HomeMy WebLinkAboutC24-370 Nurse-Family Partnership_implementation agreementCO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 1 of 30
Nurse-Family Partnership Implementation Agreement
Eagle County
This Agreement (“Agreement”), for the period July 1st, 2024 (the “Effective Date”) through June
30th, 2027, is by and between Eagle County Public Health and Environment (“Network
Partner”) and Nurse-Family Partnership, a Colorado nonprofit corporation ("NFP"), sometimes
hereafter referred to as “Party” individually or “Parties” collectively.
RECITALS:
Whereas the Nurse-Family Partnership®Program (the "Program") is an evidence-based
program developed on the basis of randomized controlled trial research to yield certain benefits
for low-income, first-time mothers and their children (“Program Benefits”).
Whereas the Program Benefits can be described generally as helping low-income, first-time
mothers develop behaviors that enable them to have healthier pregnancies, be better parents,
have emotionally and physically healthier children, and attain greater economic self-sufficiency.
Whereas the Program implementation by Network Partner must be based upon key parameters
(“Model Elements”) identified through research and refined based upon the Program’s
experience since 1997 and attached and incorporated herein to this Agreement as Exhibit A,
Nurse-Family Partnership Model Elements.
Whereas Network Partner desires and intends to implement the Program to serve low-income,
first-time mothers in Network Partner’s geographic area and to represent itself to the public and
be known to the public as being affiliated with the Nurse-Family Partnership Program.
Whereas NFP desires and intends to operate in the best interests of mothers and children and
to guide and support the Program implementation process in a manner that will help the
Network Partner obtain Program Benefits for the mothers and children that Network Partner
serves.
Accordingly, the Parties wish to enter into this Agreement to memorialize the mechanisms and
means by which Network Partner shall implement the Program and NFP shall support such
implementation. The Parties intend to remain in a contractual relationship for the period
described in Section V herein and thereafter, so long as funding is available to both Parties for
this purpose.
AGREEMENT
In consideration of the foregoing recitals, which are incorporated herein, and for other good and
valuable consideration, the receipt and adequacy of which are hereby acknowledged, the
Parties agree as follows:
I. DEFINITIONS.
A. Agreement-Specific Definitions. In addition to terms defined above and elsewhere in this
Agreement, the following terms shall have the meanings set forth below:
1. “NFP Data Collection System” or “NFP DCS” means the software system that NFP
makes available to Network Partner, into which designated, NFP-approved Network
Partner personnel enter data collected about Clients and the Program, and from
which the Parties can obtain reports to help manage and evaluate program
implementation and results.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 2 of 30
2. “Administrator” means a person with fiscal and quality oversight, operational
coordination responsibilities, and/or evaluation responsibility for the Program’s
management.
3. “Client” means a low-income, first-time mother who is enrolled in the Program
implemented by Network Partner.
4. “Effective Date” means the date first noted above and upon which this Agreement
becomes effective.
5. “Fidelity to the Model” means implementing the Program in a manner consistent with
the Model Elements and therefore maximizing the likelihood of achieving results
comparable to those measured in Research.
6. “Electronic Visit-to-Visit Guidelines” or “E-Guidelines” means NFP’s written guidance
for how a Nurse Home Visitor schedules and conducts visits with Clients during the
Clients’ participation in the Program.
7. “Location” means the work address of a Program Supervisor.
8. “Nurse Home Visitor” or “NHV” means a registered professional nurse employed by
Network Partner who spends at least 20 (twenty) hours per week, or 0.5FTE,
whichever is greater, delivering the Program to Clients.
9. “Network Partner’s Data” means any data collected by Network Partner about Clients
and the Program in the course of administering the Program.
10. “Program Supervisor” means a registered professional nurse who supervises up to
eight Nurse Home Visitors who implement the Program on behalf of Network
Partner. A Program Supervisor is also known and referred to as a “Nurse
Supervisor.”
11. “Research” means any activity, including program evaluation and/or quality
improvement activities, (i) that would, according to Federal regulations, require
review by an Institutional Review Board (“IRB”), or (ii) that could be expected to yield
generalizable knowledge that could be shared publicly with the professional,
academic, and/or lay communities.
12. “Team” means a half- to full-time Program Supervisor and up to eight (8) Nurse
Home Visitors who report to the Program Supervisor. A half-time supervisor can
supervise up to four (4) Nurse Home Visitors.
13. “Network Partner” or “NP” means a means a private, state, or local organization
responsible for delivering the NFP Program within a specific geographical area.
14. “NFP Community Website” means the website hosted by the national office of NFP
at which Network Partner personnel may access resources related to the Program.
15. “Manager, Nursing Practice” means a registered nurse provided by NFP, who has
been trained by NFP and is qualified to consult with Network Partner on matters
related to the Program.
B. “Proprietary Property” means all of (i) the Program, including facilitators and handouts,
(ii) the Model Elements, (iii) the name “Nurse-Family Partnership” and the acronym
“NFP” when used in connection with the NFP Logo and the goodwill associated
therewith, (iv) all NFP Community Website and NFP DCS website content, and (v) the
copyrighted materials and other materials used in the Program as of the date hereof that
would be designated as protectable intellectual property under applicable law, including,
but not limited to, all modifications, additions, updates, and derivative works thereof and
all of the rights of NFP and its licensors associated with this property. Proprietary
Property shall also include, individually and collectively, all ideas, concepts, designs,
methods, inventions, modifications, improvements, new uses, and discoveries which are
conceived and/or made in the performance of the responsibilities stated under this
Agreement by one or more of Network Partner, NFP, or its licensors, whether they are
incorporated into the Program or the Proprietary Property. NFP and its licensors reserve
the right to modify the Proprietary Property from time to time in accordance with
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 3 of 30
collected data, Research, and current modalities of delivery of the Program and for any
other reason NFP or its licensors, in their sole and absolute discretion, deem
appropriate. NFP will provide Network Partner with reasonable notice of those
modifications. NFP and its licensors shall retain ownership and all rights to all
Proprietary Property, whether modified or not by Network Partner.
C. General Application. Unless a clear contrary intention appears, words used with initial-
capitalized letters shall have the meanings set forth in this Agreement, and (i) the
singular includes the plural and vice versa, (ii) reference to any document means such
document as amended from time to time, (iii) "include” or “including” means including
without limiting the generality of any description preceding such term, and (iv) the term
“or” is not exclusive.
II.NFP OBLIGATIONS; RIGHTS.
A. NFP grants to Network Partner a non-exclusive limited right and license to use the
Proprietary Property for carrying out Network Partner’s obligations under this Agreement
in the geographic area within which Network Partner’s Nurse Home Visitors serve
Clients. Network Partner shall not use the Proprietary Property in connection with any
social impact bond or pay-for-success contract, including responses to solicitations for
such agreements, without NFP’s prior written consent. NFP reserves the right to modify
the Proprietary Property from time to time in accordance with the collected data,
Research, and current modalities of Program delivery. NFP will provide Network Partner
with reasonable notice of Program modifications. NFP shall retain ownership and all
rights to any Proprietary Property, whether modified or not by Network Partner. In any
event, all software and NFP DCS content, excluding Network Partner’s data, shall
remain the sole property of NFP.
B. NFP will provide the support described in Exhibit B, Nurse-Family Partnership
Support, attached and incorporated herein, to help Network Partner implement the
Program.
C. NFP reserves the right to communicate directly with Network Partner’s funders to report
on Network Partner’s progress, learn more about funding decisions, and be informed of
actions that may affect Network Partner’s Clients.
D. NFP shall submit invoices to Network Partner for services provided to Network Partner,
listing a date of provision, a description of each such service, and amounts based upon
the fee schedule provided in Exhibit C, Fees for Nurse-Family Partnership Services,
attached and incorporated herein.
E. NFP may, from time to time, request that Network Partner collect additional data and/or
participate in Research initiated by NFP and intended to improve the NFP model or
implementation of the model. The decision to participate in such Research is, however,
entirely up to Network Partner.
F. NFP, independently or jointly with Network Partner, may publish or present NFP-related
information or Program results in Research reports, books, book chapters, peer-
reviewed journal articles, and at academic or professional conferences, always giving
due credit to the Parties involved and recognizing the rights of the individuals doing the
work. NFP will not identify Network Partner in these materials without Network Partner’s
prior written authorization.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 4 of 30
G. NFP shall provide data and reporting services on behalf of Network Partner to Invest in
Kids (“IIK”), a Colorado nonprofit corporation, in a manner that would not violate HIPAA if
done by Network Partner.
