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HomeMy WebLinkAboutC25-243 Roaring Fork School District - MHAC1 AGREEMENT BETWEEN EAGLE COUNTY, COLORADO AND ROARING FORK SCHOOL DISTRICT THIS GRANT AGREEMENT (“Agreement”) is effective as of January 1, 2025 by and between Roaring Fork School District (hereinafter “Grant Recipient”) and Eagle County, Colorado, a body corporate and politic (hereinafter “County”) RECITALS WHEREAS, the County, through its Department of Public Health and Environment (“ECPHE”) works to promote the health, safety and welfare of County residents of all ages; and WHEREAS, the County uses outside providers and professionals to enhance the ability of County to promote such health, safety and welfare; and WHEREAS, this Agreement is entered in reference to Eagle County Ballot Measure 1A, approved by voters on November 2, 2017, which provides for a sales and excise tax on recreational marijuana to establish earmarked funding to further the valid public purpose of addressing mental health needs in Eagle County (“Marijuana Tax Revenue”); and WHEREAS, ultimate approval for use of Marijuana Tax Revenue lies with the Eagle County Board of County Commissioners (“Board”); and WHEREAS, Eagle County Resolution No. 2018-007 established a Mental Health Advisory Committee (“MHAC”) within ECPHE to provide recommendations to the Eagle County Board of County Commissioners regarding the use of Marijuana Tax Revenue; and WHEREAS, the MHAC has identified a community need for funding of services dedicated to the ‘health promotion’ and ‘recovery or aftercare’ phases of care, and on the recommendation of the MHAC, the Board has allocated Marijuana Tax Revenue funds to address this community need by supporting programs and services offered by local organizations providing culturally responsive care to the public; and WHEREAS, Roaring Fork School District has agreed to expand school-based mental health programming and services in the Basalt Middle School and Basalt High School to provide accessible mental health services focusing on prevention and early intervention to reduce crises and improve student well-being, ultimately fostering a healthier school environment; and WHEREAS, the parties acknowledge and agree that the programs and services funded by Marijuana Tax Revenue promote the health, safety and welfare of the people of Eagle County and are intended to serve a valid public purpose and provide services that could otherwise be performed by County directly; and Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 2 WHEREAS, Grant Recipient has elected to perform services that help create and sustain a healthy, environmentally and economically vital and socially diverse community in Eagle County on its own and County has, therefore, elected to compensate Grant Recipient to perform the Services for the public to fulfill an important public purpose; and WHEREAS, compensation paid by County to Grant Recipient enables Grant Recipient to perform the services for the public and County shall have no responsibility for the performance of the services; and WHEREAS, Grant Recipient is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the Services as defined below in paragraph 1 hereof; and WHEREAS, this Agreement shall govern the relationship between Grant Recipient and County in connection with the Services. AGREEMENT NOW, THEREFORE, in consideration of the foregoing premises and the following promises, Eagle County and Grant Recipient enter into this Agreement for payment of the grant award in the amount of eighty-four thousand Dollars ($84,000, the “Grant Award”) to Grant Recipient. A. Grant Recipient agrees that funds awarded by County may be used and expended solely for school-based mental health programming as specified in Grant Recipient’s 2025 MHAC Funding Application and Grant Application Budget Section, attached hereto as Exhibit A (“Grant Application), and incorporated herein by reference. All funds must be expended by Grant Recipient the one calendar-year grant period, with grant period closure taking place exactly one year from contract execution. The Grant Award set forth herein has been allocated for the specified Grant Period and the County makes no representations, nor should Grant Recipient rely on this award as a representation of, any future awards for other grant periods. B. In return for the Grant Award, Grant Recipient agrees to the terms of funding, deliverables, and deadlines outlined in the Scope of Work attached hereto as Exhibit B, and incorporated herein by reference. Grant Recipient shall submit periodic reports detailing how the Grant Award was expended, progress on deliverables as outlined in the Grant Application and in Exhibit B, and how they tie back to creating and sustaining a healthy environmentally and economically vital and socially diverse community. The reports will be due at mid-grant, roughly July 2025, and at grant closure, roughly December 2025. Grant Recipient agrees to use the Colorado Common Grant (CCG) Report format which can be downloaded and printed from the following website: http://www.coloradocommongrantforms.org/CGR/default.htm. C. Payment of the Grant Award will be made in one installment upon execution of this Agreement. Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 3 D. The Grant Award must be used and expended within the Grant Period. Any portion of the Grant Award not used or expended during the Grant Period must be returned to County. E. If, after payment of the Grant Award, Eagle County reasonably determines that payment was improper because the purposes for which the payment was made were misrepresented, or the terms of this Agreement were breached, then upon written notice of such determination and request for reimbursement from Eagle County, Grant Recipient shall forthwith return such payment to Eagle County. F. Grant Recipient shall comply at all times and in all respects with all applicable federal, state and local laws, resolutions and codes; and specifically, with the requirements of the Civil Rights Act of 1964 and Section 504, Rehabilitation Act of 1973, concerning discrimination on the basis of race, color, sex, age, religion, political beliefs, national origin or handicap. G. Grant Recipient shall not assign any of its rights or duties under this Agreement to a third party without the prior written consent of the County. The County shall terminate this Agreement in the event of any assignment without its prior written consent, in which case, any unused Grant Funds must be returned to County. H. Grant Recipient agrees that no agent, employee or volunteer of Grant Recipient shall be deemed an agent, employee or volunteer of County. I. Grant Recipient shall maintain, for a minimum of three (3) years, adequate financial and programmatic records for reporting to County on performance of its responsibilities hereunder. Grant Recipient shall be subject to financial audit by federal, state or county auditors or their designees. Grant Recipient authorizes County to perform audits or to make inspections during normal business hours, upon 48-hour notice to Grant Recipient for the purpose of evaluating performance under this Agreement. Grant Recipient shall cooperate fully with authorized Eagle County representatives in the observation and evaluation of the program and records. Grant Recipient shall have the right to dispute any claims of misuse of funds and seek an amicable resolution with County. J. This Agreement shall be governed by the laws of the State of Colorado. Jurisdiction and venue for any suit, right or cause of action arising under, or in connection with this Agreement shall be exclusive in Eagle County, Colorado. K. This Agreement supersedes all previous communications, negotiations, and/or agreements between the respective parties hereto, either verbal, or written, and the same not expressly contained herein are hereby withdrawn and annulled. L. This Agreement does not, and shall not be deemed or construed to confer upon or grant to any third party or parties any right to claim damages or to bring any suit, action or other proceeding against either Grant Recipient or County because of any breach hereof or because of any of the terms, covenants, agreements and conditions contained herein. Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 4 M. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision hereof. N. To the extent required to perform the services under this Agreement, Grant Recipient represents and warrants that it has the expertise and personnel necessary to properly perform the services for which the Grant Award has been allocated, and its professional personnel are duly licensed to perform said services. O. No failure or delay by either party in the exercise of any right hereunder shall constitute a waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding breach. P. The signatories to this Agreement aver to their knowledge, no employee of the County has any personal or beneficial interest whatsoever in the matters described in this Agreement. The Grant Recipient has no beneficial interest, direct or indirect, that would conflict in any manner or degree with the performance of the Agreement and Grant Recipient shall not employ any person having such known interests. Q. Grant Recipient shall be responsible for the completeness and accuracy of its performance under the Agreement, including all supporting data or other documents prepared or compiled in performance of the Agreement, and shall correct, at its sole expense, all significant errors and omissions therein. The fact that the County has accepted or approved the work performed shall not relieve Grant Recipient of any of its responsibilities. Grant Recipient shall perform services under this Agreement in a skillful, professional and competent manner and in accordance with the standard of care, skill and diligence applicable to Grant Recipients performing similar services. This paragraph shall survive termination of this Agreement. S. Grant Recipient shall carry workers compensation insurance as required by law and automobile and commercial general liability insurance as necessary and appropriate during the term of the Agreement. T. The Grant Recipient shall indemnify and hold harmless County, and any of its officers, agents and employees against any losses, claims, damages or liabilities for which County may become subject to insofar as an such losses, claims, damages or liabilities arise out of, directly or indirectly, this Agreement, or are based upon any performance or nonperformance by Grant Recipient or any of its sub-recipients hereunder including claims for bodily injury or personal injury including death, or loss or damage to tangible or intangible property; and Grant Recipient shall reimburse County for reasonable attorney fees and costs, legal and other expenses incurred by County in connection with investigating or defending any such loss, claim, damage, liability or action. This indemnification shall not apply to claims by third parties against the County to the extent that County is liable to such third party for such claims without regard to the involvement of the Grant Recipient. This paragraph shall survive expiration or termination hereof. Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 5 U. Grant Recipient certifies that it has read the Agreement, understands each and every term and the requirements set forth herein, and agrees to comply with the same. IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above. COUNTY OF EAGLE, STATE OF COLORADO, By and Through Its COUNTY MANAGER: By: ________________________ Jeff Shroll, County Manager GRANTEE NAME Roaring Fork School District By: _____________________ Name: Kelly Medina Title: Director of Student & Family Services Date:_____________________ Mailing Address: 400 Sopris Ave Carbondale, CO 81623 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 6/4/2025 6 EXHIBIT A Grant Recipient Proposal Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Email * kmedina@rfschools.com Eligibility and Requirements Funding Application Eligibility A proposal/project-specic budget, including additional revenue sources, and sustainability plan emailed at the time of application submission to chelsea.carnoali@eaglecounty.us Project applied for will directly impact residents of Eagle County, with the applicant’s service area focused on the Eagle County and/or Roaring Fork Mid-Valley Funding will go towards either existing programming/services or support creative efforts of new projects Provide culturally responsive services or programs within the mental health promotion/root cause and/or recovery/aftercare space Program Recipient Participation Requirements Sign a standard Eagle County Contract, including a Scope of Work 2025 Mental Health Advisory Committee Funding Application  The Mental Health Advisory Committee (MHAC) of Eagle County is pleased to announce the opening of 2025 Funding opportunities with the purpose of addressing mental health needs of our communities. These funds are focused on programs, projects, and/or initiatives contributing to health promotion/root causes of local mental health challenges, and efforts offering equity in access to culturally responsive care. This one-year funding cycle will begin January 2025, with an application period beginning Wednesday, October 23rd, 2024, and closing Monday, November 18th, 2024. This funding is sourced by local marijuana tax revenue, meaning each contract will have a one-year scope without promise of continued funding. The decision-making entity of this funding stream, the Mental Health Advisory Committee, is the governing entity reviewing applications and selecting proposals for award.  For more details and information on the MHAC, application, timeline, and grant process, please see the grant information packet. Please reach out to Chelsea Carnoali at chelsea.carnoali@eaglecounty.us with additional questions.  11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…1/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Provide a post-grant report (template will be provided) including the successes and experiences of the funded project, budget reporting, and outcomes of identied project goals detailed in the Scope of Work A minimum of one (1) progress presentation to the Mental Health Advisory Committee during the 2025 calendar  Completion of the project, including all components of the Scope of Work, within the contract period Applicant Information Kelly Medina Roaring Fork School District kmedina@rfschools.com 970-384-6018 https://www.rfschools.com/ First & Last Name (person who is filling out application)* Name of Organization * Contact Email * Contact Phone * Organization's Website (if applicable) 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…2/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Roaring Fork Schools will ensure that every student develops the enduring knowledge, skills, and character to thrive in a changing world. Project Funding Request maximum character count: 3000 per question Organization Background - Provide the organizations mission and vision:* 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…3/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Project Title: School-Based Mental Health Program at Basalt Middle School Description: The Roaring Fork School District, in par tnership with the Aspen Hope Center (AHC), requests funding to sustain and enhance its School-Based Mental Health Program at Basalt Middle School (BMS). This initiative provides a dedicated mental health clinician at BMS, allowing students to access mental health services directly within their school building at no cost to the student. The clinician offers individual and group counseling, social-emotional check-ins, and educational opportunities for the school community. This approach promotes proactive mental health suppor t in a rural school environment