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HomeMy WebLinkAboutC05-328 Colorado West Regional Mental Health
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COLORADO WEST REGIONAL MENTAL HEALTH CENTER
EMPLOYEE ASSISTANCE SERVICES CONTRACT
THIS CONTRACT is entered into as of this 151 day of November, 2005, by and between Eagle County
Government, with its principal office located at 0500 Broadway, Eagle, CO 81631 (hereinafter referred
to as the Employer), and COLORADO WEST REGIONAL MENTAL HEALTH CENTER, INC. with
its principal office located at 6916 Highway 82 (P.O. Box 40), Glenwood Springs, Colorado 81602
(hereinafter referred to as EAP Contractor).
WITNESS:
The Employer and the EAP Contractor do mutually agree as follows:
I. STATEMENT OF WORK:
The EAP Contractor shall, in a satisfactory and proper manner as determined by the Employer,
perform the work as set forth in Exhibit "A", STATEMENT OF WORK, attached hereto and by this
reference made a part of this Contract as if fully set forth herein.
II. PERIOD:
The EAP Contractor shall commence performance of this contract on the 1stday of November ,
2005 _ and end on the last day of October, 2006. The initial term shall be for one (1) year from the
commencement date. The term of this contract shall be automatically renewed for one (1) year on each
successive commencement date until terminated by either party as provided by Section V of this
contract. Upon renewal of this initial term and any subsequent term, the then applicable fees specified
in Exhibit "B" of the contract shall apply unless otherwise amended by mutual agreement of both parties
III. COMPENSATION:
The EAP Contractor shall be compensated for services performed under this Contract, upon the
submittal of invoices, by no more than the amounts set forth in Exhibit "B", CONTRACT BUDGET,
attached hereto, and by this reference made a part of this Contract as if fully set forth herein.
The EAP Contractor will submit monthly invoices to the Employer for any services provided the
previous month. Employer agrees to pay all invoices within 30 days of receipt.
LIMITATION OF COST:
It is expressly understood and agreed that in no event will the total amount to be paid by the
Employer to the EAP Contractor under the terms of this Contract exceed the amounts as detailed in
Exhibit "B" for full and complete satisfactory performance of Statement of Work during the Contract
period. If any payment in excess of such limit is made without specific written agreement, waiving this
limitation, or any advance payment for services is made and the services are not provided, the EAP
Contractor shall promptly refund such excess payment upon demand of the Employer.
V. TERMINATION OF CONTRACT:
The Employer or the EAP Contractor may terminate this contract prior to its expiration date by
giving thirty (30) days written notice, notice to be delivered to the address of the principle office as
identified in this contract. Each party will notify the other of any changes in the location of its principle
office.
VI. CHANGES AND AMENDMENTS:
The Employer may, from time to time, request changes in the scope of the services of the EAP
Contractor to be performed hereunder. Such changes, including any increase or decrease in the amount
of the EAP Contractor's compensation, which are mutually agreed upon by and between the Employer
and the EAP Contractor, must be incorporated in written amendments to this contract. This Part shall
also apply to any other changes or modifications requested to be made by either party
VII. COMPLIANCE WITH LAWS AND STANDARDS:
Each of the parties hereto shall comply with all applicable laws, ordinances, codes, and lawful
regulations, or Federal, State, and Local governments, and of public agencies having jurisdiction over
any activity covered by this Contract. To the extent that there are standards of recognized professional
and accrediting organizations which are relevant to such activities and if such standards are not in
conflict with the terms of this Standard Form or the attachrnent(s)hereto, such standards shall also be
deemed applicable hereto.
VIII. CONFIDENTIALITY:
The EAP Contractor agrees not to divulge any information obtained in the course of such service
to unauthorized persons, and not to publish or otherwise make public any information regarding persons
who have received services such that the person who received services is identifiable. The EAP
Contractor further agrees to abide by the provisions of any additional or subsequent limitation on the
disclosure of such information as may be made known by the Employer at any time after the date of
execution of this contract (provided that no such limitation shall be deemed applicable on a retrospective
basis). The restrictions imposed by this Part shall be made known by the employees and agents, and
appropriate education and training regarding confidentiality requirements and procedures shall be given
to any such employee or agent who is expected to have access to information of the type described
herein.
Colorado West EAP "As Used" Contract Page 2 of 4
IX. INDEPENDENT CONTRACTORS:
The EAP Contractor shall, at its own cost and expense, maintain in full force and effect during
the terms of this agreement the following policies of insurance:
(a) General Comprehensive Liability Insurance against injury in a sum of at least $3,000,000
for all damages arising out of anyone occurrence of bodily injury, including death, at any
time resulting therefrom and $1,000,000 for all damages arising out of injury to, or
destruction of, property on anyone occurrence. In addition, this policy shall specifically
include blanket contractual liability, completed operations coverage and medical
malpractice insurance in limits of not less than $3,000,000.
(b) Worker's Compensation insurance in accordance with the provisions of the Worker's
Compensation Act of the State of Colorado, for all of its employees to be engaged in
services, and in case services are subcontracted, the EAP Contractor shall require the
subcontractor similarly to provide the Worker's Compensation insurance for all the
latter's employees to be engaged in such services.
