HomeMy WebLinkAboutC15-443 Maple Star ColoradoAGREE. MENT FOR PROFES SIONAL SERVICES
BETWEEN .EAGIE COTINITY, COLORADO
AND
MAPLE STAR COLORADO. FACILITATED VISITATION SERVICES/PARENT COACHING.MENTORING
l/t
THIS AGREEMENT ("Agreement") is effective as of the i q" day of ManartsL2Ol5 by and
between Maple Star Colorado, a Colorado non-profit corporation (hereinafter "Consultant" or
"Contractor") and Eagle County, Colorado, a body corporate and politic (hereinafter "County").
RECITALS
WHEREAS, the County, through its Department of Health and Human Services ("HI{S") works to
promote the health, safety and welfare of county residents of all ages; and
WHEREAS, the County uses outside providers and professionals to enhance the ability of County to
promote such health, safety and welfare; and
WHEREAS, County desires to hire the Consultant to perform the Services defined below in paragraph l;
and
WHEREAS, Consultant is authorized to do business in the State of Colorado and has the time. skill.
expertise, and experience necessary to provide the Services; and
WHEREAS, this Agreement shall govern the relationship between Consultant and County in connection
with the Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Consultant and
County agree as follows:
1. Services. Consultant agrees to diligently provide all services, labor, personnel and materials
necessary to perform and complete the services described in Exhibit A ("Services") which is attached
hereto and incorporated herein by reference. The Services shall be performed in accordance with the
provisions and conditions of this Agreement.
a. Consultant agrees to furnish the Services no later than May 31,2016 and in accordance
with the schedule established in Exhibit A. If no completion date is specified in Exhibit A, then
Consultant agrees to furnish the Services in a timely and expeditious marmer consistent with the
applicable standard of care. By signing below Consultant represents that it has the expertise and
personnel necessary to properly and timely perform the Services.
Eagle County Ccmnrlssioners' OfficeC15-443
b. In the event of any conflict or inconsistency between the terms and conditions set forth in
Exhibit A and the terms and ponditions set forth in this Agreement, the terms and conditions set forth in
this Agreement shall prevail.
c. Consultant agrees that it will not enter into any consulting or other arrangements with
third parties that will conflict in any rnanner with the Services.
2. County's Representative. The Children, Family and Adult Services Department's designee shall
be Consultant's contact with respect to this Agreement and performance of the Services.
3. Term of the Agreement. This Agreement shall cofilmence upon the date frst written above, and
subject to the provisions of paragraph 11 hereof, shall continue in full force and effect through the 31st
day of May,20l6.
4. Extension or Modification. This Agreement may not be amended or supplemented, nor may any
obligations hereunder be waived, except by agreement signed by both parties. No additional services or
work performed by Consultant shall be the basis for additional compensation tmless and until Consultant
has obtained written authorization and acknowledgement by County for such additional services in
accordance with County's internal policies. Accordingly, no course of conduct or dealings between the
parties, nor verbal change orders, express or implied acceptance ofalterations or additions to the Services,
and no claim that County has been unjustly enriched by any additional services, whether or not there is in
fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder.
Lr the event that written authorization and acknowledgment by County for such additional services is not
timely executed and issued in strict accordance with this Agreement, Consultant's rights with respect to
such additional services shall be deemed waived and such failure shall result in non-payment for such
additional services or work performed.
5. Compensation. County shall compensate Consultant for the performance of the Services in a sum
computed and payable as set forth in Exhibit A. The performance of the Services under this Agreement
shall not exceed $20,000. Contractor shall not be entitled to bill at overtime and/or double time rates for
work done outside of normal business hours unless specifically authorized in writing by County.
a. For reimbursement Contractor must submit invoices by the 5tr of each month for services
rendered the month prior. Invoices shall include a description of Services performed. If County is not
satisfied with the completeness of a submitted invoice, County may request Contractor to either revise the
invoice or provide additional information. Payment will be made for Services satisfactorily performed
within thirty (30) days of receipt of a proper and accurate invoice. All invoices shall include detail
regarding the hours spent, tasks performed, who performed each task and such other detail as County may
reque$.
All invoices must be mailed or delivered in-person to the following address to ensure proper
payment. Invoices sent by fax or e-mail will not be accepted.
