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HomeMy WebLinkAboutC24-319 SpeakUp ReachOut_MHAC
GRANT AGREEMENT BETWEEN
EAGLE COUNTY, COLORADO
AND
SPEAKUP REACHOUT
THIS GRANT AGREEMENT (“Agreement”) is effective as of July 1, 2024 by and between
Eagle County Public Health and Environment and SpeakUp ReachOut (hereinafter “Grant
Recipient”) and Eagle County, Colorado, a body corporate and politic (hereinafter “Grantor”)
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, this Agreement is entered in reference to Eagle County Ballot Measure 1A, approved
by voters on November 2, 2017, which provides for a sales and excise tax on recreational marijuana
to establish earmarked funding to further the valid public purpose of addressing mental health
needs in Eagle County (“Marijuana Tax Revenue”); and
WHEREAS, ultimate approval for use of Marijuana Tax Revenue lies with the Eagle County
Board of County Commissioners (“Board”); and
WHEREAS, Eagle County Resolution No. 2018-007 established a Mental Health Advisory
Committee (“MHAC”) within ECPHE to provide recommendations to the Eagle County Board of
County Commissioners regarding the use of Marijuana Tax Revenue; and
WHEREAS, the MHAC has identified a community need for funding of services dedicated to the
‘health promotion’ and ‘recovery or aftercare’ phases of care, and on the recommendation of the
MHAC, the Board has allocated Marijuana Tax Revenue funds to address this community need by
supporting programs and services offered by local organizations providing culturally responsive
care to the public; and
WHEREAS, the parties acknowledge and agree that the programs and services funded by
Marijuana Tax Revenue promote the health, safety and welfare of the people of Eagle County and
are intended to serve a valid public purpose and provide services that could otherwise be performed
by County directly; and
WHEREAS, Grant Recipient has elected to perform services that help create and sustain a healthy,
environmentally and economically vital and socially diverse community in Eagle County on its
own and County has, therefore, elected to compensate Grant Recipient to perform the Services for
the public to fulfill an important public purpose; and
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WHEREAS, compensation paid by County to Grant Recipient enables Grant Recipient to perform
the services for the public and County shall have no responsibility for the performance of the
services; and
WHEREAS, Grant Recipient 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 Grant Recipient and County
in connection with the services.
GRANT AGREEMENT
Now, therefore, in consideration of the foregoing premises and the following promises, Eagle
County and Grant Recipient enter into this Agreement for payment of the grant award in the
amount of ten thousand dollars ($10,000, the “Grant Award”) to Grant Recipient.
A. Grant Recipient agrees that funds awarded by Grantor may be used and expended solely
for SpeakUp ReachOut programming and services, specifically the ‘Suicide Prevention Service
Expansion to Hispanics and Latinos in Eagle County’ as specified in its 2024 Mental Health
Advisory Committee Mini-Grant Application, attached hereto as Exhibit A, incorporated herein
by reference. All funds will be expended in by Grant Recipient before the end of the grant cycle
in January, 2025 (the “Grant Period”). The Grant Award set forth herein is for the specific Grant
Period and the Grantor makes no representations, nor should Grant Recipient rely on this award
as a representation of any future awards for other grant periods.
B. In return for the Grant Award, Grant Recipient agrees to the terms of funding, deliverables,
and deadlines outlined in the Scope of Work attached hereto as Exhibit B, and incorporated herein
by reference. Grant Recipient shall submit a report discussing how the funds were expended,
deliverables as outlined in the Grant Application and in Exhibit B, and how they tie back to creating
and sustaining a healthy environmentally and economically vital and socially diverse community.
The report will be due no later than January 15, 2025. Grant Recipient agrees to use the Colorado
Common Grant (CCG) Report format which can be downloaded and printed from the following
website: http://www.coloradocommongrantforms.org/CGR/default.htm.
C. Payment of the Grant Award will be made in one installment.
D. Grant funds under this Grant Agreement are to be used and expended within the Grant
Period. Any funds not used or expended during the Grant Period must be returned to Grantor.
E. If, after payment of the Grant Award, Eagle County reasonably determines that payment
was improper because the purposes for which the payment was made were misrepresented, or the
terms of this Agreement were breached, then upon written notice of such determination and request
for reimbursement from Eagle County, Grant Recipient shall forthwith return such payment to
Eagle County.
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F. Grant Recipient shall comply at all times and in all respects with all applicable federal,
state and local laws, resolutions and codes; and specifically, 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.
