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HomeMy WebLinkAboutC13-161 Consortium for Older Adult WellnessAGREEMENT FOR SERVICES
BETWEEN
EAGLE COUNTY,COLORADO
and
THE CONSORTIUM FOR OLDER ADULT WELLNESS
This Agreement (“Agreernent)dated as of this day of 203 is
between the County of Eagle,State of Colorado,a body corporate and politic,(“County”),and the
Consortium for Older Adult Weliness,a Colorado non-profit corporation (COAW),with a mailing
address of 2575 S.Wadsworth Blvd.Lakewood,CO 80227-321 $(“Contractor”).
WhEREAS,the County,through its Public Health Department,desires to contract with a
Contractor for the provision of the services outlined in Section 1.1 hereunder;and
WHEREAS,Contractor has represented that it has the experience and knowledge in the subject
mailer necessary to carry out the services outlined in Section 1.1 hereunder;and
WhEREAS,County wishes to hire Contractor to perfonri the tasks associated with the services
outlined in Section 1.1 hereunder;and
WhEREAS,County and Contractor intend by this Agreement to set forth the scope of the
responsibilities of the Contractor in connection with the services and related terms and conditions to
govern the relationship between Contractor and County in connection with the services.
WhEREAS,the Contractor is being retained as a sub-contractor to County under a grant
from the Colorado Health foundation and the Contractor shall comply with any and all grant
requirements imposed by the Colorado Health foundation on Eagle County or its sub
contractors.
Agreement
Therefore,based upon the representations by Contractor set forth in the foregoing recitals,for
good and valuable consideration,including the promises set forth herein,the parties agree to the
following:
1.Services Provided:
1.1 The Contractor will provide the Contracting Services (hereinafier called the “Services”or
“Contracting Services”)which are set forth under Project Deliverables as shown on Exhibit A
“Scope of Work”which is attached hereto and incorporated herein by reference.Such Project
Deliverables generally include identification and training in Falls Prevention;training on
Chronic Disease Self Management Program;and fidelity visits.All such Services shall be
completed within the schedule set forth in Exhibit A.The Contractor agrees that Contractor
will not knowingly enter into any Contracting arrangements with third parties that will conflict
in any manner with the Contracting Services.
1.2 Contractor has given the County a proposal for performing the Services and represented that it
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has the expertise and personnel necessary to properly and timely perform the Services.
2.Term of Agreement
2.1 This Agreement shall commence on the date first set forth above and,subject to the provisions
of Section 2.2 hereof,shall continue in full force and effect until April 30,2014.The
Agreement shall terminate on April 30,2014 unless extended by a written amendment signed
by both parties.The parties anticipate extending the agreement in the future to accommodate
the services identified in Exhibit A for completion by May,2015.Such amendment shall be
subject to Eagle County’s advance written approval,budgeting and appropriating money for
such additional services.
2.2 This Agreement may be terminated by either party for any reason with 15 days written notice,
with or without cause,and without penalty whatsoever therefore.
2.3 In the event of any termination of this Agreement,Contractor shall be compensated for all
incurred costs and hours of work then completed,plus approved expenses.
3.Independent Contractor:
3.1 With respect to the provision of the Contracting Services hereunder,Contractor acknowledges
that Contractor is an independent contractor providing Contracting Services to the County.
Nothing in this Agreement shall be deemed to make Contractor an agent,employee,partner or
representative of County.
3.2 The Contractor shall not have the authority to,and will not make any commitments or enter into
any agreement with any party on behalf of County without the written consent of the Board of
County Commissioners.
3.3 The Contractor will maintain general liability and automobile insurance each with limits not less
than $1,000,000 and unemployment and workman’s compensation insurance on his/her behalf,
as required by Colorado law.Further,Contractor shall maintain such additional or other
insurance as may be required by the Colorado Health foundation under the grant tenus.
