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HomeMy WebLinkAboutC24-367 CDPHE_Core Services Plan 2025 Page 1 Core Plan Template (Last Revised 05/08/2024) CORE SERVICES PLAN FIRST YEAR OF A THREE-YEAR PLAN SFY 2024 - 2025 SFY 2025 - 2026 SFY 2026 - 2027 FOR Eagle COUNTY(IES): Please complete this plan template and budget pages. Upload a copy of this plan into Docusign to route for signatures. Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 2 REQUEST FOR STATE APPROVAL OF PLAN All signatures from the County Director(s), Boards of Commissions, and Placement Alternatives Commission are required. This Core Services Plan is hereby submitted for Eagle County for the period contract years June 1, 2024, through May 31, 2025, fiscal years July 1, 2024, through June 30, 2025. The Plan includes the following: ● Completed “Statement of Assurances”; ● Completed program description of each proposed "County Designed Service"; ● Completed "Information on Fees" form; ● Completed "Overhead Cost" form (Optional); ● Completed “State Board Summary”; ● Completed “100% Funding Summary” form; and ● Completed "Final Budget Page". This Core Services Program Plan has been developed in accordance with State Department of Human Services rules and is hereby submitted to the Colorado Department of Human Services, Division of Child Welfare for approval. If the enclosed proposed Core Services Program Plan is approved, the Plan will be administered in conformity with its provisions and the provisions of State Department rules. The person who will act as primary contact person for the Core Services Plan is, Melissa Barbour and can be reached at telephone number 970-471-5355, and e-mail at melissa.barbour@eaglecounty.us. If two or more counties propose this plan, the required signatures below are to be completed by each county, as appropriate. Please attach an additional signature page as needed. ______________________________________________________________________________ Signature, DIRECTOR, COUNTY DEPARTMENT OF HUMAN/SOCIAL SERVICES DATE ______________________________________________________________________________ Signature, CHAIR, PLACEMENT ALTERNATIVES COMMISSION DATE Please check here if your county does not have a Placement Alternative Commission: ☐ ______________________________________________________________________________ Signature, CHAIR, BOARD OF COUNTY COMMISSIONERS DATE Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD 8/27/2024 8/28/2024 8/27/2024 Page 3 Core II Plan What is a Core II Plan? Counties who demonstrate need in the prior fiscal year (e.g. over- spent Core Allocation) and wish to request funds in excess of the current allocation should complete a second part to the Core Services Plan that outlines only the desired additional/expanded services planned if there are additional funds available. ***There is no guarantee that funds will be available for Core II Plans. CDHS tracks the submission of Core II Plans and will notify the county if funds are available and all or a portion of their Core II Plan will be approved. Is your County submitting a Core II Plan? No Procedure to submit a Core Services Program Plan, Part II: 1. Copy the Core Plan template and indicate “Core Plan II” on the cover page. 2. Submit only Core Plan pages affected by additional funding requests. 3. Format for Core Part II of the plan needs to include: A. 80/20 budget page, B. 100% budget, and C. Final budget page. Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 4 COUNTY DESIGNED SERVICES NARRATIVE SECTION (OPTIONAL) County Designed Services are approved on an annual basis and are submitted as part of a county’s Core Services Plan. To be extended beyond one year, this portion of the plan must be submitted yearly and approved by the State Department. Given that County Designed programs are not standardized across counties, it is important to provide detailed information as outlined below. The information listed below is to be completed for each County Designed Service and included in the County(ies)’ Core Services Program Plan. Volume 7 - Core Services Program begin at 7.303 1. What is the name of the service or program? 7.303.1 Definitions 2. Describe the service and components; define the goals of the program 7.303.11 Program Goals 3. Which Core Goal will the County Designed Service meet (can be more than one)? ➢ Focus on the family strengths by directing intensive services that support and strengthen the family and/or protect the child ➢ Prevent out-of-home placement of the child ➢ Return children in placement to their own home ➢ Unite children with their permanent families ➢ Provide services that protect the child ➢ To “return children in placement to their own home or to unite children with their permanent families” is defined as return to the home of a parent, an adoptive placement, guardianship, supervised independent living placement, foster-adoption placement or to live with a relative/kin if the goal for the child in the Family Services Plan is to remain in the placement on a permanent basis. 