G. Grant Recipient shall not assign any of its rights or duties under this Grant Agreement to a
third party without the prior written consent of the Grantor. The Grantor shall terminate this Grant
Agreement in the event of any assignment without its prior written consent, in which case, any
unused Grant Funds must be returned to Grantor.
H. Grant Recipient agrees that no agent, employee or volunteer of Grant Recipient shall be
deemed an agent, employee or volunteer of County.
I. Grant Recipient shall maintain, for a minimum of three (3) years, adequate financial and
programmatic records for reporting to Grantor on performance of its responsibilities hereunder.
Grant Recipient shall be subject to financial audit by federal, state or county auditors or their
designees. Grant Recipient authorizes Grantor to perform audits or to make inspections during
normal business hours, upon 48 hour notice to Grant Recipient for the purpose of evaluating
performance under this Grant Agreement. Grant Recipient shall cooperate fully with authorized
Eagle County representatives in the observation and evaluation of the program and records. Grant
Recipient shall have the right to dispute any claims of misuse of funds and seek an amicable
resolution with Grantor.
J. 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.
K. This Grant 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.
L. This Grant Agreement does not, and shall not be deemed or construed to confer upon or
grant to any third party or parties any right to claim damages or to bring any suit, action or other
proceeding against either Grant Recipient or Grantor because of any breach hereof or because of
any of the terms, covenants, agreements and conditions contained herein.
M. Invalidity or unenforceability of any provision of this Grant Agreement shall not affect the
other provisions hereof, and this Grant Agreement shall be construed as if such invalid or
unenforceable provision was omitted.
N. To the extent required to perform under this Grant Agreement, Grant Recipient represents
and warrants that it has the expertise and personnel necessary to properly perform the Grant
Agreement and its professional personnel are duly licensed to perform.
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O. 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.
P. The signatories to this Grant Agreement aver to their knowledge, no employee of the
County has any personal or beneficial interest whatsoever in the matters described in this Grant
Agreement. The Grant Recipient has no beneficial interest, direct or indirect, that would conflict
in any manner or degree with the performance of the Grant Agreement and Grant Recipient shall
not employ any person having such known interests.
Q. Grant Recipient shall be responsible for the completeness and accuracy of its
performance under the Grant Agreement, including all supporting data or other documents
prepared or compiled in performance of the Grant Agreement, and shall correct, at its sole
expense, all significant errors and omissions therein. The fact that the Grantor has accepted or
approved the work performed shall not relieve Grant Recipient of any of its responsibilities.
Grant Recipient shall perform the Grant Agreement in a skillful, professional and competent
manner and in accordance with the standard of care, skill and diligence applicable to Grant
Recipients performing similar services. This paragraph shall survive termination of this Grant
Agreement.
S. Grant Recipient shall carry workers compensation insurance as required by law and
automobile and commercial general liability insurance as necessary and appropriate during the
term of the Grant Agreement.
T. The Grant Recipient shall indemnify and hold harmless Grantor, and any of its officers,
agents and employees against any losses, claims, damages or liabilities for which Grantor may
become subject to insofar as an such losses, claims, damages or liabilities arise out of, directly or
indirectly, this Grant Agreement, or are based upon any performance or nonperformance by
Grant Recipient or any of its sub-recipients hereunder including claims for bodily injury or
personal injury including death, or loss or damage to tangible or intangible property; and Grant
Recipient shall reimburse Grantor for reasonable attorney fees and costs, legal and other
expenses incurred by Grantor 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 Grantor to the extent that Grantor is liable to such third party for such claims without
regard to the involvement of the Grant Recipient. This paragraph shall survive expiration or
termination hereof.
U. Grant Recipient certifies that it has read the Grant Agreement, understands each and every
term and the requirements set forth herein, and agrees to comply with the same.
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set
forth above.