4.Remuneration:
4.1 For the Contracting Services provided hereunder,County shall pay to the Contractor as follows:
Contractor shall submit monthly invoices and identifring the Contracting Services performed by
the fiffl working day of the following month.The total compensation due Contractor for the
period ending April 30,2014 shall not exceed $15,000,which amount shall be fully expended by
April 30,2014.Contractor will not be entitled to bill at overtime andlor double time rates for
work done outside of normal business hours unless specifically authorized to do so by County.
Fees for any additional services will be as set forth in an executed addendum between the parties.
Fees will be paid within thirty (30)days of receipt of a proper and accurate invoice from
Contractor respecting Contracting Services.The invoice shall include a description of services
performed.Upon request,Contractor shall provide County with such other supporting
information as County may request.
4.2 County will not withhold any taxes from monies paid to the Contractor hereunder and
Contractor 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.
4.3 Notwithstanding anything to the contrary contained in this Agreement,no charges shall be made
to the County nor shall any payment be made to the Contractor in excess of the amount for any
work done without the written approval in accordance with a budget adopted by the Board in
accordance with provisions of the Colorado Revised Statutes.Moreover,the parties agree that
the County is a governmental entity and that all obligations beyond the current fiscal year are
subject to funds being budgeted and appropriated.
5.Ownership of Documents:
All documents (including electronic files)which are obtained during or prepared,either partially
or wholly,in the performance of the Services shall remain the property of the County and/or the
State of Colorado and are to be delivered to County before final payment is made to Contractor
or upon earlier termination of this Agreement.
6.IndemnifIcation:
6.1 Within the limits allowed by law,Contractor shall indemnifv County for,and hold and defend
the County and its officials,boards,officers,principals and employees harmless from,all costs,
claims and expenses,including reasonable attorney’s fees and costs,arising from claims of any
nature whatsoever made by any person in connection with this Agreement,the negligent acts or
omissions of,or presentations by the Contractor in violation of the terms and conditions of this
Agreement.This indemnification shall not apply to claims by third parties against the County
to the extent that the County is liable to such third party for such claim without regard to the
involvement of the Contractor.
7.Contractor’s Professional Level of Care and Representations:
7.1 Contractor shall be responsible for the completeness and accuracy of the Contracting Services,
including all supporting data and other documents prepared or compiled in performance of the
Services,and shall correct,at its sole expense,all significant errors and omissions therein.
Contractor shall perform the Contracting Services in a skillful,professional and competent
manner and in accordance with the standard of care,skill and diligence applicable to
Contractors,with respect to similar services,in this area at this time.
7.2 Contractor acknowledges that it is being retained as a sub-contractor to Eagle County
under a grant agreement from the state of Colorado.Contractor represents and warrants
that it shall at all times during the term of this Agreement comply with the terms and
conditions imposed by the Colorado Health Foundation under the grant agreement.
8.No Assignment:
The parties to this Agreement recognize that the Contracting Services to be provided pursuant to
this Agreement are professional in nature and that in entering into this Agreement County is
relying upon the professional sen’ices and reputation of Contractor and its approved
subcontractors.Therefore,neither Contractor nor its approved subcontractors may assign its
interest in this Agreement or in its subcontract,including the assignment of any rights or
delegation of any obligations provided therein,without the prior written consent of County,
which consent County may withhold in its sole discretion.Except as so provided,this
Agreement shall be binding on and inure to the benefit of the parties hereto,and their respective
successors and assigns,and shall not be deemed to be for the benefit of or enforceable by any
third party.Unless specifically stated to the contrary in any written consent to an assignment,
no assignment will release or discharge the assignor from any duty or responsibility under the
Agreement.
