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HomeMy WebLinkAboutC24-052 Community Health ServicesCHS 2024 Prenatal Contract Page 1
AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
COMMUNITY HEALTH SERVICES, INC.
FOR THE PROVISION OF PRENATAL HEALTH CARE SERVICES
THIS AGREEMENT (“Agreement”) is effective as of _____________ by and between Community
Health Services, Inc., a Colorado nonprofit corporation with a mailing address of 0405 Castle Creek
Road, Suite 6, Aspen, CO 81611 (“Contractor”) and Eagle County, Colorado, a body corporate and
politic (hereinafter “County”).
RECITALS
WHEREAS, the County, through its Department of Public Health (PH) 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, County desires to hire the Contractor to perform the Services defined below in paragraph 1;
and
WHEREAS, Consultant is authorized to do business in the State of Colorado and has 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 Consultant and County in connection
with the Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Consultant and
County agree as follows:
1. Services. Consultant agrees to 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.
a. Consultant agrees to furnish the Services no later than December 31, 2024 and in
accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A,
then Consultant agrees to furnish the Services in a timely and expeditious manner consistent with the
applicable standard of care. By signing below Consultant represents that it 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 agrees that it will not enter into any consulting or other arrangements with third
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parties that will conflict in any manner with the Services.
2. County’s Representative. The Public Health Department’s designee shall be Consultant’s contact with
respect to this Agreement and performance of the Services.
3. Term of the Agreement. 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
day of December, 2024.
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 Consultant shall be the basis for additional compensation unless and until Consultant
has obtained written authorization and acknowledgement by County 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, Consultant’s rights with respect to
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 Consultant 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 $56,600. Consultant 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 as described in Exhibit A. All invoices shall include
details required in Exhibit A.
b. Any out-of-pocket expenses to be incurred by 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 Consultant.
Consultant 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 Consultant 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, Consultant 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 the Consultant hereunder and
Consultant 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
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obligations under this Agreement after, nor shall any payments be made to Consultant 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. Consultant 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. 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 Consultant
and Consultant shall cooperate in such process. The Consultant shall be responsible for the acts and
omissions of its agents, employees and sub-consultants or sub-contractors.
7. Insurance. Consultant agrees to provide and maintain at Consultant’s sole cost and expense, the
following insurance coverage with limits of liability not less than those stated below:
a. Types of Insurance.
i. Workers’ Compensation insurance as required by law.
ii. Auto coverage with limits of liability not less than $1,000,000 each accident combined
bodily injury and property damage liability insurance, 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 with limits of
liability not less than $1,000,000 per occurrence and $2,000,000 aggregate limits.
iv. Professional liability insurance with prior acts coverage for all Services required
hereunder, in a form and with an insurer or insurers satisfactory to County, with limits of liability of not
less than $1,000,000 per claim and $2,000,000 in the aggregate. 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. The automobile and commercial general liability coverage shall be endorsed to
include Eagle County, its associated or affiliated entities, its successors and assigns, elected officials,
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employees, agents and volunteers as additional insureds.
ii. Consultant’s certificates of insurance shall include sub-consultants as additional
insureds under its policies or Consultant shall furnish to County separate certificates and endorsements for
each sub-consultant. All coverage(s) for sub-consultants shall be subject to the same minimum
requirements identified above. Consultant and sub-consultants, if any, shall maintain the foregoing
coverage in effect until the Services are completed. In addition, all such policies shall be kept in force by
Consultant and its sub-consultants until the applicable statute of limitations for the Project and the
Services has expired.
iii. Insurance shall be placed with insurers duly licensed or authorized to do business in
the State of Colorado and with an “A.M. Best” rating of not less than A-VII.
iv. 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.
v. All policies must contain an endorsement affording an unqualified thirty (30) days
notice of cancellation to County in the event of cancellation of coverage.
vi. 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.
vii. 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.
viii. 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.
ix. 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.
x. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
xi. 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.
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xii. Consultant is not entitled to workers’ compensation benefits except as
provided by the Consultant, 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.