with a socio- economically diverse demographic. The program prioritizes prevention by assisting youth identified as needing suppor t or at risk, aiming to prevent crises before they occur or escalate. This initiative aligns with the Roaring Fork School District’s theory of action: that students who feel a connection to their school community are less likely to engage in risky behaviors and more likely to achieve better academic outcomes, including higher grades, improved test scores, and increased school attendance. The program integrates smoothly into the school system, creating a safety net for students by collaborating with school counselors, staff, and administration to provide comprehensive wraparound support and services. Specific Goals: 1. Increase Accessibility: Expand no-cost mental health services to ensure all Basalt Middle School students can seek suppor t without financial or administrative obstacles. 2. Proactive Mental Health Interventions: Focus on prevention by providing regular check-ins and identifying at-risk students for early intervention. 3. Enhanced Crisis Prevention: Reduce the occurrence of mental health crises by addressing underlying socio-emotional issues through professional counseling. 4. Staff Suppor t and Development: Equip school staff with the tools and knowledge to recognize and address mental health concerns in students, promoting a comprehensive suppor t environment. 5. Community Impact: Strengthen school communities by fostering a sense of belonging and well-being, suppor ted by the Healthy Kids Colorado Survey evidence that highlights the correlation between school connectedness and reduced risky behaviors. With the closure of our school-based clinic operated by Mountain Family Health Centers, there will be a gap in access to mental and behavioral health services for students in the Basalt schools. This funding will allow the School-Based Mental Health Program with the AHC to broaden its reach and enhance its impact on student well-being, ensuring healthier, more resilient students in the Roaring Fork School district and Eagle County for shor t term care. The clinician will collaborate with the Family Liaison at BMS to ensure there is continuity of care through a primary care provider. Proposed Use of Funding: Provide a project title, description, and any specific goals of the proposed use of funds: * 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…4/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 $100,000.00 Requested Funding Amount: Please list dollar amount here, & email project budget & sustainability plan to chelsea.carnoali@eaglecounty.us: * 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…5/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Actions: Training Integration with the RFSD school systems, including processes for referrals and collaboration with school staff. Offer continuous professional development for clinicians, focusing on social-emotional learning (SEL), Diversity, Equity, and Inclusion (DEI) frameworks, and trauma-informed and culturally responsive practices. Timeline: Ongoing throughout the school year. Actions: Provision of Services Deliver individual counseling sessions for students identified through SEL screeners or staff referrals. Facilitate group counseling and peer suppor t groups to address social-emotional challenges such as anxiety, bullying, or adjustment issues. Implement STRONG program cohor ts specifically designed to suppor t newly immigrated students with building resilience and address psychological distress associated with the newcomer experience from a culturally contextualized lens. Referrals to appropriate community resources for additional suppor t. Timeline: Ongoing. Actions: School Systems Collaboration Establish and document collaborative relationships between AHC clinicians, school staff, and community partners. Define clear roles and expectations for integrating mental health services within the school environment. Develop screening, referrals, and follow-up protocols to ensure streamlined service delivery. Offer consultation and professional development for teachers to equip them with strategies for implementing social-emotional learning in classrooms. Suppor t staff in handling complex student behavioral or emotional concerns. Timeline: Ongoing. Actions: Program Evaluation and Outcomes Establish tracking systems to monitor the results of SEL screeners, service utilization, and overall program outcomes. Analyze the data to evaluate the effectiveness of individual and group interventions, the impact of the STRONG program on newly immigrated students, and improvements in students' social-emotional well- being. This includes reducing crisis incidents and collaborating with school student suppor t teams to ensure comprehensive suppor t services for students and their families. Use the findings to refine program delivery and drive continuous improvement effor ts. Timeline: Months 6- 12 (Ongoing monitoring and final evaluation). Mental Health Advisory Committee Alignment maximum character count: 3000 per question Activities and Actions:  Describe the steps and actions that will be taken to implement the project within the grant period: * 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…6/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 