9.Notices:
9.1 Any notice and all written communications required under this Agreement shall be given in
writing by personal delivery,facsimile or U.S.Mail to the other party at the following
addresses:
(a)Jennifer Ludwig
Eagle County Public Health Director
551 Broadway
P0 Box 660
Eagle,CO 81631
Telephone:970-328-8819
Facsimile:855-848-8829
with a copy to:
Eagle County Attomeyts Office
500 Broadway
P0 Box $50
Eagle,CO $1631
(b)Contractor
Consortium for Older Adult Wellness
2575 S.Wadsworth Blvd
Lakewood,CO 80227-32 18
Telephone:1 -888-900-COAW
Facsimile:303-984-5962
E-mail:ChrisCOAW.org
9.2 Notices shall be deemed given on the date of delivery;on the date the facsimile is
transmitted and confirmed received or,if transmitted after normal business hours,on the next
business day after transmission,provided that a paper copy is mailed the same date;or three
days after the date of deposit,first class postage prepaid,in an official depository of the U.S.
Postal Service.
10.Jurisdiction and Confidentiality:
10.1 This Agreement shall be interpreted in accordance with the laws of the State of Colorado and
the parties hereby agree to submit to the jurisdiction of the courts thereof Venue shall be in
the fifth Judicial District for the State of Colorado.
10.2 The Contractor and County acknowledge that,during the term of this Agreement and in the
course of the Contractor rendering the Contracting Services,the Contractor and County may
acquire knowledge of the business operations of the other party not generally known and
deemed confidential.The parties shall not disclose,use,publish or otherwise reveal,either
directly or through another,to any person,firm or corporation,any such confidential knowledge
or information and shall retain all knowledge and information which he has acquired as the
result of this Agreement in trust in a fiduciary capacity for the sole benefit of the other party
during the term of this Agreement,and for a period of five (5)years following termination of
this Agreement.Any such information must be marked as confidential.The parties
recognize that the County is subject to the Colorado Open Records Act and nothing herein
shall preclude a release of information that is subject to the same.
11.Miscellaneous:
11.1 This Agreement constitutes the entire Agreement between the parties related to its subject
matter.It supersedes all prior proposals,agreements and understandings.
11.2 This Agreement is personal to the Contractor and may not be assigned by Contractor.
11.3 This Agreement does not and shall not be deemed to confer upon or grant to any third party any
right enforceable at law or equity arising out of any tenn,covenant,or condition herein or the
breach thereof.
12.Prohibition on Public Contracts for Services:
If Contractor has any employees or subcontractors,Contractor shall comply with C.R.S.§8-
17.5-101,etseq.,regarding Illegal Aliens —Public Contracts for Services,and this Contract.By
execution of this Contract,Contractor certifies that it does not knowingly employ or contract
with an illegal alien who will perform under this Contract and that Contractor will participate in
the E-verify 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 work under this Contract.
A.Contractor shall not:
(i)Knowingly employ or contract with an illegal alien to perform work under
this contract for services;or
(ii)Enter into a contract with a subcontractor that fails to certify to the
Contractor that the subcontractor shall not knowingly employ or contract
with an illegal alien to perform work under the public contract for
services.
B.Contractor has confirmed the employment eligibility of all employees who are
newly hired for employment to perform work under this Contract through
participation in the F-verify Program or Department Program,as administered by
the United States Department of Homeland Security.Information on applying for
the E-verify program can be found at:
C.The Contractor shall not use either the F-verify program or other Department
Program procedures to undertake pre-employment screening of job applicants
while the public contract for services is being performed.
D.If the Contractor obtains actual knowledge that a subcontractor performing work
under the public contract for services knowingly employs or contracts with an
illegal alien,the Contractor shall be required to:
(i)Notify the subcontractor and the County within three days that the
Contractor has actual knowledge that the subcontractor is employing or
contracting with an illegal alien;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
illegal alien;except that the Contractor shall not terminate the contract
with the subcontractor if during such three days the subcontractor provides
information to establish that the subcontractor has not knowingly
employed or contracted with an illegal alien.
F.The Contractor 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.§8-17.5-102(5).