H.Exhibit D, HIPAA Business Associate Agreement (the “BAA”) is hereby attached and
incorporated into this Agreement.
III. NETWORK PARTNER OBLIGATIONS.
A. Network Partner will make best efforts to implement the Program with Fidelity to the
Model and will undertake the steps described in Exhibit E, Network Partner
Responsibilities, attached and incorporated herein, to do so.
B. Network Partner shall notify NFP within three (3) business days of learning of funding
decisions that may materially affect Network Partner’s delivery of the Program and/or
impact Clients’ ability to complete the Program.
C. Network Partner will take all appropriate steps to maintain Client confidentiality and
obtain any necessary written Client consents for data analysis or disclosure of protected
health information, in accordance with applicable federal and state laws, including, but
not limited to, authorizations, data use agreements, business associate agreements, as
necessary.
D. Network Partner assumes responsibility for knowledge of and compliance with the State
Nurse Practice Act of its state, state laws, regulations, and licensing requirements
pertaining to nursing practice and state laws and regulations pertaining to mandatory
reporting and to maintenance of patient records.
E. Network Partner’s Nurse Home Visitors, Program Supervisors, and Administrators shall
complete all required NFP Education. Nurse Home Visitors and Program Supervisors
who leave the Program for two (2) years or longer and then return must attend NFP
Education before visiting Clients and resuming Program delivery. Network Partner shall
ensure that Nurse Home Visitors are able to provide care to Clients in a manner
consistent with the NFP E-Guidelines.
F. When requested by NFP, Network Partner will make reasonable efforts to collect
additional data and/or participate in Research intended to improve the NFP model or
implementation of the model. The decision as to whether to participate in such Research
is, however, entirely up to Network Partner.
G. To avoid becoming involved in Research that conflicts with implementing the Program
with Fidelity to the Model, Network Partner shall request NFP’s permission prior to
participating in any Research that is (1) initiated by a party other than NFP and (2) that
involves Program staff or explicitly targets the families that are enrolled in the Program.
NFP shall review and approve or disapprove Network Partner’s request for participation
in such Research on a timely basis and shall not unreasonably withhold such approval.
H. Network Partner will inform NFP of Network Partner proposals to publish or present
NFP-related information in research reports, books, book chapters, peer-reviewed
journal articles, and at academic or professional conferences. Results of the Program
herein outlined may be published by Network Partner, or jointly by Network Partner and
NFP, always giving due credit to the Parties involved and recognizing the rights of the
individuals doing the work.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 5 of 30
I. Network Partner is authorized to reproduce certain published materials specified below
and used in the implementation of the Program so long as (1) this Agreement is in effect,
(2) Network Partner uses the reproductions solely for Program implementation, and (3)
Network Partner does not sell or otherwise distribute the reproductions to any third party
not involved in Network Partner’s implementation of the Program.
1. The published materials covered by this authorization are delivered to Nurse Home
Visitors as part of the NFP education materials in sets referred to as the E-
Guidelines. These are available electronically/digitally in the online e-Guidelines
system.
2. The published materials bear notices indicating copyright by any of the following:
a) University of Colorado
b) University of Colorado Health Sciences Center
c) University of Colorado at Denver and Health Sciences Center
d) Nurse-Family Partnership
3. NFP has the right to grant permission to reproduce materials specified above and
that bear the University of Colorado copyright notice under the terms of a
Memorandum of Understanding (“MOU”) dated March 31, 2003, between the
University of Colorado Health Sciences Center, now known as University of Colorado
at Denver and Health Sciences Center, and NFP. The MOU gives NFP an exclusive,
perpetual, royalty-free right and license to use copyrighted materials and other
materials used in the Program for the purpose of implementing the Program to serve
low-income, first-time mothers and their families.
4. The corresponding Spanish-language versions of these materials are also covered
by this authorization.
5. Network Partner may not authorize any other entity to reproduce the materials
without prior written permission from NFP.
J. NFP represents to Network Partner and Network Partner understands and agrees that
all Proprietary Property and all associated intellectual property rights are owned
exclusively by NFP and its licensors. Network Partner shall use the Proprietary Property
solely for carrying out Network Partner’s obligations under this Agreement and shall not
share the Proprietary Property with third parties or modify any Proprietary Property
without the prior express written permission of NFP. Network Partner may not duplicate,
distribute, or provide access to the Proprietary Property to any individual or organization,
except as authorized by this Agreement. Network Partner may allow only trained, NFP-
authorized users to access the NFP DCS. Network Partner shall retrieve all Proprietary
Property from departing employees. Duties of confidentiality and use of the Proprietary
Property under this Agreement shall not expire.
K. Maintenance, Protection and Promotion of the Nurse-Family Partnership
®
Program. Network Partner agrees to use all reasonable means to protect, encourage
and promote the Nurse-Family Partnership name and Program. NFP and Network
Partner have a mutual responsibility to support and promote each other, as each of the
Party’s activities reflect on the national image of Nurse-Family Partnership and on the
image of Nurse-Family Partnership in the state in which the Network Partner is located.
Network Partner shall take all reasonable actions necessary to incorporate the Nurse-
Family Partnership Marks and name into any Network Partner material associated with
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 6 of 30
the Program. In all marketing materials related to the Program, Network Partner shall
take all reasonable actions to use the Nurse-Family Partnership name and make its
Program readily recognizable to the public as an integral part of the Nurse-Family
Partnership.
IV.FEES AND PAYMENT.
A. Fees associated with NFP services in support of a Network Partner are as follows:
1. Education Services. NFP provides Nurse-Family Partnership education for Nurse
Home Visitors, Program Supervisors, and Network Partner Administrators. This fee
applies once for each individual Nurse Home Visitor, Program Supervisor, and
Administrator working for the Network Partner. Fees will be invoiced to Network
Partner when participants attend the in-person or remote education sessions. The
Education Fees are calculated based on the calendar year.
a) Nurse Home Visitor Education Fees. Required education for Nurse Home
Visitors (“NHV”) consists of one instructor-led education unit supported by
distance education components. All Program Supervisors who have never taken
NHV education or who completed it more than two years prior to being promoted
to Program Supervisor are required to attend NHV education as well as Program
Supervisor education.
b) Program Supervisor Education Fees. For Program Supervisors, required
education consists of Nurse Home Visitor education plus two instructor-led
education units supported by distance education components and nurse
consultation.
c) Network Partner Administrator Orientation. Administrator orientation is a two-day
instructor-led education session held remotely or in Denver. Administrator
orientation is required for new Administrators within six (6) months of being hired.
An additional instructor-led Administrator education session is also offered.
d) Nurse-Family Partnership Education Materials Fee. Contributes toward the cost
of the following materials:
(1) Nurse-Family Partnership Orientation and Education Materials.
(2) Set of Prenatal, Infancy and Toddler Guidelines (the Electronic Visit to Visit
Guidelines or E-Guidelines).
(3) A series of additional nursing practice and program management resources
tied to implementation of the Program.
2. NFP Network Partner Annual Program Support. This is an annual fee, which is due
on the Effective Date and each contract anniversary date thereof and is based on the
number of funded Nurse Home Visitors per Team. (This fee replaces what were once
two separate fees, now combined, that were named: “Annual Program Support Fee”
and “Nurse Consultation Fee.”) The number of Nurse Home Visitors per team is the
number of funded nurse home visitor positions which will directly serve clients
(whether a position is filled or currently vacant is irrelevant when determining team
size). The fees are consistent per team regardless of the number of teams at any
location.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 7 of 30
This annual fee is billed per each active Team per year and contributes to covering
costs associated with the following:
a) NFP DCS. Services related to third party data collection systems are not
covered by this Agreement. Fees for supporting Network Partner’s use of
third-party data collection systems will be in addition to the Annual Program
Support Fee.
b) Program Quality System and Reporting.
c) Ongoing Nurse-Family Partnership Nurse Home Visitor, Program Supervisor,
and Administrator education; resource library; conference calls; web forums;
Nurse-Family Partnership community resources; and updating NFP E-
Guidelines, educational materials, and supporting materials.
d) Marketing and Communications consultation and support, including
marketing and community outreach materials (brochures, posters, etc.).
e) Policy and Government Affairs, including advocacy and educational work at
federal and state levels.
f) Nursing Practice Manager. Contributes to costs associated with a NFP
Nursing Practice Manager providing the following support to Program
Supervisors:
(1) Helping each Program Supervisor develop an annual plan for
implementation.
(2) Monitoring reports based on each Program Supervisor and her/his team’s
activity and performance.
(3) Ongoing email support for each Program Supervisor and periodic regular
calls with each Program Supervisor.