8. Indemnification. The Consultant shall indemnify and hold harmless County, and any of its officers,
agents and employees against any losses, claims, damages or liabilities for which County may become
subject to insofar as any such losses, claims, damages or liabilities arise out of, directly or indirectly, this
Agreement, or are based upon any performance or nonperformance by Consultant or any of its sub-
consultants hereunder; and Consultant shall reimburse County for reasonable attorney fees and costs, legal
and other expenses incurred by County in connection with investigating or defending any such loss, claim,
damage, liability or action. This indemnification shall not apply to claims by third parties against the
County to the extent that County is liable to such third party for such claims without regard to the
involvement of the Consultant. This paragraph shall survive expiration or termination hereof.
9. Ownership of Documents. All documents prepared by Consultant in connection with the Services shall
become property of County. 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 work sheets 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).
10. 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 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.
COUNTY:
Eagle County, Colorado
Attention: Joan Dieter
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970-471-4656
E-Mail: Joan.Dieter@eaglecounty.us
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
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E-Mail: atty@eaglecounty.us
CONSULTANT:
Logan Hood
Community Health Services, Inc.
0405 Castle Creek Road, Suite 201
Aspen, Colorado 81611
Telephone: (970) 920-5010
E-Mail: logan.hood@aspencommunityhealth.org
11. Coordination. Consultant 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, Consultant shall be
subject to any offset for the costs of such extra work.
12. Termination. County may terminate this Agreement, in whole or in part, at any time and for any
reason, with or without cause, and without penalty therefor with seven (7) calendar days’ prior 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. County shall pay Consultant for Services
satisfactorily performed to the date of termination.
13. 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.
14. 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.
15. Other Contract Requirements.
a. 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. The fact that the County has
accepted or approved the Services shall not relieve Consultant of any of its responsibilities. Consultant
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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. Consultant
represents and warrants that it 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. Consultant agrees to 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. Consultant represents and warrants that at all times in the performance of the Services,
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.
f. Consultant 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.
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. Consultant shall maintain for a minimum of three years, adequate financial and other records
for reporting to County. Consultant shall be subject to financial audit by federal, state or county auditors
or their designees. Consultant authorizes such audits and inspections of records during normal business
hours, upon 48 hours’ notice to Consultant. Consultant 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. The
Consultant has no beneficial interest, direct or indirect, that would conflict in any manner or degree with
the performance of the Services and Consultant shall not employ any person having such known interests.
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16. Data Security.
a. Definitions:
1. “County Data” means all data created by or in any way originating with County and End
Users, and all information that is the output of any computer processing, or other
electronic manipulation, of any information that was created by or in any way originating
with County and End Users, in the course of using and configuring the Services provided
under this Agreement, and includes all records relating to County’s use of Contractor
Services and Protected Information.
2. “End User” means the individuals (including, but not limited to employees, authorized
agents, students and volunteers of County; Third Party consultants, auditors and other
independent contractors performing services for County; any governmental, accrediting or
regulatory bodies lawfully requesting or requiring access to any Services; customers of
County provided services; and any external users collaborating with County) authorized
by County to access and use the Services provided by Contractor under this Agreement.
3. “Protected Information” includes, but is not limited to, personally-identifiable
information, student records, protected health information, criminal justice information or
individual financial information and other data defined under C.R.S. §§ 24-72-101 et seq.,
and personal information that is subject to local, state or federal statute, regulatory
oversight or industry standard restricting the use and disclosure of such information. The
loss of such Protected Information would constitute a direct damage to the County.