F.If a Contractor violates these prohibitions,the County may terminate the contract
for a breach of the contract.If the contract is so terminated specifically for a
breach of this provision of this Contract,the Contractor shall be liable for actual
and consequential damages to the County as required by law.
G.The County will notify the office of the Colorado Secretary of State if Contractor
violates this provision of this Contract and the County terminates the Contract for
such breach.
[rest ofpage intenflonath’left blanL]
IN WITNESS WHEREOF,the parties hereto have executed this Agreement the day and year first above
written
COUNTY Of EAGLE,STATE Of
COLORADO,By and Through Its
COUNTY MANAGER
THE CONSORTIUM FOR OLDER ADULT
WELLNESS.a Colorado non-profit corporation
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f y i(J
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(t&tuff jf C7flI
Title:
Subscribed and affirmed before me this/c day of ,2013,in the county of
J -Pf ecs on ,State of Colorado.
L
/
Signature of Notary
Commission expires:
tanager
Seal
‘T®ACORD
CERTI DATE OF LIABILITY INS ANCE
___
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THISCERTiFICATEDOESNOTAFFIRMAT1VLYORNEGATIVELYAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE FOUCIESBELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SE]’vVEEN THE ISSUING INSURERtS),AUTHORIZEDREPRESENTATIVEORPRODUCER,AND THE CERTIFICATE HOLDER.
iMPORTANT:Itthe certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.It SUBROGATION IS WAIVED,subject to thetermsandconditionsoftilepolicy,certain policies may require an endorsemont.A statement on this certticate does not confer rights to thecertificateholderinlieuofsuchendorsementts).
CONTACTPRODUCER
NAME;Kiandta Burnham
PHONE FA)CKiandraBurnhamInsuranceAgsncy
I’AJC.N.Exfl;303-27n-5054 I (NC.No);53-275.39E-MAIL2101FordSt
caFca:kbnhaml@metsagRnt.ComGolden,Colorado 80401
INSURER(S)AFFORDING COVERAGE HAlO #
INSURER A Atain Specialty Insurance CompanyINSURD
INSURERS;Consortium For Older Adult WeIIness
INSuRERC;2575 S Wartsworth Blvd
IN$URSRD:Lakewood,Co 80227
INSURERE;
INSURSRF:
..COVERAGES CERTIFICATE NUMBER;REVISION NUMaER:
tP]TYPE OF INSURANCE POLICY EFF pOUy EXP LIMITS‘POLICY NUMSER (MMIDOIYYYV)lMWOD1’fYIGENERALLIABILITY
EACH OCCURRENCEXCOMMERCIALGENERALUAE1LITYDAMAGEtyE)ifd
PREMISES (Eaocojr ça 2 100.000
MED EXP IMY one PWOil)$5,000
]MMADE FE
C1P143585 11/08/2012 11IO8013 PERSONALS AGY INJURY 2 1,000,000
GCNERAL AGGREGATE $2000,000
GENL AGGREGATE U&IITAPPLIES PER;PRODUcTS.COMP/OPAGG C Included
JECT I LOCi]POLICY PRO f1
COMBINED GINGLE LIMITAUTOMOBILELIABILITY
(Ca aIdrnt)S
BODilY INJURY IPet person)2ANYAUTO
ALL OWNED Tfl SCHEDULED
BODILY INJURY (Per accident)SAUTOSAUTOS
I NON-OWNED PROPERTY DAMAGE sHIREDAUTOSAUTOS(Per accident)
UMBRELlA UAB
EXCESS LIAB FH f EACH OCCURRENCE s
CLAIMS-MADE AGGREGATE ,.
