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HomeMy WebLinkAboutC16-150 Whole Health LLCAGREEMENT FOR PROFES SIONAL SERVICES BETWEEN EAGLE COUNTY, COLORADO AI,ID WHOLE HEALTI{, LLC THIS AGREEMENT (agreement") is effective * o*nehhVaay d&ll-, 2016 by and betwem \Vhole Health, LLC a Colorado limitd liability company (hereinafter "Conzultant" sr "Contractot') and Eagle County, Colorado, abody corponte and politic (hereinafter "County"). RECITALS WHEREAS, the County, through is Departnent ofPublic Health Environrnent (ECPIIE) worb to promote th€ health, safety and welfare of County reside,nts of all ages; and WHER-EAS, the County uses outside prcviders and professionals to cnhance the ability of Cormty to promote such health, safety and welfare; and WHEREAS, County desires to hire the Connrltant to perfonn the Services defined below in paragraph 1; antl WIIEREAS, Consultant is authorized to do business in the State of Colorado and has the t'me, skill, expertise, and ogerience nec€ssary to provide the Seniices; and WHEREAS, this Agreement shall gowrn the relationship between Consultant and County in connection with the Services. AGREEMENT NOW, TIIEREFORE, in consideration ofthe forcgorng and the followingpsmis€s Consulta1t and Couaty agree as follows: 1 Scwices. Consultant agre€s to diligerrtly provide all services, labor, personnel and materials neoessary to perform and complete the services described in Exhibit A ('services") which is attached hereto and inco'rporated herein by reference. Consultant agrees to hire, train, and sup€rt/ise a part-time ConununityHealth Workerto work with the Total Health Allianceto fulfill grant require,ments of reducing bacriers to metrtal health teatnent and sosial s€ryice refsrals. The Senrices shall be performed in acco'rdance with the provisions and conditions of this Agrg€ment. a. Consultant agrees to firnish the Services no laler th"n Decernb€r 31, 2016 and in acoordance with the schedule established in Exhibit A. If no completion date is specified in BxhibitA. then C.onsultant agrees to furnish the Services in a timely and expeditious marner consistent with the applicable standard of care, By sigcring below Consultant rqnes@ts that it has the expertise and personnel necessary to properly and tirnely perfomr the Serrdces. fJgie County Commissloners' OfficeC16-150 b. In the event of any conflict or inconsistency between the terms and conditions set forth in Exhibit A and the terms and conditions set forth in this Agreement, the temns and conditions set forth in this AgEcsnent shall prwail. c. Consultant agrees that it will not enter into any consulting sr oth€r axrangements with third parties that will conflict in any manner with the Sendces. 2. Countv's Representative. The Public Health Departnent's designee shall be Consultant's contact wit}' rcspect to this Agreement and perforrrance of the Servic€s. 3. Terrr of the Agreement. This Agreement sball commence upon the date first written above, and subject to the prcvisions ofparagraph I I hereof, shall continue in full force and effect through the 3lst day of Decembe\2016. 4. Extension or Modificatio,& This Agreement may not be amended or supplemented, normay atry obligations hereundcr bc waived, except by agreernent siped by both parties. No additiorral s€rvic€s or work pe'rfonued by Consultant strall be the basis fsr additional conrpensation unless and gntil Consultant has obtained wdtt€o authorization aud acknowledgement by Cotrnty for such additional seryices in aocordance with County's intemal policies. Accordingly, no conrsc of conduct or dealings between the parties, nu verbal change orders, express or implied accqrtance ofaltcrations or additions to the Services, and no claim that Countyhas been unjusfly enriched by any additional sernices, whether or not there is in fact any such unjust e'nrichmenl shall be the basis of any increase in the compensation payable hercunder, In the ev€f,t that written authorization and acknowledgment by County for such additional services is not timely o(ecuted and isgued in stict accordauce with this Agreement, Consultant's rights with respect to such additional senrices shall be deemed waived and such failure shall result innon-paynent for such additional sernices or work performed. 