CSE -4, properly executed and made a part of this
agreement. All amendments are expressly made subject to the
approval of the Executive Director, Colorado Department of
Social Services, or his designee; however, the State of Colorado
the Colorado Department of Social Services, the Executive
Director, or his designee, are not parties of the agreement.
9. Reports, Records, and Retention Periods
The Attorney shall maintain such records as are deemed
necessary pursuant to the State Department of Social Services'
rules to assure a proper accounting for all costs and funds
collected. These records will be made available for audit
purposes to the U.S. Department of Health and Human Services,
the State Department of Social Services, the County Department
of Social Services, or any authorized representative of the
State of Colorado, and will be retained for six (6) yeras after
the expiration of this contract unless permission to destroy
them is granted by the State Department of Social Services. The
Attorney shall make financial, program progress and other
reports as requested by the County or State Department of Social
Services.
10. Equipment Purchased with Federal, State and County Money
Equipment with an acquisition cost of less than $300 may be
purchased by the Attorney pursuant to this agreement. Equipment
with an acquisition cost of $300 or more may be purchased upon
prior written approval by the State department and shall be
capitalized and depreciated over the useful service life of the
equipment.
11. Confidentiality
Information provided by the County Department of Social
Services in furtherance of the aims and purposes of this
agreement shall be used only for the purpose intended and in
accordance with Federal and State Laws and regulations.
12. Safeguarding Information
The attorney shall provide for the security of information
collected pursuant to this agreement and as provided in the
rules and regulations of the State Department.
13. Political Activities
None of the funds, materials, property, personnel or
services contributed by the United States, the State Department
of Social services or the County Department of Social Services
under this agreement shall be used for any partisan political
activity, or to further the election or defeat of any candidate
for public office in a manner which would constitute a violation
of 5 U.S.C. Sections 1501 et seq.
14. Religious Activity
There shall be no religious worship, instruction or
proselytization as part of or in connection with the performance
of this agreement.
15. Non - Discrimination
In connection with the performance of services under this
agreement the Attorney agrees to comply with the provisions of
the laws of Colorado, the CIVIL RIGHTS ACT of 1964, as amended,
the Regulations of the Department of Health and Human Services
isued pursuant to that Act, the provisions of Executive Order
11246, EQUAL EMPLOYMENT OPPORTUNITY, dated September 24, 1965,
as amended, and Section 504 of the REHABILITATION ACT of 1973,
as amended.
16. Studies and Investigations
All offical reports of cases, recoveries, investigations,
studies, etc., made as a result of this agreement shall
acknowledge the support provided by the Department of Health and
Human Services and Colorado Department of Social Services.
17. Federal and State Laws and Regulations
This agreement shall be performed in compliance with the
Social Security Act, as amended, the Federal regulations and
amendments thereto which implement the Social Security Act, and
the rules and regulations of the State Department of Social
Services, as amended.
18. Subcontracts
No subcontract shall be made by the Attorney with any other
party for furnishing any services contracted for without the
prior written consent, and approval, of the Department. For
services provided under any subcontract, the Attorney shall be
responsible for contract performance and compliance with the
terms and conditions of this agreement. The Attorney shall
select subcontractors on a competitive basis to the maximum
practical extent consistent wtih the objectives and requirements
of this agreement.
19. Special Provisions
The attorney and Department agree to the special provisions
described in Exhibit IV, entitled, "Cooperative Reimbursement
Program Special Provisions ", a copy of which is attached hereto
and made a part hereof by reference.
20. Responsibility for Conduct of Individuals
The attorney is solely responsible for the conduct of
individuals employed by the attorney, or under the direct
supervision or control of the attorney, identified in Exhibit
II, "Cooperative Reimbursement Agreement Personnel ".
Governmental functions provided in support of the child support
enforcement program by individuals other than those identified
in Exhibit II are not the responsibility of the attorney except
for acceptance or rejection of the work product of such
individuals.
C J 4J
IN WITNESS WHEREOF
Department and Attorney have caused this agreement to be
executed by their respective officers duly authorized to do so.
This agreement is expressly made subject to the approval of the
Executive Director, Colorado Department of Social Services, or
his designee; however, the State of Colorado, the Colorado
Department of Social Services, the Executive Director, or his
designee, are not parties of the agreement.
NNW A
Pei
"ttorney -
APPROVED: STATE OF COLORADO
ROY ROMER, GOVERNOR
�t JEy
Executive irector Date
Colorado Dept. of Social Services
t
County Dir cto Date
Member ounty Board of Date
Social Services
r uouVty
Social Setlides
Membe-f-bl County B and of Date
Social Services
*If the Board of Social Services resolves to empower the
Chairman of the Board of Social Services to enter into and sign
this agreement for the County Commissioners then a copy of the
Board's resolution to do so must be attached.