2
Eagle County HHS Prof Serv Fiml 5/14
Eagle County Health and Human Services
Business Office
550 Broadway
Post Office Box 660
Eagle, CO 81631
b' Any out-of-pocket expenses to be incurred by Consultant and reimbursed by County shall
be identified on Exhibit A. Out-of-pocket expenses will be reimbursed without any additional mark-up
thereon and are included in the not to exceed contract amount set forth above. Out-of-pocket expenses
shall not include any payment of salaries, bonuses or other compensation to personnel of Consultant.
Consultant shall not be reimbursed for expenses that are not set forth on Exhibit A unless specifically
approved in writing by County.
c. If, prior to payment of compensation or reirnbursement for Services but after submission
to County of a request therefore by Contractor, County reasonably determines that payment as requested
would be improper because the Services were not performed as prescribed by the provisions of this
Agreement, the County shall have no obligation to make such payment. If, at any time after or during the
term or after termination or expiration of this Agreement, County reasonably determines that any payment
theretofore paid by County to Contractor was improper because the Services for which payment was
made were not performed as set forth in this Agreement, then upon written notice of such determination
and request for reimbursement from County, Consultant shall forthwith retum such payment(s) to County.
Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall
forthwith be returned to Countv.
d. All funds received by Contractor under this Agreement shall be or have been expended
solely for the purpose for which granted, and any funds not so expended, including funds lost or diverted
for other purposes, shall be returned to County. Contractor shall provide the County with progress reports
upon County's request; or Contractor shall furnish progress reports as more specifically set forth in the
attached Exhibit A.
e. County will not withhold any taxes from monies paid to the Consultant hereunder and
Consultant agrees to be solely responsible for the accurate reporting and payment of any taxes related to
payments made pursuant to the terms of this Agreement.
f. Notwithstanding anything to the contrary contained in this Agreement, County shall have
no obligations under this Agreement after, nor shall any payments be made to Consultant in respect of any
period after December 31 of any year, without an appropriation therefor by County in accordance with a
budget adopted by the Board of County Commissioners in compliance with Article 25,title30 of the
Colorado Revised Statutes, the Local Govemment Budget Law (C.R.S .29-l-l0l et. seq.) and the
TABOR Amendment (Colorado Constitution, Article X, Sec. 20).
6- Sub-consultants. Consultant acknowledges that County has entered into this Agreement in
reliance upon the particular reputation and expertise of Consultant. Consultant shall not enter into any
sub-consultant agreements for the performance of any of the Services or additional services without
3
Eagle County HHS ProfServ Final 5/14
County's prior written consent, which may be withheld in County's sole-discretion. County shall have
the right in its reasonable discretion'to approve all personnel assigned to the subject project during the
performance of this Agreement and no personnel to whom County has an objection, in its reasonable
discretion, shall be assigned to the project. Consultant shall require each sub-consultant, as approved by
County and to the extent of the Services to be performed by the sub-consultant, to be bound to Consultant
by the terms of this Agreernent, and to assume toward Consultant all the obligations and responsibilities
which Consultant, by this Agreement, assumes toward County. County shall have the right (but not the
obligation) to enforce the provisions of this Agreement against any sub-consultant hired by Consultant
and Consultant shall cooperate in such process. The Contractor shall be responsible for the acts and
omissions of its agents, employees and sub-consultants or sub-contractors.
7. Insurance. Consultant agrees to provide and maintain at Consultant's sole cost and expense, the
following insurance coverage with limits of liability not less than those stated below:
Types oflnsurance.
i. Workers' Compensation insurance as required by law.
ii. Auto coverage with limits of liability not less than $1,000,000 each accident
combined bodily injury and property damage liability insurance, including coverage for owned, hired, and
non-owned vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personaVadvertising injury, products/completed operations, broad form property damage with limits of
liability not less than $1,000,000 per occunence and $2,000,000 aggregate limits. This policy shall be
endorsed to include coverage for physicaUsexual abuse and molestation.
iv. Professional liability insurance with prior acts coverage for all Services required
hereunder, in a form and with an insurer or insurers satisfactory to County, with limits of liability of not
less than $1,000,000 per claim and $2,000,000 in the aggregate. ln the event the professional liability
insurance is on a claims-made basis, Consultant warrants that any retroactive date under the policy shall
precede the effective date of this Agreement. Continuous coverage will be maintained during any
applicable statute of limitations for the Services.
v. Third party frdelity/crime coverage including coverage for theft and mysterious
disappearance. The policy shall include coverage for all directors, officers, agents and employees of the
Consultant. The policy shall name Eagle County and Eagle County's clients as loss payee as their
interests may appear. The policy shall not contain a condition requiring an arrest or conviction. Policies
shall be endorsed to provide coverage for computer crime/fraud.