(4) Periodic visits to each Program Supervisor with potential travel with each
Program Supervisor and/or selected nurse home visitors.
(5) Model implementation coaching and consultation with each Program
Supervisor.
3. Program Supervisor Replacement Fee. A one-time fixed fee is charged for extra
support when a replacement Program Supervisor is hired by an existing Team, and a
vacant position is thereby filled.
4. Team Addition (same location) Fee. A one-time fixed fee is charged for extra support
when a Team is added at the same location.
5. Regional Expansion (new location) Fee. A one-time fixed fee is charged for extra
support when the Network Partner adds a new Team at a new geographical location.
B. Fee prices are subject to change in accordance with Section IV D. below.
C. All fees are based upon NFP’s standard terms of invoicing and payment, as follows:
1. Education Fees are invoiced when individuals attend in-person education sessions.
No special reporting or documentation is provided with the invoice(s), except as
required by Section III.C.
2. NFP Program Partner Program Support Fee is invoiced on the Effective Date and
each anniversary thereof to cover each ensuing year and are due in 30 days. No
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 8 of 30
special reporting or documentation is provided with the invoice(s), except as required
by Section III.C.
3. Program Supervisor Replacement Fee is invoiced when the new Program Supervisor
is hired. No special reporting or documentation is provided with the invoice(s), except
as required by Section III.C.
4. Team Addition Fee (same location) is invoiced on the approved Start Date of the
new Team. No special reporting or documentation is provided with the invoice(s),
except as required by Section III.C.
5. Regional Expansion Fee (new location) is invoiced on the approved Start Date of the
new Team. No special reporting or documentation is provided with the invoice(s),
except as required by Section III.C.
D. NFP shall invoice Network Partner for services provided to Network Partner based upon
the fee schedule set forth in Exhibit C, Fees for Nurse-Family Partnership Services.
The attached fee schedule sets out prices for the next three years of services. Pricing for
subsequent years will be provided to Network Partner upon availability. NFP reserves
the right to change the fees set forth in Exhibit C during the term of this Agreement but
not more often than annually. NFP will notify Network Partner at least one year prior to
any such change becoming effective.
E. Invoices will be sent to:
Network Partner: Eagle County Public Health and Environment
Attention: Shannon Wagner
Address: PO Box 660, Eagle, Colorado 81631
Telephone: 970-328-8855
Email: phinvoices@eaglecounty.us shannon.wagner@eaglecounty.us
ᴤ Please check this box if you would prefer to receive invoices by email
F. Network Partner will send payments, identifying the NFP invoice, within 30 days of
invoice to the address below. Upon agreement, payments may be made by electronic
funds transfer (EFT).
Nurse-Family Partnership
Attention: Finance Department
1900 Grant Street, 4th Floor
Denver, CO 80203
or to: ar@nursefamilypartnership.org
V. TERM AND DEFAULT.
A. Term of Agreement. This Agreement shall remain in full force and effect through June
30th, 2027, (the “Term”) unless it is terminated by mutual agreement of the Parties or as
otherwise provided below.
B. Term Extension. Upon July 1
st, 2027, and each anniversary of that date, this Agreement
shall automatically extend for an additional year unless either Party has provided not
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 9 of 30
less than sixty (60) days’ notice to the other of its intention to terminate the Agreement
on the upcoming anniversary date.
C. Early Termination. The Parties agree that they intend to and will engage in mutual efforts
to keep this Agreement in force for the Term, because it requires approximately three
years for the Clients to complete the Program. Recognizing, however, that
circumstances beyond the control of the Parties may compel one Party to desire
termination before completion of the Term or an extension thereof, either Network
Partner or NFP may terminate this Agreement at any time by giving the other party
written notice of not less than sixty (60) days.
D. Network Partner Termination for Lack of Funding; Convenience. If Network Partner
terminates the Agreement for any reason other than for an uncured, NFP breach, then
the following provisions shall apply:
1. Network Partner will stop enrolling Clients as of the date notice is given to NFP.
2. Network Partner shall make best efforts to give all Clients enrolled at the time
Network Partner gives NFP a notice of termination the opportunity to complete
the Program at Network Partner or transfer them to another Network Partner. If
there are no other NFP programs in the area, Network Partner shall make best
efforts to transfer Clients to another program that can meet their needs, if such
programs exist.
3. If such programs exist, Network Partner shall demonstrate best efforts by
communicating with at least three home visiting programs in its geographical
area to ask if its Clients can be transferred (this includes nearby NFP programs
or programs other than NFP). A report of that communication and the outcome
shall be shared with Nurse-Family Partnership (“NFP”) no more than three days
after communication has occurred.
4. When a new program to which Clients can be transferred has been identified,
Network Partner will work directly with that program’s administrator to provide for
the optimal transfer of Clients.
5. When Clients are discharged, Network Partner shall provide Clients with contact
information for the most up-to-date community resources available in its
geographical area (electronically or on paper) at least five days before discharge
(ideally during the last home visit). This will be done to provide the Client enough
time to effectively respond to the situation.
6. If Nurse Home Visitors will lose their jobs due to layoffs, the Network Partner
shall reach out to the NFP for support in relocating these nurses to other NFP
sites, which NFP will do when such relocation is appropriate and possible.
7. Network Partner shall download any and all Client treatment/Program records
from NFP DCS such that Network Partner can meet its continuing obligation
under state and federal law to produce Client records to the Client upon request.
8. Network Partner and NFP will continue to comply with all relevant state, federal
laws, and all other provisions of this Agreement with respect to maintaining Client
confidentiality and treatment records.
9. Network Partner will no longer have access to the NFP DCS for use in
implementing the Program.
E. Default. A Party shall be in default under this Agreement (i) if a Party breaches a
material provision of this Agreement, which breach is not cured to the non-breaching
Party’s reasonable satisfaction within thirty (30) days of written notice given to the
breaching Party by the non-breaching Party or (ii) upon the bankruptcy of a Party.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 10 of 30
F. Remedies upon Default. The Parties shall use commercially reasonable efforts to take
steps necessary to cause the breaching party to cure the applicable default. If such
default is not cured to the reasonable satisfaction of the other party, and both Parties do
not agree to terminate this Agreement, the Parties shall proceed in accordance with the
dispute resolution process set forth in Section VI.
G. Effect of Termination.
1. If the Agreement is terminated, Network Partner shall pay NFP for all work performed
up to the date of termination. Payment shall be due within thirty (30) days of
termination.
2. If this Agreement is terminated through the dispute resolution process, the rights and
obligations of each of the Parties upon termination shall be spelled out in the dispute
resolution process.
3. Upon termination of this Agreement, regardless of the timing, cause, or mechanism
of such termination:
a) Network Partner will no longer have access to the NFP DCS other than to access
client PHI;
b) Network Partner shall stop enrolling new Clients;
c) Network Partner shall work with the NFP Nursing Practice Manager to develop a
transition plan, including, when applicable, a plan to provide continuity of care for
current Clients;
d) NFP may retain a record of all data which has been collected by Network Partner
while implementing the Program and may use that data and reports derived from
it to evaluate the overall progress in national replication of the Program;
e) Network Partner and NFP will continue to comply with all relevant state, federal
laws, and all other provisions of this Agreement with respect to maintaining Client
confidentiality;
f) All materials in Network Partner’s possession that utilize the Nurse-Family
Partnership logo, tag line, or other protected marks must be returned to NFP or
destroyed;
g) All copies of Proprietary Property that have been provided to Network Partner by
NFP or that have come into Network Partner’s possession from other sources
must be returned to NFP or destroyed; and
h) Network Partner will cease to implement the Program and will cease to represent
that it is implementing the Program.
i) Network Partner shall download any and all Client treatment/Program records
from NFP DCS such that Network Partner can meet its continuing obligation
under state and federal law to produce Client records to the Client upon request.
VI. DISPUTE RESOLUTION.
If a dispute arises relating to this Agreement, the Parties shall attempt to resolve that dispute
at the lowest possible level. If the dispute cannot be resolved at that level, the dispute shall
be elevated to the Director, Program Development, of NFP and the Program Supervisor. If
these persons cannot resolve the dispute, it shall be elevated to the next organizational level
of NFP and Network Partner. If the dispute is not resolved through the foregoing process
within a reasonable period of time, not to exceed any period of time that could reasonably
be deemed to have a detrimental impact on the implementation of the Program by Network
Partner, either party may initiate dispute resolution through any avenue permitted in law or
in equity.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 11 of 30
VII.LIABILITY.
A. Each party hereto agrees to be responsible and assume liability for its own wrongful or
negligent acts or omissions, or those of its officers, agents, or employees to the full
extent allowed by law.