The program closely aligns with the Mental Health Alliance of Colorado (MHAC) vision to adapt local systems that better suppor t mental well-being across Eagle County’s diverse populations. The program integrates equitable and proactive suppor t into students’ daily environments, reducing barriers such as transportation issues, financial constraints, and stigma. This approach ensures timely and accessible mental health care for all students, especially those from underserved communities. The program reflects MHAC’s emphasis on culturally responsive care and health promotion through initiatives like newcomer suppor t groups and STRONG groups. These initiatives specifically address the needs of newly immigrated students by tackling acculturation stress and fostering a sense of belonging. Collaboration with the Family Resource Center of the Roaring Fork Schools expands the program’s reach, connecting families to essential resources that address social determinants of health. The impact of the program shows positive gains, with a 15% decrease in students repor ting feelings of sadness or hopelessness and a 13-point reduction in suicidal thoughts at Basalt Middle School since 2021. These results underscore the program’s effectiveness in improving mental health outcomes. However, there continues to be a thread of persistent depression in BMS students, notably being repor ted higher in Latinx/Hispanic students. The program embodies MHAC’s commitment to creating culturally responsive and equitable mental health systems by establishing safe spaces, fostering resilience, and engaging families. It is designed to meet the diverse needs of Eagle County’s community with a strong focus on equity and cultural responsiveness. At Basalt Middle School, where 57% of students accessing services are Hispanic, the program successfully engages and suppor ts key demographics. Staff are trained in trauma-informed care, cultural humility, and implicit bias awareness, ensuring respectful and effective services for students from diverse cultural and linguistic backgrounds. Tailored programming, such as the newcomer peer groups or cohor ts through the STRONG program, addresses the specific needs of newly immigrated students, helping them navigate acculturation stress and social isolation while fostering resilience and a sense of belonging. Family engagement is central to the program, with par tnerships like the Family Resource Center providing holistic support that includes referrals and culturally appropriate outreach. By embedding cost- free mental health services in schools, the program ensures equitable access while leveraging feedback from students, families, and school staff to remain adaptive and responsive. These effor ts promote an inclusive, suppor tive environment where all students feel valued and empowered to thrive. MHAC Vision:  Describe how the proposed project aligns with the MHAC Vision Statement (see Grant Information Packet for Vision Statement and detailed reference): * Culturally responsive care: Describe how the proposed project meets the diverse needs of Eagle County community members with equity in access and cultural responsiveness (see  Grant Information Packet for definition and detailed reference): * 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…7/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 The Basalt Middle School program is dedicated to promoting inclusivity and equity by retaining and suppor ting our bilingual staff members. The family liaison and the AHC clinician at BMS are both bilingual, essential for reaching out to our primary Spanish-speaking students and their families. Access to bilingual providers allows our students to receive suppor t in their native language, which builds trust, reduces stigma, and has led to positive outcomes. At Basalt Middle School, 57% of students utilizing mental health services identify as Latinx/Hispanic, clearly demonstrating the program's success in engaging and supporting this impor tant demographic. Our staff are trained in trauma-informed care, cultural humility, and implicit bias awareness to ensure they deliver respectful and effective mental health services that cater to the unique cultural and social-emotional needs of our student population. The program includes culturally tailored initiatives, such as the STRONG program designed for newly immigrated students. This program addresses issues like acculturation stress and social isolation, which can significantly impact mental health. By offering targeted interventions, we foster a sense of belonging and resilience among underserved and immigrant students. Additionally, our programming features group therapy and psychoeducation that reflect the lived experiences and challenges faced by our diverse student body. Collaboration with the school’s student suppor t team enables a holistic approach to care, connecting students and families with resources to address mental health and broader social determinants like housing and food insecurity. We also prioritize removing barriers to care, including cost, transportation, and stigma, by providing free and accessible mental health services directly within the school setting. The program incorporates continuous feedback mechanisms, gathering input from students, families, and school