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HomeMy WebLinkAboutC19-098 University Physicians Inc dba University of Colorado MedicineDocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
UNIVERSITY PHYSICIANS, INC., D/B/A UNIVERSITY OF COLORADO MEDICINE
THIS AGREEMENT ("Agreement") is effective as of the 151 day of March, 2019 by and between
University Physicians, Inc., d/b/a University of Colorado Medicine ( "CU Medicine" and/or "Contractor")
a Colorado non-profit corporation established by the Board of Regents of the University of Colorado to
serve as the fiscal and business agent for the University of Colorado School of Medicine and its faculty
members ("Consultant") and Eagle County, Colorado, a body corporate and politic ("County").
RECITALS
WHEREAS, the County, through its Department of Public Health and Environment ("ECPHE") 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, the Helen and Arthur E. Johnson Depression Center (JDC), housed at the University of
Colorado School of Medicine has expertise in providing high quality telepsychiatry services and has the
capacity to provide these services for the Eagle River Valley through the placement and use of technology
housed at the Aspen Hope Center's office located in Eagle, Colorado; and
WHEREAS County has need for professional services as described below and desires to secure the
professional services (defined in Exhibit A) of Consultant who are also employees located at JDC; and
WHEREAS, CU Medicine is an independent, non-profit organization that serves as the centralized
business and contracting agent for Consultant. Consultant has assigned rights to any income earned from
professional services to CU Medicine. Income from such services is billed and collected by CU Medicine
and then disbursed to Consultant in accordance with CU Medicine policies and procedures. CU Medicine
performs centralized business and administrative functions on behalf of Consultant and in no manner
engages in the practice of medicine itself. CU Medicine is authorized to bind Consultant under the terms
of this Agreement and to contract with, bill for, and collect from Eagle County the fees arising from this
Agreement for the services performed by Consultant
WHEREAS, Contractor and Consultant are authorized to do business in the State of Colorado and have
the time, skill, expertise, and experience necessary to provide the Services as defined below in paragraph
1 hereof; and
WHEREAS, this Agreement shall govern the relationship between Contractor and County in connection
with the Services provided by Consultant.
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AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and
County agree as follows:
1. Services. Consultant will 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. The services to be provided under this Agreement shall be
performed by Consultant or by a subcontractor, to be mutually agreed upon in writing by the Parties, in
accordance with Paragraph 6, below. Consultant shall perform the services in a competent and
professional manner and Eagle County shall pay Contractor for the services in accordance with the terms
and conditions set forth in this Agreement.
a. Consultant will furnish the Services no later than December 31, 2019 and in accordance
with the schedule established in Exhibit A. If no completion date is specified in Exhibit A, then
Consultant will furnish the Services in a timely and expeditious manner consistent with the applicable
standard of care. By signing below, Contractor represents that Consultant has the expertise and personnel
necessary to properly and timely perform the Services.
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 terms and conditions set forth in
this Agreement shall prevail.
C. Consultant will not enter into any consulting or other arrangements with third parties that
will conflict in any manner with the Services.
2. Count Representative. The Public Health and Environment Department's designee shall be
Contractor and Consultant's contact with respect to this Agreement and performance of the Services.
3. Term of the Aareement. This Agreement shall commence upon the date first written above, and
subject to the provisions of paragraph 12 hereof, shall continue in full force and effect through the 31st of
December, 2019.
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 Contractor or Consultant shall be the basis for additional compensation unless and
until County has granted written authorization and acknowledgement 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 of alterations 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.
In 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, Contractor's rights with respect to
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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 Contractor 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 $60,000. 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. Payment will be made for Services satisfactorily performed within thirty (30) days of
receipt of a proper and accurate invoice from Contractor. All invoices shall include detail regarding the
hours spent, tasks performed, who performed each task and such other detail as County may request.
b. Any out-of-pocket expenses to be incurred by Contractor or 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
Contractor or Consultant. Contractor shall not be reimbursed for expenses that are not set forth on
Exhibit A unless specifically approved in writing by County.