4. Is this service innovative and/or otherwise unavailable in this county? 5. Who will provide the service? Is a new Trails service detail necessary or is the service detail already in Trails? 7.303.12 Access 6. Define the eligible population to be served. 7.303.13 Program Eligibility 7. Define the time frame of the service. 7.303.15 Service Time Frames 8. Define the workload standard for the program. 7.303.16 Workload Standards 9. Define the staff qualifications for the service (e.g., Social Caseworker I/III or equivalent in rule). 10. Which performance indicators will be achieved by the service? 7.303.17 Performance Indicators 11. What is the rate of payment (e.g., $100.00 per session/episode). 12. Can this service be funded by Medicaid or private insurance instead of Core? What is the process the county will follow to confirm the service cannot be covered by Medicaid, private insurance, or another entity prior to Core use? Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 5 Eagle County Designed Services: 1. Service Name: Family Engagement Meetings 2. Describe the service and components of the service; define the goals of the program 7.303.11 Program Goals a. Eagle County Department of Human Services (ECDHS) recognizes the importance of involving family members, their identified support systems, and professional partners also working with the family in decision making about children and youth who need protection or care. The Family Engagement program at ECDHS actively collaborates with family members and their formal and informal support systems to create and implement plans that support the safety, permanency and well-being of children and youth. b. Family engagement meetings utilize the Consultation and Information Sharing Framework. Risk and goal statements are used to help family members and their support systems understand the Department’s perspective. The conversation during family engagement meetings is focused on the three following areas: family strengths, danger/harm and complicating/risk areas, and next steps. Action plans are created from the next steps category. The meeting attendees plan around issues that are identified in order to keep children in the home whenever possible or return children to their home as soon as possible. 3. Which Core Goal will the County Designed Service meet (can be more than one)? a. Focus on the family strengths by directing intensive services that support and strengthen the family and/or protect the child b. Prevent out-of-home placement of the child c. Return children in placement to their own home d. Unite children with their permanent families e. Provide services that protect the child 4. Is this service innovative and/or otherwise unavailable in this county? a. Yes 5. Who will provide the service? Is a new Trails service detail necessary or is the service detail already in Trails? 7.303.12 Access a. ECDHS Employees will provide service. Service detail for this County Designed Program is already available in Trails. 6. Define the eligible population to be served. 7.303.13 Program Eligibility a. The eligible population includes children and youth between the ages of 0-18 years and their families who have open child welfare assessments or cases. 7. Define the time frame of the service. 7.303.15 Service Time Frames a. ECDHS requires Family Engagement Meetings take place: i. During child welfare assessments when families score “High” on the Colorado risk assessment (for both High Risk Assessments & Family Assessment Response) ii. During assessments when a safety concern has been identified and a safety plan implemented (for both High Risk Assessments & Family Assessment Response) Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 6 iii. At the time of child welfare case opening (within seven business days) iv. Every 3 months during a child welfare case when a child in the family is placed in out of home care. v. Every 6 months during a child welfare case when the family remains intact vi. At the time of child welfare case closure vii. Consideration of a child or youth in out of home placement to return home. 8. Define the workload standard for the program. 7.303.16 Workload Standards a. Number of cases per worker: Trained employees of Eagle County DHS and/or contracted service providers facilitate family engagement meetings. b. Number of workers for the program: There are no specific workers for the family engagement program, but currently ECDHS has four (4) trained employees to facilitate family engagement meetings and no contracted service providers. c. Worker to supervisor ratio: At ECDHS in the Division of Children, Family & Adult Services, the number of workers to supervisors is five to one. 9. