HomeMy WebLinkAboutC12-249 Gypsum Elementary School Agreement . 6 .
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MEMORANDUM of UNDERSTANDING
BETWEEN
THE COUNTY OF EAGLE, STATE OF COLORADO
AND
EAGLE COUNTY SCHOOL DISTRICT RE -50J
THIS AGREEMENT made this I i day o , 2012 by and between the County of Eagle,
State of Colorado, a body corporate and politic, ( "County ") and Eagle County School District
RE -50J, (hereinafter, "Community Based Organization "(CBO).
1. TERM of AGREEMENT: This Agreement shall commence on June 1, 2012, and continue
until May 31, 2013.
2. SCOPE
The purpose of this agreement is to define the working relationship and responsibilities of the
parties in the establishment of computer kiosks at CBO locations as enrollment stations for
Medicaid and other Public Assistance programs through the use of the Program Eligibility and
Application Kit (PEAK) on -line enrollment program.
The collaboration between Eagle County and CBO will increase access to adequate health
coverage through Medicaid and CHP+ by increasing opportunities for community members to
apply for Medicaid, CHP+ and other Public Assistance Programs.
The collaborative efforts of Eagle County and CBO will provide access to services for the
Medicaid and CHP+ eligible but uninsured population served in common.
3. TERMINATION: The County may terminate this Agreement upon ten (10) days written
notice to CBO if it is deemed by the County in its sole discretion that the CBO is not fulfilling
the terms of the agreement as specified in this Agreement, or for any other reason. Upon such
termination any equipment and furniture provided by County such as computer kiosks and
computers shall be returned to the County within 10 days of termination.
The CBO may terminate this Agreement upon ten (10) days written notice to County if it is
deemed by the CBO in its sole discretion that the County is not fulfilling the terms of the
agreement as specified in this Agreement, or for any other reason. Upon such termination any
equipment and furniture provided by County such as computer kiosks and computers shall be
returned to the County within 10 days of termination.
4. CBO'S RESPONSIBILITIES: The CBO shall comply with the following requirements:
1) The CBO agrees to provide space including electricity, internet service and IT support for
the installation of the enrollment station and any ongoing maintenance and supplies.
CBO will cooperate with the County Project Lead to assess enrollment station placement.
Desktop computers and KIOSKS will be used for the sole purpose of utilizing the
Programs Eligibility Application Kit (PEAK) software for at least three years.
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2) CBO will select staff to participate in an on -site Program Eligibility and Enrollment Kit
(PEAK) program training to be made available by the County so that CBO staff can
provide limited support to applicants who want to apply on -line for Public Assistance
p ,ograms. CBO will cooperate with County Project Lead to determine schedules for on
-
g ing training.
3) 1 - signated CBO will provide assistance to applicants.
On a limited basis in accessing the PEAK system and copying documents
provided with the client in conjunction with their application and ensure
copies are sent to County same day of receipt.
LJ CBO agrees to become a Certified Application Assistance Site (CAAS) to
assist families in completing the "Application for Medical Assistance" and
is certified to verify citizenship and identification documentation. CBO
will:
o Apply to become a CAAS by faxing or mailing a completed "Certified
Application Assistance Site Application" to: 303 - 866 -2505 or 1570
Grant St. Denver, CO 80203.
o The agency must understand their liability if false documents are
knowingly verified, and in this case their certification will be revoked.
o The agency must agree to ensure that all staff assisting with
applications is adequately trained on the process for completing an
application and the proper procedure for verifying original or certified
copies of citizenship and identity documents were presented.
o The agency must be a community -based organization or non - profit
organization supporting community and not an individual's interest.
o The agency must agree to submit completed applications and all
documentation to the client's county department of human/social
services where they reside within five business days
o Agencies with multiple locations must complete a "Certified
Application Assistance Site Certification Application" for each
location requesting certification
4) CBO will make available designated staff for reporting progress and project status at
meetings with County to occur at least monthly to share information about what is
w rking with project, what is not working, and lessons learned through the course of the
p ject.
5) C 0 will coordinate with County to ensure that processes and systems are in place to
s tain on -going Medicaid and CHP+ enrollment activities at the project end, May 31,
2 13.