C. If, at any time during the term or after termination or expiration of this Agreement,
County reasonably determines that any payment made 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, Contractor shall
forthwith return such payment(s) to County. Upon termination or expiration of this Agreement,
unexpended funds advanced by County, if any, shall forthwith be returned to County.
d. County will not withhold any taxes from monies paid to 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.
e. 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 Contractor 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, title 30 of the
Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the
TABOR Amendment (Colorado Constitution, Article X, Sec. 20).
6. Sub -consultants. Contractor 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
County's prior written consent, which may be withheld in County's sole discretion.
All services hereunder shall be provided as an independent contractor. Nothing in this Agreement shall
be interpreted or construed to create a relationship of employment, partnership, or joint venture between
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the County and the Contractor. The Contractor shall be solely responsible for the payment of all payroll
and other applicable taxes for its employee and for the payment and provision of any applicable
employment benefits for its employee, including workers compensation coverage.
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 Agreement, 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 Contractor or Consultant and shall cooperate in such process. Contractor and Consultant shall be
responsible for the acts and omissions of their agents, employees and sub -consultants or sub -contractors.
7. Insurance. Consultant will provide and maintain at its sole cost and expense, the following
insurance coverage with limits of liability in accordance with the Colorado Governmental Immunity Act:
a. Types of Insurance.
Workers' Compensation insurance as required by law.
ii. Auto coverage, including coverage for owned, hired, and non -owned vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury, products/completed operations, broad form property damage.
iv. essional liability insurance with prior acts coverage for all Services required
hereunder, in a form and_ an insurer or insurers satisfactory to County.. In 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 and Project.
b. Other Requirements.
i. If Consultant uses subconsultants, such subconsultants shall be responsible for
meeting the County's insurance requirements.
ii. Consultant's insurance coverage shall be primary and non-contributory with
respect to all other available sources. Consultant's policy shall contain a waiver of subrogation against
Eagle County.
iii. All policies must contain an endorsement affording an unqualified thirty (30)
days notice of cancellation to County in the event of cancellation of coverage.
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iv. All insurers must be licensed or approved to do business within the State of
Colorado and all policies must be written on a per occurrence basis unless otherwise provided herein.
V. 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 or
authorization by Consultant, to immediately comply with any written request of County for a complete
copy of the policy.
vi. 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 furnish County a new
certificate of insurance showing such coverage.
vii. 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.
viii. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
ix. The parties hereto understand and agree that the County is relying on, and does
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 affiliated entities, successors or assigns, its elected
officials, employees, agents and volunteers.
X. Consultant is not entitled to workers' compensation benefits from the County,
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.
Consultant shall have professional liability coverage and such other insurance as shall be necessary to
ftiYdre against any medical malpractice claims which may arise out of direct patient care and other
professional activities contemplated under this Agreement.
The Consultant self -insures for professional liability insurance for itself and for its public employees who
provide health care and other professional services pursuant to the Colorado Governmental Immunity Act
(Colorado Revised Statutes, §§ 24-10-101 et. seq). The Contractor's self-insurance program provides
coverage in accordance with the limits of the Colorado Governmental Immunity Act, which provides that
the maximum amount that may be recovered against a public entity or public employee shall be:
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(a) For any injury to one person in a single occurrence, the sum of three hundred eighty seven
thousand dollars ($387,000.00); and
(b) For any injury to two or more persons in any single occurrence, the sum of one million ninety
three thousand dollars ($1,093,000.00); except in such instance recovery per person may not
exceed three hundred eighty seven thousand dollars ($387,000.00).
Pursuant to the Colorado Governmental Immunity Act, the Consultant will be responsible for injuries
sustained from an act or omission of a public employee occurring during the performance of the
employee's duties and within the scope of his/her employment, unless the act or omission is willful and
wanton or where sovereign immunity bars the action against the Consultant.
8. No Indemnification. E
a party will be exclusively responsible and liable for the acts and
omissions of its own employe the course of this Agreement.