B. No liability hereunder shall result to a party by reason of delay in performance caused by
force majeure, that is, circumstances beyond the reasonable control of the party,
provided, however, that this provision shall not relieve such Party of its obligation to use
reasonable care in preventing and/or mitigating the effects of the force majeure event.
VIII. ASSIGNMENT; SUBCONTRACTING.
Except as provided herein, this Agreement and the rights, obligations, interests, and benefits
hereunder shall not be assigned, transferred, pledged, or hypothecated in any way to any
third party, including financing institutions, without the prior written consent of NFP. Network
Partner shall not respond to social impact bond or “pay for success” solicitations or enter
into contracts or funding arrangements that link Program implementation performance to
repayment of funding and name the Program as the targeted service without NFP’s prior
written consent. Network Partner shall not engage or utilize the services of any
subcontractor to perform any of Network Partner’s services hereunder without the prior
written consent of NFP. If Network Partner engages a Subcontractor(s) to perform any of
Network Partner’s obligations hereunder, Network Partner shall require its Subcontractor(s)
to agree in writing to the same restrictions and conditions as are imposed on Network
Partner by this Agreement.
IX.MISCELLANEOUS PROVISIONS.
A. Consents. Whenever a Party’s consent or approval is required under this Agreement,
such consent or approval shall be requested in writing and not be unreasonably
withheld. If consent or approval is required by an employee of a Party, the Party who
employs such employee shall use at least commercially reasonable efforts to cause the
employee to give or withhold such consent or approval in accordance with this
paragraph. If no response is received by the requesting Party within ten business days
after delivery of the applicable request, consent shall be deemed given.
B. Notices. All notices and other communications that are required or permitted to be given
to the Parties under this Agreement shall be sufficient in all respects if given in writing
and delivered by overnight courier or certified mail, postage prepaid, return receipt
requested, or when sent by electronic mail, receipt confirmed, to the receiving Party at
the following addresses:
For NFP:
Original to: With a copy to:
Nurse-Family Partnership Nurse-Family Partnership
1900 Grant Street, 4th Floor 1900 Grant Street, 4
th Floor
Denver, CO 80203 Denver, CO 80203
Attention: Chief Executive Officer Attention: Chief Financial Officer
Telephone: 303-327-4263 Telephone: 303-951-3855
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 12 of 30
Email:
Charlotte.MinHarris@NurseFamilyPartnership.or
g
Email:
Julia.Teska@NurseFamilyPartnership.org
For Network Partner:
Original to:
500 Broadway
PO Box 660
Eagle, Colorado, 81631
With a Copy to:
Eagle County Attorney
500 Broadway
PO Box 850
Eagle, Colorado 81631
Attention: Shannon Wagner, NFP
Supervisor
Attention:
Telephone: 970-328-8855 Telephone: 970-328-8685
Email: shannon.wagner@eaglecou
nty.us
Email: atty@eaglecounty.us
or to such other address as such Party may have given to the other by notice pursuant
to this Paragraph. Notice shall be deemed given on the delivery or refusal date, as
specified on the return receipt in the case of certified mail or on the tracking report in the
case of overnight courier.
C. Binding Upon Successors and Assigns. This Agreement, and all covenants, terms,
provisions, and agreements contained herein, shall be binding upon and shall inure to
the benefit of the Parties’ respective successors and permitted assigns.
D. Waivers. No covenant, term, or condition, or the breach thereof, shall be deemed
waived, except by written consent of the Party against whom the waiver is claimed; and
any waiver of the breach of any covenant, term, or condition shall not be deemed to be a
waiver of any preceding or succeeding breach of the same or any other covenant, term,
or condition.
E. Responsibility for Debts and Obligations. Neither Party shall be responsible either
directly or indirectly for any of the debts or obligations of the other Party except as
provided under this Agreement.
F. No Third-Party Beneficiary. This Agreement does not create any third-party beneficiary
rights in any person or entity, including without limitation, financing institutions.
G. Authority to Contract. The undersigned individuals represent that they are fully
authorized to execute this Agreement on behalf of the respective Parties and make all
representations, warranties, and covenants set forth herein. The Parties represent and
warrant that the execution, delivery, and performance of this Agreement have been duly
authorized by all necessary corporate actions of the Parties and do not violate any laws
or any provisions of any agreement to which the Parties are bound.
H. No Joint Venture. Nothing contained in this Agreement shall be deemed or construed as
creating a joint venture or partnership among the Parties. No Party shall have the power
to control the activities or operations of another Party and their status is, and at all times
shall continue to be, that of independent contractors with respect to each other. No Party
shall hold itself out as having authority or relationship in contravention of this Paragraph.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 13 of 30
I. Further Assurances. The Parties shall cooperate fully with each other and execute such
further instruments, documents, and agreements, and shall give such further written
assurances, as may be reasonably requested by another party to better evidence and
reflect the transactions described herein and contemplated hereby, and to carry into
effect the intent and purposes of this Agreement.
J. Severability. If any term or provision of this Agreement shall, to any extent, be
determined to be invalid or unenforceable by a court or body of competent jurisdiction,
the remainder of this Agreement shall not be affected thereby, and each term and
provision of this Agreement shall be valid and enforceable to the full extent permitted by
law.
K. Applicable Law and Venue. This Agreement shall be governed by and construed
according to the internal laws of the State of Colorado. By execution of this Agreement,
each party submits and irrevocably waives any objection to in personam jurisdiction in
the State of Colorado and agrees that any and all claims, disputes or controversies
related to this Agreement, or breach thereof, shall be litigated in the District Court for
Eagle County, Colorado, which shall be the sole and exclusive forum for such litigation.
L. Survival. The terms and conditions of this Agreement shall survive the expiration or
termination of this Agreement to the full extent necessary for their enforcement and for
the protection of the party in whose favor they operate.
M. Counterparts and Facsimile Signatures. This Agreement may be executed in two or
more counterparts, each of which shall be deemed an original and all of which, taken
together, shall constitute one agreement. A facsimile or electronic signature to this
Agreement shall be deemed an original and binding upon the Party against whom
enforcement is sought.
N. Social Impact Bonds. The Parties acknowledge and agree that, because of nature of the
outcome payments associated with social impact bonds and other “pay for success”
arrangements, investors will be more likely to select programs with proven records and
evaluation techniques that maximize the chances of demonstrating positive outcomes,
such as the Program. Recognizing that investors may want to have more control over
Program implementation to shore up investment, Network Partner shall request NFP’s
prior written consent before entering into any such agreements, including responses to
solicitations for such agreements.
P. Audits. NFP is a vendor providing services that support Network Partner’s
implementation of the Nurse-Family Partnership®program. Network Partner pays NFP
for these services at an agreed-upon rate, on a fee for service basis. NFP grants
Network Partner a right to audit, with reasonable notice, those records that are directly
related to determining that fees paid by Network Partner to NFP have been invoiced
accurately under the terms of this Agreement. If this paragraph conflicts with any other
provisions in the Agreement, this paragraph will take precedence.
Q. Entire Agreement. This Agreement (together with Exhibits hereto, which are hereby
incorporated by this reference) constitutes the entire agreement between the Parties
relating to the subject matter hereof and supersedes all prior or contemporaneous
agreements, whether written or oral, among themselves or their agents and
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 14 of 30
representatives relating to the subject hereof. This Agreement may be altered, amended,
or revoked only by an instrument in writing signed by all the Parties hereto.
IN WITNESS WHEREOF, the Parties hereto have caused this Agreement to be executed as of
the date set forth herein by their duly authorized representatives.
For NFP: For Network Partner:
Nurse-Family Partnership
By:______________________________ By:______________________________
Signature
Charlotte Min-Harris,
President & CEO____________
(Printed Name & Title)
Signature
_________________________
(Jeff Shroll, County Manager)
Date:____________________________ Date:____________________________
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253
County ManagerJeff Shroll
8/29/2024
Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 15 of 30
EXHIBIT A.
Nurse-Family Partnership®Model Elements
Element 1 Client participates voluntarily in the Nurse-Family Partnership program.
Element 2 Client is a first-time expectant parent.
Element 3 Client meets low-income criteria at intake.
Element 4 Client is enrolled in the program early in pregnancy and receives the first home
visit by no later than the end of the 28th week of pregnancy.
Element 5 One client is present at a visit.
Element 6 Client is visited in the home as defined by the client, or in a location of the
client’s choice.
Element 7 Client is visited throughout their pregnancy and the first two years of the child’s
life in accordance with a planned or recommended visit schedule based on
assessment of client need and agreed upon between the client, nurse home
visitor and supervisor.