4
Eagle County HHS Prof Sew Final 5/14
b. Other Requirements.
The automobile and commercial general liability coverage and such other
coverage as indicated above shall be endorsed to include Eagle County, its associated or affiliated entities,
its successors and assigns, elected officials, employees, agents and volunteers as additional insureds.
Consultant's certificates of insurance shall include sub-consultants as additional
insureds under its policies or Consultant shall fumish to County separate certificates and endorsements for
each sub-consultant. All coverage(s) for sub-consultants shall be subject to the same minimum
requirements identified above. Consultant and sub-consultants, if any,shall maintain the foregoing
coverage in effect until the Services are completed. ln addition, all such policies shall be kept in force by
Consultant and its sub-consultants until the applicable statute of limitations for the Services has expired.
lnsurance shall be placed with insurers duly licensed or authorized to do business
in the State of colorado and with an "A.M. Best" ratins of not less than A-VII.
Consultant's
respect to all other available sources.
Eagle County.
X.
termination hereof.
insurance coverage shall be primary and non-contributory with
Consultant's policy shall contain a waiver of subrogation against
v. All policies must contain an endorsement affording an unqualified thirty (30)
days notice ofcancellation to county in the event ofcancellation ofcoverage.
All insurers must be licensed or approved to do business within the State of
Colorado and all policies must be written on a per occunence basis unless otherwise provided herein.
vii. Consultant's certificate of insurance evidencing all required coverage(s) is
attached hereto as Exhibit B. Upon request, Consultant shall provide a copy of the actual insurance
policy and/or required endorsements required under this Agreement within five (5) business days of a
written request from County, and hereby authorizes Consultant's broker, without further notice and
authorization by Consultant, to immediately comply with any written request of County for a complete
copy of the policy.
viii. Consultant shall advise County in the event the general aggregate or other
aggregate limits are reduced below the required per occurrence limit. .Consultant, at its own expense, will
reinstate the aggregate limits to comply with the minimum limits and shall fumish County a new
certificate of insurance showing such coverage.
ix. If Consultant fails to secure and maintain the insurance required by this
Agreement and provide satisfactory evidence thereof to County, County shall be entitled to immediately
terminate this Agreement.
The insurance provisions of this Agreement shall survive expiration or
The parties hereto understand and agree that the County is relying on, and does
5
Eagle County HHS ProfServ Final 5/14
not waive or intend to waive by any provision of this Agreement, the monetary limitations or rights,
immunities and protections provided by the Colorado Governmental Immunity Act, as from time to time
amended, or otherwise available to County, its affrliated entities, successors or assigns, its glected
officials, employees, agents and volunteers.
xii. Consultant is not entitled to workers' compensation benefits except as
provided by the Consultant, nor to unemployment insurance benefits unless unemployment compensation
coverage is provided by Consultant or some other entity. The Consultant is obligated to pay all federal
and state income tax on any moneys paid pursuant to this Agreement.
8. lndemnification. The Consultant shall indemnifu and hold harmless County, and any of its
officers, agents and employees against any losses, claims, damages or liabilities for which County may
become subject to insofar as any such losses, claims, damages or liabilities arise out of, directly or
indirectly, this Agreement, or are based upon any performance or nonperformance by Consultant or any
of its sub-consultants hereunder including claims for bodily injury or personal rnjury including death, or
loss or damage to tangible or intangible property; and Consultant shall reimburse County for reasonable
attorney fees and costs, legal and other expenses incurred by Counfy in connection with investigating or
defending any such loss, claim, damage, liability or action. This indemnification shall not apply to claims
by third parties against the County to the extent that County is liable to such third party for such claims
without regard to the involvement of the Consultant. This paragraph shall survive expiration or
termination hereof.