6) C 0 will submit all requests to publicize information concerning the project to
E gle County Health and Human Services (ECHHS) who will obtain prior written
a royal of the Colorado Health Foundation prior to releasing or publicizing such
in ormation. Publicity requiring prior approval includes information about the
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project communicated through news releases, interviews, local media, email to
stakeholders, newsletters, annual reports and other relevant media.
5. COUNTY'S RESPONSIBILITIES
1) The County will coordinate acquisition and placement of the computer, furniture and
instructional materials to establish the enrollment stations at the CBO facility.
2) The County will provide personnel to complete training to designated CBO staff on the
PEAK system.
3) The County will coordinate activities of the project for the first 12 month period and
work with the CBOs to ensure systems are in place for sustainability of enrollment
activities.
4) The County will provide print materials such as enrollment station guidebooks and press
releases to announce enrollment stations.
6. NOTICE
Any notice provided for herein shall be given in writing by registered or certified mail, return
receipt requested, which shall be addressed as follows:
Eagle County Eagle County School District
Attn: Nola Nicholson RE -50J
Health & Human Services Attn: Mike Gass
P. O. Box 660 948 Chambers Ave.
Eagle, CO 81631 Eagle, CO 81631
7. ASSIGNMENT
The CBO shall not assign any of its rights or duties under this Agreement to a third party without
the prior written consent of County. Any assignment without the prior written consent of County
shall cause this Agreement to terminate.
8. MODIFICATION
Any revision, amendment or modification to this Agreement, shall only be valid if in writing and
signed by all parties.
9. MISCELLANEOUS
1) The parties to this Agreement intend that the relationship of the CBO to the County is that
of an independent community based organization. No agent, employee or volunteer of the
CBO shall be deemed to be an agent, employee or volunteer of the County.
2) This Agreement shall be binding upon and inure to the benefit of the CBO and the County
and their respective heirs, legal representatives, executors, administrators, successors and
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assigns. Neither party may assign or delegate any of its rights or obligations hereunder
I first obtaining the written consent of the other party.
3) I the event of litigation in connection with this Agreement, the prevailing party shall be
e titled to recover its attorney fees and costs, staff time and any other claim related
e pense.
4) T e invalidity or unenforceability of any provision of this Agreement shall not affect the
o er provisions hereof, and this Agreement shall be construed as if such invalid or
u enforceable provision was omitted.
5) CBO shall indemnify and hold harmless the County, its Board of Commissioners, and the
individual members thereof, its agencies, departments, officers, agents, employees,
servants and its successors from any and all demands, losses, liabilities, claims or
j a gments, together with all costs and expenses, including but not limited to attorney fees,
i ident thereto which may accrue against, be charged to or be recoverable from the
C I unty, its Board of Commissioners, and the individual members thereof, its agencies,
departments, officers, agents, employees, servants and its successors, as a result of the acts
o omissions of CBO, its employees or agents, in or in part pursuant to this Agreement or
a sing directly or indirectly out of CBO's exercise of its privileges or performance of its
o 1 ligations under this Agreement.
6) T le CBO shall comply with all applicable laws, resolutions, and codes.
Notwithstanding anything to the contrary contained in this Agreement, the County shall
h.ve no obligations under this Agreement, nor shall any payments be made to CBO.
7) Ti is Agreement shall be governed by the laws of the State of Colorado. Jurisdiction and
v: ue for any suit, right or cause of action arising under, or in connection with this
A :reement shall be exclusive in Eagle County, Colorado.
8) T, is Agreement supersedes all previous communications, negotiations and /or agreements
b: ween the respective parties hereto, either verbal or written, and the same not expressly
col tained herein are hereby withdrawn and annulled. This is an integrated agreement and
th -re are no representations about any of the subject matter hereof accept as expressly set
fo h in this Agreement.
9) C : O hereby certifies that it has read the Agreement, understands each and every
to and the requirements set forth herein, and agrees to comply with the same.
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date first set
forth above. Two counterparts have been delivered to County and one to the CBO.
COUNTY OF EAGLE, STATE OF COLORADO
By and through its Board of County Commissioners
By: ■A
• • - • airman
//
By:
Mike as . -c ve Director of Student Services
By: ` e-/ �� 6/c
Principal
Participating Schools:
-Avon Elementary School
-June Creek Elementary School
- Gypsum Elementary School
- Gypsum Creek Middle School