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see 7.303.17 for guidelines. a. ECDHS employees and contracted service providers who facilitate family engagement meetings will have attended and successfully completed a family engagement meeting facilitation training. 10. Define the performance indicators that will be achieved by the service, see 7.303.18. a. The family engagement meeting programs prevents out of home placement for children and adolescents and secures permanency for those in out of home placement. Additionally, the family engagement meeting program is a 2Gen approach to service delivery and engagement for children and their parents identifying a plan for them to make progress together. 11. Define the rate of payment (e.g., $100.00 per session/episode). a. ECDHS employees: i. Caseworker(s)- 10% of FTE ii. Coordinator – 10% of FTE iii. Supervisor(s)- 10% of FTE iv. Manager- 5% of FTE v. Payroll worker- 5% of FTE vi. Contracted service providers- $75/hour 12. Can this service be funded by Medicaid or private insurance instead of Core? What is the process the county will follow to confirm the service cannot be covered by Medicaid, private insurance, or another entity prior to Core use? a. No- Not Medicaid eligible Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 7 1. Service Name: Trauma Informed, Non-Traditional Therapies 2. Describe the service and components of the service; define the goals of the program 7.303.11 Program Goals a. ECDHS uses specialized therapies to address grief, loss and trauma experienced by children and families in the child welfare system. These specialized therapies use an integrative healing therapeutic approach and may be very helpful when traditional talk therapy has not led to improved symptomatology. Trauma Informed Services may include: ● Music therapy ● Yoga therapy ● Play therapy ● Art therapy ● Dance therapy ● Equine Assisted therapy ● Talk therapy utilizing trauma informed evidence-based practices 3. Which Core Goal will the County Designed Service meet (can be more than one)? a. Focus on the family strengths by directing intensive services that support and strengthen the family and/or protect the child b. Prevent out-of-home placement of the child c. Return children in placement to their own home d. Unite children with their permanent families e. Provide services that protect the child 4. Is this service innovative and/or otherwise unavailable in this county? a. No 5. Who will provide the service? Is a new Trails service detail necessary or is the service detail already in Trails? 7.303.12 Access a. Contracted service providers will provide the service. Service detail for this County Designed Program is already available in Trails. 6. Define the eligible population to be served. 7.303.13 Program Eligibility a. The population for trauma informed practices, nontraditional therapies includes children, youth (ages 0-18) and their parents, legal guardians or caregivers who have an open child welfare case and who meet the CORE Services Eligibility Criteria. 7. Define the time frame of the service. 7.303.15 Service Time Frames a. Children, youth and families are eligible for this service twice a month or as recommended by the service provider. 8. Define the workload standard for the program. 7.303.16 Workload Standards a. N/A- This is a purchased service 9. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see 7.303.17 for guidelines. a. ECDHS employees do not provide this service. Contracted service providers will meet the Core Services requirements by having a bachelor’s degree or higher in the human services field, such as counseling or social work and they will have current licensure through DORA. Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 8 10. Define the performance indicators that will be achieved by the service, see 7.303.18. a. The performance indicators achieved by this service will often be determined in the treatment plan written and agreed upon by the contracted service provider, the family member and the ECDHS Caseworker. An example of a performance indicator is increased parent competency: parent will show the ability to provide care for their child(ren) as evidenced by providing proper discipline. 11. Define the rate of payment (e.g., $100.00 per session/episode). a. $140/hour in office or virtual services and $150/hour for in home/community/bilingual services. 