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COUNTY OF EAGLE, STATE OF COLORADO,
By and through Its COUNTY MANAGER:
By: ________________________
Jeff Shroll, County Manager
GRANTEE NAME
By: ______________________
Name:____________________
Title:_____________________
Date:_____________________
Mailing Address:__________________________
__________________________
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Eagle CO 81631
7/29/2024
PO BOX 5913
Erin Ivie
Executive Director
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Eagle County Grant Final 5/14
EXHIBIT A
Grant Recipient Proposal
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Email *
erin.ivie@speakupreachout.org
Eligibility and Requirements
Eligibility:
To be considered for funding, organizations must provide information identifying the following:
Project applied for will directly impact residents of Eagle County, with the applicant’s service area
focused on the Eagle County and/or Roaring Fork Mid-Valley
Funding will go towards either existing programming/services or support creative efforts of new
projects
Provide culturally responsive services or programs within the mental health promotion/root cause
and/or recovery/after care space
Requirements:
Sign a standard Eagle County Contract, including a Scope of Work
Provide a post-grant narrative description of successes and experiences of the funded project, as
well as outcome of identied project goals
Mental Health Advisory Committee Mini-Grant
Program Application 2024
The Mental Health Advisory Committee (MHAC) of Eagle County is pleased to announce the 2024 Mental
Health Mini-Grant Opportunity. Five grants of $10,000 each will be awarded to existing programs or
creative projects that focus on mental health promotion/root cause and/or aftercare/recovery efforts in a
culturally responsive manner.
This sixth-month grant cycle will begin July 1, 2024 and ends December 31, 2024. Applications will be
accepted from May 1, 2024 through May 20, 2024. This funding is a one-time oppor tunity.
For more details and information on the MHAC, application, timeline, and grant process, please see the
grant information packet. Please reach out to Chelsea Carnoali at chelsea.carnoali@eaglecounty.us with
additional questions.
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Completion of the project within the contract period
Applicant Information
Erin Ivie
SpeakUp ReachOut
erin.ivie@speakupreachout.org
970-632-3858
www.speakupreachout.org
First & Last Name (person who is filling out application)*
Name of Organization *
Contact Email *
Contact Phone *
Organization's Website (if applicable)
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SpeakUp ReachOut was formed in 2009, charged by the Avon Town Council to address suicide in Eagle
County. Our partners include: Law Enforcement, Mental Health Clinicians, the School District, Non-Profit
Par tners, concerned community members, and those with lived experience. Between 2009-2013, SpeakUp
ReachOut worked under the umbrellas of Eagle River Youth Coalition and Samaritan Counseling Center. In
2014 we became an independent 501c3. Five years later, in 2018, we hired our first full time employee, and
shortly thereafter, in 2021, the team grew to five full time employees. Today, SpeakUp ReachOut uses a
public health framework known as the Colorado National Collaborative to reduce instances of suicide in our
community and help those affected by it address their pain. The Colorado Violent Death Reporting
System(COVRDS) reports the rate of suicide in Eagle County in 2022 was 30.75 (n-17). This is an increase
from 2020 rate 21.57, n-12 and 2021 14.34 rate n-8. In 2020-2022 the rate of suicide for those with hispanic
ethnicity was 11.94. The average rate for suicide in Eagle County over the past ten year was 18.22, n-109.
Project Funding Request
maximum character count: 3000 per question
Title: Suicide Prevention Service Expansion to Hispanics and Latinos in Eagle County.
Description: Reduce instances of suicide in Eagle County and help those affected by it address their pain.
Through educational programs, events, peer groups, and par tnerships, we will bring community members
together to learn and share their unique experiences. Specifically this project will move SpeakUp ReachOut
closer to our goal of program and resource parity by the end of 2027.
Goals:
Provide at least 2 Edutainment events in Spanish language to educate attendees on suicide prevention and
mental health promotion while providing an opportunity to engage in community connectedness. Spanish
Language Comedy Show, Dia de Los Muer tos.
Increase Spanish Language, culturally competent peer suppor t facilitators to three offering groups regularly
to our community.
Finalize digital resource parity in Spanish language including social media, newsletters, What’s App, and
blog postings.
Reduce suicide attempts and deaths in Eagle County for Hispanics and Latinos.
Increase a sense of belonging among all members.
Organization Background - Provide the organizations mission and vision:*
Proposed Use of Funding: Provide a project title, description, and any specific goals of the
proposed use of funds:
*
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Three additional listening sessions with community members that identify as Latino or Hispanic.
Responsive Community address to share the learnings and actions from the listening sessions.
Contract with culturally competent marketing and content creation teams to engage in social media,
marketing efforts and blog content creation.
Dia de Los Muertos Event Planning and Coordination: collaborate with My Future Pathways, MIRA, Walking
Mountains/EVOM and Mountain Youth to bring a one of a kind Dia de los Muertos celebration to Eagle
County.
Identify venue, vendors, enter tainment for event on Nov. 2, 2024.
Marketing for event
Evaluation of Program
Spanish Language Comedy Event: bring the community together for a night of laughs on Jul 19, 2024 with a
focus on mental health and connectedness.
Identify venue, vendors, enter tainment for event on Nov. 2, 2024.