EXHIBIT I
SCOPE OF SERVICES
Page 1 of 2
A. Mandatory Services (check appropriate boxes)
AFDC
Non -AFDC
1. (A)
(A) PARENTAGE DETERMINATION - Activities related
to determining the parentage of dependent
children (CRS 19 -6 -101, et seq, 14 -5 -128).
2. (A)
(A) ESTABLISHMENT OF THE AMOUNT OF SUPPORT -
Activities related to determining the amount
of an absent parent's child support obliga-
tion including methods and terms of payment
(CRS 14 -10 -115, 19 -6 -116, 19 -7 -103, 14 -5 -125)
3. (A)
(A) ESTABLISHMENT OF THE LEGAL OBLIGATION TO
SUPPORT - Activities related to determining
an absent parent's legal obligation to
support his /her children) (CRS 14 -10 -115,
19 -6 -116, 19 -7 -103, 14 -5 -125).
4. (A)
(A) URESA - Activities related to child support
enforcement reciprocal support actions
(14 -5 -101, et seq).
5. (A)
(A) ENFORCEMENT - Activities to enforce the
collection of support including, but not
limited to, obtaining judgments (CROP Rule
54), executing post judgment remedies (such
as continuing wage garnishment - CRS
14 -14 -105 and 13- 54- 104(3), CRCP Rule 103,
property liens - CRS 13 -52 -101, et seq, CRCP
Rule 102, CRCP Rule 69) and obtaining wage
assignments (CRS 14 -14 -107).
6. (D /A)
(D /A) REPORTING - Activities related to providing
statistical, fiscal, and other records
necessary for reporting and accountability
as required by the State Department and the
Department of Health and Human Services
(HHS) .
Note: A = Attorney
D = Department of Social Services
Page 2 of 2
B. Other services which may be performed (check appropriate
box) and for which a program plan is required:
AFDC Non -AFDC
1. (D) (D) INTAKE - Activities associated with initial
child support case opening and information
collection.
2. (D) (D)
LOCATE - Activities associated with locating
an absent parent and assets of the absent
parent.
3. (A &D) (A &D)
FINANCIAL ASSESSMENT - Activities related to
determining an absent parent's ability to
provide support.
4. (D) (D)
COLLECTION - Activities related to
monitoring support payments and processing
cash flow pursuant to the Finance Staff
Manual requirements.
5. (A /D) (A /D)
INVESTIGATION - Activities related to
investigation necessary to accomplish child
support enforcement functions.
6. (D) (D)
REPORTING - Activities related to providing
statistical, fiscal, and other records
necessary for reporting and accountability
as required by the State Department and HHS.
C. Address(es) and
telephone number(s) where services will be
provided:
Office of the District Attorney
P.O. Box 265
Eagle, CO 81631
(303) 328 -6947
Eagle County Social Services
Eagle, CO 81631
(303) 328 -6328
EXHIBIT II
COOPERATIVE REIMBURSEMENT AGREEMENT PERSONNEL
A. Instructions
Supervisor: List the name and official title of the person
who will set personnel policies, appoint new employees and will
otherwise exercise supervisory authority for services to be
provided under this agreement. Also include his actual hourly
rate including employee benefits, the estimated number of his
hours to be charged under this agreement, and estimated cost.
Supervisor
Name
Kurt P. Schulke
B. Instructions
Actual
Supervisor Hourly Estimated
Title Rate Hours
District $30 5
Attorney
Estimated
Cost
$150.00
Personnel: List the name and official title of all
personnel who will be providing services under this agreement.
Also include his /her actual hourly rate including employee
benefits, the estimated number of his /her hours to be charged
under this agreement.
Actual
Employee Percent Hourly Estimated Estimated
Title CSE Time Rate Hours Cost
Robyn Hamilton $16.25 60 $975/yr.
Deputy District Attorney
Sandra Sue Carver $11.65 180 $2,097/yr.
Legal Secretary
Gerry Sandberg $17.00 20 $370.00 /yr
Investigator
C. Total Personnel Costs (transfer to Exhibit III, Item 1)
$3,562.00 /year
}
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EXHIBIT III
COOPERATIVE REIMBURSEMENT AGREEMENT BUDGET
FOR PERIOD OF January 1, 1988, through December 31, 1988.
1. Total personnel costs including employee benefits.
(From Exhibit II, Item C)
$3,562.00
2. Operating costs (rent, utilities, telephone,
supplies, etc. (itemize)
3. Travel (itemize by purpose)
IVD quarterly meetings
C.F.S.C. Annaul Conference /per diem
4. Training costs (itemize)
Registration Fee
5. Specific Direct Costs (itemize)
6. Other expenses (itemize)
$100.00
$368.00
$300.00
Ej
TOTAL COSTS $4,330.00
EXHIBIT IV
PURCHASE OF LEGAL SERVICES SPECIAL PROVISIONS