Element 8 Nurse home visitors and nurse supervisors are registered professional nurses
with a minimum of a Baccalaureate degree in Nursing and with strong
interpersonal skills.
Element 9 Nurse home visitors and nurse supervisors participate in and complete all
education required by the National Service Office (NSO). In addition, a
minimum of one current Nurse-Family Partnership administrator participates in
and completes the standard administration orientation required by the NSO.
Element 10 Nurse home visitors use professional knowledge, nursing judgment, nursing
skills, screening tools and assessments, frameworks, guidance and the NFP
Visit-to-Visit Guidelines to individualize the program to the strengths and needs
of each family and apportion time across the defined program domains.
Element 11 Through the application of the Nursing Process, nurse home visitors and
supervisors apply nursing theory, the American Nurses Association (ANA)
Nursing Scope and Standards of Practice, and the ANA Code of Ethics for
Nurses in their clinical practice. The theoretical frameworks that underpin the
program are applied using the Nursing Process integrating Self-Efficacy,
Human Ecology and Attachment theories.
Element 12 A full-time nurse home visitor carries a caseload of between 21 and 25 active
clients.
Element 13 Nurse-Family Partnership network partners are required to employ an NFP
nurse supervisor at all times.
Element 14 Nurse supervisors provide nurse home visitors clinical reflective supervision,
demonstrate integration of the model components, and facilitate professional
development essential to the nurse home visitor role through specific
supervisory activities including one-to-one clinical reflective supervision, case
conferences, team meetings and field supervision.
Element 15 Nurse home visitors and nurse supervisors collect data as specified by the
National Service Office (NSO) and ensure that it is accurately entered into the
NFP data collection system in a timely manner.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 16 of 30
Element 16 NFP nurse home visitors and supervisors use data and NFP reports to assess
and guide program implementation, enhance program quality, demonstrate
program fidelity, and inform clinical practice and supervision.
Element 17 A Nurse-Family Partnership network partner is an organization known in the
community for being a successful provider of prevention services for families
facing concentrated and overlapping barriers to accessing the care they need,
due to economic and social inequality.
Element 18 A Nurse-Family Partnership network partner convenes a Community Advisory
Board (CAB) that reflects the community composition and meets at least
quarterly to implement a community support system for the program and to
promote program quality and sustainability.
Element 19 Adequate organizational support and structure are in place to assist nurse
home visitors and nurse supervisors to implement the model with fidelity.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 17 of 30
EXHIBIT B. NURSE-FAMILY PARTNERSHIP SUPPORT FOR NETWORK PARTNER
To help a Network Partner implement the Program with Fidelity to the Model, NFP provides the
following support to the Network Partner:
I. NFP provides support to help Network Partner prepare to implement the Program including:
A. Materials to help Network Partner:
1. Select and set up Network Partner’s workspace;
2. Establish telecommunications and computer capabilities;
3. Recruit and hire Program Supervisors, Nurse Home Visitors, and administrative
support staff;
4. Establish a network of sources who may refer low-income, first-time mothers to
Network Partner;
5. Facilitate enrollment of Clients;
6. Establish a network of social services which can provide support to Network
Partner’s Clients;
7. Work with media;
8. Inform the community and build support for Network Partner, the Program, and
Program Benefits;
9. Establish strong, stable, and sustainable funding for Network Partner operations.
B. An NFP DCS users’ manual, which provides instructions describing what data must be
collected for NFP DCS by Network Partner’s staff, how that data must be entered into
NFP DCS, and how reports can be obtained. NFP may modify the NFP DCS users’
manual from time to time and will provide Network Partner with updated versions on a
timely basis.
C. Access to an Internet-based discussion forum with other entities that are implementing
the Program.
D. A visit to Network Partner by a member of NFP staff to offer direct consultation on
Program implementation.
II. NFP provides ongoing support to Network Partner via telephone and email during Program
implementation and operation, including:
A. Consultation with respect to topics such as, developing community support, keeping
interested constituencies informed about progress and results, planning and
implementing expansion, and sustaining and increasing funding;
B. Model implementation consultation for Program Supervisors and Nurse Home Visitors;
C. Consultation regarding data collection, entry, management, and interpretation.
D. On-site consultation as is mutually deemed necessary and appropriate.
III. NFP provides a description of education programs, both required and optional, and a
schedule of upcoming education events and locations. NFP may modify the specific names,
descriptions, and content of education programs, as well as their schedule and locations
from time to time and will inform Network Partner of such modifications on a timely basis.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 18 of 30
IV. NFP provides education to Program Supervisors and Nurse Home Visitors at dates and
locations to be determined by NFP. Education will cover the following topics:
A. The Program, Program Benefits, and Model Elements;
B. Use of the NFP DCS, including data collection, entry, management, and interpretation;
C. Implementation of the Program using the NFP E-Guidelines and associated tools and
materials;
D. Knowledge and skills needed by the NFP Program Supervisor for proper Program
delivery; and
E. Other aspects of the Program that NFP believes are warranted for successful Program
implementation by the staff at Network Partner.
V. NFP provides E-Guidelines and other materials to help Program Supervisors and Nurse
Home Visitors implement the Program with Fidelity to the Model Elements. NFP may modify
the E-Guidelines from time to time and will provide Network Partner with updated versions
on a timely basis.
VI. NFP provides support for Network Partner’s use of the NFP DCS, including:
A. Monitoring the Network Partner’s data collection and entry activity and quality and
providing feedback to Network Partner as appropriate;
B. Maintaining and supporting NFP DCS software;
C. Upgrading NFP DCS software when deemed necessary by NFP; and
D. Technical assistance via telephone or e-mail to support Network Partner’s use of the
NFP DCS.
VII. NFP provides implementation reports and evaluation reports at such times as NFP deems
commercially reasonable and necessary to meet the needs of Network Partner and entities
to which Network Partner may be obligated to provide such information. Subject to
applicable federal and state laws, if any, such reports cover:
A. Network Partner activity. Reports designed primarily for Program Supervisors and Nurse
Home Visitors to help them manage Nurse Home Visitor activity.
B. Quality improvement. Reports aimed to help Network Partner improve Fidelity to the
Model including reports designed (i) to assist Program Supervisors and Nurse Home
Visitors identify and prioritize actions for improving Program outcomes, and (ii) to help
NFP staff assess how Network Partners are performing with respect to Fidelity to the
Model.
C. Program outcomes. Reports designed to help Program Supervisors and funding decision
makers assess the effectiveness of the Program as applied to Network Partner’s
particular circumstances.
D. These reports are available on a pre-defined schedule or from the NFP DCS Website on
demand. NFP may modify the Program Reports from time to time.
VIII. NFP will provide artwork and color and usage guidelines to help Network Partner develop
and produce communications materials that properly use the NFP trademark, logo, tag lines,
and other copyrighted or otherwise protected language, images, and materials controlled by
NFP.
IX. NFP will periodically assess the extent to which Network Partner is implementing the
Program with Fidelity to the Model. When such assessment indicates opportunities for
Network Partner to improve its results by strengthening Fidelity to the Model, NFP staff will
meet with Network Partner’s supervisors and staff and mutually develop a Collaborative
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 19 of 30
Success Plan (“CSP”). From time to time, NFP may engage either internal or external
auditors to evaluate the performance of the Network Partner. Network Partner will cooperate
fully with any quality audit that is undertaken by or on behalf of NFP.
X. Collaborative Success Plan (“CSP”). The NFP Program is a model where collaboration and
change occur within the context of a relationship with shared goals. The CSP was
developed to facilitate shared agreements and planning between NFP and Network Partners
throughout the life span of Program implementation and is updated at least annually. The
CSP operates as follows:
A. The goal of the CSP is to support alignment with the Model Elements (Fidelity to the
Model) in the areas of program growth, operational efficiency, outcomes, and
sustainability. Like the nursing process, the CSP provides opportunities to support
Program implementation throughout the life cycle of a Network Partner. The CSP is
periodically assessed and updated as circumstances require to identify opportunities for
growth. The CSP provides a framework for action to support those opportunities. The
Network Partner and NFP Nursing Practice Manager collaborate to create a CSP with
action items that include both NFP responsibilities and the Network Partner’s
responsibilities.
B. A CSP serves as a tool for both the Network Partner and NFP to monitor progress
towards mutually agreed upon areas for growth and to ensure that NFP is providing
adequate support to enable the Network Partner to serve families in the community
effectively. Both Parties will have access to the document which will include mutually
agreed upon goals, contributing factors, and action items for both NFP and the Network
Partner. Progress on goals will be assessed regularly during consultation calls.