staff to adapt and respond to the evolving needs of the community. These effor ts ensure that our programming effectively represents and ser ves the population, builds trust, and fosters an inclusive environment where all students can thrive. By prioritizing cultural responsiveness and equitable access, the program enhances the mental well-being of Eagle County's diverse student population. Inclusivity and equity :  How does your staff and/or programming represent the population that the project will serve in a culturally responsive manner: * 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…8/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 The program addresses mental health promotion and root causes through a proactive, prevention-focused approach while suppor ting recovery and aftercare for students and families. The program directly integrates mental health education, group therapy, and individual counseling into schools, creating accessible pathways for mental health care and promoting resilience in adolescence. Through evidence-based interventions like the Hazelden Betty Ford Children’s Program, students and families receive education and suppor t to prevent substance use and address its impacts, tackling a key root cause of mental health challenges. Collaborative effor ts with school staff, community organizations, and the Family Resource Center enhance the program’s capacity to provide wraparound services, addressing broader social determinants of health. Recovery and aftercare are prioritized through individualized therapy sessions and peer support groups, ensuring students continue to build coping skills and emotional regulation strategies post-crisis. Additionally, mindfulness and Dialectical Behavior Therapy (DBT) groups fur ther empower students to manage stress, enhance self-awareness, and develop practical tools for long-term well-being. Data from the AHC annual repor t highlights a decrease in crisis events and increased access to mental health services, demonstrating the program's effectiveness in addressing both the root causes of mental health challenges and the ongoing needs of recovery and aftercare. This comprehensive approach fosters a culture of mental health awareness, safety, and suppor t in the school communities it serves. Requirements Please review par ticipation requirements outlined below, checking boxes next to each identied requirement as an indication of commitment. If you cannot, for any reason, check one of these requirements below, please describe reasoning in the section below.  Health promotion/root cause efforts AND/OR Recovery/after care:  Describe how the proposed project addresses either mental health promotion/root causes and/or recovery/after care (see Grant Information Packet for definition and detailed reference): * 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1AR…9/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Sign a standard Eagle County Contract Provide a post-grant report to the Mental Health Advisory Committee Work collaboratively with Eagle County Public Health as needed throughout grant period Complete project within outlined time period Commit to one (1) progress presentation to the Mental Health Advisory Committee during the 2025 calendar This submission is for Basalt Middle School. There will be a second submission for Basalt High School. Please reach out to Kelly Medina at kmedina@rfschools.com if you have any questions. Thank you! This form was created inside of Eagle County Government. I Agree To:* Reason unable to fulfill any requirements listed above: Additional comments or questions:  Forms 11/18/24, 10:49 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNjwOTMMqzYkO1AB-KJOhyU1A…10/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Email * kmedina@rfschools.com Eligibility and Requirements Funding Application Eligibility A proposal/project-specic budget, including additional revenue sources, and sustainability plan emailed at the time of application submission to chelsea.carnoali@eaglecounty.us Project applied for will directly impact residents of Eagle County, with the applicant’s service area focused on the Eagle County and/or Roaring Fork Mid-Valley Funding will go towards either existing programming/services or support creative efforts of new projects Provide culturally responsive services or programs within the mental health promotion/root cause and/or recovery/aftercare space Program Recipient Participation Requirements Sign a standard Eagle County Contract, including a Scope of Work 2025 Mental Health Advisory Committee Funding Application  The Mental Health Advisory Committee (MHAC) of Eagle County is pleased to announce the opening of 2025 Funding opportunities with the purpose of addressing mental health needs of our communities. These funds are focused on programs, projects, and/or initiatives contributing to health promotion/root causes of local mental health challenges, and efforts offering equity in access to culturally responsive care. This one-year funding cycle will begin January 2025, with an application period beginning Wednesday, October 23rd, 2024, and closing Monday, November 18th, 2024. This funding is sourced by local marijuana tax revenue, meaning each contract will have a one-year scope without promise of continued funding. The decision-making entity of this funding stream, the Mental Health Advisory Committee, is the governing entity reviewing applications and selecting proposals for award.  