Marketing for event
Evaluation of program
Implement bi-annual community survey to understand what people know about SpeakUp ReachOut and how
we can better serve the community. (English and Spanish)
Peer Support:
Train the Facilitators course, fall 2024
Group Development with peer leads, fall 2024
Launch 3 new groups in Spanish by Dec 31, 2024
Group marketing and engagement support
Mental Health Advisory Committee Alignment
maximum character count: 3000 per question
Activities and Actions: Describe the steps and actions that will be taken to implement the
project within the grant period:
*
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SpeakUp ReachOut is actively adapting its systems and programs to better support mental wellbeing
throughout the life of all Eagle County’s unique, diverse and intersecting populations in this project by
working towards our goal of program and resource parity for the Hispanic and Latino population. In the past,
SpeakUp ReachOut has also focused on adapting our programs to better serve the workplace, those with
lived experience and many of the most impacted demographics including LGBTQIA+, older adults and first
responders. We support the MHAC’s core purpose of creating a sense of belonging among all members in
our community through our approach to improve connectedness through peer suppor t and creating
opportunities for community at all of our events. We are working towards equitable access to culturally
appropriate services within SpeakUp ReachOut, which this grant award will help us do. And finally all of our
work is designed to increase healthy behaviors that lead to long-term, holistic, positive outcomes.
MHAC Vision: Describe how the proposed project aligns with the MHAC Vision Statement
(see Grant Information Packet for Vision Statement and detailed reference):
*
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SpeakUp ReachOut is working diligently to identify the social, cultural, and linguistic needs of clients we
serve by hosting listening sessions with the Hispanic and Latino community. At the listening sessions we
asked the following questions:
1) What is the biggest challenge facing Latino and Hipsanic behavioral health in Eagle County? (If we
already know that lack of Spanish speaking clinicians is a BIG issue, what is the next biggest challenge?)
Can we narrow it down to 3 priorities?
2) Is SpeakUp ReachOut the right organization to be addressing the following:
Suicide Awareness and Prevention Education and Events
Peer Support related to suicide attempt, suicide loss, supporting a loved one with suicide ideation
Loss suppor t after a suicide
3) What organizations should SpeakUp ReachOut collaborate with for upstream (proactive, prosocial)
behavioral health and boosting protective factors, while mitigating risk factors.
4) What do you think is the most effective way for SpeakUp ReachOut to reach the Hispanic and Latino
community? (Large group, small group, times of day, types of presentations and events)
5) What haven't we talked about that you think SpeakUp ReachOut needs to know.
The three priorities that were identified are:
Provide Awareness presentations to address stigma around mental health and share data
Provide Education around mental health and suicide is needed for all generations
Build and Implement Peer Suppor t Groups as an additional opportunity to seek help
With the goal that SpeakUp ReachOut will reach programming and resource parity for the Hispanic and
Latino population but the end of 2027 we are focusing 2024 on our digital resources (website, social media,
communications) and expanding our programs to include Spanish speaking peer suppor t groups and 2 (up
from 1) Spanish language first edutainment events.
All SpeakUp ReachOut events are open to anyone that wishes to par ticipate. We pride ourselves on creating
safe spaces where people can learn and share. In 2024 SpeakUp ReachOut has also identified these target
audiences: Young Adults 19-25 yo, Older Adults 55+ and the Workplace.
Culturally responsive care: Describe how the proposed project meets the diverse needs of
Eagle County community members with equity in access and cultural responsiveness (see
Grant Information Packet for definition and detailed reference):
*
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SpeakUp ReachOut has 5 full-time staff members including two bilingual (Spanish), one of which is
bicultural (Hispanic/Latino). All of our staff have lived experience with suicide that informs their work. We
have seven peer suppor t leads (contractors) that lead the Peer Suppor t Groups offered by SpeakUp
ReachOut. Each of these individuals has their own lived experience with suicide, mental health challenges
and/or substance use. One peer lead is Spanish speaking and bicultural. The board consists of one Latina,
one Latino, one Irishman, three Anglo females, and three Anglo males. Two members are under thirty, one
identifies as LGBTQ+, and all are hard-working, wage earners in the community.
Currently SpeakUp ReachOut offers the following services in Spanish language and a culturally competent
manner: peer suppor t, edutainment events (2), MHFA, YMHFA, QPR, Awareness presentations, 5th-12th
grade school training continuum, loss care packages, Gun Shop Project, and Coping Cards for Resilience.