12. Can this service be funded by Medicaid or private insurance instead of Core? What is the process the county will follow to confirm the service cannot be covered by Medicaid, private insurance, or another entity prior to Core use? a. Yes (Art Therapy and Equine Assisted Therapy) b. Due to our smaller/ rural county, there is often only 1 or 2 providers in the county who specialize in these services. ECDHS caseworkers/ supervisors/ manager will inquire with providers if they take Medicaid or Private Insurance prior to referring families for CORE services. Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 9 1. Service Name: Therapeutic Supervised Visitation 2. Describe the service and components of the service; define the goals of the program 7.303.11 Program Goals a. ECDHS recognizes the importance of supervised visitation to maintain and improve the parent/child relationship when a child is placed outside of the family home. Therapeutic supervised visitation is sometimes required when working towards family reunification. b. During therapeutic supervised visitation, a mental health professional supervises the visitation. The mental health professional creates a safe, therapeutic environment, works directly with parents to improve parenting skills and eliminate safety concerns during the visitation. The mental health professionals have the authority to end the parent/child visit if safety concerns arise. The mental health professionals supervising therapeutic visits submit monthly reports summarizing the service along with their invoices. 3. Which Core Goal will the County Designed Service meet (can be more than one)? a. Focus on the family strengths by directing intensive services that support and strengthen the family and/or protect the child b. Prevent out-of-home placement of the child c. Return children in placement to their own home d. Unite children with their permanent families e. Provide services that protect the child 4. Is this service innovative and/or otherwise unavailable in this county? a. Yes 5. Who will provide the service? Is a new Trails service detail necessary or is the service detail already in Trails? 7.303.12 Access a. Contracted service providers will provide this service. Service detail for this County Designed Program is already available in Trails. 6. Define the eligible population to be served. 7.303.13 Program Eligibility a. The eligible population includes children and youth between the ages of 0-18 and their families who have an open child welfare assessment or case. 7. Define the time frame of the service. 7.303.15 Service Time Frames a. This service would be provided when a child is in out of home placement and the family is working towards reunification but active safety concerns exist or a significant attachment issue is present which require an extra layer of therapeutic oversight during parent/child interactions. 8. Define the workload standard for the program. 7.303.16 Workload Standards a. N/A- This is a purchased service 9. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see 7.303.17 for guidelines. a. ECDHS contracts with licensed mental health professionals who would provide the therapeutic supervised visitation. 10. Define the performance indicators that will be achieved by the service, see 7.303.18. a. Therapeutic supervised visitation works to reduce the length of stay in out of home placement and supports the safety, permanency and well-being of children and youth. 11. Define the rate of payment (e.g., $100.00 per session/episode). Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 10 a. $140/hour in office or virtual services and $150/hour for in home/community/bilingual services. 12. Can this service be funded by Medicaid or private insurance instead of Core? What is the process the county will follow to confirm the service cannot be covered by Medicaid, private insurance, or another entity prior to Core use? a. No Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 11 1. Service Name: MST and MST-CM 2. Describe the service and components of the service; define the goals of the program 7.303.11 Program Goals a. MST is an evidence-based, intensive, in-home treatment for youth who are at risk for out of home placement. Treatment is designed to be short term, lasting 3-5 months with high frequency of sessions: 2-3 times per week. Families have access to an MST therapist 24 hours per day through a crisis phone. b. MST-CM is an evidence-based, intensive, in-home treatment for youth who are at risk for out of home placement and involved in delinquent behavior and substance use or substance abuse. Families receive 2 therapeutic visits per week and have access to the MST therapist 24 hours per day through a crisis phone. 3. Which Core Goal will the County Designed Service meet (can be more than one)? a. Focus on the family strengths by directing intensive services that support and strengthen the family and/or protect the child b. Prevent out-of-home placement of the child c. Return children in placement to their own home d. Unite children with their permanent families e. Provide services that protect the child 4. Is this service innovative and/or otherwise unavailable in this county? a. Yes 5. Who will provide the service? Is a new Trails service detail necessary or is the service detail already in Trails? 