4. “Security Incident” means the potentially unauthorized access by non-authorized persons
to personal data or non-public data the Contractor believes could reasonably result in the
use, disclosure or theft of County Data within the possession or control of the vendor. A
Security Incident may or may not turn into a data breach.
b. During the course of Contractor's performance of the Work, the Contractor may be required to
maintain, store, process or control County Data. The Contractor represents and warrants that:
1. Contractor will take all reasonable precautions to maintain all County Data in a secure
environment to prevent unauthorized access, use, or disclosure, including industry-
accepted firewalls, up-to-date anti-virus software, and controlled access to the physical
location of the hardware containing County Data;
2. Contractor’s collection, access, use, storage, disposal and disclosure of County Data shall
comply with all applicable data protection laws, as well as all other applicable regulations
and directives;
3. Contractor will notify County of any Security Incident as soon as practicable, but no later
than 24 hours after Contractor becomes aware of it;
4. Contractor will provide information sufficient to satisfy County’s legal and regulatory
notice obligations. Upon notice of a Security Incident, County shall have the authority to
direct Contractor to provide notice to any potentially impacted individual or entity, at
Contractor’s expense, and Contractor shall be liable for any resulting damages to County.
5. Where Contractor has been contracted to maintain, store or process personal information
on behalf of the County, it shall be deemed a “Third-Party Service Provider as defined in
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C.R.S. § 24-73-103(1)(i), and Contractor shall maintain security procedures and practices
consistent with C.R.S §§ 24-73-101 et seq.; and
6. Contractor will promptly return or destroy any County Data upon request from the County
Representative.
c. Contractor’s indemnification obligations identified elsewhere in this Contract shall apply to any
breach of the provisions of this Paragraph.
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
By: __________________________
Jeff Shroll, County Manager
CONSULTANT:
By:________________________________
Print Name: _________________________
Title: ______________________________
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Logan Hood
Executive Director
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EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
Duties and Responsibilities:
1. FAMILY PLANNING SERVICES
Title X Family Planning Programs enable individuals to choose when and how many children
they have through education and the provision of a broad range of contraception. Title X Family
Planning clinics are designed to provide access to contraceptive supplies and information to all
who want and need them with priority given to low-income persons.
As a Title X Family Planning Clinic, Community Health Services, Inc. will:
(a) Ensure access to quality reproductive health services to Western Eagle County
residents, in accordance with Title X Colorado Administrative and Clinical
requirements, including but not limited to:
a. Contraceptive services, including birth control pills, IUDs, implants, rings,
and condoms
b. Preventative health counseling and education services
c. Reproductive health related testing
d. Screening for reproductive and other basic health issues and referrals
to primary or specialty care, depending on need
e. All services are provided on a sliding fee scale for clients with incomes at or
below 250% of federal poverty level
(b) Abide by rules and regulations described in Title X Colorado Administrative
and Clinical manuals.
(c) Services to be provided by licensed Advanced Practice Nurse, Nurse Practitioner,
or Certified Nurse Midwife. Some services can be provided by a licensed
Registered Nurse.
2. PRENATAL and ORAL HEALTH SERVICES
Contractor shall provide timely prenatal health-care services, in accordance with current ACOG
medical standards, to uninsured Western Eagle County residents living in the Roaring Fork
Valley, who agree to receive services from Contractor (“Clients”). These dollars shall be used
solely to defray the cost of Contractor’s provision of prenatal services, including oral health
services for pregnant people and their children ages zero to six, to Clients with no insurance.
County is responsible for the eligibility of each Client for services and for maintaining files
regarding eligibility under the scope of this Agreement. In order to determine eligibility of each
Client, Contractor will include with submission of invoices a list outlining each new Client served.
Please see below for specific reporting requirements. This list will be cross referenced with the
County to determine eligibility of Clients and as referral sources for the Special Supplemental
Nutrition Program for Women, Infants and Children (WIC). Clients on Medicaid will not be
subsidized, however the County can still refer Medicaid users to the WIC program. Services will
not be withheld from community members if an invoice is pending.
Contractor shall provide services for up to 26 Clients during the term of this Agreement. In the
event there are unspent dollars based on lower volumes of eligible prenatal clients, Contractor will
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invoice for those unspent funds (not to exceed the agreed maximum contract amount) to support
the prenatal and kids zero to six dental program in the effort to ensure all Western Eagle County
residents with no insurance receive prenatal services and dental hygiene services. In an effort to
ensure all Western Eagle County residents with no insurance receive prenatal services, Contractor
should contact County if the number of uninsured clients is anticipated to exceed 26. In doing so,
an amendment may be made to this contract to provide further financial assistance for these
Clients. The creation of an amendment will require detailed documentation from Contractor
showing a guaranteed need for further assistance. The creation and terms of the amendment will
be up to County discretion.