9. Ownership of Documents and Intellectual Property. All documents prepared by Consultant in
connection with the Services shall become property of County. Contractor or Consultant shall execute
written assignments to County of all rights (including common 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 worksheets produced, or prepared by or for
Consultant (including any employee or subconsultant in connection with the performance of the Services
and additional services under this Agreement).
Eagle County acknowledges that Consultant is an employee of the University of Colorado Denver and is
subject to University policies concerning consulting, conflicts of interest, and intellectual property. The
University maintains any and all rights in and to any discoveries in which the University has an interest
that are created by its employees, as determined by University policies; including but not limited to:
Regents Policy S.J.
https://www.cu.edu/regents/policy-5j -intellectual-propeM-policy-discoveries-and-patents-their-
protection-and; Administrative Policy Statement 1013: https://www.cu.edu/ope/aps/1013.
The County acknowledges that, to the extent that such policies (as in effect on the date hereof) conflict
with the terms of this Agreement, Consultant's obligations under University policies take priority over the
obligations Consultant has by reason of this Agreement.
With regard to any presentation delivered by Consultant at the request of the County pursuant to this
Agreement, the Consultant will have exclusive control over the content of any such presentation,
including any accompanying presentation materials, handouts, or slides, based on Consultant's expertise
and independent, objective professional judgment. The content of such presentations, including any
accompanying materials, handouts, or slides, will not be subject to the review or approval of the County,
except that the County reserves the right to request limited -scope review for the sole purpose of ensuring
compliance with FDA laws and regulations. In addition, any such presentation will be for the purpose of
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providing information of general scientific interest and concern, and will not be focused on the marketing
and promotion of the County's products.
10. Confidentiality and Access to Records. The Secretary of the Department of Health and Human
Services, the Comptroller General of the United States, all appropriate Federal and State departments and
agencies related to Medicare and Medicaid and their duly appointed representatives, shall have the right
to access all books, documents, and records of the County and/or the Contractor which are pertinent to
this contract. Such access shall be in accordance with the definitions, terms and conditions set forth in 42
C.F.R.420, Subpart D. Further, the County and the Contractor agree to make available in a timely manner
all books, documents, and records pertinent to this contract for the purpose of billing for services, audit,
and compliance with requirements and regulations of federal and state agencies and commercial insurance
carriers.
The Contractor or Consultant will not disclose any information or material concerning the County and
reasonably identified by County as confidential to any other person or entity or used in any manner except
in connection with performing the services under this Agreement. The Contractor or Consultant, upon
request, will promptly return to the County all materials and documents containing confidential
information that have been so furnished by the County. The foregoing shall not apply to information that
is otherwise publicly available or is required to be disclosed by law, regulation, or the order of a court or
other competent legal authority.
11. 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, first 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 (iv) 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 confirmation 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.
The County agrees to pay the Contractor for the services performed pursuant to this Agreement, as set
forth below. The parties agree that CU Medicine is authorized to bill for and collect fees for all services
performed pursuant to this Agreement. The Contractor will submit invoices to the County which will be
due and payable within thirty days. The County agrees that if services are provided prior to the effective
date of this Agreement, the County will compensate Contractor in accordance with the above stated
payment rates.
Invoices should be addressed to:
COUNTY:
Eagle County, Colorado
Attention: Dana Erpelding
500 Broadway
Post Office Box 850
Eagle County Prof Services Final 5/14
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
Eagle, CO 81631
Telephone: 970-328-8818
E -Mail: dana.erpelding@eaglecounty.us
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
Facsimile: 970-328-8699
E -Mail: attX@eaglecounty.us
CONTRACTOR:
Payments shall be payable to "University of Colorado Medicine" at:
University of Colorado Medicine
Finance Department
P.O. Box 110247
Aurora, CO 80042-0247
contractbilling@cumedicine.us
Any notice required to be given pursuant to the terms and provisions hereof shall be in writing and shall
be sent by certified mail, return receipt requested;
COUNTY:
Eagle County, Colorado
Attention: Dana Erpelding
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970-328-8818
E -Mail: dana.erpelding@eaglecounty.us
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
Facsimile: 970-328-8699
E -Mail: atty@eaglecounty.us
CONTRACTOR:
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Gail Albertson, Chief Operating Officer
University of Colorado Medicine
P.O. Box 111719
Aurora, Colorado 80042-1719
- street address -
13199 East Montview Boulevard
Aurora, Colorado 80045
12. Coordination. Contractor acknowledges that the development and processing of the Services for
the Project may require close coordination between various consultants and contractors. Consultant shall
coordinate the Services required hereunder with the other consultants and contractors that are identified
by County to Consultant from time to time, and Consultant shall immediately notify such other
consultants or contractors, in writing, of any changes or revisions to Consultant's work product that might
affect the work of others providing services for the Project and concurrently provide County with a copy
of such notification. Consultant shall not knowingly cause other consultants or contractors extra work
without obtaining prior written approval from County. If such prior approval is not obtained, Contractor
shall be subject to any offset for the costs of such extra work.