9. Ownership of Documents. All documents prepared by Consultant in connection with the Services
shall become property of County. Consultant shall execute written assignments to County of all rights
(including cofilmon law, statutory, and other rights, including copyrights) to the same as County shall
from time to time request. For purposes of this paragraph, the term "documents" shall mean and include
all reports, plans, studies, tape or other electronic recordings, drawings, sketches, estimates, data sheets,
maps and work sheets produced, or prepared by or for Consultant (including any employee or
subcontractor in connection with the performance of the Services and additional services under this
Agreement).
10. Notice. Any notice required by this Agreement shall be deemed properly delivered when (i)
personally delivered, or (ii) when mailed in the United States mail, frst class postage prepaid, or (iii)
when delivered by FedEx or other comparable courier service, charges prepaid, to the parties at their
respective addresses listed below, or (19 when sent via facsimile so long as the sending party can provide
facsimile machine or other confirmation showing the date, time and receiving facsimile number for the
transmission, or (v) when transmitted via e-mail with confrmation of receipt. Either party may change its
address for purposes of this paragraph by giving five (5) days prior written notice of such change to the
other party.
COUNTY:
Eagle County, Colorado
Attention: Toni Rozanski
500 Broadwav
6
Eagle County HHS ProfServ Final 5/14
Post Office Box 660
Eagle, CO 81631
Telephone: 97 0-328-8852
Facsimile: 1 -855-848-8826
E-Mail : toni.rozanski@eaglecounty.us
With a copy to:
Eagle County Attomey
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
Facsimile: 97 0-328-8699
E-Mai 1 : atty @eaglecounty. us
CONSULTANT:
Maple Star Colorado
Heather Morris, MSW
Director of Community Operations
2250 S. Oneida Sr., Suite 200
Denver, CO 80224
Telephone: 303-433-197 5
Facsimile: 303-433-1 980
I l. Termination. County may terminate this Agreement, in whole or in part, at any time and for any
reason, with or without cause, and without penalty therefor with seven (7) calendar days' prior written
notice to the Consultant. Upon termination of this Agreement, Consultant shall immediately provide
County with all documents as defined in paragraph t hereof, in such forrnat as County shall direct and
shall retum all County owned materials and documents. County shall pay Consultant for Services
satisfactorily performed to the date of termination.
12. Venue. Jurisdiction and Applicable Law. Any and all claims, disputes or controversies related to
this Agreement, or breach thereof, shall be litigated in the District Court for Eagle County, Colorado,
which shall be the sole and exclusive forum for such litigation. This Agreement shall be construed and
interpreted under and shall be govemed by the laws of the state of colorado.
13. Execution by Counteroarts: Electronic Sisnatures. This Agreement may be executed in two or
more counterparts, each of which shall be deemed an original, but all of which shall constitute one and the
same instrument. The parties approve the use of electronic signatures for execution of this Agreement.
Only the following two forms of electronic signatures shall be permitted to bind the parties to this
Agreement: (i) Electronic or facsimile delivery of a fi.rlly executed copy of the signature page; (ii) the
image of the signature of an authorized signer inserted onto PDF format documents. All documents must
7
Eagle County HHS ProfServ Final 5/14
" be properly notarized, if applicable. All use of electronic signatures shall be governed by the Uniform
Electronic Transactions Act, C.R.S .24-71.3-l0l to l2l.
t4.Other Contract Reouirements.
a. ln rendering the Services hereunder, Contractor shall comply with the highest standards
of customer service to the public. Contractor shall provide appropriate supervision of its employees to
ensure the maintenance of these high standards of customer service and professionalism are maintained.
The performance of such obligation shall be determined at the sole discretion of County. In the event
County finds these standards of customer service are not being met by Contractor, County may terminate
this Agreement, in whole or in part, upon seven (7) days' notice to contractor.
b. Consultant shall be responsible for the completeness and accuracy of the Services,
including all supporting data or other documents prepared or compiled in performance of the Savices,
and shall correct, at its sole expense, all significant errors and omissions therein. The fact that the County
has accepted or approved the Services shall not relieve Consultant of any of its responsibilities.