5. Corrpensation. County shall compensate Consultant for the performence of the Sendces in a srmr computed and payable as set forth in Exhibit A. Tbe performance of the Services unds this Agreement shall not exoeed $25,000.00. Contractor shall not be entitled to bill at overtirne and/or double time rates for work done outside of normal business hours unless specifically authorized in writing by County. a For reimburcernent Contract'or must zubmit invoices nontbly. Invoices shall include a description of Services performed. If County is not satisfied with the completeness of a subnritted invoice, County may request Contractor to eitherrevise the invoice orprovide additional inforrration. Payment will be made for Services satisfactonily performed within thirty (30) days ofreceipt of a proper and accurate invoice, All invois€s must be anailed, mailed or delivered in-pcrson to the following address to e,lrsure prop€r paym€nt. 2 Eaglo Coulry HHS Plof Serv Find 5/14 Eagle County Public Health and Environment 551Broadway Post OIfice Box 660 Eagle, CO 81631 OR phinvoi ces@ eaglecouuty.us b. Any out-of-pocket expenses to be incurred by Consultant and reimbursed by County shall be identified on Exldbit A. Out-of-pocket expenses will be reimbursed without any adtlitional mark-up thereon and are included in the not to exceed contract amount set forth above. Out-of-pocket expenses shall not include any paym€nt of salaries, bonuses or other compensation to personnel of Consultant. Consultant shall not be reimbursed for expenses thst are not set forth on Exhibit A unless specifically approved in wdting by County. c. If, pnor to paynent of compensation orreimbursement for Ser:vices but after zubmission to County of a rcquet therefore by Contractor, Countyreasonatly determines that paprent as requ€st€d would be impropcr because the Senrices were not performed as prescribed by the provisions of this Agreement the County rhall have no obligation to make such palment. If, at any time after or drning the teru or aft€r t€nnination or expiralion of this Agreement, County reasonably detarrines thar any pa)'rn€nt tleretofore paid by County to Contractor was improper because tle Services for whictr palment was made were not performed as set fortlr in this Agreement, lhen upon written notice of such detcnrrination and request for reimburserrsnt from County, C-onsultant shall forttturith return such paynen(s) to County. Upon terrrination or expiration of this Agreemelrt, unexp€xrded fiInds advanced by County, if any, shall forthwith be returned to County. d" All fimds received by Contactor under this Agreement shall be or have been expcnded solely for the purpose for which granted, and any firnds not so expe,nded, including firnds 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 funrish progress rsports as more specifically set finth in the attached Exhibit A, e' County will not withhold any taxes from monies pard to the Consultant hereunder and Consultant agrees to be solely responsible for the accurate reporting and palment of any taxes related to paymmts made pursuant to the teirns ofthis Agreemeut. f. Notnrithstatrding anything to the contrary contained in this Agreemenl County sbatl have no obligations under this Agreement after, nor slrall anypayrr.ents be made to Consultant in respect of any period after Decerrber 3 I of any year, without an appropriation the,tefor by County in accordance with a budget adopted by thc Bomd of County Commissioners in compliance with futicle 25, title 30 of the Colorado Revised Statutesn the Local Government Budget I"aw (C.RS. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). 6. Sub-consultants. Conzultant acknowledges that Countyhas entered into this Agreement in reliance upon the pmticular reputation and expertise of Cousultant. Consultant shall not enter into any 3 Eagle Cou!ry HHS PmfScrv Final 5/14 sukonsultant agr€€ments for the pcrforrraace of any of the Seirdces o( additioDal sen ices without County's prior written consent, which may be withheld in Cormty's sole discretion County shall have the rieht in its reasonable dissretion to approve all personnel assigned to the subject project during the performance of this Agreenrent ard no personnel to whom County has an objectioq in ic reasonable discretioq shall be assigned to the project. Consultant shall require each sub-comultant, as approved by County and to the extent of the Swic€s to be perfonned by the sub-consultant, to be bonnd to Consultant by the tcrms of this Agreement, and to assume toward Consultant all the obligations aad responsibilities which Consultaug by this Agreemcnt, assumes toward Cormty. County shall havc the right (but not the obligation) to enforce the provisions of rhi.s Agreement against any sub-consultant hired by Conzultant and Conzulhnt shall cooperate in such prccess. Thc Confractor shall be responsible forthe acts and omissions ofits agFnts, ernployees and sub+onsultants or sub-cootractors. 