C. After a CSP is finalized, the NFP will provide the Network Partner with full-time access to
it. The CSP includes documentation of shared goals and progress on action items. CSPs
are reviewed quarterly at a minimum, and more often as needed.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 20 of 30
EXHIBIT C. FEES FOR NURSE-FAMILY PARTNERSHIP SERVICES
NFP FEES FOR THE FIRST THREE YEARS OF SERVICES PROVIDED UNDER THIS AGREEMENT WILL BE AS
FOLLOWS,SUBJECT TO CHANGE IN ACCORDANCE WITH SECTION IV:
Section 1: Education, Replacement, and Expansion Fees
Nurse Home Visitor Education Fee (Invoiced upon completion of in-person or virtual training session)
Price Effective Date End Date Unit Price Unit of Measure
1/1/2024 12/31/2024 $5,683.00
Per NHV or Program Supervisor Attendee
(Price is based on the calendar year) 1/1/2025 12/31/2025 $5,853.00
1/1/2026 12/31/2026 $6,029.00
Program Supervisor Initial Education Fee (Invoiced upon completion of in-person or virtual training session
Price Effective Date End Date Unit Price
Unit of Measure
1/1/2024 12/31/2024 $1,028.00
Per Program Supervisor Attendee
(Price is based on the calendar year) 1/1/2025 12/31/2025 $1,059.00
1/1/2026 12/31/2026 $1,091.00
Program Supervisor Abbreviated NHV Education Fee (Invoiced upon completion of in-person or virtual training session)
Price Effective Date End Date Unit Price Unit of Measure
1/1/2024 12/31/2024 $893.00
Per Program Supervisor Attendee
(Price is based on the calendar year)
(Available to recently promoted Program Supervisors who have
taken NHV Education within the last 2 years.)
1/1/2025 12/31/2025 $920.00
1/1/2026 12/31/2026 $947.00
Administrator Standard Education Fee (Invoiced upon completion of in-person or virtual training session)
Price Effective Date End Date Unit Price Unit of Measure
1/1/2024 12/31/2024 $672.00
Per Administrator Attendee
(Price is based on the calendar year) 1/1/2025 12/31/2025 $692.00
1/1/2026 12/31/2026 $713.00
Nursing Practice Overview Fee (Invoiced upon completion of in-person or virtual training session)
Price Effective Date End Date Unit Price Unit of Measure
1/1/2024 12/31/2024 $314.00
Per Administrator Attendee
(Price is based on the calendar year) 1/1/2025 12/31/2025 $323.00
1/1/2026 12/31/2026 $333.00
NHV Educational Materials Fee (Invoiced upon completion of in-person or virtual training NHV education session)
Price Effective Date End Date Unit Price Unit of Measure
1/1/2024 12/31/2024 $721.00
Per NHV or Program Supervisor Attendee
(Price is based on the calendar year)
1/1/2025 12/31/2025 $743.00
1/1/2026 12/31/2026 $765.00
Program Supervisor Replacement Fee (Invoiced at the time of occurrence)
Price Effective Date End Date Unit Price Unit of Measure
7/1/2024 6/30/2025 $3,783.00
One time per Replacement of Program Supervisor
per Occurrence
(Price is set on contract anniversary date)7/1/2025 6/30/2026 $3,896.00
7/1/2026 6/30/2027 $4,013.00
Team Addition Expansion Fee (Invoiced at the time of occurrence)
Price Effective Date End Date Unit Price Unit of Measure
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 21 of 30
7/1/2024 6/30/2025 $22,035.00
One time per Expansion per Occurrence per Team
(Price is set on contract anniversary date)
7/1/2025 6/30/2026 $22,696.00
7/1/2026 6/30/2027 $23,377.00
Regional Expansion Fee (Invoiced at the time of occurrence)
Price Effective Date End Date Unit Price
Unit of Measure
7/1/2024 6/30/2025 $27,543.00
One time per Expansion per Occurrence per Team
(Price is set on contract anniversary date)
7/1/2025 6/30/2026 $28,369.00
7/1/2026 6/30/2027 $29,220.00
Section 2: Annual Fees
NFP Network Partner Annual Program Support Fee per team
(Invoiced annually on the Price Effective Date)
Price Effective Date End Date Unit Price Unit of Measure
Annual per first team per year
(The fee total is based on the number
of funded Nurse Home Visitors per team)
Two NHV Team 7/1/2024 6/30/2025 $22,248.00
Two NHV Team 7/1/2025 6/30/2026 $22,908.00
Two NHV Team 7/1/2026 6/30/2027 $23,595.00
Three NHV Team 7/1/2024 6/30/2025 $23,388.00 (Price is set on contract anniversary date)
Three NHV Team 7/1/2025 6/30/2026 $24,084.00
Three NHV Team 7/1/2026 6/30/2027 $24,807.00
Four NHV Team 7/1/2024 6/30/2025 $24,528.00
Four NHV Team 7/1/2025 6/30/2026 $25,272.00
Four NHV Team 7/1/2026 6/30/2027 $26,030.00
Five NHV Team 7/1/2024 6/30/2025 $25,956.00
Five NHV Team 7/1/2025 6/30/2026 $26,736.00
Five NHV Team 7/1/2026 6/30/2027 $27,538.00
Six NHV Team 7/1/2024 6/30/2025 $27,168.00
Six NHV Team 7/1/2025 6/30/2026 $27,984.00
Six NHV Team 7/1/2026 6/30/2027 $28,824.00
Seven NHV Team 7/1/2024 6/30/2025 $28,128.00
Seven NHV Team 7/1/2025 6/30/2026 $28,980.00
Seven NHV Team 7/1/2026 6/30/2027 $29,849.00
Eight NHV Team 7/1/2024 6/30/2025 $29,316.00
Eight NHV Team 7/1/2025 6/30/2026 $30,192.00
Eight NHV Team 7/1/2026 6/30/2027 $31,098.00
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 22 of 30
EXHIBIT D.
BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement (the “BAA”), effective July 1st, 2024, (the “Effective
Date”), is entered into by and between Eagle County Public Health and Environment (the
“Covered Entity”) and Nurse-Family Partnership, a Colorado nonprofit corporation (the
“Business Associate”or “NFP”) (each a “Party” and collectively the “Parties”).
The Parties have entered into a Professional Services Agreement effective July 1st, 2024 (the
“Agreement”), pursuant to which the Business Associate may have access to Protected Health
Information (PHI).
Both Parties are committed to complying with the Standards for Privacy and Security of
Individually Identifiable Health Information (the “Privacy & Security Regulations”) promulgated
under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and as it is
updated, amended, or revised, including the requirement under 45 CFR §164.502(e)(2) to enter
into a Business Associate Agreement with business associates who are subcontractors.
This BAA sets forth the terms and conditions pursuant to which PHI that is created, received,
maintained, or transmitted by the Covered Entity Business from or on behalf of the Business
Associate will be handled during the term of their Agreement and after its termination. The
Parties agree as follows:
1. DEFINITIONS
1.1 Protected Health Information (“PHI”). Protected Health Information shall have the
meaning as set out in its definition at 45 CFR §160.103, as such provision is currently
drafted and as it is subsequently updated, amended, or revised.
1.2 Business Associate. “Business Associate” shall generally have the same meaning as
the term “business associate” at 45 CFR 160.103, and in reference to the party to this
agreement, shall mean Nurse-Family Partnership.
1.3 Covered Entity. “Covered Entity” shall generally have the same meaning as the term
“covered entity” at 45 CFR 160.103, and in reference to the party to this agreement,
shall mean any NFP Affiliate that collects PHI.
1.4 HIPAA Rules. “HIPAA Rules” shall mean the Privacy, Security, Breach Notification, and
Enforcement Rules at 45 CFR Part 160 and Part 164.
1.5 Security Incident. “Security Incident” shall have the meaning set out in its definition at 45
CFR §164.304, as it is subsequently updated, amended, or revised. For purposes of
notification to the Business Associate, an attempted unauthorized access means any
attempted unauthorized access that prompts Business Associate Subcontractor to
investigate the attempt, or review or change its current security measures.
2. PERMITTED USES AND DISCLOSURES OF PHI
2.1 Services. Pursuant to the Agreement, between Covered Entity and Business Associate
each provides services (“Services”) that involve access to, use and/or disclosure of PHI,
including electronic PHI. Except as otherwise specified herein, the Business Associate
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 23 of 30
may make any and all uses of PHI necessary to perform its obligations under the
Agreement, provided that such use would not violate the Privacy and Security
Regulations if done by Covered Entity. All other uses not authorized by this BAA are
prohibited.