Consultant shall perform the Services in a skillful, professional and competent manner and in accordance
with the standard of care, skill and diligence applicable to Consultants performing similar services. This
paragraph shall survive termination of this Agreement.
c' Consultant represents and warrants that it has the expertise and personnel necessary to
properly perform the Services and covenants that its professional persorurel are duly licensed to perform
the Services within Colorado.
d. Consultant agrees to work in an expeditious manner, within the sound exercise of its
judgment and professional standards, in the performance of this Agreement. Time is of the essence with
respect to this Agreement.
e. This Agreement constitutes an agreement for performance of the Services by Consultant
as an independent contractor and not as an employee of County. Nothing contained in this Agreement
shall be deemed to create a relationship of employer-employee, master-seryant, partnership, joint venture
or any other relationship between County and Consultant except that of independent contractor.
Consultant shall have no authoritv to bind Countv.
f. Consultant represents and warrants that at all times in the performance of the Services,
Consultant shall comply with any and all applicable federal and state laws, codes, rules and regulations.
g. Contractor shall comply with the Civil Rights Act of 1964 and Section 504,
Rehabilitation Act of L973, concerning discrimination on the basis of race, color, sex, age, religion,
political beliefs, national origin or handicap.
h. This Agreement contains the entire agreement between the parties with respect to the
subject matter hereof and supersedes all other agreements or understanding between the parties with
respect thereto.
8
Eagle County HHS ProfServ Final 5/14
i. Consultant shall not assign any portion of this Agreement without the prior written
consent of the County. Any attempt to assign this Agreement without such consent shall be void.
i This Agreement shall be binding upon and shall inure to the benefit of the parties hereto
and their respective permitted assigns and successors in interest. Enforcement of this Agreement and all
rights and obligations herermder are reserved solely for the parties, and not to any third party.
k. No failure or delay by either party in the exercise of any right hereunder shall constitute a
waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding
breach.
1. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability ofany other provision hereof.
m. Consultant shall maintain for a minimum of three years, adequate financial and other
records for reporting to County. Consultant shall be subject to financial audit by federal, state or county
auditors or their designees. Consultant authorizes such audits and inspections of records during normal
business hours, upon 48 hours' notice to Consultant. Consultant shall fully cooperate during such audit or
inspections.
n. The signatories to this Agreement aver to their knowledge, no employee of the County
has any personal or beneficial interest whatsoever in the Services or Property described in this
Agreement. The Consultant has no beneficial interest, direct or indirect, that would conflict in any rnanner
or degree with the performance of the Services and Consultant shall not employ any person having such
known interests.
o. The Consultant, if a natural person eighteen ( I 8) years of age or older, hereby swears and
affirms under penalty of perjury that he or she (i) is a citizen or otherwise lawfully present in the United
States pursuant to federal law, (ii) to the extent applicable shall comply with C.R.S. 24-76.5-103 prior to
the effective date of this Agreement.
15. Prohibitions on Government Contracts.
As used in this Section 15, the term undocumented individual will refer to those individuals from foreign
countries not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Consultant has
any employees or subcontractors, Consultant shall comply with C.R.S. 8-17.5-101, et. seq., and this
Agreement. By execution of this Agreement, Consultant certifies that it does not knowingly employ or
contract with an undocumented individual who will perform under this Agreement and that Consultant
will participate in the E-verifu Program or other Department of Labor and Employment program
("Department Program") in order to confirm the eligibility of all employees who are newly hired for
employment to perform Services under this Agreement.
9
Eagle County HHS Prof Serv Final 5/14
a. Consultant shall not:
Knowingly employ or contract with an undocumented individual to perform
Services under this Agreement; or
ii. Enter into a subcontract that fails to certifu to Consultant that the subcontractor
shall not knowingly employ or contract with an undocumented individual to perform work under the
public contract for services.
b. Consultant has confirmed the employment eligibility of all employees who are newly
hired for employment to perform Services under this Agreement through participation in the E-Verifu
Program or Department Program, as administered by the United States Department of Homeland
Security. Information on applying for the E-veriS program can be found at:
http://www.dhs. gov/xprewrot/programs/gc_1 1 8522 I 678 1 50.shtm
c. Consultant shall not use either the E-veri$ program or other Department Program
procedures to undertake pre-employment screening ofjob applicants while the public contract for services
is being performed.
