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C17-274 Mountain Family Health Centers
FIRST AMENDMENT TO AGREEMENT BETWEEN EAGLE COUNTY, COLORADO AND MOUNTAIN FAMILY HEALTH CENTERS THIS FIRST AMENDMENT ("First Amendment") is effective as of 07/28/2017 by and between Mountain Family Health Centers a Colorado non-profit corporation (hereinafter "Consultant" or "Contractor") and Eagle County, Colorado, a body corporate and politic (hereinafter "County"). RECITALS WHEREAS, County and Consultant entered into an agreement dated July 27, 2016 and effective as of September 1, 2016 for certain Services (the "Original Agreement"); and WHEREAS, the Original Agreement contemplated that the Consultant would perform certain duties with compensation in an amount not to exceed $20,800; and WHEREAS, County and Consultant desire by this First Amendment to reduce the scope of Services and compensation as set forth in the Original Agreement. FIRST AMENDMENT NOW THEREFORE, in consideration of the foregoing and the mutual rights and obligations as set forth below, the parties agree as follows: 1. Consultant will no longer be providing nutrition coordination services as contemplated in the Original Agreement. The Original Agreement shall be amended to indicate reduced Services as described in Exhibit A, which is attached hereto and incorporated herein by reference. 2. The compensation for the amended Services set forth in Exhibit A shall not exceed $1,192 a month or a total maximum compensation under the Original Agreement and this First Amendment of $19,072. 3. Capitalized terms in this First Amendment will have the same meaning as in the Original Agreement. To the extent that the terms and provisions of the First Amendment conflict with, modify or supplement portions of the Original Agreement, the terms and provisions contained in this First Amendment shall govern and control the rights and obligations of the parties. 4. Except as expressly altered, modified and changed in this First 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. C17-274 S. This First Amendment shall be binding on the parties hereto, their heirs, executors, successors, and assigns. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Original Agreement the day and year first above written. COUNTY OF EAGLE, STATE OF COLORADO, By and Through Its COUNTY MANAGER LE Bryan Treu, Interim County Manager CONSULTANT: MOUNTAIN FAMILY HEALTH CENTERS Un Print Name: Art Fernandez Title: Chief Operating Officer 2 Eagle County Am Scope and Comp Final 5/14 EXHIBIT A SCOPE OF SERVICES, SCHEDULE, FEES Purpose: Promote, support, and monitor the nutrition, wellness, safety and health needs of the children enrolled in Early Head Start, in compliance with mandatory program requirements. Qualifications per Head Start Program Performance Standards and Other Regulations: Health services must be supported by staff or consultants with training and experience in public health, nursing, health education, maternal and child health, or health administration. Contractor Responsibilities: • Monitor and review compliance of preventative health and developmental screenings for all Eagle County Early Head Start (EHS) enrolled children on a monthly basis to ensure compliance with EHS and Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) schedule of preventative care. Follow up with families and medical providers to address identified health needs or to complete requirements. • Responsible for obtaining health records and immunizations for enrolled clients. • Monitor and review data entered into the database of child and family data for the annual Program Information Report (PIR) and for individual and program planning using the federally required database system (Child Plus) on a monthly basis at minimum. Enter follow up data and case notes into database as required. • Ensure identified EHS children's health concerns are addressed with information and/or referrals made to appropriate agencies and/or specialists. Assist families with connecting to these resources, providing education around preventative and follow up care, and document progress. • Establish and maintain relationships and actively collaborate with the medical and dental communities (including programs outside of the Mountain Family Health Centers network) and other community agencies and partners to ensure appropriate referrals. • Review and revise health information EHS Home Visitors share with families as needed. Be available to EHS Home Visitors and families to answer health related questions and provide consultation. • Participate in as needed meetings to ensure service coordination across EHS program service areas (some evening and weekend meetings may be required). • Review and provide input for revisions to the EHS annual service plan for the health areas. • Track outcomes of Health Literacy Program surveys conducted by EHS Home Visitors and ensure materials are available to provide to families. • Conduct quarterly health and safety checks of all EHS facilities (currently two locations — Family Learning Center, Edwards