2.2 Business Activities of the Business Associate. Unless otherwise limited herein, the
Business Associate may:
a. Use the PHI in its possession for its proper management and administration and to
fulfill any present or future legal responsibilities of the Business Associate provided
that such uses are permitted under state and federal confidentiality laws.
b. Disclose the PHI in its possession to third parties for the purpose of its proper
management and administration or to fulfill any present or future legal responsibilities
of the Business Associate, provided that the Business Associate represents to the
Covered Entity, in writing, that (i) the disclosures are Required by Law, as that
phrase is defined in 45 CFR §164.103 or (ii) the Business Associate has received
from the third party written assurances regarding its confidential handling of such PHI
as required under 45 CFR §164.504(e)(4), and the third party agrees in writing to
notify Business Associate of any instances of which it becomes aware that the
confidentiality of the information has been breached.
3. RESPONSIBILITIES OF THE PARTIES WITH RESPECT TO PHI
3.1 Responsibilities of the Business Associate. With regard to its use and/or disclosure of
PHI, the Business Associate hereby agrees to do the following:
a. Use and/or disclose the PHI only as permitted or required by this BAA or as
otherwise required by law.
b. To the extent the Business Associate is to carry out one or more of Covered Entity’s
obligation(s) under Subpart E of 45 CFR Part 164, comply with the requirements of
Subpart E that apply to the Covered Entity in the performance of such obligation(s).
c. Use appropriate safeguards to protect the privacy and security of PHI and comply
with Subpart C of 45 CFR Part 164 with respect to electronic Protected Health
Information (EPHI), to prevent use or disclosure of PHI other than as provided for by
this BAA.
d. Business Associate acknowledges its obligations under HIPAA and agrees to comply
with any and all privacy and security provisions not otherwise specifically addressed
in the Agreement made applicable to Business Associate by HIPAA on the
applicable effective date and any subsequent regulations promulgated under HIPAA
and/or guidance thereto.
e. Business Associate acknowledges that, (i) the foregoing requirements shall apply to
Business Associate in the same manner that such requirements apply to Covered
Entity, and (ii) Business Associate shall be subject to the civil and criminal
enforcement provisions set forth at 42 USC 1320d-5 and 1320d-6, as amended from
time to time, for failure to comply with the requirements and any applicable guidance
subsequently issued by the Secretary of the Department of Health and Human
Services (“Secretary”) with respect to such requirements.
Notification under this section shall include the identification of each individual whose
PHI has been, or is suspected to have been, accessed, acquired, or disclosed.
Business Associate further agrees to make available in a reasonable time and
manner any information needed by Covered Entity to respond to individual and
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 24 of 30
governmental inquiries regarding any of the notifications received from Business
Associate.
f. Business Associate agrees to indemnify the Covered Entity for the reasonable cost to
notify the individuals whose information was the subject of a breach and for any cost
or damages, including attorney fees or fines, incurred by Covered Entity as a result of
the breach by Business Associate, including but not limited to any identity theft
related prevention or monitoring costs.
3.2 Responsibilities of the Covered Entity. With regard to the use and/or disclosure of PHI
by the Business Associate, the Covered Entity hereby agrees:
a. To inform the Business Associate of any changes in the notice of privacy practices
(“Notice”) that the Covered Entity provides to individuals pursuant to 45 CFR
§164.520 that affect Business Associate’s use or disclosure of PHI, and provide to
the Business Associate, upon request, a copy of the Notice currently in use.
b. To inform the Business Associate of any changes in, or revocation of, the
authorization provided to the Covered Entity pursuant to 45 CFR §164.508, to the
extent relevant to the Services being provided under the Agreement.
c. To inform the Business Associate of any opt-outs exercised by any individual from
fundraising activities of the Covered Entity pursuant to 45 CFR §164.514(f), to the
extent relevant to the Services being provided under the Agreement.
d. To notify the Business Associate, in writing and in a timely manner, of any
arrangements permitted or required of the Covered Entity under 45 CFR § part 160
and 164 that may impact in any manner the use and/or disclosure of PHI required by
the Business Associate under this BAA, including, but not limited to, agreed upon
restrictions regarding the use and/or disclosure of PHI as provided for in 45 CFR
§164.522.
4. REPRESENTATIONS AND CERTIFICATIONS
4.1 Mutual Representations and Certifications of the Parties. Each Party represents and
certifies to the other party that it is duly organized, validly existing, and in good standing
under the laws of the jurisdiction in which it is organized or licensed; it has the full power
to enter into this BAA and to perform its obligations hereunder; and that the
performance by it of its obligations under this BAA have been duly authorized by all
necessary corporate or other actions and will not violate any provision of any license,
corporate charter, or bylaws.
5. TERM AND TERMINATION
5.1 Term. This BAA shall become effective on the Effective Date and shall continue in effect
as long as the Agreement is in effect and until all obligations of the Parties have been
met, unless terminated as provided in this Section 5. In addition, certain provisions and
requirements of this BAA shall survive its expiration or other termination in accordance
with 5 herein.
5.2 Termination by the Covered Entity. As provided for under 45 C.F.R. §164.504(e)(2)(iii)
and C.F.R. §164.504(e)(5), the Covered Entity may immediately terminate this BAA and
any related agreements if the Covered Entity makes the determination that the Business
Associate has breached a material term of this BAA. Alternatively, the Covered Entity
may choose to: (i) provide the Business Associate with thirty (30) days written notice of
the existence of an alleged material breach; and (ii) afford the Business Associate an
opportunity to cure said alleged material breach upon mutually agreeable terms.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 25 of 30
Nonetheless, in the event that mutually agreeable terms cannot be achieved within thirty
(30) days, Business Associate must cure said breach to the satisfaction of the Covered
Entity within thirty (30) days. Failure to cure in the manner set forth in this paragraph is
grounds for the immediate termination of this BAA.
5.3 Termination by Business Associate. If the Business Associate makes the determination
that a material condition of performance has changed under the Agreement or this BAA,
or that the Covered Entity has breached a material term of this BAA, Business
Associate may provide thirty (30) days’ notice of its intention to terminate this BAA.
Business Associate agrees, however, to cooperate with Covered Entity to find a
mutually satisfactory resolution to the matter prior to terminating and further agrees that,
notwithstanding this provision, it shall not terminate this BAA so long as the Agreement
is in effect.
5.4 Automatic Termination. This BAA will automatically terminate without any further action
of the Parties upon the termination or expiration of the Agreement between the Parties.
5.5 Effect of Termination. Upon the event of termination pursuant to this Section 5,
Business Associate agrees to return or destroy all PHI pursuant to 45 C.F.R.
§164.504(e)(2)(J) and C.F.R. §164.504(e)(5) and retain no copies (which for purposes
of this BAA shall mean, without limitation, the destruction of all backup media) except as
explicitly provided for in the Agreement between the Parties.
6. CONFIDENTIALITY
6.1 Confidentiality Obligations. In the course of performing under this BAA, each Party may
receive, be exposed to, or acquire Confidential Information including but not limited to,
all information, data, reports, records, summaries, tables, and studies, whether written
or oral, fixed in hard copy, or contained in any computer database or computer readable
form, as well as any information identified as confidential (“Confidential Information”) of
the other Party. For purposes of this BAA, “Confidential Information” shall not include
PHI, the security of which is the subject of this BAA and is provided for elsewhere. The
Parties, including their employees, agents, or representatives, (i) shall not disclose to
any third party the Confidential Information of the other Party except as otherwise
permitted by this BAA, (ii) only permit use of such Confidential Information by
employees, agents, and representatives having a need to know in connection with
performance under this BAA, and (iii) advise each of their employees, agents, and
representatives of their obligations to keep such Confidential Information confidential.
This provision shall not apply to Confidential Information: (a) after it becomes publicly
available through no fault of either Party, (b) which is later publicly released by either
Party in writing, (c) which is lawfully obtained from third parties without restriction, or (d)
which can be shown to be previously known or developed by either Party independently
of the other Party.
7. MISCELLANEOUS
7.1 Survival. The obligations of Business Associate shall survive the termination of this
Agreement.
7.2 Amendments; Waiver. This BAA may not be modified, nor shall any provision hereof be
waived or amended, except in a writing duly signed by authorized representatives of the
Parties. A waiver with respect to one event shall not be construed as continuing, or as a
bar to or waiver of any right or remedy as to subsequent events.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 26 of 30
7.3 No Third-Party Beneficiaries. Nothing expressed or implied in this BAA is intended to
confer, nor shall anything herein confer, upon any person other than the Parties and the
respective successors or assigns of the Parties, any rights, remedies, obligations, or
liabilities whatsoever.