Peer Support is a known recovery or after care method which uses those that have been through something
similar to support the person currently going through the struggle. Peer suppor t is used to help maintain
improvement, prevent relapse, and aid adjustment of an individual to the community after a mental health
crisis, suicide attempt or suicide death. The goal of our peer support groups in a culturally and linguistic
relevant matter, as proposed by this application, is to improve individuals health
and wellness, ability to live self-directed lives, and reach their full potential.
SpeakUp ReachOut uses Retrospective Fatality Analysis to review all suicide deaths in Eagle County. The
finding from this analysis allow us to suppor t governments, communities, and individuals to cope with and
address health challenges and specifically suicide attempt and death, by informing public policy, creating
suppor tive environments and strengthening community action as well as individual mental health promotion
skills. This is all considered when creating any project, program or initiative at SpeakUp ReachOut, including
this project.
Requirements
Please review participation requirements outlined below, checking boxes next to each identied
requirement as an indication of commitment. If you cannot, for any reason, check one of these
requirements below, please describe reasoning in the section below.
Inclusivity and equity : How does your staff and/or programming represent the population that
the project will serve in a culturally responsive manner:
*
Health promotion/root cause efforts AND/OR Recovery/after care: Describe how the proposed
project addresses either mental health promotion/root causes and/or recovery/after care (see
Grant Information Packet for definition and detailed reference):
*
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Sign a standard Eagle County Contract
Provide a post-grant narrative to the Mental Health Advisory Committee
Work collaboratively with Eagle County Public Health as needed throughout grant period
Complete project within outlined time period
I can do all but will only allow me to select 3
SpeakUp ReachOut looks forward to working the Eagle County to implement our public health approach to
suicide.
This form was created inside of Eagle County Government.
I Agree To:*
Reason unable to fulfill any requirements listed above:*
Additional comments or questions:
Forms
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GRANT AGREEMENT
BETWEEN EAGLE COUNTY GOVERNMENT
AND
SPEAKUP REACHOUT
EXHIBIT B
Scope of Work: Terms of Funding, Deliverables, and Deadlines
These provisions are to be read and interpreted in conjunction with the provisions of the
Grant Agreement specified above.
I. Entity Name: SpeakUp ReachOut
II. Project Description: This project serves to increase community engagement of the
Latinx/Spanish language community by providing no less than 2 ‘edu-tainment’ events in
Spanish, increase culturally competent peer support facilitators, and finalize Spanish-specific
resources materials and distribution.
III. Definitions:
Culturally Responsive Care: The ability of providers and organizations to effectively
deliver services that meet the social, cultural, and linguistic needs of patients .A culturally
competent system can help improve health outcomes and quality of care and can contribute
to the elimination of racial and ethnic health disparities.
Aftercare/Recovery: A program of outpatient treatment and support services provided for
individuals discharged from an institution, such as a hospital or mental health facility, to
help maintain improvement, prevent relapse, and aid adjustment of the individual to the
community. Recovery indicates the process of change through which individuals improve
their health and wellness, live self-directed lives, and strive to reach their full potential.
Health Promotion/Root Cause: The process of enabling people to increase control over,
and to improve, their health by expanding focus from individual behavior towards a wide
range of social and environmental interventions. This is done by supporting governments,
communities, and individuals to cope with and address health challenges via building
healthy public policies, creating supportive environments, and strengthening community
action and personal skills. Root cause is a term used to describe these social &
environmental factors that impact community and individual health.
ECPHE: Eagle County Public Health and Environment
MHAC: Mental Health Advisory Committee
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IV. Work Plan
Goal I: Grant Recipient will report progress/results of project/program specific to the
funded project which show transparency in use of funds, adherence to grant focus, and
project purpose.
Objective Ia: Grant Recipient will report final project budget, program(s) indicators, and
evaluation progress with MHAC at the closure of the grant funding cycle.
Deliverables Deadlines
1. Grant Recipient will provide MHAC with a final
budget with specificity and transparency in direct
correlation with funded project. The reporting
template/format is flexible to Grant Recipient’s
discretion, with budget template available if
desired.
End of grant cycle, January 2025.
2. Grant Recipient will provide MHAC with project-
specific updates using both narrative and indicator
progress. Reporting template/format is flexible to
Grant Recipient’s discretion.
End of grant cycle, January 2025.
Objective Ia: Grant Recipient will provide project-specific updates that indicate progress and
adherence to the project timeline and goals.