d. If Consultant obtains actual knowledge that a subcontractor performing work under the
public contract for services knowingly employs or contracts with an undocumented individual, Consultant
shall be required to:
i. Noti$/ the subcontractor and County within three (3) days that Consultant has
actual knowledge that the subcontractor is employing or contracting with an undocumented individual;
and
ii. Terminate the subcontract with the subcontractor if within three days of receiving
the notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop
employing or contracting with the undocumented individual; except that Consultant shall not terminate
the contract with the subcontractor if during such three (3) days the subcontractor provides information to
establish that the subcontractor has not knowingly employed or contracted with an undocumented
individual.
e. Consultant shall comply with any reasonable request by the Department of Labor and
Employment made in the course of an investigation that the department is undertaking pursuant to its
authority established in C.R. S. 8- I 7. 5 - 1 02(5).
f. If Consultant violates these prohibitions, County may terminate the Agreement for breach
of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement,
Consultant shall be liable for actual and consequential damages to County as required by law.
g. County will notifu the Colorado Secretary of State if Consultant violates this provision
of this Agreement and County terminates the Agreement for such breach.
10
Eagle County HHS ProfServ Final 5/14
IN WITNESS WHEREOF, the parties have exeiuted this Agreement the day and year frst set forth
above.
COUNry OF EAGLE, STATE OF COLORADO,
By and Through Its COUNTY MANAGER
By:
CONSULTANT:
MAPLE STAR COLORADO
11
Eagle County HHS ProfServ Final 5/14
Print Name:
EXHIBIT A
SCOPE OF SERVICES. SCHEDULE. FEES
The Facilitated Visitation Service (FVS) which includes Parent Coaching as an
off-site service will be provided in a carefully planned and coordinated manner
that takes into account the referred child(ren) and their family's level of need for
supervision, structure and intervention. Hereafter, the progam will be titled FVS.
Based on the referral information provided by Eagle County, a visitation format
and plan will be discussed with the family and include a vanety of possible issues
including but not limited to: scheduling/duration of visits; individuals parricipating
in visits and anyone restricted from attending visits; the level of
structure/supervision to be provided by Maple Star; explanation of the reporting
function the agency has as facilitator; expectations for parents in terms of
preparation for visits and items they need to bring; possible learning/skil-building
goals and activities to be integrated into the visitation time and some general
guidelines in relation to attendance and behavior.
rt is anticipated, due to the clinical orientation and staff composition of Maple
Star Colorado, a significant proportion of the families referred for facilitated
visitation services would benefit from a structured, trauma-informed, and
therapeutic approach. Bachelors and Masters level staff will facilitate visits and
employ a variety of interventions including: coaching and teaching skills;
behavioral shaping/modification through positive reinforcement; role-playing and
modeling of desired behaviors; identifying and reinforcing strengths and
providing practical information and guidance. Whenever possible the visitation
plan will be coordinated with any existing treatment plan in place.
Maple Star Colorado employs a family systems and strength-based approach in all
prog?ms and services, which includes facilitated visitation. Maple Star Colorado
currently has the staffing resources in place to provide this service in a flexible and
responsive manner with an individualized approach to setting and format. Staff is
experienced in guiding and supporting the visitation process and providing varying
levels of structure either within the office setting or in an appropriate community-
based location. This service and required reporting will be carried out in an efficient
manner.
Maple Star's Family Services Center includes private visitation rooms with
separate entrances for family members and foster parents. The rooms include
soft chairs, art tables, and toys, books, puzzles and games are providecl for a
variety of age and ability levels.
Maple Star exhibits significant experience working with children, youth, and
families within the child welfare system, particularly those with trauma histories or
L2
Eagle County HHS ProfServ Final 5/14
in placement. This experience lays the foundation for Maple Star's ability to
provide safe and family- centered facilitated visitation services.
o Maple Star's twenty-one years of experience in working with foster care children
includes understanding the needs of abused and neglected children while also
working sensitively with children's biological families. Maple Star also provided
multiple years of casework and casework supervision in El Paso County which
included planning and supervising visitation services. This rich experience
creates a knowledge base from which Maple star will build. Maple Star's
Facilitated Visitation Services includes a Maple Star staff member in the room
with the family at all times.
The Facilitated Visitation Services will be based on safety and needs of the child
and the family's visitation plan. This setting will prioritize family engagement in
an effort to insure the visiting parents feel safe and respected. Both children and
families will be served in a culturally responsive manner which highlights the
family's strengths.