7. Jnsurance. Consultant agtees to provide and maintain d Consultant's sole cost and expense, the following inzurance coverage with limits of liability not less than those stated below: a. Types of Insurance. i. Workers' Compensation inntrance as reguired by law. ii. Auto coverage with limits of liability not less than $1,000,000 each accidcnt combined bodily injury and property damage liability insurance, including coverage for owned, hire{ and non-owned vehicles, iii. Commercial Gerieral Liability coverage to includc premises and operations, personal/advertising injury, products/conrpleted operations, broad fonn property damage with limits of liability not less than $1,000,000 p€r oocunefirce and 92,000,0fi) aggregate limits. iv. Intmtionally omitted. v. Intcntionally omitted. b. Other Require,ments. i. The automobile and commsrcial general liability coverage and such oth€r cov€rag€ as indicated above shall be endorscd to include Eagle County, its associated or affiliated entities, its successo'rs and assigns, elected ofiicials, employees, agents and volunteers as additional insureds. ii. Consultant's certificdes of insurance shall include zub-consultaflts as additional insureds uader its policies or Consultant shsll ftmish to County separate certificates and e,ndorse,neirts for each subconsultant, All coverage(s) for sub<onsultants shall be subject to the sme mitimum requirernents idsntified above. Consultant and sub+onsultants, if any, shall maintain the foregoing coverage in effect until the Senrices are completed. In addition, all such policies shall be kept in force by Consultant and its sub-consultants until the applicable stotute of limitations for the Services has expired- 4 EEgle County HHS Prof Sav Final5/1,1 iii. Insurance shall be placed with insur€rs duly licensed or authorieed to do business in the state of colorado and with an'1{.M. Best'ratirrg of not less thanA-vII. iv. Consultant's insurance coverage shall be primary and non+onhibuto'rywith rcspect to all other available sounces. Consultant's policy shall contain a waiver of subrogation against Eagle County. v. All policies must contain m endorsement affording an unqualified thirty (30) days notice ofcancellation to County in the event ofcancellation ofcoverage. vi. All insrners must be licensed or approved to do business udthin the Stdc of Colorado and all policies must be written on a p€f, occrur€nce basis 'Fless oth€mise provided hcrcin. vii. Consultant's certificate ofinsurance evidencing all required coverage(s) is attached hereto as Exhibit B. Upon request, Conzultant shall provide a copy of the actual insurarc€ policy and/or required endnrsements required under this Agreement within five (5) business days of a written rcquest from County, and hereby arIhorizes Consultant's broker, without firtlrer notice and authorization by Consultant to immediately comply with any uiritten request of Counry for a complete copy of thepolicy. viii. Consultant shall advise County in the event the geireral aggregate or other aggregate limits are reduced below the required per occrurenc€ limir Consultant, at its own expense, will reins0ate the aggregate limits to comply with the minimrnn limits and shall firrnish County a n€w certificate of insuxance showing such coverage, ix. If Consultant fails to sccure and maintain the insr:rance required by this Agreement and provide satisfactory evidcnce ttrereof to County, County shsll be eirtitled to immediately terminate this Agreeorent. x. termination hereof, The insurance provisious of this Agreeurent shall survive expiration or xi. The parties hereto understand and agree that the County is relying o4 and does not waive or intend to waive by any provision of this Agreonent, thc monetary limitations or rigfuts, immunities and protections provided by the Colorado Governmental Lnmunity Act, as from time to time amended, or otherq/is€ available to County, its affiliated entities, guacessors or assigns, ib elested offi cials, e'mployees, age,nts end volunteem. xii. Consultant is not entitled to workers' compensation benefits except as provided by the Consultan! nor to unemplolm.ent insurance benefils rrnl6ss ruremploynent cornpensation coverage is provided by Consultant or some other e,ntity. The Consultant is obligated to pay all federal and state income tax on anymon€ys paid pursuant to this Agreecrent. 