DEC I ]RETENTIONS
WORKERS COMPENSATION I WO STATU-10TH-AND EMPLOYERS LIABILITY I T0RYUMlTS IANYPROPRETORIPARTNERIEXEGUTIVE
OCE1MEMBER EXCWOED’E]NI A IE EL EACH ACCIDENT S
luendataly in NH)E.L.DlSEASE CA EMPLOVE SILyes,desvsibe under
DESCRIPflONOPERASIONS br -
-S.C.DISEASE-POLICY LIMIT SE
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES {Atlac!i ACORD 101,AddItlenal RematNs Schedule,It more space Is tequIred
ERTlFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE
THE EXPIfiATION DATE THEREOF,NOTICE WILL BE DELIVERED INACCORDANCEWITHThEPOLICYPROVISION&
AUTRNAflVE
DATE IMM!ODIYV’CY)
05/08/2013
THIS IS TO CERTIFY THAI THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOP THE POLICY PERIODINDiCATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERT1FICATEMAYBEISSUEDORMAYPERTAINTHEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS,XCLUSI0NS AND CONOITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
()1958-2010 ACORD CORPORATION.MI rights reserved.
The ACORD name and logo are registered marks of AcOROACORD25(20101(05)
Location:The Consortium for Older Adult Wellness
2575 S Wadsworth
IDe 080227
Period:10/01/2012 -10101/2013
Glass RT Description Emp
874205 EM OUTSIDE SALESPE 7.00
874205 CL OUTSIDE SALESPE 33.00
881005 EM EXCLUSIVELY OFF 8.00
Total for The Consortium for Older Adult
Weilness
Description
Ratable Manual Premium
Designated Provider Discount
Annual Policy Fee
Terrorism Insurance Coverage
Catastrophe Insurance Coverage
Net EstimatedAnnuaI Premium
Period Adjustment
10/01/2012 -10/01/2013
10/01/2012 -10/01/2013
10/01/2012 -10/01/2013
10/01/2012 10/01/2013
10/01/2012 -10/01/2013
10/01/2012 -10/01/2013
Amount
$1,799
$45-
$165
$42
$42
$2,003
7501 E Lowry vd Denver.co 80230-7006
4135010 36970381 U8202
[r//V/JC’O
Coverage Information for 4135010 ESTiMATED PREMIUM
Payroll Rate Prem Charge
$326,869
$61,548
$35,700
.440800
.440800
.243200
$1,441
$271
$87
$424,117 $1,799
.975
Page3ofl4 P
Colorado Insurance
Identification Card
Policy Number Effective Expiration DatePPAM00140796399May242073May242074YearMake/Model
2005 Pontiac/Grand Prix 262 WS522751279554
24HoUrCIas1$OO282f
See the reverse side for more information
Daniel Gallas
Maripat Gallas
14234 E Chenango Pt
Aurora,co 80015-1289
Colorado Law requires evidence of motorvelticle insurance This card meets thisrequiremeandissatinfactoevidenceifyouareaskedbyanofficerforevidenceofacOrnphyinqpolicy.
AMC0 Insurance Company
1100 Locust St Dept 1100DesMoines,IA 5O391-11ONAICCompanyNumber19100
c_-rj,c5
,-f_
CERTIFICATE OF LIABILITY INSURANCE-tATE OF COLORADO F A R M £R 5Namedinsured
Policy number:188363362LARRYBKATZENMEYER
-2 -0CHRISTINEKATZENMEYERetveno.101 $6 W YALE PC Expiration date:07-29 -2013LAKEWOODCo$0227
NAlCnumher:21652IMPORTANT:The coverage provided by this policy does not apply to the operation of any vehicle by a person named here.NOT APPLICABLE
FARt1ERS INSURANCE EXCHANGE,LOS ANGELES,CALl FORNI A ,an authorized Colorado Insurer,certifies that it has issued to the Named Insured a motor vehicle liability policy meeting the requirements oftheMotorVehicleFinancialResponsibilityLawandthatsaidpolicyisineffectbetweentheEffectiveDateandtheExpirationDateidentifiedabove.The said motor vehicle liability policy insures the vehicle(s)described below.