Visitation plans are based on court orders, children's safety, parents' progress, and
status of the court case. Consistent communication between caseworkers and
Maple Star's visitation workers will insure compliance to the family's visitation
plans. Additionally, visitation workers are trained in issues related to working with
families, crisis, abuse, reunification, and observation. The visitation workers'
documentation will reflect their observations that may include interpersonal
dynamics, parenting techniques, behavioral appropriateness, and logistical
responsibility (arriving on time and consistently or notifuing Maple Star when
delays or cancellations occur).
Maple Star's visitation workers are briefod on how to give testimony in court
should the need arise. They will be prepared to discuss their duties, observations,
and visitation documentation. This information will be supported by accompanying
documentation.
Maple Star's staff meet the following regulation:o Visitation workers shall meet the equivalent of minimum qualifications, as
defined in Section 7.000.6, Q, 3. Maple Star's visitation workers all have
Bachelor's Degrees; however, a worker may have obtained a high school
diploma or a General Equivalency Diploma (GED) and six months ful1 time
public contact in human services or a related field in some instances;
however, the majority of the staff in this position will be Bachelor's level
with experience. Substitution for public contact is successful completion of
a certihcate program and/or college course equivalent to public contact in
human services or a related field.
. All Maple star employees, including visitation workers, are background-
searched to include finger prints and child welfare checks.
13
Eagle County HHS ProfServ Final 5/14
o Mandatory training for all employees includes:. Crisis managanent. CPR/First Aid. HIPPA Requirements. Confidentiality. Ethics. Mandatory Reporting. Child and Adolescent Development. Trauma and the Brain. Beyond Consequences. Family dynamics. Strengths-Based Family Theory. Parenting which includes signs of abuse and neglect. Awareness related to alcohol and substance abuse issues. Safety protocols
Documentation of the approval for visitation will be in the case record. Services
will be provided for the length of the visitation agreement.
The schedule will include the needs of the case of the involved parties. The
hours that visits are provided will be aligned with what is currently in place and
will support the families and children being served. .
o The Program Coordinator also will track statistics and report to Eagle County
monthly.o Maple Star will monitor visitation plan adherence and completion of
individualized service goals developed collaboratively with client facilities.
Budget/?ricing
Maple Star's FVS/parent Coaching/Mentoring rate scale:
High Level: Master Level Supervisor: gg5.00/hour
providing parent coaching, education and support as well as supervision
Intermediate Level: Bachelor's Level Member:
visitations which require some level of intervention/coaching, but
function of the parenting time.
$75.00 /hour
this is not the primary
Low Intensity: Bachelor's Level Member/ Observation:
visitations which require Bachelor's level supervisor with
and observation of the parenting, and providing little to no
$65.0O/hour
the goal of only documenting
intervention.
Transportation to Eagle County: $60.00/hour
Accommodation would depend on frequency and duration of the visit. Transportation would be
billed in 15 minute increments ($15.00/15 minutes).
t4
Eagle County HHS ProfServ Final 5/14
Eagle County HHS Prof Serv Final 5/14
ACOR CERTIFICATE OF LIABILITY ]NSURANCE DATE (MM/DD/YYYY)
911012015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTTFTCATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE TSSUTNG TNSURER(S), AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement{s}.
PRODUCER
lrest Insurance Group, LLC
t285 E Williams Cir. Ste 4500
l-ucson AZ85711
NAMF.
lifPt"t^ ,*,.520-881-5760 |lil.. s20-225-37s7
F'm1..". certifi cates@cresti ns.com
INSURER(SI AFFORDING COVERAGE NAIC #
rNsuRER A :Scottsdale lnsurance Comoanv 41297INSURED TOMAPLSTA
Maple Star Colorado
2250 South Oneida Street Suite 200
Denver CO 80224
INSURER B:
INSTJRER C :
INSURER D :
INST-IRER E :
INSURER F;
c
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUMNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE INSD WVD POLICY NUMBER 1
EXP LIMITS
A X COMMERCIAL GENERAL LIABIL]TY
I cLAil\,,rs-MADE I x I occuR
oPS0066598 1t15t2015 1t15t2016 EACH OCCURRENCE $ 1 ,000,000
UAMAUE IURENIEU
PRFMISFs lFa ar.tn.$300.000
MED EXP (Anv one person)$5.000
PERSONAL & ADV INJURY $ 1 ,000,000
GEI
.X
/'L AGGREGATE LIMIT APPLIES PER:
I-^^^noLrcvl ljffjl I lLoc
OTHER:
GENERAL AGGREGATE $3.000,000
PRODUCTS - COMP/OP AGG $3,000,000
A AUl ,OMOBILE LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
f--l ScHEDULEDI I AUTOST;- NON-OWNED
| ^ | AUrOSTI
oP50066598 1t15t2015 1t15t2016 JMtrINtrU !II\9Ltr LIMI
a accidenu $ t .ooo.ooo
BODILY INJURY (Per person)!