5 Elg|c Coutrty HHS Prcf Scrv Final 5/l,l 8. Indemnification. The Consultant shall inderrniS and hold harmless County, and any of ib offic€trs, agents and ernployees against any losses, claims, damages or liabilities for which County may becnme subject to insofar as any zuch losses, claims, damages or liabilities arise out of, directly or indirectly, this Agreoenl or are based upon any perfomance or nonperformance by Consultant or any of its sub.consultants hereunder including claims for bodily injury or personal injury including death, or loss or damage to angiblc or intangible prop€rty; and Consultant shnll reimbruse County for reasonable attorney fees and costs, legal and other expenses incurred by County in connection with i:rvestigating or defending any such loss, claim, damage, liability or astion. This indennnification 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 involrrement ofthe Consultant. This paragraph shall survive expiration or termitration h€neof- 9. Ownership of Documents. All documenB pre,pared by Consultant in connection with the Services shall become property of County. Consultant shall execute writtcn assigunents to County of all rights (including common law, statutory, and other rights, including copyrights) to the same as County shell from time to time request. For purposes ofthis paragraph the term "docrtrtrents" shall mean and include all reports, plans, studies, tap€ or other electnonic recordings, drawings, sketches, estimates, data sheets, maps and work sheets produced, or prqrared by or fu Consultant (including any einployee on subcontractor in connection with the performance of the Sewices and additional s€ryices undcr this Agreement). 10. Notice. Any notice required by this Agreement shall be dee,med pro,perly delive,red when (i) posonally delivered, or (ii) when mailed in the United States mail, first class postage prepaid, or (iii) urhen delivercd by FedE:r or other comparable courier senrice, chargrs p€,pai{ to thc parties at their respective ad&esses listed below, or (iv) when sent via facsimile so long as the sending party can provide facsiraile machine or otler confirmation showing the date, time and receiving facsimile nunber for the hansmission, or (v) when tansmitted via c-rnail with confirmarion of receipt. Eifrer party may change its address forpurpoees ofthis paragraph by giving five (5) days pnor written notice ofsuch change to the other party. COLINTY: Eagle County, Colorado Attention: Jennifer Ludwig Public Health Director 5551Brcadway Post Office Box 660 Eagle, CO 81631 Telephone: 970-328-88 I 9 Facsimile: 85 5-848 -8829 E-Mail : Jennifer.Ludqde@eaelecountv. us With a copyto: Eagle CountyAttomey 500 Broadway Post O{fice Box 850 6 Eaglc Coury HHS Pmf Ssv Final 5/14 Eagle, Co 81631 Telephone: 970-3 28-8685 Facsimile: n0428-8699 E-MaiL attv@eaglecounty.us CONSULTA.IT: WholeHealth,LI,C 515 28 'lRoa.d,Bldg. A Crrand Junction, CO 81501 Tclephone: 970-683-7078 Facsimile : 97 0 -242 -8330 E-Mail : AGaliagher@wholehealthmana g€ment. org 11. Termination. County may tei:ninate this Agreemcn! in whole or in part, at any time and for any reason, with or without causc, and without penalty therefor with swen (7) calendar days' prior written notice to the Consultant. Upon termination of this Agreeineirl Conzultant shall immediatelyprovide Corurtywith all documents as defined in paragraph t hereof, in such format as County shall direct and shall retmn all County owned materials and documents. County shall pay Consultart for Serrdces satisfactorilyperforrred to the date of termination. 12. Venue. Jurisdiction aad Arolicable Law. Any and all claims, disputes or controvef,sies 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 Agrecrrent shall be constued and interpreted under and shall be governed by the laws of the state of colorado. 