Vehkle description:
Registered Owner:2010 MINI COOPER CONV W1dWMR3C5OATZ1937$LARRY 0 KATZENMEYER
Policy Number:75773750-6 Effective Date:12109/2012 to 0610912013
Insurer:Progressive Mountain Insurance Co
P.O.Box 6807 Cleveland,OH 44101
Your Agent:Named Insured:
BBVA COMPASS INS AGY HARRY M.MCINTOSH III
1 -877-457-9082 LYNNZY 0 MCINTOSH
Year Make Model VIN
2005 Toyota Prius JTDK820U967518397
2010 Toyota Prius JTDKN3DU3AOO41331
This card must be carried in the possession of or in the vehicle of the
named insured at all times that the named insured is operating a vehicle.
This policy provides the minimum insurance prescribed by law.
Form 4950 CO (12/07)
LoIoraoo uepartmem 01 LaDOr ana tmpioyment,unemployment Insurance tmployer Services
P.O.Box 956,Denver,CO 80201—0956
01 303—318—91t ;enver—metro area)or 1—800—480—8299 (outside D —metro area)
Aww.colorado.gov/cdIe/ui
YOUR QUARTERLY REPORT OF WAGES PAID AND PREMIUMS OWED
Did you know an employer can get a tax credit for hiring an unemployed worker?For more information,visit the Work Opportunity Tax Credit
Web site at w.colorado.ov/cdle/taxcredits.
1 Colorado Employer Account Number 2.Reporting QTR /YR
3.Report and Payment Must Be Received By
735361 00 9 1 13 APR 30,2013
4.Federal Employer Identification No.(FEIN)
THE CONSORTIUM FOR OLDER ADULT 26-0799248
2575 S WADSWORTH BLVD
LAKEWOOD,CO 80227—3218
______________________
5.Corrected FEIN
Please type this report.You must till out and send this report even it you did not pay any wages during the quarter.Make a copy of the completed
report and keep it for your records.Return the original.Do not return copies,Instructions are on the other side of the form.
6.If the premium due for this quarter is less than $5,do not send any money.
7.Check how you are reporting wages:Hard copy File Transfer Protocol (FTP)Internet
8.For each month,type the number of employees to whom you
paid wages for the payroll that includes the 12th
Type “0”(zero)if you had no employees in the 7 7
TD PW RC
Enter Dollars and Cents -
9.Total wages you paid during this quarter.(See instructions.)95800 60
10.Wages that went over 11300 for each employee in the calendar year during this quarter 23733 54
11.Total wages on which you must pay premiums this quarter (Item9minus Item 10)72067 06
12.Amount of Premiums you must pay (combined rate x the amount in Item 11).Your combined rate is
0 0155 which includes surcharge(s).0000 1117 04
13.Amount of any interest you must pay
14.Amount of any penalty you must pay
15.Debit or credit amount (add or subtract appropriate amount)
TotaiAmountDue 1117 04
Please make your check payable to the Colorado State Treasurer.Put your employer account number on the front of your check.
Please Print Name of Preparer Date Report Completed
Signature of Preparer Telephone Number
Signature of Owner/Partner/Officer Telephone Number
See Instructions
2 COITR11 NTF 2576557 Copynght 2012 Greatiand/NeIco —Forms Software OnlyUITR—1 (R06/2011)
Scope of Work
Contractor:Consortium for Older Adult Wellness (COAW)
Contact:Chris Katzenmeyer
Phone:Office:303-987-2752
Email:Chris@COAW.org
Organization contracting with:Eagle,County Public Health Department,Eagle,County Government
Street Address:551 Broadway,Eagle,Colorado 81631
Phone:970 328-8896
Principal contact:Carly Rietmann,Healthy Aging Program Coordinator
Project Goal:COAW will serve as the trainer and contractor for the Well and Wise Project with Eagle,
County Public Health Department.The primary goal is to initiate the training of 6 Community Falls
Prevention Specialists and consult with the partners of Eagle,County to establish a referral system
whereby referrals are sent by providers to falls prevention and chronic disease self management
programs within the county.
