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HomeMy WebLinkAboutC02-300 Jennifer ForubergAGREEMENT BETWEEN
THE COUNTY OF EAGLE, STATE OF COLORADO
AND
Jennifer Fornberg, Psy D.
THIS AGREEMENT made this 12th day of November, 2002, by and between the County
of Eagle, State of Colorado, a body corporate and politic, ("County") and Jennifer Fornberg, Psy
D., hereinafter "Contractor."
1. AGREEMENT:
This Agreement shall commence on November 12, 2002, and shall end on June 30, 2003.
Services under this agreement will be pre -authorized in writing by the Department of Health and
Human Services for reimbursement of clinical hours at the rate of $ 60 per hour.
2. SCOPE:
The Contractor will provide assessment, consultation and treatment services to .client families
referred by the County. Such services will be focused on children under the age of three and
children who are non-verbal or are showing evidence of parental attachment issues.
3. TERMINATION: The County may terminate this Agreement upon ten (10) days written
notice to Contractor if it is deemed by the County in its sole discretion, that the Contractor is not
fulfilling the program as specified in this Agreement, or for any other reason. Upon such
termination any unexpended funds shall be returned to the County. In addition, any funds not
properly expended according to project objectives shall be returned by Contractor to County.
In the event the Contractor becomes insolvent, is declared bankrupt or dissolves, the County may
declare in writing that this Agreement is terminated, and all rights of the Contractor and
obligations of the County shall terminate and cease immediately.
4. CONTRACTOR'S DUTIES: The Contractor shall comply with the following requirements:
A. All funds received by Contractor under this Agreement shall be expended solely for the
purpose for which granted, and any funds not so expended, including funds lost or diverted for
other purposes, shall be returned to County.
B. Contractor shall maintain adequate records for reporting to the County. The Contractor shall
maintain all records pertaining to this Agreement for a minimum of three years and may be
subjected to an audit by federal, state or county auditors or their designees, as requested. If
misuse of funds is discovered by an auditor, the Contractor shall return said misused funds to the
County.
C. The Contractor hereby authorizes the County to perform audits or to make inspections during
nonnal business hours upon 48 hours written notice to Contractor, for the purpose of evaluating
performance under this Agreement.
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Jennifer Fornberg, Psy D.
D. The Contractor shall comply with all applicable rules and laws governing mental health
counseling in Colorado. The Contractor shall be solely responsible for ensuring proper licensing
and credentialing of those providing services under this Agreement.
E. Contractor shall provide the County with periodic reports concerning services under this
Agreement within thirty (30) days of enrollment or participation by a family or child. Such
report shall include the submission of a treatment plan for the child's family which shall include
specific objectives and target dates for accomplishment. The treatment plan shall be subject to
review and approval by County. Thereafter, at monthly intervals, the Contractor shall submit
reports that include progress and barriers in achieving the goals and provisions of the treatment
plan.
5. NOTICE:
Any notice required under this Agreement shall be given in writing by registered or certified
mail, return receipt requested which shall be addressed as follows:
THE COUNTY: THE CONTRACTOR:
Eagle County Health & Human Services Jennifer Fornberg
Post Office Box 660 P.O. Box 1700
Eagle, CO 81631 Vail, CO 81657
Notice shall be deemed given three (3) days after the date of deposit in a regular depository
of the United States Postal Service.
6. ASSIGNMENT:
The Contractor shall not assign any of its rights or duties under this Agreement to a third party
without the prior written consent of County. Any assignment without the prior written consent of
County shall cause this Agreement to terminate.
7. MODIFICATION:
Any revision, amendment or modification to this Agreement, shall only be valid if in writing and
signed by all parties.
8. INSURANCE :
At all times during the term of this Agreement, Contractor shall maintain in full force and effect
the following insurance:
Type of Insurance Coverage Limits
Malpractice Insurance $500,000 for each claim
Agreement between Eagle County and Page 3
Jennifer Fornberg, Psy D.
Contractor shall purchase and maintain such insurance as required above and shall provide
certificates of insurance in a form acceptable to Eagle County upon execution of the Agreement.
9. MISCELLANEOUS:
A. The parties to this Agreement intend that the relationship of the Contractor to the County is
that of independent contractor. No agent, employee or volunteer of the Contractor shall be
deemed to be an agent, employee or volunteer of the County.
B. This Agreement shall be binding upon and inure to the benefit of the Contractor and the
County and their respective heirs, legal representatives, executors, administrators, successors and
assigns. Neither party may assign or delegate any of its rights or obligations hereunder without
first obtaining the written consent of the other party.
C. In the event of litigation in connection with this Agreement, the prevailing party shall be
entitled to recover its attorney fees and costs, staff time and any other claim related expense.
D. The invalidity or unenforceability of any provision of this Agreement shall not affect the
other provisions hereof, and this Agreement shall be construed as if such invalid or
unenforceable provision was omitted.
E. Contractor shall indemnify and hold harmless the County, its Board of Commissioners, and
the individual members thereof, its agencies, departments, officers, agents, employees, servants.
and its successors from any and all demands, losses, liabilities, claims or judgments, together
with all costs and expenses, including but not limited to attorney fees, incident thereto which
may accrue against, be charged to or be recoverable from the County, its Board of
Commissioners, and the individual members thereof, its agencies, departments, officers, agents,
employees, servants and its successors, as a result of the acts or omissions of Contractor, its
employees or agents, in or in part pursuant to this Agreement or arising directly or indirectly out
of Contractor's exercise of its privileges or performance of its obligations under this Agreement.
F. The Contractor shall comply with all applicable laws, resolutions, and codes.
G. Notwithstanding anything to the contrary contained in this Agreement, the County shall have
no obligations under this Agreement, nor shall any payments be made to Contractor in respect of
any period after June 30th of each calendar year during the term of this Agreement, without the
appropriation therefor by the County in accordance with a budget adopted by the Board of
County Commissioners in compliance with the provisions of 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).
H. This Agreement shall be governed by the laws of the State of Colorado. Jurisdiction and
venue for any suit, right or cause of action arising under, or in connection with this Agreement
shall be exclusive in Eagle County, Colorado.
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Agreement between Eagle County and Page 4
Jennifer Fomberg, Psy D.
I. This Agreement supersedes all previous communications, negotiations and/or agreements
between the respective parties hereto, either verbal or written, and the same not expressly
contained herein are hereby withdrawn and annulled. This is an integrated agreement and there
are no representations about any of the subject matter hereof except as expressly set forth in this
Agreement.
J. Contractor hereby certifies that it has read the Agreement, understands each and every term
and the requirements set forth herein, and agrees to comply with the same.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
first set forth above. The parties hereto have signed this Agreement in triplicate. Two
counterparts have been delivered to County and one to the Contractor.
COUNTY OF EAGLE, STATE OF COLORADO
By and through its Board of Coi Commissioners
By:
Micha ag er, C irman
Jennifer Fomberg
bISTRIBUTION
Qriainals to•
1, Contract Book
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