Deliverables Deadlines
1. Grant Recipient will provide descriptions of events
and activities (support groups, edutainment events,
etc) offered to the Spanish-speaking community,
including, but not limited to:
a. details of each event and activity (location,
attendance, purpose/content, language, etc)
b. evaluation of event efficacy (may reflect a
series or collective timeframe of activities)
End of grant cycle, January 2025.
2. Grant Recipient will provide descriptions of three
(3) Latinx listening sessions and responsive
community sessions, including, but not limited to:
a. details of each session (location, attendance,
outreach/marketing of session, incentives
offered, etc)
b. summary of findings (one fore listening
sessions, one for responsive community
sessions)
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Eagle County-Advancing Systems Change Pilot Grant Program
3. Grant Recipient will provide ECPHE updates
regarding the recruitment, retention, and training of
Spanish-speaking peer support specialists
End of grant cycle, January 2025.
4. Grant Recipient will provide the methodology and
results of the bi-annual community survey
described in the application, with details of both
Spanish and English survey development and
response
End of grant cycle, January 2025.
5. Grant Recipient will provide no less than six (6)
participant feedback narratives/stories: two with
support group participants, two with edutainment
participants, and two with peer support group
facilitators
End of grant cycle, January 2025.
Goal II: Grant Recipient will describe cultural responsiveness of the project/program.
Objective IIa: Grant Recipient will provide a description of how the population impacted by the
funded project was served in a culturally responsive manner.
Deliverables Deadlines
1. Grant Recipient will provide a description of how
the population impacted by the funded project was
served in a culturally responsive manner, including,
but not limited to:
a. staff training and/or lived experience
b. cultural knowledge and experience with
population served
c. authentic language accessibility
d. authentic assessment and response to
barriers in program/project access for
population served
End of grant cycle, January 2025.
Goal III: Grant Recipient will describe how the project/program addressed either health
promotion/root cause OR recovery/aftercare.
Objective IIIa: Grant Recipient will provide a description of how the project/program addressed
health promotion/root causes OR aftercare/recovery (dependent on how the project was
identified).
Deliverables Deadlines
1. Grant Recipient will provide a description of how
the project/program addressed health
End of grant cycle, January 2025.
Docusign Envelope ID: 3F53C8C1-FB5C-436E-903C-193A88D4A8A1
4
Eagle County-Advancing Systems Change Pilot Grant Program
promotion/root causes OR aftercare/recovery
(dependent on how the project was identified).
V. Monitoring:
The Mental Health Advisory Committee and/or the Eagle County Public Health and
Environment will monitor this Grant Agreement for compliance with performance
requirements throughout the Grant Period. Methods used may include progress meetings
with MHAC and/or ECPHE as needed/requested with required documentation provided by
the Grant Recipient at the end of the grant cycle.
VI. Resolution of Non-Compliance:
The Grant Recipient will be notified in writing within 15 calendar days of discovery of a
compliance issue. Within 30 calendar days of discovery, the Grant Recipient and Eagle
County Government will collaborate, when appropriate, to determine the action(s) necessary
to rectify the compliance issue and determine when the action(s) must be completed. The
action(s) and timeline for completion will be documented in writing and agreed to by both
parties.
Docusign Envelope ID: 3F53C8C1-FB5C-436E-903C-193A88D4A8A1
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
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NAME:
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E-MAIL
ADDRESS:
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AUTOMOBILE LIABILITY
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AND EMPLOYERS' LIABILITY
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AUTHORIZED REPRESENTATIVE
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PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER:$
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$(Ea accident)
ANY AUTO BODILY INJURY (Per person)$
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THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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).
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
5/13/2024
(970) 824-8185 (970) 824-8188
22543
Suicide Prevention Coalition of Eagle Valley dba Speak Up
Reach Out
PO Box 5913
Eagle, CO 81631
41190
A 1,000,000
X CP3218485 2/12/2024 2/12/2025 100,000
10,000
1,000,000
3,000,000
3,000,000
HIRED AND NONOW 1,000,000
B
4215398 3/1/2024 3/1/2025 1,000,000
1,000,000
1,000,000
A Directors & Officers CP3218485 2/12/2024
6/28/23 Suicide Prevention Training for Law Enforcement:
Certificate holder is named as additional insured with respect to general liability, if required by written contract.
Eagle County
PO BOX 850
Eagle, CO 81631
SUICPRE-01 TAYLORB
Mountain West In & Fin Serv LLC
100 E Victory Way
Craig, CO 81625
Secura Insurance Company
Pinnacol Assurance
2/12/2025
X
X
X
Docusign Envelope ID: 3F53C8C1-FB5C-436E-903C-193A88D4A8A1