13. Termination. Either party may terminate this Agreement, in whole or in part, at any time and for
any reason, with or without cause, and without penalty by giving not less than 30 days advance written
notice to the Consultant. Upon termination of this Agreement, Consultant shall immediately provide
County with all documents as defined in paragraph 9 hereof, in such format as County shall direct and
shall return all County owned materials and documents. Upon early termination of this Agreement,
County shall pay Contractor for Services satisfactorily performed to the date of termination.
14. 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 governed by the laws of the State of Colorado.
15. Execution by Counterparts; Electronic Signatures. 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 fully executed copy of the signature page; (ii) the
image of the signature of an authorized signer inserted onto PDF format documents. All documents must
be properly notarized, if applicable. All use of electronic signatures shall be governed by the Uniform
Electronic Transactions Act, C.R.S. 24-71.3-101 to 121.
16. Commercial Reasonableness/Fair Market Value/Non-Inducement. The parties represent and
warrant that the fee payable under this Agreement was determined by the parties through good faith and
arms' length bargaining, constitutes fair market value for the Services, and has not been determined in a
manner that takes into account the volume or value of any business between the parties. Consultant is not
required to use or recommend Eagle County products, and the parties represent and warrant that the fee is
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not intended to reward Consultant for the use or recommendation of such products or to induce
Consultant to use or recommend use of such company products. The parties agree that Consultant is
under no obligation to solicit, refer, or solicit referrals of patients for any Eagle County business.
Consultant will not receive any benefit of any kind for making any referrals nor suffer any detriment for
not making such referrals. The parties further agree that no amount paid hereunder is intended to be, nor
shall be construed as, an inducement or payment for referral of or recommending referral of patients for
any Eagle County business by Consultant. In addition, the fees charged hereunder do not include any
discount, rebate, kickback, or other reduction in charge, and the fees charged hereunder are not intended
to be, nor shall they be construed as, an inducement or payment for referral, or recommendation of
referral, of business between the parties. The sole purpose of the fee payable to CU Medicine hereunder is
to pay fair market value for the Services provided by Consultant to the County.
17. Other Contract Requirements.
a. Contractor agrees 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
Services, and shall correct, at its sole expense, all significant errors and omissions therein. Contractor
agrees that the fact that the County has accepted or approved the Services shall not relieve Consultant of
any of its responsibilities. Contractor agrees 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. Contractor represents and warrants that Consultant
has the expertise and personnel necessary to properly perform the Services and covenants that its
professional personnel are duly licensed to perform the Services within Colorado. This paragraph shall
survive termination of this Agreement.
b. Contractor agrees Consultant will 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.
C. 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 -servant, partnership, joint venture
or any other relationship between County and Consultant except that of independent contractor.
Consultant shall have no authority to bind County.
d. Contractor represents and warrants that at all times in the performance of the Services, it
and Consultant shall comply with any and all applicable laws, codes, rules and regulations.
e. 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.
£ Contractor 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.