13. Execution bv Counterparts: Electronic Sisnatures. This Agreeinant may be enecuted in two or more counterprts, each of which shall be deenred an original, but all of which shell soffitulc one and the same instrunent. The parties appnove the use of electronic signatules fff execution of this Agreeinent. Only the following two fonns of elechonic signatures shall be pcnnitted to bind fte parties to this Agreernent (i) Electronic or facsimile delivery of a firlly executed copy of the signature page; (ii) the image of the signature of an authorized sigrrer inserrcd onao PDF fonnat docum€nts. All dosum€nts must be properlynotarized, if applicable. All r.rse ofelectro'nic sipatures shall bc govemedby the Uniforrr Electronic Transactions Act C.RS. 24-71.3-10l to lZL. t4.Other Contract Requirernents. a. In rendering the Selvices he,reunder, Contactor shall comply with the highest stan{ards of customer service to the public. Contractor shall provide appropriate supervision of ib employees to €nsure the rnaintmancc ofthese higlr standards of customer service and professionalisn arc maintained. Theperformance of such obligation shallbe determined at the sole discrction of County. In the event County finds these standards of custourer service are not being met by Contactor, County may te,rminate this Agreemeng in whole or in parl upon seven (4 days' notice to Contractor. b. Consultant shall be responsible for the completeiress and acctracy of the Services, inclucling all supporting data or other documents prepared or compiled in performance of these4dccs, 7 Eagb Coutrty HHS Pnof Scrv Fild5/14 and shall correct, at its sole expense, all signifrcant errors and omissions therein. The fact thd the County has accepted or approved the Servic€s shall not rclicve Consultant ofany ofits responsibilities. Consultant shall prform the Services in a skillful, professional and competent manner and in accordance with the standard of cre, skill and diligence applicable to Consultants performing similar ssrvices. This paragraph shall survive termination of this Ageemmt. c. Consultant rcpresents and warrmts tlet it has the erlpertise and personnel necessar5l to properly perfom the Services and coveirants that its professional personnel are duly liccnsed to perform the Serrrices within Colorado. d. Cousultant agre€s to work in an expeditious manner, within the sound exercise of its judgmert and professional standards, in the perfomrance of this Agreement. Tinne is of the essenc€ lvith respect to this Agree,ment. e. This Agreennent constitutes an agreement for performance of the Services by Consultant as an indepe,ndent contactor and not as an e,nrployee of County, Nothing contained in this Agreeinent shall be deeined to greate arclationship of employer+mployee, master-servant, partrership, joint ventue or any other relationship between County aud Consultant €xcqrt that of independent contractor. Consultant shell have no authority to bind County. f. Consultant reprcsents and warrants tlrat at all times in the perforrrance of the Services, Consultant shall cnmply with any and all applicable federal and state laws, codes, rules and regulations. C. Conhactor shall cornply with the Civil Rights Act of 1964 and Section 504, Rehabilitation Act of 1973, concerning discrimination on the basis of race, color, s€x, age, religion, political beliefs, national origin or handicap. h. This Agree,ment conteins the entire agreement between the parties with respect to the subject matter hereof and supersedes all other agreements or understanding between thc parties with rcspect thereto. i. Consultant shall not assip. any portion of this Agreement without the prior written consetrt of the County, Any attempt to assip this Agrcement without such consent shall be void. j. This Agreement shall be binding upon and shall inrrre to the benefit of the parties hereto an<l their respective pemitted assigrrs and successolg in int€rest, Euforcement of this Agreement and all rigftts and obligations hcneunder arc rcsen/ed solely for the parties, and not to any third party. k. No failure or delay by either party in the exercise ofany riglrt hereund€r shall constitute a waiver thereof. No waiver of any breach shall