CO and Basalt Campus Kids, Basalt CO). • Must be able to provide all services in English and in Spanish. • Contractor may use any internal staff members to meet the requirements of the contract, however, it is understood that there will be one primary staff person performing a majority of the duties. The identified staff person will work out of Eagle County DHS offices an average of one day a week with additional availability outside of that day as required. County Responsibilities: • Provide work space to Contractor at EHS Lake Creek offices and other Eagle County offices if needed. Work space may change and may be shared with other Eagle County staff and contractors. • Provide access to EHS files and access to the federally required online database tracking system (Child Plus). • Provide administrative support for basic data entry into Child Plus system and training support on use of this system. Payment and Fee Schedule: 1. County agrees to pay Contractor $1,192 per month, a total not to exceed contract value of $19,072 based on a 16 month contract period. 2. Contractor to submit invoice on a monthly basis along with required monthly reporting from Child Plus database to show work from previous month. 3. Contractor's performance will be monitored based on measures recorded through Child Plus database, including but not limited to: a. Reducing the number of waivers recorded for children not meeting the EPSDT preventative care schedule, and b. Increasing the percentage of EHS children completing required follow up appointments. 4. This Agreement shall commence upon September 1, 2016 (or date effective date, whichever is later), and shall continue in full force and effect through December 31, 2017 and may be renewed through amendment as described. 2 Eagle County HHS Prof Sery MOUN FAM -01 SCARTMELL ,4cQRo CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) 05/15/2017 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 BYTHE 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condition sof 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 CONTACT Shanti Cartmell, CIC _ NAME: _ AssuredPartners Colorado PHONE FA 7( 4600 5. Ulster Street #1400 A1C, NO° Ext = {970} 945w593 I at W). Denver. CO B0237 E MAIL ,E . scartmell@assuredptrcu.cum INSURED Mountain Family Health Centers Attn: Ms. Annette Franta. CFO 1905 Blake Avenue #101 Glenwood Springs, CO B1601 !!SURER F 1 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 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. NSR I LTR TYPE OFMSURANCE ADDL SUBR POLICY NUMBER POLICY EFF KI( EXP LIMITS A [!:[COMMERCIAL GENERAL LIAerurry H OCCURRENCE 11000,000 CLAIMS -MADE FKOCCURBZS{16}56117851 06101!2017 06/01/2018 DAMAGE TO RENTED 1,000,000 I PRE ISES ( Ea Accu rre nce) COMBINED [Ea accide m 06/01/2017 06/01/2018 BODILY INJ 06101 x2017 10610112018 06/01/2017 106/01/2018 1,000,000 2,000,000 LIMIT IQ 11000,000 1,000,000 1,000,000 L n 06/01/201706-01..'201 B -Deductible $1,000 170007000 06/01/2017 06;01'2016 Deductible $1,000 170007000 DESCRIPTION OF OPE RATIO NSI LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may beattachad If more space Is required) Eagle County, Its associated or affiliated entitles, Its successors and assigns, elected officials, employees, agents and volunteers are Additional insureds under the commercial general liability and automobile liability policies of insurance, ATI MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Eagle Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 660 Eagle, CO B1631 AUTHORED REPRESENTATIVE ACORD 25 (2016,'03) ©1966-2015 ACORD CORPORATION. All rights reserved. The ACO RD name and Iogo are registered marks of ACORD n- GEN'LAGGR EPATE LIMITAPPLIES PER: POLICY EjJpa ❑X LOC OTHER' A AUTOMOBILE LIABILrrY ANY AUTO BAS{7 6}56117651 OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS x AUTOS x AUOTOSONLY ONLY ' A X LNBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE USO{7 6}56117651 DED I x I RETENTION $ 10,000 B WORKERS OOMPENSATION AND EMPLOYERS' LIABILITY Y I N 1461272 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below C Employment Related P PHSD1151291 C Directors & Officers PHSD1151291 COMBINED [Ea accide m 06/01/2017 06/01/2018 BODILY INJ 06101 x2017 10610112018 06/01/2017 106/01/2018 1,000,000 2,000,000 LIMIT IQ 11000,000 1,000,000 1,000,000 L n 06/01/201706-01..'201 B -Deductible $1,000 170007000 06/01/2017 06;01'2016 Deductible $1,000 170007000 DESCRIPTION OF OPE RATIO NSI LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may beattachad If more space Is required) Eagle County, Its associated or affiliated entitles, Its successors and assigns, elected officials, employees, agents and volunteers are Additional insureds under the commercial general liability and automobile liability policies of insurance, ATI MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Eagle Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 660 Eagle, CO B1631 AUTHORED REPRESENTATIVE ACORD 25 (2016,'03) ©1966-2015 ACORD CORPORATION. All rights reserved. The ACO RD name and Iogo are registered marks of ACORD