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g. 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 hereunder are reserved solely for the parties, and not to any third party.
h. 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.
i. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
j. Contractor shall maintain for a minimum of three years, adequate financial and other
records for reporting to County. Contractor shall be subject to financial audit by federal, state or county
auditors or their designees. Contractor authorizes such audits and inspections of records during normal
business hours, upon 48 hours' notice. Contractor shall fully cooperate during such audit or inspections.
k. 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. Contractor has no beneficial interest, direct or indirect, that would conflict in any manner or
degree with the performance of the Services and Contractor and Consultant shall not employ any person
having such known interests.
1. Contractor, if a natural person eighteen (18) 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.
M. Applicable Law. This contract is expressly made subject to all laws and regulations of the
United States and the State of Colorado. Contractual provisions required by such laws and regulations
but not having been set out herein, are hereby incorporated by this reference as though expressly set out in
full.
n. Non-discrimination. The Contractor will not discriminate on the basis of race, color,
national origin, sex, age, disability, creed, religion, sexual orientation or veteran status in admission and
access to, and treatment and employment in, its education programs and other activities.
o. Force majeure. No liability hereunder shall result to either party by reason of delay in
performance caused by force majeure — that is circumstances beyond the reasonable control of the party,
including, without limitation, acts of God, fire, flood, war, civil unrest, or shortage of or inability to
obtain materials and equipment.
P. Severability. In the event that any clause or provision of this Agreement (or the
application of such clause or provision to a particular set of circumstances) is declared by a court or other
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competent authority to be invalid, illegal, or unenforceable, such holding or declaration shall not in any
way effect the validity or enforceability of any other clause or provision of this Agreement.
q. Entire Agreement. This Agreement and its exhibits, if any, sets forth the entire
understanding and agreement of the parties and supersedes any and all oral or written communications or
understandings between the parties as to the subject matter of this Agreement and may not be changed,
modified, or discharged, in whole or in part, except by a writing signed by both parties.
18. Prohibitions on Government Contracts.
As used in this Section 16, 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 Contractor and
Consultant has any employees or subcontractors, Contractor and Consultant shall comply with C.R.S. 8-
17.5-101, et. seq., and this Agreement. By execution of this Agreement, Contractor 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 -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 Services under this Agreement.
a. Contractor and 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 certify to Contractor or Consultant that the
subcontractor shall not knowingly employ or contract with an undocumented individual to perform work
under the public contract for services.
b. Contractor or 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 -
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:
https://www.uscis.gov/e-verify
C. Contractor and Consultant shall not use either the E -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 Contractor or Consultant obtains actual knowledge that a subcontractor performing work
under the public contract for services knowingly employs or contracts with an undocumented individual,
Contractor or Consultant shall be required to:
i. Notify 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
12
Eagle County Prof Services Final 5/14
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
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. Contractor and 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. 8-17.5-102(5).
f. If Contractor or 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 notify the Colorado Secretary of State if Contractor or Consultant violates this
provision of this Agreement and County terminates the Agreement for such breach.
[REST OF PAGE INTENTIONALL Y LEFT BLANK]
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Eagle County Prof Services Final 5/14
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
By signing this Agreement, CU Medicine is acting on behalf of Consultant in CU Medicine's capacity as
Consultant's designated business and fiscal agent. CU Medicine represents and warrants that it is authorized
to bind Consultant for any obligations of Consultant pursuant to this Contract. All services to be performed
pursuant to this Agreement will be carried out by Consultant, who at all times will be subject to and covered
by School of Medicine administrative policies and all applicable Colorado state law and regulation
governing public employees of the state of Colorado and its component units and departments, including
the University of Colorado and the University of Colorado School of Medicine.
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above.
COUNTY OF EAGLE, STATE OF COLORADO,
By and Through Its COUNTY MANAGER
DocuSigned by:
By: (t,V a
fShB®41114328424...
County Manager
CONTRACTOR:
L11qcft%UfflA*er
ocuSigned by:
By: .1n.t, Sakur
3/28/2019
Date
3/28/2019
Date
Executive Director
Senior Associate Dean for Finance and Administration
University of Colorado Medicine
14
Eagle County Prof Services Final 5/14
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
Goal: Increase access to high quality psychiatry services for patients and healthcare providers in the
Eagle River Valley through the use of telepsychiatry services provided by the Helen and Arthur E.