be deemed a waiver of any prcceding or succeedi"g breach. l. The invelidity, illegnlity orunenforceability ofanyprovision ofthis Agreernent shall not affect the validity or enforrcabihqy of any other provision hereof. I Frglc Comty HHS Prrof Scrv Finrl5/l,t m. Consultant shall maintain for aminimum of three years, adequate financial and other records for reporting to County. Consultant strall be subject to financial auttit by federal, state or countSr auditors or their desipees. Consultant authorizes such audits 6fl inspections of records during norrnal business hours, upon 48 hours' notice to Consultant. Consultant shall fully cooperate during such audit or inspections, n' The signatories to t\it Agreemecrt aver to their knowledge, no ernployee of the County has any personal or beneficial interest whatsoever in the Services or Property descnted in this Agreement. Ihe Consultant has no beneficial interest, direct or indirect, that would conflict in any manner or degree with the perfornancc of the S€rvic€s and Consultant shall not employ any person having such known interests. o. The Consultant, ifa natural person eighteen (18) years ofage or olda, hereby swears and affirrrs uder penalty of perjury that he or slrc (i) is a citizen or otheirrise lawfully present in the Llnited States pursuant to fetlsal law, (ii) to the exteirt applicable shall comply with C.RS. 24:76-5-103 pnor to the effective ilate of this Agreerneirt. 15. Prohibitions on Governmeirt Contracls. As used in this Section 15, the term r.mdocumented individual will refer to those individuals from foreip countries not legally within the Uniteal States as set forth in C.R.S. 8-17.5-101, et. seq. If Consultant has any employees or zubconfactors, Consultant shall comply wi*r C.RS. 8-17.5-101, et. seq., and this Agreement. By oreantion of this Agreerrent, Consultant ccrtifies that it does not knowingly employ or contrect with an undocum€nted hdividual who will perform under this Agrcenrent and that Consultant will participarc in the Bverifu Program or otlrer Department of Labor and Enployme,nt program ('Depariltent Program") in order to confnn the eligibility of all crrployees who re newly hired for employment to perform Se,lrrices under this Agrearre,nt. Conzultant shall not: i. Knowingly employ or conEact with an undocumented individual to perform Sendces under this Agree,naent; or ii. Enter into a subcontract that fails to certifr to Cotrsultmt that the subcontrastor shall not knowingly ernploy or contract with an undocumented individual to perform work under the public confact for servic€s. b. Consultant has confirmed the employment eligibility of all employees who re newly hir€d for employment to perform Services under this Agreeinent throug[ participation in the E-Veriry Prograrn or Deparfinent Progarn, as administ€,r€d by the United States Departnent of Homeland Security. Inforrnation on applying for the E-veri$ program can be found at: httlr://www.dhs.gov/xprevprot/prosram#ec I I 85221678 I 50.shtn 9 Eagle Couty IIHS ftro,f Scrv Final5il4 c. Corrsultant shall not use either the E-verifu program or other Departnent Program procedures to undertake pre-emplolmrent screening ofjob applicants whrle the public contract for serrrices is being performed. d. If Consultant obtains actual knowledge that a subcontacto,r perforrring work under the public contract for servic€s knowingly ernploys or coqtrasts with an undocumented individual, Consultant shall be required to: i. Notiff the subcontractor and County within three (3) days that Consultant hae actual knorvlcdge tlrat the subcontnctor is employing or contacting with an undocunented individual; and ii. Tenninatc the subcontact with the subco,ntactor if within ttire€ days of receiving the notice required pursuant to subparagraph (i) of the pragraph (d) the subcontractor does not stop employing or contracting with the undosumented individual; except that Consultant shall not t€rminat€ the contract with the subcontactor if drring such three (3) alays the subcontector provides information to establish that the subcontractor has not knowingly employed or contacted with an undocumented individual. e. Consultant shall comply with any reasonable request by the Deparbnent of Labor and Employment made in the course of an investigation that the department is undertaking pursuaut to its authority established in C.R. S. 8- I 7.5 - I 02(5). f. If Consultant violates thcse prohibitions, Count5r may terminate the Agreement for breach of conhact. If the Agreerrent is so tenrrinated spccifically for breach of this provision of this Agreernent, Consultant shall be liable for actual and consequelrtial damages to County as required by law. C. County will noti$ the Colorado Secretary of State if Consultarf violates this pmvision of this Agrcement and County tenninates the Agreeinent for such heach. IREST OF PAGE INTENTIONALLY LEFT BIANK] 10 Eagle Couty HHS Prof Scrv Final5/14 Il{ WITNESS WHEREOF, the parties have executed this Agreement the day and year first set fbrth above. COT]NTY OF EAGLE, STATE OF COLORADO, By and Through Its COUIITY MANAGER CONSTJLTA}.IT: ,Dt( 11 Eagh Courcy HHS Prof Sav Final 5/l it PrintName: EXHIBITA scopE oF sERvIcES, scImDLlLE, FEES Background: Eagle County Public Heahh (ECPH) obtained a 3-year grant from The Denver Foundation to support the efforts of the Total Health Alliance (THA). Thls allowed ECPH to hire two part-time poshlons; a coordinator and a communlty health worker. ECPH hired the Total Health Alliance Coordinator in December 2015 and will sub-contract with Whole Health, LLC to hire, train, and supervise the Community Health Worker. Whole Heahh will be employer and provide primary supervision; ECPH (THA Coordinator and PH Directorl will provide secondary, or matrix, supervislon and oversight of contract. Total Heahh Alliance is a communfi collaborativq made up of a network of health care, law enforcement, non-profit, government agencles, and private behavioral heatth practitioners In Eastern Eagle County wlth the unique focus on mental health and substance abuse. Through the collaborative efforts of the network the Total Health Alliance is cornmitted to linklng ldeas, resources, and people to oryanizations and agencies which are currently established in our community, and will better llnk people to servlces and create an integrated system of care for those who need it. The goal of the Alliance is to work togetherto create a referral network to more effectively link patients to locaf culturally appropriate and contextually competent behavioral health professlonals and services. The Resource and Stabilization Team (ReST) has been set up within the THA to receive referrals from law enforcement, heahhcare provlders and area non-profits. The ReST uses existing networks and resources to identify high needs clients, those who are high utilizers of heahh services with behavioral heahh comorbidities. Through this team planning process the ReSTwill appropriately refer clients to existing or expanded resources in the community. The professlonals that make up the Resource and Stabilization Team are dedlcated to get necessary behavloral health help to those in need and who may not have accessed the servlces previously. Whole Health is a subsldlary of Mind Springs Heahh, lnc., and was designed to implement the Community Health Worker (CHW) pilot protram, which ls almed at supportlng repeat ernergency room users and helping them adopt behavioral modlflcations to reduce unnecessary emergency room visits and hospitallzatlons. Roles and Responsibilitl$: Whole Health, ILC r Supervision: Amy Gallagher, Psy.D., or deslgnee, will provide direct individual and group supervislon and schedule regular check-in matrix supervlsory meetings with ECPH (weekly, then bFweekly as determined by need) r Training to be provided: Mental Health First Aid, Crisis Prevention and Intervention; Motlvational lnterviewing; Community Health Worker curriculum, mandatory Rellas (e-learning)training o Communlty Health Worker: complete alltraining worft with THA Coordinator and ReST to make rcferrals and follow up with referrals, work wlth THA Coordinator on reporting requirements, as determined by grant and Evaluator. Eagle County Public Heatth r Provide office space, lncluding desk and landline.. THA Coordinator wlll provide support and matrix supervlsion for CHW, help direct and prioritlze work load, and rneet evaluation requirements for The Denver Foundatlon. L2 Eagle County HHS ProfScrv Final 5/14 Gra nt Req uirements/M ileston es:r Community Heahh Worker hlred by June t, ZOL6r Training complete by September 31, 2016r community Health worker attend quarterly THA meetings (June-December 2016). Community Health Worker attend all ReST meetings, as scheduledo Community Heatth Worker asslst wlth annual report, due August 31, 2O1E. Community Heahh Worker follow up with all referrals and provlde outcome data to Evatuator Payment Schedule and Requirements: Sub-contract amount not to exceed $ZS,(X)O Monthly invoices are to be sent by the 10th of each month to ohinvolces@eaqlecountv.us and will support th€ following costs: salary and appropriate frlngg lT equipment, supplies, and training expenses. Budget Personnel: Commu nity Heahh Worker 7 months: SZLlhr plus FICA, Medicare, Workers Comp Training CHW, Mental Health First Ald, Cpl Mileage 7 months: Approx 275 miles/month, $0.54/mile Equlpment Laptop compter Cell phone (5199) and service ($sg/mo) Office Supplies Generalsupplies Total before Indirect Indirect Administmtive 15% of total contract Total Contract Sl5,goo.oo $z,ooo.oo S1,o4o.oo $t,soo.oo 9600.00 s200.00 s21,740.00 53,zoo,oo $25,000.00 13 Eaglc Cou!ry HHS ProfScrv Final 5/14 Eaglc Cou$y I{HS Prof S€rv Final 5n4 ACORif CERTIFICATE OF LIABILITY INSURANCE r0/t/2016 DATE (MM/DDTYYYY) 4t2912016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE OOES NOT AFFIRMATTVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZEO REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. tf SUBROGATTON tS WAtVeO, suUject 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). PRoDUGER Lockton Companres 8 I l0 E. Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 NAME: PHONE FAX aArC No Errl rAlC N^l E-TIAIL ADDRESS: INSURER(SI AFFORDING COVERAGE NAIC # rNsuRER A ' Arch Specialtv Insurance Comoanv 2r199 i\t'i:tr. Colorado West Regional Mental Health. Inc dba Mind Springs Health, Inc. PO Box 40 Glenwood Springs, CO 81602 rNsuRER B, The Travelers IndemniW Comnanv 25658 tNsuRER c . Travelers Property CasualW Co of America 2s6',74 INSURER D : INSURER E : INSIIRFP F . COVERAGES COL CERTIFICATE NUMBER:REVISION NUMBER: 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT 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. 'lfF rvpe or nsum*ce t^?$lt#fJ POLICY NUMBER POLICY EFF IMM/DD/YYYYI POLICY EXPlMlr/DD/wwl LIMITS X COMMERCIAL GENERAL LIABILITY X cLArN4s-MAoE I occun Y N FLP0056078-02 Retro Datc GL l0/18/2009 r 0/l 8/20 I 5 t0nt20l6 EACH OCCURRENCE $ 1.000.000 I tt-[_ DAMAGE TO RENTED PREMISES /Ea ocdrrrF $ 100.000 MED EXP (Any one person)$ 5-000 Sexual Abuse $lMi$lM IL AGGREGATE LIMIT APPLIES PER:I-^-^on,,nv I lr,5^uj OTHER: PERSONAL & ADV INJURY $ I _000.000 GEI GENERAL AGGREGATE $ 3.000.000 PRODUCTS - COMP/OP AGG s i.000.000 B ;t*l :: lxl-l OMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS Fl scneouleo L I AUTOS I }. I NON-OWNED'. I Aurostl N N BA-7A398706- I 5-CAG l0/r8/2015 l0/t8lz0t6 JMbINEU SINbLE LIMII a accident)$ 1.000.000 BODILY INJURY (Per person)$ XXXXXXX BODItY INJURY (Per accident)$ XXXXXXX PROPERTY DAMAGE $ XXXXXXX $ XXXXXXX X UMBRELLA LIAB EXCESS LIAB I occuR il ",-o,r.-"oo. N N FLP0056078-02 t0n8/20t5 10nt2016 EACH OCCURRENCE $ 2.000-000 AGGREGATE $ 2-000-000 DED I I RETENTIONS 9 XXXXXXX WORKERS COI,IPENSATION AND EMPLOYERS' LtABtLtrY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE T------'] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) lf yes, describe under DESCRIPTION OF OPERATIoNS helow NOT APPLICABLE ] PER I OTH.TSTATLITF I lFR E.L. EACH ACCIDENT $ XXXXXXX E.L. OISEASE - EA EIV1PLOYEI $ XXXXXXX E.L DISEASE. POLICY LIMIT S XXXYYYY Prof. Liab. Retro Datc: l0l l8lZ00'7 Claims Madc N N F-LP0056078-02 I 0/t 8/20 I 5 'to/U2016 $lM pcr lncident $3M Aggregate $0 Dcductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) f ryn_e1ry lo_vq"age - Insurer C, Building Limits: $19,079,838; BPP Limits: $5,236,162 EDP Limits: $2,187,692;Business income and Exrra Expense j 543,795,527; Replacement Cost: $5,000 Deductiblc. TIV: $70,299,219. Cenificate Holder is included as Additional Insured as respects General'Liability andAuto Liability if required by written contract. Whole Health is a Named Insured on all refercnced oolicics. HOLDER 14007817 Eagle County 551 Broadway Eagle, CO 81631 SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISTONS. AUTHoRTZED REPREry^lvE( harlrr pl tltls,*it @1 ACORD TtoN. atl reserueal ACORD 25 (2014t011 The AGORD name and logo are registered marks of AGORD rights