Project Period:April 31,2013 -April 31,2014
Prolect Deliverables:
1.To work with Eagle,County to identify persons who are qualified to become Falls Prevention
Specialists for the County.To also train identified (6)persons in 1)Intro to Falls Prevention 2)Matter of
Balance 3)N’Balance 4)Tai Chi and 5)Healthier Living Colorado at the Academy for Older Adult
Wellness.To be completed no later than April 2014.
2.To train 6 Community Falls Prevention Specialists at the Academy for Older Adult Wellness.To be
completed no later than December 2014.
3.To train top level staff in Eagle,County on how to implement the Chronic Disease Self Management
Program in a Patient Centered Medical Home.To be completed by September 2013.
4.Provide on-going coaching and consulting to those top level staff to establish a referral system to
CDSMP and/or Falls Prevention classes.To be ongoing throughout grant.
5.Provide ongoing fidelity visits to all falls and chronic disease classes throughout grant period.To be
ongoing throughout grant.
Billing and Reimbursement will be agreed upon by COAW and Eagle,County financial departments
before billing begins.All billing from COAW will be after deliverables are completed.Billing will be
submitted by monthly invoices to Carly Rietmann.
Budget
Training of 6 Community Falls Prevention
Specialists in 1)Intro to Falls Prevention 2)
Matter of Balance 3)N’Balance 4)Tai Chi and
5)Healthier Living Colorado.
(Training costs and lodging will be covered by
COAW for the May 2013 training academy.All
trainings after May 2013 will be held in the Tn-
County region in which only training costs will
be covered by COAW).
Training of top level Eagle County staff in the
How to Implement Chronic Disease Self
Management in a Patient Centered Medical
Home,at the Academy for Older Adult
Wellness in Denver.COAW will cover training
and lodging costs.
_________________________________________
To be completed by May 2015.
Consulting and coaching specialists and Eagle
County staff for referrals and reimbursement
for the Chronic Disease Self Management
Program and Falls Programs as well as fidelity
visits,meetings with providers,prese ntations
to partners,and consultation on evaluation.
These costs have been determined by the
formula of a minimum of 1-2 visits per month
for 24 months,which includes travel,lodging,
supplies,materials,and report writing for data
outcomes of programs implemented).Total:$15,000
Task Date of Completion Amount
By December 31st 2013
Total:$15,000
Total for 24 months:$30,000
Confidentiality.COAW acknowledges that in the performance of the Scope of Work,we may have access
to information that is private or confidential to,or a trade secrect.COAW agrees not to disclose any
such information to any third party without the specific written authorization of Eagle County Public
Health.COAW agrees to take whatever measures are reasonably necessary to ensure that the
employees and agents of COAW are personally bound to maintain all confidential information.
Accounting.COAW will keep an accurate record on the fund accounting of this Scope of Work and all
disbursement of funds and expenditures incurred under the terms of our agreement.COAW will keep
all records relating to this Scope including receipts,bills,invoices,canceled checks,etc.for at least 3
years after expiration of this Scope of Work.
COAW holds harmless from any and all claims of third parties arising from or relating to this Scope.
COAW agrees that we are the sole parties to this Scope and no third party shall become a third party
beneficiary of this Scope.
COAW’s representations are true and may be relied upon by Eagle County Public Health.COAW will
immediately notify Eagle County Public Health in writing if any provision of this Scope becomes no
longer true.All deliverables will be delivered on schedule based upon the successful action of Eagle
County Public Health.If for any reason Eagle County is not able to complete the Colorado Health
Foundation grant,COAW will not be held liable.
This Scope of Work shall be enforced according to the laws of the State of Colorado.
IN WITNESS WHEREOF,THE PARTIES HAVE EXECUTED THIS SCOPE OF WORK;
Eagle County Public Health Date:
Authorized Officer
Consortium for Older Adult Wellness Date:
Authorized Officer
Effective Date of commencement of Scope of Work