3. REPORTING REQUIREMENTS
Contractor shall submit reports three times a year due April 15, 2024; July 15, 2024; October 14,
2024, and January 13, 2025. Reports will include an invoice, as well as client information to
check for eligibility. Invoices should be sent to phinvoices@eaglecounty.us. The following
information should be included in the reports:
● Client name
● Client date of birth
● Insurance used
● Weeks pregnant at first visit
● Estimated date of delivery
● Client race/ethnicity
● Invoice for services
The January 13th report should include the following additional information:
● Total number of prenatal and family planning clients seen at Community Health
Services, broken down by county of residence
● Total number of Western Eagle County residents served in both prenatal and
family planning
● Of the total number of Western Eagle County residents seen for prenatal services,
how many utilized the prenatal subsidy.
Should the contractor invoice for dental hygiene services they should be included on the January
13th invoice and include the following information:
● Number of Western Eagle County residents served
● Age of residents
● Services provided to residents
● Location of services provided
4. SCHEDULE
This contract will be effective January 1, 2024 to December 31, 2024.
5. COMPENSATION
During the term of this Agreement, Eagle County will pay to Contractor $600.00 for each
uninsured prenatal client served by Contractor for a total of $15,600. Contractor may invoice for
unused prenatal funds at the end of the year, not to exceed $15,600. The priority of these funds is
the prenatal program. The remaining $41,000 will be paid for Family Planning services. County
will reimburse Contractor three times a year for Clients served during the previous four months
upon receipt of properly submitted reports and invoices by Contractor. County will not reimburse
Contractor for services provided to Contractor’s patients before they are deemed eligible Clients
by County. The total cost of this Agreement shall not exceed $56,600, absent an amendment to
this agreement signed by both parties.
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EXHIBIT B
Insurance Certificate
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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
03/25/2023
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 be endorsed.If SUBROGATIONIS 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
HUB INTERNATIONAL INS SVCS INC/PHS
34340887
The Hartford Business Service Center
3600 Wiseman Blvd
San Antonio, TX 78251
CONTACT
NAME:
PHONE
(A/C, No, Ext):
(866) 467-8730 FAX
(A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURED
COMMUNITY HEALTH SERVICES
0405 CASTLE CREEK RD STE 6
ASPEN CO 81611-3125
INSURER A : Hartford Casualty Insurance Company 29424
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: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
INSR
SUBR
WVD
POLICY NUMBER POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/Y YYY)LIMITS
A
COMMERCIAL GENERAL LIABILITY
34 SBA PA6360 04/23/2023 04/23/2024
EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence)$1,000,000
X General Liability MED EXP (Any one person)$10,000
PERSONAL & ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $2,000,000
POLICY PRO-
JECT X LOC PRODUCTS - COMP/OP AGG $2,000,000
OTHER:
A
AUTOMOBILE LIABILITY
34 SBA PA6360 04/23/2023 04/23/2024
COMBINED SINGLE LIMIT
(Ea accident)$1,000,000
ANY AUTO BODILY INJURY (Per person)
ALL OWNED
AUTOS
SCHEDULED
AUTOS BODILY INJURY (Per accident)
X HIRED
AUTOS X NON-OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-
MADE
EACH OCCURRENCE
AGGREGATE
DED RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY
PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/ A
PER
STATUTE
OTH-
ER
Y/N E.L. EACH ACCIDENT
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
A EMPLOYMENT PRACTICES
LIABILITY
34 SBA PA6360 04/23/2023 04/23/2024 Each Claim Limit
Aggregate Limit
$5,000
$5,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations.
CERTIFICATE HOLDER CANCELLATION
Eagle County
PO Box 850
EAGLE CO 81631
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD
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