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Home My WebLink AboutC24-333 My Future Pathways_MHAC GRANT AGREEMENT BETWEEN EAGLE COUNTY, COLORADO AND My Future Pathways THIS GRANT AGREEMENT (“Agreement”) is effective as of July 1, 2024 by and between Eagle County Public Health and Environment and My Future Pathways (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 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 2 Eagle County Grant Final 5/14 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 My Future Pathways programming and services including the audio and visual campaign for youth and family outreach, 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. Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 3 Eagle County Grant Final 5/14 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. Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 4 Eagle County Grant Final 5/14 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. Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 5 Eagle County Grant Final 5/14 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:__________________________ __________________________ Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 Nick Hathaway 985 Albion St #717 8/8/2024 Community Advisor Denver, CO 80220 6 Eagle County Grant Final 5/14 EXHIBIT A Grant Recipient Proposal Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 Email * bratzo@myfuturepathways.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. 5/21/24, 11:20 AM Mental Health Advisory Committee Mini-Grant Program Application 2024 https://docs.google.com/forms/d/1kPIipbXyL5oRTWwYcGA4SaT87F8hISXIao1LqN8n4qg/edit#response=ACYDBNgjjg4PNyHTDqxWbM5aL1Esf1WK…1/7 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 Completion of the project within the contract period Applicant Information Bratzo Horruitiner My Future Pathways bratzo@myfuturepathways.org 9703063123 www.myfuturepathways.org First & Last Name (person who is filling out application)* Name of Organization * Contact Email * Contact Phone * Organization's Website (if applicable) 5/21/24, 11:20 AM Mental Health Advisory Committee Mini-Grant Program Application 2024 https://docs.google.com/forms/d/1kPIipbXyL5oRTWwYcGA4SaT87F8hISXIao1LqN8n4qg/edit#response=ACYDBNgjjg4PNyHTDqxWbM5aL1Esf1WK…2/7 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 My Future Pathway’s mission is to provide a helping hand to enhance and enrich the lives of first-generation Eagle County youth and families, leading to positive pathways, with the ultimate goals of college graduation, employability and leadership. MFP’s three pillar approach includes social emotional suppor t through mentoring, peer and two gen approach; academic suppor t through tutoring and scholarships; and physical health and wellness through sports classes and recreational activities. We serve and support the most at risk youth in the valley and their families in a holistic way to help them achieve their full potential. Project Funding Request maximum character count: 3000 per question We recognize the impor tance of engaging Latino families and providing them with the necessary suppor t and resources to thrive. By expanding our reach through targeted communication channels and physical spaces, we hope to foster a stronger sense of community, promote healthy lifestyles, and empower families to access the oppor tunities available to them. Your support will play a crucial role in helping us achieve our mission of creating a suppor tive and inclusive environment for Latino families to grow and prosper. Together, we can make a positive impact on the lives of many and build a brighter future for our community. 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: * 5/21/24, 11:20 AM Mental Health Advisory Committee Mini-Grant Program Application 2024 https://docs.google.com/forms/d/1kPIipbXyL5oRTWwYcGA4SaT87F8hISXIao1LqN8n4qg/edit#response=ACYDBNgjjg4PNyHTDqxWbM5aL1Esf1WK…3/7 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 To effectively implement the proposed audiovisual campaign using MFPTV to promote dialogue and learning series on various important topics, including violence, substances, post-secondary oppor tunities, safe spaces, the impor tance of social-emotional education, parenting discussions, and featuring professional guest speakers, here are some suggested actions and activities: 1. Content Development: - Develop a detailed content plan outlining the series of topics to be covered in the campaign. - Identify key messages and learning objectives for each episode to ensure they resonate with the target audience. 2. Guest Speaker Selection: - Identify and invite exper t guest speakers who can provide valuable insights and information on the topics being discussed. - Ensure diversity in guest speakers to provide a well-rounded perspective on the issues at hand. 3. Production: - Allocate resources for the production of high-quality audiovisual content that is engaging and informative. - Work with a professional production team to ensure the technical quality of the videos. 4. Promotion and Distribution: - Develop a marketing and distribution plan to reach the target audience effectively. - Utilize social media, email newsletters, community outreach, and other channels to promote the campaign and drive viewership. 5. Engagement and Interaction: - Encourage audience engagement through interactive elements such as Q&A sessions, polls, and discussions. - Provide resources and follow-up materials for viewers to delve deeper into the topics discussed. 6. Evaluation: - Implement mechanisms to collect feedback and evaluate the effectiveness of the campaign. - Use analytics to measure viewership, engagement, and impact on the target audience. 