Johnson Depression Center.
Objective: In accordance with the terms, deliverables and deadlines set forth in this Agreement, the
Arthur E. Johnson Depression Center (JDC), housed at the University of Colorado Anschutz Medical
Campus, will contract with the Eagle County Department of Public Health and Environment (ECPHE)
to provide high-quality telepsychiatry services and mental health support for patients and healthcare
providers in the Eagle River Valley through the placement and use of technology housed at the Aspen
Hope Center's office located in Eagle, Colorado.
Deliverables
Deadlines
1. The JDC will provide 0.25 FTE (10 hours a week) of
The JDC will onboard licensed
a psychiatric provider(s) through video conferencing
telepsychiatry provider(s) and being to
to support the mental health providers in the Eagle
provide services to Eagle County no
River Valley through a virtual team approach. The
later than sixty (60) days after the
JDC will coordinate with the Aspen Hope Center's
execution of this contract.
Eagle office to provide the technology and time
required to support patients and healthcare providers
in need of telepsychiatry support.
2. JDC will ensure that their assigned telepsychiatry staff
The JDC will ensure that all tele
provide the following services:
psychiatry and mental health services
a. Work as a virtual member of the onsite
provided meet standard best practices
intervention team to support the evaluation
and are compliant with the
and treatment of patients.
requirements and responsibilities
b. Psychiatric evaluation, diagnosis and
outlined in this scope of work
assessment, case consultation and staff
throughout the duration of this
support.
contract period.
c. Psychiatric treatment to include brief
intervention and therapies and
pharmacological management.
d. Support of linkage of patients with ongoing
psychiatric treatment (including integrated
care).
e. Appropriate clinical and administrative
support as well as proactive supervision of
administrative and clinical staff as warranted.
3. JDC will provide ECPHE with quarterly reports using
The JDC will submit an electronic
an electronic data collection tool provided by ECPHE
date report to ECPHE no later than
or the Aspen Hope Center to include the following:
April 15, 2019, July 15, 2019,
a. The number of patients referred for
October 15, 2019 and December 15,
telepsychiatry and the source of the referral
2019.
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Eagle County Prof Services Final 5/14
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
(paramedics, mental health provider, hospital,
etc.)
b. Number of patients evaluated
c. Length of time from referral to telepsychiatry
evaluation
d. Number of outpatient treatment plans
developed
e. Number of co -consultations
f. Local provider satisfaction based on survey
results
g. Patient satisfaction based on survey results
h. Number of patients who stay engaged in
telepsychiatry services
i. Number of patients linked to referral agencies
for those patients who leave services
j. Estimated miles and cost saved per patient if
telepsychiatry services were not available
(miles for patient to travel to emergency
department in Denver/Grand Junction as well
as cost of emergency department and/or
hospital inpatient admission).
Telepsychiatry Services with the Helen and
Arthur E. Johnson Depression Center
Annual Operating Budget
Budget Items
Annual
Cost
0.25 FTE (10 hours/week) psychiatric provider salary, benefits, and administrative
taxes/fees
$55,000
Travel for site visits and training
$5,000
Total
$60,000
16
Eagle County Prof Services Final 5/14
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
EXHIBIT B
Insurance Certificate
17
Eagle County Prof Services Final 5/14
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
/
A� " CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
9/26/2018
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 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 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
CONTACT
NAME: Nathan Kath01
Arthur J. Gallagher Risk Management Services, Inc.