7.303.12 Access a. Contracted service providers will provide this service. Service detail for this County Designed Program is already available in Trails. 6. Define the eligible population to be served. 7.303.13 Program Eligibility a. Adolescents and their families are eligible for this service. 7. Define the time frame of the service. 7.303.15 Service Time Frames a. Treatment is designed to be short term, lasting 3-5 months with high frequency of sessions: 2-3 times per week. Families have access to an MST therapist 24 hours per day through a crisis phone. 8. Define the workload standard for the program. 7.303.16 Workload Standards a. N/A- This is a purchased service 9. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see 7.303.17 for guidelines. ● ECDHS contracts with community providers who implement the program in Eagle County. 10. Define the performance indicators that will be achieved by the service, see 7.303.18. a. Youth and their caregivers will report a higher level of functionality and trust between one another. 11. Define the rate of payment (e.g., $100.00 per session/episode). a. MST-$2354.00/ month b. MST-CM-$2654/ month c. $100/ month for bilingual services d. $500/ month for families outside of 35-mile catchment area Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 12 12. Can this service be funded by Medicaid or private insurance instead of Core? What is the process the county will follow to confirm the service cannot be covered by Medicaid, private insurance, or another entity prior to Core use? a. Yes b. Families who are not insured or under insured will be referred through CORE. Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 13 Using the chart below, identify what program area populations will be captured under your Core Services for each Service: SERVICE Included in (PA3) (Prevention) Included in (PA4) (Youth in Conflict) Included in (PA5) Included in (PA6) (Adoption at risk of disruption, FYIT) Home-Based Intervention Yes Yes Yes Yes Intensive Family Therapy Yes Yes Yes Yes Sexual Abuse Treatment Yes Yes Yes Yes Day Treatment Yes Yes Yes Yes Life Skills Yes Yes Yes Yes County-Designed Service Yes Yes Yes Yes SEA - (Special Economic Assistance) No Yes Yes Yes Aftercare Services Yes Yes Yes Yes Mental Health Services Yes Yes Yes Yes Substance Abuse Treatment Yes Yes Yes Yes Reminders: ● Definition of services that may be included in Core Services Programs - Volume 7.303.1 ● Definition of service elements that may be included in Core Services Programs (Collateral, Concrete, Crisis Intervention, Diagnostic and Treatment Planning, Hard, Therapeutic) Volume 7.303.14 ● Special Economic Assistance is limited to no more than $2,000 pe r family per year in the form of cash and/or vendor payment to purchase hard services. ● Any services or service elements that are eligible for coverage by Medicaid, private insurance, or another entity shall not b e paid for with Core dollars. Core may only be used when private insurance and/or other funding sources are exhausted, insufficient, or inappropriate (7.304.662) Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 14 County FTEs Funded With Core Core Services Program County(ies): Eagle How many total FTEs are funded using your county’s Core Services allocation? Life Skills caseworkers- 1 FTE Life Skills supervisor - 0.10 FTE FEM caseworkers -0.10 FTE FEM coordinator – 0.10 FTE FEM supervisor - 0.10 FTE FEM manager- 0.05 of FTE Payroll worker- 0.05 of FTE Using the list below, please subdivide your county's total number of FTEs according to what area of child welfare they spend the most time working in. Example: If you have an employee whose position is funded using Core and that employee spends 25% of their time working on primary prevention efforts, 25% of their time working on family engagement, and 50% of their time working on adoptions, then the assignment of that FTEs job duties toward the total number of FTEs for your county would be: Primary Prevention .25 FTE, Family Engagement .25 FTE, and Adoptions .5 FTE. Job Duties that Align with Core Goals Total Number of FTEs Life Skills 1.10 FTE County Design: Family Engagement Meetings .40 FTE Total number of FTEs funded through Core: 1.50 FTE Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 15 80/20 Funding Summary / Core Services Program County(ies): Eagle Service Name: Allocation Percentage (N/A if not applicable): Home-Based Intervention 5% Intensive Family Therapy 5% Sexual Abuse Treatment 15% Life Skills 15% County-Designed