BODILY INJURY (Per accident)t
X TUPER I Y UAMAGI
er accident)
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS.i,IADE
EACH OCCURRENCE
AGGREGATE
DED I I RETENTION$
WORKERS COMPENSANON
aND EMPLOYERS' LtABtLtTY Y / N
ANY PROPRIETOR/PARTNERYEXECUTIVE T--
OFFICERYMEMBER EXCLUDED?
(Mandatory In NH)
lf yes, describe under
DESCRIPTION OF OPEMTIONS below
N/A
tEn I lotH-STATIITF I I FR
E.L. EACH ACCIDENT c
E.L. DISEASE - EA EMPLOYEI c
E.L. DISEASE - POLICY LIIVIIT c
A
A Professional Liability
Sexual Misconduct Limits
oPSo066598
oPSo066598
1t1512015
1t15t2015
1t15t2016
111512016
1,000,000 Each Claim 3,000,000 Agg
$1mil Ea.Cl/$lmil Agg
DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (ACORDl0l,AdditionalRemarksSchedule,maybeattachedifmorespaceisrequired)
lagle County and others when required in a written contract or agreement are Additional Insured (General Liability & Automobile Liability).
lhis form is subject to all policy forms, terms, endorsements, conditions definitions & exclusions.
930127360
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.Eagle County
PO Box 660
Eagle CO 81631
Codt f,rlollO
@ 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2014t011
#A,COfrl CERTIFICATE OF LIABILIry INSURANCE DATE(MM/DD/YYYY)
10t14t2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS WAIVED, subject to
the terms and conditions ofthe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
'ROOUCER\on Risk rnsurance services west. rnc,
>hoenix lz office
1555 East camelback Rd.tuite 700
'hoenix Az 85016 usA
CONTACT
iA?E"r.".z,il, $66) 283-7122 l ii. n",, 800-363-010s
E+IAL
ADDRESS:
INSURER(S} AFFORDING COVERAGE NAIC #
NSURED
>rovidence servi ce corDoration
4aDle star colorado;4 East Broadway
rucson Az 85701 usA
tNsuRERA ACE American Insurance Company 22667
INSURER B:
INSURER C:
INSURER D:
INSURER E
INSURER F:
NUMBER:
O
;{)
'ec
0,E
Lq,tt
o-
o€o
o
o
F
oz
c,
.E
3J
o(J
CERTIFICATE HOLDER CANCELLATION
@1988-2014 ACORD CORPORAflON. All rights reserved.
The ACORD name and logo are registered marks of ACORD
COVERAGES CERTIFICATE
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as
COMMERCIAL GENERAL LIABILTTY
cLATMS-MADE [-l occun
GEN'L AGGREGATE LIMIT APPL'ES PER
eoLrcv [-l !$] l-l 'o"
AUTOMOBILE LIABILTTY
ANY AUIO
ALLOWNED I---SCHEDULEDAUTos I I AUTOS
BODILY INJURY ( Per person)
BODILY INJURY (Per a@ident)
WORKERS COMPENSATION AND
EMPLOYERS'LIAB|LrrY Y I
ANY PROPRIETOR/ PARTN€R / EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandato.y In NH)
lf yes, describe under
DESCRTPTION OF OPERATIONS below E.L. OISEASE.POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mo.e space is required)
: Maple star colorado, 2250 South oneida street, ste. 200, Denver, co 80224.
Eaole Countv Government55i eroadway
Po Box 660
Eaole co 8L631 usA
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE wlLL AE DELTVEREO IN ACCORI'ANCE WITH THE
POLTCY PROVIStONS.
M*g#f***fr*%t-f*
ACORD 25 (2MA01l