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HomeMy WebLinkAboutR94-108 director of DSS to execute small provider contracts� f t
Commissioner J.4 ' gfi'% , IA moved adoption
of the following he Iution:
BOARD OF COUNTY COMMISSIONERS
COUNTY OF EAGLE, STATE OF COLORADO
RESOLUTION NO. 94 - - /Ce
AUTHORIZING THE DIRECTOR OF THE
EAGLE COUNTY DEPARTMENT OF SOCIAL SERVICES
TO
EXECUTE SMALL PROVIDER CONTRACTS
AND
INDIVIDUAL MENTAL HEALTH PROVIDERS
UNDER THE HUMAN SERVICE GRANT PROGRAM
WHEREAS, the Eagle County Department of Social Services
( "ECDSS ") does from time to time have Small Provider Contracts
submitted to them such as the Eagle County Family Preservation
Program and the individual mental health providers under the Human
Service Grant Program; and
WHEREAS, the Director of the ECDSS would be the person most
likely to execute these contracts on behalf of the ECDSS; and
WHEREAS, the form of the contract to be signed by the Director
is attached hereto as Exhibit A; and
WHEREAS, the Director seeks authority from the Board of County
Commissioners to execute these contracts; and
WHEREAS, the Board is desirous to designate the Director of
the ECDSS as its authorized representative to execute said
contracts.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF THE COUNTY OF EAGLE, STATE OF COLORADO:
THAT, the Board hereby adopts the form agreement for Small
Provider Contracts as the same is set forth in Exhibit A attached
hereto.
THAT, the Board hereby designates the Director of the Eagle
County Department of Social Services as its duly appointed
representative and agent to execute said contracts for the Family
Preservation Program and individual mental health providers under
the Human Service Grant Program on behalf of the Board.
,
T
MOVED, READ AND ADOPTED by the Board of County Commissioners
of the County of Eagle, State of Colorado, this & IL day of
COUNTY OF EAGLE, STATE OF
COLORADO, By and Through Its
ATTEST: BOARD OF COUNTY COMMISSIONERS
By: �lG'
C1 rk to th Board of Johnnette Phillips, hairman
County Commissioners
0
James E. Johnson, Jr.
Commissioner
Georg A. Gates, Commissioner
Commissioner seconded adoption of the
foregoing resolution. - Th6 roll having been called, the vote was as
follows:
Commissioner Johnnette Phillips
Commissioner James E. Johnson, Jr.
Commissioner George A. Gates
This Resolution passed by ,7 — O vote of the Board of
County Commissioners of the County of Eagle, State of Colorado.
r \ECDSS.spc
PURCHASE OF SERVICE CONTRACT
EAGLE COUNTY FAMILY PRESERVATION PROGRAM
1. THIS CONTRACT, made this day of , 1994, by
and between the Eagle County Department of Social Services,
hereinafter called "County" and
, (address)
(tax ID or Social Security number),
hereinafter called "Contractor ".
2. This Contract will be effective from June 1, 1994 until
May 31, 1995.
3. County agrees to purchase and Contractor agree to provide
Intensive Family Therapy to children and families referred by the
County in accordance with the service'described in Staff Manual
Volume 7, Section 7.503 Family Preservation Program and
summarized in the attachment to this contract.
4. County agrees to purchase and Contractor agrees to furnish
hourly Units of Service at a cost of $40 /hour for Intensive
Family Therapy for a maximum amount of this contract of $ 2000.
5. The parties agree that the Contractor's relationship to the
county is that of an independent contractor.
6. The parties agree that payment pursuant to this Contract is
subject to and contingent upon the continuing availability of
fund for the purpose thereof.
7. County agrees:
a. to determine child eligibility and as appropriate, to
provide information regarding rights to fair hearings
b. to provide contractor with written prior authorization on
a child or family basis for services to be purchased.
c. to provide Contractor with referral information including
name and address of family, social medial and educational
information as appropriate to the referral.
d. to assess and collect fees as appropriate.
e. to monitor the provision of contracted service.
f. to pay Contractor after receipt of billing statements for
services rendered satisfactorily and in accordance wit this
Contract.
8. Contractor agrees:
a. not to assign any provision of this Contract to a
subcontractor.
b. Not to charge clients any fees relation to services
provided under this Contract.
EXHIBIT
c. to hold the necessary license(s) which permits the
performance of the service to be purchased, and /or to meet
applicable Sate Department of Human Services qualification
requirements.
d. to comply with the requirements of the Civil Rights Act
of 1964 and Section 504, Rehabilitation Act of 1973 concerning
discrimination on the basis of race, color, sex, age, religion,
political beliefs, national origin, or handicap.
e. to provide the service described herein at cost not
greater than that charged to other persons in the same community.
f. to submit -a billing statement in a timely manner, no
later than 45 days after services. Failure to do so may result
in nonpayment.
g. to safeguard information and confidentiality of the child
and the child's family in accordance with rules of the Colorado
Department of Human Services and the Eagle County Department of
Social Services.
h. to provide County with reports on provision of service as
follows:
> Within 30 days of enrollment /participation,
submission of a treatment plan for the child /child's family with
specific objectives and target dates. The treatment plan is
subject to county approval.
> At monthly intervals from the time of enrollment/
participation, submit reports that include progress and barriers
in achieving provisions of the treatment plan.
i. to provide access for any duly authorized representative
of the County or the Colorado Department of Human Service until
the expiration of five (5) years after the final payment under
this Contract, to examine any financial, program, and other
records of the Contractor involving transactions related to this
Contract.
j. indemnify Eagle County, Colorado Department of Human
Services and the State of Colorado against any liability and loss
against all claims and actions based upon or arising out of
damage or injury, including death, to persons or property caused
or sustained in connection with the performance of this Contract
or by conditions created thereby, or based upon any violation of
any statute, regulation, and the defence of any such claims or
actions.
9. Termination: Either part may terminate this Contract by
thirty (30 days prior notification in writing.
EAGLE COUNTY SOCIAL SERVICES
DATE
CONTRACTOR
DATE
-
9
EAGLE COUNTY DEPARTMENT OF SOCIAL SERVICES
FAMILY PRESERVATION PROGRAM : STATEMENT OF ASSURANCES
assures that the following will be adhered
to in the provision of Family Preservation Services:
1. operation for each service provided will be in conformity
with the State rules governing that service, including:
• scope of service and method of service delivery
• service objectives
• frequency of service and workload standards
• staff qualifications
• supervisory standards
2. operation will not discriminate against any individual on
the basis of race, sex, national origin, religion, age or
handicap who is referred for Family Preservation Services.
3. Services will recognize and support cultural and religious
background and customs of children and their families.
4. Services provided under the Family Preservation Program are
not available to children and families through other
publicly funded efforts.
5. Services provided under the Family Preservation Program will
be documented in monthly reports of service progress; dates
of service and service units provided.
6. Information regarding services purchased and compliance with
operational standards will be made available for program and
financial monitoring.
Name Date
Agency