7.4 Notices. Any notices to be given hereunder to a Party shall be made via U.S. Mail or
express courier to such Party’s address given below, and/or (other than for the delivery
of fees) via electronic transmission or facsimile to the contacts listed below.
If to Covered Entity, to:
Eagle County Public Health and Environment
Attention: Shannon Wagner
PO Box 660
Eagle, CO 81631
If to Business Associate, to:
Nurse-Family Partnership
1900 Grant St, 4th Floor
Denver, CO 80203
Attention: Julia Teska, Chief Financial Officer
Email: Julia.Teska@nursefamilypartnership.org
Each Party named above may change its address and that of its representative for notice by the
giving of notice thereof in the manner hereinabove provided.
7.5 Counterparts; Facsimiles and Electronic Copies. This BAA may be executed in any
number of counterparts, each of which shall be deemed an original. Facsimile and
electronic copies hereof shall be deemed to be originals.
7.6 Disputes. If any controversy, dispute, or claim arises between the Parties with respect to
this BAA, the Parties shall make good faith efforts to resolve such matters informally.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 27 of 30
7.7 Indemnification. To the extent permitted by law, Business Associate agrees to indemnify
and hold harmless Covered Entity from and against all claims, demands, liabilities,
judgments or causes of action of any nature for any relief, elements of recovery or
damages recognized by law (including, without limitation, attorney's fees, defense costs,
and equitable relief), for any damage or loss incurred by Covered Entity arising out of,
resulting from, or attributable to any acts or omissions or other conduct of Business
Associate or its agents in connection with the performance of Business Associate's or
its agents' duties under this Agreement. This indemnity shall not be construed to limit
Covered Entity’s rights, if any, to common law indemnity.
IN WITNESS WHEREOF, each of the undersigned has caused this BAA to be duly executed as
of the date set forth herein by its duly authorized representatives, each in its name and on its
behalf effective as of the Effective Date.
BUSINESS ASSOCIATE
Nurse-Family Partnership
By: _____________________________
Charlotte Min-Harris, President & CEO
Nurse-Family Partnership
________________________________
Date
COVERED ENTITY
[NETWORK PARTNER]
By: ___________________________
Jeff Shroll, County Manager
________________________________
Date
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
8/29/2024
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 28 of 30
EXHIBIT E. NETWORK PARTNER RESPONSIBILITIES
To ensure that the Nurse-Family Partnership Program is implemented with Fidelity to the
Model, Network Partner will undertake the following actions during initial implementation and
ongoing operation:
I. Network Partner shall:
A. Identify, from its top tier leadership, an Administrator to support Program
implementation within the community;
B. Set up and maintain an appropriate workspace for staff who are to implement the
Program;
C. Establish and maintain appropriate telecommunications and computer capabilities for
staff;
D. Subject to Eagle County Government’s employment practices and policies,
recruit, hire, and retain Program Supervisors, Nurse Home Visitors, and
administrative support staff;
E. Establish, maintain, keep current, and improve its network of referral sources who
will refer low-income, first-time mothers to Network Partner;
F. Enroll Clients that meet the criteria specified in the Model Elements.
G. Establish, maintain, keep current and improve its network of social services and
community resources that can provide support to Network Partner’s Clients;
H. Work with media to ensure timely and accurate communication to the public about
the Program and its implementation by Network Partner;
I. Inform the community and build support for Network Partner, the Program, and
Program Benefits, including educating local, state and/or federal policymakers;
J. Establish and maintain strong, stable, and sustainable funding for Network Partner
operations and seek new funding streams to sustain and expand the Program.
K. Utilize NFP’s Internet-based discussion forum to share learning with other entities
that are implementing the Program.
II. Network Partner will keep NFP informed of implementation issues that may impact
Program sustainability, ability to reach Program capacity, and Fidelity to the Model.
III. Network Partner will ensure that all Administrators, Program Supervisors, Nurse Home
Visitors, and administrative staff attend, participate in, and/or complete education
programs required by NFP, do so on a timely basis, and, upon completion, demonstrate
a level of competence deemed satisfactory by NFP in its reasonable discretion.
IV. Network Partner will ensure that no Nurse Home Visitor is assigned a case load or
makes a Client visit (except in the company of an NFP-educated Nurse Home Visitor)
until after she/he has completed Unit II on the Program, Program Benefits, Model
Elements, use of the NFP DCS, and implementation of the Program for mothers who are
pregnant.
V. Network Partner will implement the Program in accordance with the E-Guidelines
including:
A. Ensure enrollment of 25 first-time mothers per full-time Nurse Home Visitor within
nine months of beginning implementation and make best efforts to maintain that level
of enrollment on an ongoing basis;
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 29 of 30
B. Ensure that each full-time Nurse Home Visitor carries a caseload of at least 25 active
families; and
C. Ensure that the essential Program content as described in the E-Guidelines is
addressed with Clients by Nurse Home Visitors.
VI. Network Partners are not allowed to expand the number of nurse home visitors without
approval from NFP. When planning to increase the number of nurse home visitors,
Network Partner will inform NFP by emailing the below address and will be briefed on the
process and requirements by NFP’s Network Development Department:
programdevelopment@nursefamilypartnership.org
VII. Network Partner will ensure the availability of appropriate, fully functioning computer
systems and software at Network Partner’s location for use of the NFP DCS and to
communicate with NFP by email.
VIII. Network Partner will ensure that Program Supervisors and Nurse Home Visitors (a)
collect required data on Client visits and enter it into the NFP DCS completely and
accurately within five (5) business days of visiting the Client, and (b) enter any other data
for NFP DCS completely and accurately on or before the last day of each calendar
month, taking all appropriate steps to maintain Client confidentiality and obtain any
necessary written permissions or agreements for data analysis or disclosure of protected
health information, in accordance with HIPAA (Health Insurance Portability and
Accountability Act of 1996) regulations, including, but not limited to, authorizations, data
use agreements, and business associate agreements, as necessary. Failure of Network
Partner to comply with any applicable provision of HIPAA will constitute a breach of this
Agreement.
IX. Network Partner will ensure that Program Supervisors:
A. Aim to develop a supportive relationship with the Nurse Home Visitors she/he
supervises;
B. Meet one-on-one with each Nurse Home Visitor at least weekly to provide clinical
supervision using reflection, preferably in person but by telephone where travel
constraints limit nurse or Program Supervisor mobility; and
C. Run activity reports and quality improvement reports from the NFP DCS on a timely
basis (typically monthly); use such reports to assess areas where systems,
organizational, or operational changes are needed to enhance the overall quality of
program operations; and develop and implement action plans based on these
assessments, team meetings and case conferences, in accordance with the Model
Elements.
X. Network Partner will ensure that Administrators:
A. Support the Team as appropriate;
B. Review annual outcome and fidelity measures to assess the status of Program
implementation;
C. Review capacity and sustainability regularly;
D. Take advantage of NFP’s ongoing distance learning opportunities related to
Administrator education, including online learning and, when practical and
appropriate, travel to Nurse-Family Partnership offices for additional training;
E. Make best efforts to support the Community Advisory Board (“CAB”), and
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
CO Eagle County_NFPAgrmt Exp.06.30.2027_FINAL Page 30 of 30
F. Maintain an ongoing commitment to the professional development and education of
Nurse Home Visitors and provide opportunities for additional training, when
applicable.
XI. If a situation arises in which Network Partner has no openings available for Client
enrollment and is maintaining a waiting list, while another Network Partner is
simultaneously operating in the same geographical location and has openings, then,
in accordance with the NFP goal of providing Program Benefits for the maximum
number of vulnerable families, Network Partner will cooperate with the other Network
Partner and will refer those unenrolled families for enrollment in the Program.
XII. Network Partner will develop a Community Advisory Board with diverse
representation (for example, health, mental health, education, criminal justice, youth,
business, social services, faith-based leaders, other prominent community
organization leaders) to ensure broad-based community support for Network
Partner’s implementation of the Program.
XIII. NFP will periodically assess the extent to which Network Partner is implementing the
Program with Fidelity to the Model. When such assessment indicates opportunities for
Network Partner to improve its results by strengthening Fidelity to the Model, NFP
staff will meet with Network Partner supervision and mutually develop a plan to do so.
Docusign Envelope ID: D38ECBBB-A142-4D91-B8CD-501B8ADE6253Docusign Envelope ID: 3094A3AB-607E-4E62-A13F-C4061F07233D