Service: MST/ MST-CM, Trauma-Informed Services, Therapeutic Supervised Family Time 25% PA3 25% Substance Abuse Treatment 10% Total 80/20 Allocation Percentage (Percentage needs to equal 100% of allotted 80/20 funding) 100% Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 16 100% Funding Summary / Core Services Program County(ies): Eagle Service Name: Allocation Percentage (N/A if not applicable): Intensive Family Therapy 5% Life Skills 35% PA3 10% County-Designed Service: Family Engagement Meetings 15% SEA - (Special Economic Assistance) 10% Mental Health Services (Regional - Garfield is fiscal agent) 15% Substance Abuse Treatment (Regional - Garfield is fiscal agent) 10% Total 100% Allocation Percentage (Percentage needs to equal 100% of allotted 100% funding) 100% Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 17 Final Budget Page / Core Services Program County(ies): Eagle CFMS Function Code (N/A if not applicable): Service Name: 80/20 Allocation Percentage 100% Allocation Percentage X240 1845 Home-Based Intervention 5% Intensive Family Therapy 5% 5% X240 1840 Sexual Abuse Treatment 15% PA 3 25% 10% X240 1820 Life Skills 15% 35% 1200 1800 County-Designed Service: Family Engagement Meetings MST/ MST-CM Trauma-Informed Services Therapeutic Supervised Family Time 25% 15% X240 1854 SEA - (Special Economic Assistance) 10% X240 1845 Mental Health Services (Garfield is Fiscal Agent) 15% Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 18 Substance Abuse Treatment 10% 10% Totals: 100% 100% *** CFMS Function Codes 17xx denotes 80/20 allocation and 18xx denotes 100% allocation funded Core Service Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 19 CORE SERVICES STATEMENT OF ASSURANCES Eagle County(ies) assures that, upon approval of the Core Services Program Plan the following will be adhered to in the implementation of the Program: Core Services Assurances: ● Operation will conform to the provisions of the Plan; ● Operation will conform to State rules; ● Core Services Program Services, provided or purchased, will be accessible to children and their families who meet the eligibility criteria set forth in Rule Manual Volume 7, at 7.303; ● Operation will not discriminate against any individual on the basis of race, sex, national origin, religion, age or mental/physical disability who applies for or receives services through the Core Services program; ● Services will recognize and support cultural and religious background and customs of children and their families; ● Out-of-state travel will not be paid for with Core Services funds; ● All forms used in the completion of the Core Services Plan will be State prescribed or State approved forms; ● Core FTE/Personal Services costs authorized for reimbursement by the State Department will be used only to provide the direct delivery of Core Services; ● The purchase of services will be in conformity with State purchase of service rules including contract form, content, and monitoring requirements; ● Core Services Program expenditures will not be reimbursed when the expenditures may be reimbursed by some other source. (Set forth in Rule Manual Volume 7, at 7.414,B); ● Information regarding services purchased or provided will be reported to the State Department for program, statistical, and financial purposes; ● All providers of Core Services (through the purchase of service contracts) must be registered with the Colorado Department of Regulatory Agencies (DORA). The provision of Life Skills is the only exception to this mandate; ● County staff are responsible for monitoring their Program provider payments and for ensuring the county and providers are following all statutory and regulatory requirements; ● All Core Services are made available, based on the need of each child/youth/family; and ● All contracts for services using Core Services Program funding will include all of the required language of the attached contract template. Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD Page 20 Resource List: 1. Volume 7 - Child Welfare Services (12 CCR 2509-4 ) effective 03/02/2023 ○ https://www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=10689&fileName= 12%20CCR%202509-4 2. Colorado Code of Colorado Regulations webpage (for future updates to this Volume 7 PDF) ○ https://www.sos.state.co.us/CCR/DisplayRule.do?action=ruleinfo&ruleId=2823&deptID= 9&agencyID=107&deptName=Department%20of%20Human%20Services&agencyName=Soci al%20Services%20Rules%20(Volume%207;%20Child%20Welfare,%20Child%20Care%20Faciliti es)&seriesNum=12%20CCR%202509-4 3. Volume 7 for Core Services Effective 20230302 - 12 CCR 2509-4 ○ https://docs.google.com/document/d/12fHsbgqj3Aw- 8NXJf_jcn42UjXeDvOwJ/edit?usp=sharing&ouid=101377615796361637579&rtpof=true&sd =true Docusign Envelope ID: 628CD931-3282-4987-8B53-751B0B8BCFDD