X. INDEMNIFICATION:
The EAP Contractor agrees to indemnify, defend and hold harmless the Employer, its respective
agents, affiliates, officers, directors, servants and employees, of and from any loss, cost, damage, injury,
liability, claims, liens, demands, actions or causes of action, whatsoever, arising out of or related to
negligent acts, errors or omissions or that of its employees, consultants, etc., whether contractual or
otherwise.
The Employer agrees to indemnify, defend and hold harmless the EAP Contractor,(including its
agents, affiliates, directors and employees) of and from any loss or claim filed arising from the
Employer's negligent acts or omissions as related to the performance of this contract.
XI. CENTER OPERATIONAL STANDARDS AND POLICIES:
The EAP Contractor agrees to comply and to assure compliance by its employees with all
operational standards, policies, and rules and regulations of Employer as may be applicable to the work
to be performed pursuant to this contract.
XII. ASSIGNMENTS:
The Contract shall not be assigned by either party without the prior express written consent of
the other party. The provisions ofthis contract and all obligations arising hereunder shall extend to, be
binding upon, and inure to the benefits of the heirs, executors, administrators, successors, and assigns of
each of the parties hereto.
Colorado West EAP "As Used" Contract Page 3 of 4
IN WITNESS WHEREOF, the Employer and the Contractor have executed tlnSOmtractas-etthe..date
first above written. (
EMPLOYER
By: ~.~~
Printed Printed
Name: Nora J. Fryklund Name: Kenneth M. Stein, Ph.D.
Title: Human Resource Director Title: Executive Director
.'
Phone ,.. . .,
Number (970) 328-8796 . -
'..1">,
e-mail
address: nora.fryklund@eaglecounty.us
Date: 11/09/2005 Date: /f/(Im~
I I
Name of mental health insurance provider (
(if any): ~
",- -
- -~
. . .
.
~ Contact: Susan Ackerman, L.C.S. W.
400 Number of eligible employees EAP Program Director
970-945-2241
sackerma@cwrmhc.org
Colorado WestEAP "As Used" Contract Page 4 of4
\..
IN WITNESS WHEREOF, the Employer and the Contractor have executed this Contract as of the date
first above written.
EAP CONTRACTOR
By:
Printed Printed
Name: Name: Kenneth M. Stein, Ph.D.
Title: Title: Executive Director
Phone
Number
e-mail
address:
Date: Date:
Name of mental health insurance provider
(if any):
Contact: Susan Ackerman, L.C.S.W.
Number of eligible employees EAP Program Director
970-945-2241
sackerma@cwrmhc.org
Colorado West EAP "As Used" Contract Page 4 of 4
Colorado West Regional Mental Health Center
EAP Contract
EXHIBIT A
Statement of Work
Service for: Eagle County Government (employer)
Calendar year: 2005/2006
Contractor agrees to provide the following core EAP services to the employer during the
period of the contract.
. EAP face-face sessions providing assessment, information, brief counseling, and referral
service to employees and their families with respect to health, mental health, alcohol,
substance abuse and other personal problems which may affect an employee's job
performance.
. 24-hour emergency response 365 days a year.
. Qualified clinicians in all Contractor's centrally located offices in the following counties:
Eagle; Garfield; Grand; Jackson; Mesa; Moffat; Pitkin; Rio Blanco; Routt; Summit.
. Spanish speaking clinician in Garfield County.
. Access to Colorado West's website (WWW.CWffilhc.org) providing information on a
variety of mental health topics.
. Quarterly utilization reports.
. On-site initial and ongoing EAP program promotion (employee orientations, brochures,
newsletter, posters etc.).
. Annual one-hour supervisor/manager training on effectively using the EAP to improve
the performance of problem employees.
. Comprehensive quality improvement system to evaluate, monitor, and ensure program
effectiveness.
. Seamless link to any other Contractor services beyond EAP sessions, (drug and alcohol
programs, groups, child and family services, psychiatry, residential programs, detox, and
adult services).
. Monthly billing.
Colorado West Regional Mental Health Center
EAP Contract
EXHIBIT B
Fee Schedule and Menu Options
Service for: Eagle County Government (employer)
Number of eligible employees: 400
Contract dates: November 1,2005 to autorenew
CRMHC offices to be used: Any, Eagle, Vail, Frisco
OPTION ONE - CAPITA TED FEE
1-3 face-to-face sessions
1-5 face-to-face sessions
1-8 face-to-face sessions
total eligible employees X $ per employee, $ Cap Total
per month =
To be billed 1/12 of total amount on a monthly basis.
OPTION TWO - "AS USED" FEE FOR SERVICE
1-3 face-to-face sessions $ 70.00 per
seSSIOn
1-5 face-to-face sessions $ per
seSSIon
1-8 face-to-face sessions $ per
seSSIOn
EXTRA SERVICE FEES
Critical Incident Response $ 100.00 per hour
Manager/Supervisor Consultation $ 100.00 per hour
Wellness and Risk Management Seminars available on request Cost to be negotiated
SPECIAL CONDITIONS
Request employee identification with invoice. Yes X No
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Other: