HomeMy WebLinkAboutC16-376 Maple Star ColoradoSECOND AMENDMENT TO AGREEMENT BETWEEN
EAGLE COUNTY, COLORADO
AND
MAPLE STAR COLORADO
THIS SECOND AMENDMENT (“Second Amendment”) is effective as of the _____ day of
______________, 2016 by and between Maple Star Colorado, a Colorado non-profit corporation
(hereinafter “Contractor” or “Consultant”) and Eagle County, Colorado, a body corporate and
politic (hereinafter “County”).
RECITALS
WHEREAS, County and Consultant entered into an agreement dated the 19th day of November,
2015, for certain Services (the “Original Agreement”); and
WHEREAS, by a First Amendment dated May 31, 2016 the parties modified the compensation
rate and extended the term through May 31, 2017; and
WHEREAS, the parties desire to increase the scope of services and modify the compensation
rate as set forth below.
SECOND AMENDMENT
NOW THEREFORE, in consideration of the foregoing and the mutual rights and obligations as
set forth below, the parties agree as follows:
1. The Original Agreement shall be amended to increase the scope of services to include
the additional services set forth in Exhibit A-1, attached hereto and incorporated
herein by reference.
2. The Budget/Pricing section of Exhibit A of the Original Agreement shall be deleted
in its entirety and replaced with the following language:
“The compensation for the Services set forth in Exhibit A of the Original Agreement
shall not exceed $90 per hour for therapeutic supervised visitation. The compensation
for the additional services set forth in Exhibit A-1 herein shall not exceed $900 per
moderate level trauma assessment. The maximum contract amount is not to exceed
$20,000. There shall be no compensation for travel time or travel related expenses.”
3. Capitalized terms in this Second Amendment will have the same meaning as in the
Original Agreement. To the extent that the terms and provisions of the Second
Amendment conflict with modify or supplement portions of the Original Agreement,
the terms and provisions contained in this Second Amendment shall govern and
control the rights and obligations of the parties.
DocuSign Envelope ID: 75E6B2D3-CEE3-4D9F-AD05-213BEF731C20
C16-376
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Eagle County Amendment Ext Term Final 5/14
4. Except as expressly altered, modified and changed in this Second Amendment, all
terms and provisions of the Original Agreement shall remain in full force and effect,
and are hereby ratified and confirmed in all respects as of the date hereof.
5. This Second Amendment shall be binding on the parties hereto, their heirs, executors,
successors, and assigns.
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the
Original Agreement the day and year first above written.
COUNTY OF EAGLE, STATE OF COLORADO,
By and Through Its COUNTY MANAGER
By: ______________________________
Brent McFall, County Manager
CONSULTANT:
MAPLE STAR COLORADO
By: _____________________________________
Print Name: ______________________________
Title: ___________________________________
DocuSign Envelope ID: 75E6B2D3-CEE3-4D9F-AD05-213BEF731C20
1
Exhibit A-1
Scope of Services, Schedule and Fees
A Trauma Assessment is a comprehensive review of a child’s life experiences along with
developmental testing and a psychosocial interview. A Trauma Assessment focuses on the
ongoing impact of potentially traumatic events and the ways those events may alter the child's
level of functioning. Assessment recommendations focus on the ways to utilize resiliency based
strategies to mitigate the impact on the child's future functioning in the three key areas of
resiliency: relationships, mastery/efficacy and affect regulation.
Trauma Assessments allow Eagle County Department of Human Services (ECDHS) to focus
beyond traditional mental health diagnoses, treatments, and behavioral-based interventions.
Instead the focus becomes building resiliency through alternative trauma-informed supports that
uniquely fit the child’s needs.
The ECDHS Trauma Coordinator will facilitate the scheduling of the assessment, gathering and
providing client information to the clinician for review prior to meeting with the client and
inform client of processes.
Scope of Services:
Maple Star Colorado will provide Moderate Level Trauma Assessments for eligible clients of
Eagle County Department of Human Services (ECDHS).
The Trauma Assessment includes the following deliverables:
x Pre Assessment
Review of client child abuse/neglect history, educational records/IEP,
prior mental health assessments, medical/health information
Ethnographic interviews with current caregiver/ birth parent(s) and
caseworker
Review of - Trauma Symptom Checklist for Young Children (TSCYC),
Child Behavior Checklist (CBCL), Teacher Report Form (TRF), Sensory
Profile Caregiver Questionnaire
x Assessment (2-3 hours with child/youth)
Assessment will be completed by one to two clinicians
Clinicians assess verbal and nonverbal cognitive ability with the K-Bit
(Kaufman Brief Intelligence Test), quick estimate of intelligence
Clinicians assess language fundamentals with the CELF 5 Language
Screener (not the full tool)
Clinicians assess visual motor integration with the Beery VMI
Clinicians assess social communications with the Pragmatics Protocol
Clinicians complete psychosocial interview
x Post Assessment
Clinicians provide immediate recommendations in person or by phone to
the ECDHS caseworker and caregiver(s)
Clinicians develop written report of assessment
Clinicians debrief with family
DocuSign Envelope ID: 75E6B2D3-CEE3-4D9F-AD05-213BEF731C20
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Clinicians present recommendations at a Family Engagement Meeting
with the ECDHS caseworker, caregiver(s), child/youth, if age-appropriate.
Clinicians who complete Trauma Assessments will have completed the two day clinician
assessment training with Dr. James Henry, Ph.D., or one of his associates. The clinicians also
agree to uphold the requirements of the assessment fidelity endorsement process.
All Trauma Assessments must meet the elements of the Quality Assurance (QA) process which
is completed on a random basis by the Eagle County Trauma Coordinator. The QA elements are
available upon request.
Schedule
All components of the Trauma Assessment will be completed within six weeks of the date the
referral is sent to Maple Star Colorado. The client appointment/trauma assessment will be
scheduled within two weeks of the referral date. The written report of assessment will be
completed within four weeks of client appointment/trauma assessment.
Fees
Moderate Level Trauma Assessments are reimbursed at the rate of $900 per assessment. Maple
Star Colorado will submit an invoice within 30 days of the completion of the trauma assessment
(the trauma assessment is considered complete when the clinician(s) present recommendations at
the family engagement meeting). DHS will pay Maple Star Colorado within 30 days of receiving
the invoice.
DocuSign Envelope ID: 75E6B2D3-CEE3-4D9F-AD05-213BEF731C20