7. Collaboration: - Explore par tnerships with other organizations, schools, or community groups to amplify the reach of the campaign. - Collaborate with local exper ts and influencers to enhance credibility and engagement. By following these actions and activities, we can create a compelling and impactful audiovisual campaign on MFPTV that promotes dialogue, learning, and positive change within the community. Activities and Actions: Describe the steps and actions that will be taken to implement the project within the grant period: * 5/21/24, 11:20 AM Mental Health Advisory Committee Mini-Grant Program Application 2024 https://docs.google.com/forms/d/1kPIipbXyL5oRTWwYcGA4SaT87F8hISXIao1LqN8n4qg/edit#response=ACYDBNgjjg4PNyHTDqxWbM5aL1Esf1WK…4/7 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 Mental Health Advisory Committee Alignment maximum character count: 3000 per question We feel that the proposal is well-aligned with the mission of adapting local systems to better suppor t mental well-being throughout the life of all in Eagle County's unique, diverse, and intersecting populations. By addressing key mental health issues, providing lifelong suppor t, engaging diverse communities, promoting awareness and education, and fostering community engagement, the campaign contributes to advancing the mission of promoting mental well-being for all individuals in the region. The campaign's emphasis on reaching Latino families and creating culturally relevant content ensures that the information and resources provided are sensitive to the cultural backgrounds and needs of the target audience. - By featuring diverse perspectives and engaging with culturally competent guest speakers, the campaign can promote inclusivity and respect for cultural differences. Our effor ts are delivered and created by bi-cultural , bilingual members of the community with not only an option to be delivered in both English and Spanish, but with an open mic/ feedback policy to create real discussion and receive feedback base on trust and safety. MHAC Vision: Describe how the proposed project aligns with the MHAC Vision Statement (see Grant Information Packet for Vision Statement and detailed reference): * 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): * Inclusivity and equity : How does your staff and/or programming represent the population that the project will serve in a culturally responsive manner: * 5/21/24, 11:20 AM Mental Health Advisory Committee Mini-Grant Program Application 2024 https://docs.google.com/forms/d/1kPIipbXyL5oRTWwYcGA4SaT87F8hISXIao1LqN8n4qg/edit#response=ACYDBNgjjg4PNyHTDqxWbM5aL1Esf1WK…5/7 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 The campaign's focus on promoting healthy behaviors, safe spaces, and post-secondary oppor tunities aligns with health promotion effor ts. - By addressing root causes of issues such as violence and substance abuse, the campaign can contribute to preventing these problems at their source and promoting overall community well-being. 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. 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 We will like to see this program continuing for a longer period of time. This form was created inside of Eagle County Government. 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): * I Agree To:* Reason unable to fulfill any requirements listed above:* Additional comments or questions: 5/21/24, 11:20 AM Mental Health Advisory Committee Mini-Grant Program Application 2024 https://docs.google.com/forms/d/1kPIipbXyL5oRTWwYcGA4SaT87F8hISXIao1LqN8n4qg/edit#response=ACYDBNgjjg4PNyHTDqxWbM5aL1Esf1WK…6/7 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 Forms 5/21/24, 11:20 AM Mental Health Advisory Committee Mini-Grant Program Application 2024 https://docs.google.com/forms/d/1kPIipbXyL5oRTWwYcGA4SaT87F8hISXIao1LqN8n4qg/edit#response=ACYDBNgjjg4PNyHTDqxWbM5aL1Esf1WK…7/7 Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN EAGLE COUNTY GOVERNMENT AND MY FUTURE PATHWAYS 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: My Future Pathways II. Project Description: This project serves to promote dialogue and education on subjects ranging from youth violence to social-emotional education via an audio-visual campaign led by My Future Pathways youth, with a focus on engaging Latino families. 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 MFP: My Future Pathways Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 2 Eagle County-Advancing Systems Change Pilot Grant Program 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 ECPHE descriptions of each action of the project, including: a. content development i. (content plan outline, key messages and learning objectives for episodes, etc) b. guest speaker selection i. (process for recruitment, name and expertise, etc) c. production i. (method of delivery- audio/visual/print, etc) d. promotion and distribution i. (distribution plan, outreach channels, etc) e. engagement and interaction i. (audience participation by way of ‘clicks’ or other forms of End of grant cycle, January 2025. Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 3 Eagle County-Advancing Systems Change Pilot Grant Program engagement, utilizations of resources, etc) f. evaluation i. (feedback mechanisms, analytics re: viewership, engagement, and impact) g. collaboration i. (local partners collaborated with) 2. Grant Recipient will provide ECPHE updates regarding what professional development opportunities were utilized with the intention of furthering Hispanic/Latinx community member outreach, including which staff, how many staff members, and training description (facilitator, content, etc) End of grant cycle, January 2025. 3. Grant Recipient will provide no less than six (6) participant feedback narratives/stories, ideally two with youth-led participants, two with youth who outside of the planning and implementation, and two with caregivers of the target audience who have successfully engaged with the content 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. Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 4 Eagle County-Advancing Systems Change Pilot Grant Program 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 promotion/root causes OR aftercare/recovery (dependent on how the project was identified). End of grant cycle, January 2025. 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: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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 6/6/2024 (970) 926-4900 25895 My Future Pathways PO BOX 2596 Edwards, CO 81632-2581 10194 A 1,000,000 NPP1598186C 8/25/2023 8/25/2024 100,000 5,000 1,000,000 2,000,000 Included 1,000,000B 950560662 7/13/2023 7/13/2024 Eagle County Gov. 500 Broadway Eagle, CO 81631 MYFUTUR-01 BKELLY Wall Street Insurance 216 Main Street Suite 215 Edwards, CO 81632 info@wallstreetinsurance.com United States Liability Ins Co Artisan & Truckers Casualty Co X X X X Docusign Envelope ID: FB65B0C7-3DBF-4AAE-B821-3C2ED8A1F089