COMMERCIAL GENERAL LIABILITY
6399 S. Fiddlers Green Cir
A/c°NN Ext):303-889-2548 A/C No :720-200-5127
E-MAIL
ADDRESS: nathan_kathol@ajg.com
Suite 200
INSURER(S) AFFORDING COVERAGE
NAIC #
Greenwood Village CO 80111
INSURERA: Princeton Excess & Surplus Lines Ins Co
10786
INSURED
INSURER B : Arch Insurance Company
11150
Board of Regents of University of Colorado
DAMAGE TO RENTED
University of Colorado Denver, University Risk Mngt
INSURERC:
INSURER D:
1945 N Wheeling St, Campus Mail Stop F-418
INSURER E:
Aurora CO 80045
INSURER F:
$ Excluded
X
COVERAGES CERTIFICATE NUMBER: 346445912 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 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/DDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
N3A3RL000001012
10/1/2018
10/1/2019
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
CLAIMS -MADE OCCUR
PREMISES Ea occurrence
$ Excluded
X
MED EXP (Any one person)
$ Excluded
Educ Legal Liab.
SIR - $1,250,000
PERSONAL & ADV INJURY
$ Included
X
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$None
GEN'L
X
POLICY ❑ PRO- ❑ LOC
JECT
PRODUCTS - COMP/OP AGG
$ Included
$
OTHER:
A
AUTOMOBILE
LIABILITY
N3A3RL000001012
10/1/2018
10/1/2019
COMBINED SINGLE LIMIT
Ea accident
$ Included
BODILY INJURY (Per person)
$ InAbove
X
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
LX
$
X
SIR Limit $1,250,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
WCX002954810
10/1/2018
10/1/2019
X PER OTH-
STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 2,000,000
OFFICER/MEMBER EXCLUDED? ❑
N/A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
For WC Coverage - SIR - $1,500,000.
CERTIFICATE HOLDER CANCELLATION
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Evidence of Insurance
AUTHORIZED REPRESENTATIVE
Z,-.— X�L'
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: OA1E846C-8360-4305-8DD1-BBBCCA56DB14
AC� "® CERTIFICATE OF LIABILITY INSURANCE
FDATE 'MM
12/6/2018
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 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 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 Beecher Carlson Insurance Services, LLC
321 North Clark Street, 5th Floor
Chicago, IL 60654
CONTACT
NAME: Shelby Douglass
PHONE FAX
Ext): AIC No
E MA Lo
ADDRESS: sdouglass@beechercarlson.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A :
INSURED
The Board of Regents on behalf of the
University of Colorado
13001 East 17th Place, Fitzsimmons Building
INSURER B : Steadfast Insurance Company
26387
INSURERC:
CLAIMS -MADE 1:1 OCCUR
INSURERD: Self Insured Retention
N4216, Mail Stop F-407
Aurora CO 80045
INSURER E:
DAMAGE TO
PREMISESa oNcur ence
$
INSURER F:
MED EXP (Any one person)
COVERAGES CERTIFICATE NUMBER: 45755107 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 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/DDIYYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIMS -MADE 1:1 OCCUR
DAMAGE TO
PREMISESa oNcur ence
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
GEN'L
POLICY ❑ PRO -
POLICY [:]LOC
PRODUCTS - COMP/OP AGG
$
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
L
$
B
✓
UMBRELLA LIAB
OCCUR
HPC 9327138 - 05
10/1/2018
10/1/2019
EACH OCCURRENCE
$8,000,000
EXCESS LIAB
✓
CLAIMS -MADE
Retro date: 12/1/1994
AGGREGATE
$8,000,000
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
PER OTH-
STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED? ❑
N/A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
D
Professional Liability
10/1/2018
10/1/2019
Claims Subject to COGIA
Self Insured Retention
$387,000 injury to one person and
$1,093,000 all persons in any single occ.
Claims Not Sub'ect to COGIA
Self Insured Retention
$500,000 each claim/$1,500,000 aggregate
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The Colorado Governmental Immunity Act (COGIA) limits the liability of governmental entities per statute.
CERTIFICATE HOLDER CANCELLATION
The Board of Regents on behalf of the
g
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
University of Colorado
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
13001 East 17th Place, Fitzsimmons Building
N4216, Mail Stop F-407
Aurora CO 80045
AUTHORIZED REPRESENTATIVE
(PROV) Jerilynn Leahy
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
45755107 1 18-19 GL MP UMB (UCHA) I Shelby Douglass 1 12/6/2018 2:39:07 PM (EST) I Pago I of I