For more details and information on the MHAC, application, timeline, and grant process, please see the grant information packet. Please reach out to Chelsea Carnoali at chelsea.carnoali@eaglecounty.us with additional questions.  11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…1/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Provide a post-grant report (template will be provided) including the successes and experiences of the funded project, budget reporting, and outcomes of identied project goals detailed in the Scope of Work A minimum of one (1) progress presentation to the Mental Health Advisory Committee during the 2025 calendar  Completion of the project, including all components of the Scope of Work, within the contract period Applicant Information Kelly Medina Roaring Fork School District kmedina@rfschools.com 9703846018 https://www.rfschools.com/ First & Last Name (person who is filling out application)* Name of Organization * Contact Email * Contact Phone * Organization's Website (if applicable) 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…2/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Roaring Fork Schools will ensure that every student develops the enduring knowledge, skills, and character to thrive in a changing world. Project Funding Request maximum character count: 3000 per question Organization Background - Provide the organizations mission and vision:* 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…3/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Project Title: School-Based Mental Health Program at Basalt High School Description: The Roaring Fork School District, in par tnership with the Aspen Hope Center, seeks funding to suppor t and expand its School-Based Mental Health Program at Basalt High School (BHS). This program embeds dedicated mental health clinicians within the school, providing students with direct access to no-cost mental health services, including individual and group counseling, social-emotional check-ins, and specialized group programming. This approach prioritizes early intervention and prevention, addressing students' mental health needs in a suppor tive and familiar environment and removing barriers such as cost, stigma, and logistical challenges. Funding will help the program continue its essential role in suppor ting Basalt High School’s diverse population, where 79% of students accessing mental health services identify as Latinx/Hispanic. It ensures that students from all backgrounds feel safe, suppor ted, and valued. Specific Goals: 1. Increase Accessibility: Expand no-cost mental health services to ensure all BHS students can seek suppor t without financial or administrative obstacles. 2. Proactive Mental Health Interventions: Focus on prevention by providing regular check-ins and identifying at-risk students for early intervention. 3. Enhanced Crisis Prevention: Reduce the occurrence of mental health crises by addressing underlying socio-emotional issues through professional counseling. 4. Staff Suppor t and Development: Equip school staff with the tools and knowledge to recognize and address mental health concerns in students, promoting a comprehensive suppor t environment. 5. Community Impact: Strengthen school communities by fostering a sense of belonging and well-being, suppor ted by the Healthy Kids Colorado Survey evidence that highlights the correlation between school connectedness and reduced risky behaviors. With the closure of our school-based clinic operated by Mountain Family Health Centers, there will be a gap in access to mental and behavioral health services for students in the Basalt schools. This funding will allow the School-Based Mental Health Program with the AHC to broaden its reach and enhance its impact on student well-being, ensuring healthier, more resilient students in the Roaring Fork School district and Eagle County for shor t-term care. The clinician will collaborate with the Family Liaison at BHS to ensure continuity of care through a primary care provider. Proposed Use of Funding: Provide a project title, description, and any specific goals of the proposed use of funds: * 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…4/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 $100,000.00 Requested Funding Amount: Please list dollar amount here, & email project budget & sustainability plan to chelsea.carnoali@eaglecounty.us: * 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…5/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Actions: Training Integration with the RFSD school systems, including processes for referrals and collaboration with school staff. Offer continuous professional development for clinicians, focusing on social-emotional learning (SEL), Diversity, Equity, and Inclusion (DEI) frameworks, and trauma-informed and culturally responsive practices. Timeline: Ongoing throughout the school year. Actions: Provision of Services Deliver individual counseling sessions for students identified through SEL screeners or staff referrals. Facilitate group counseling and peer suppor t groups to address social-emotional challenges such as anxiety, bullying, or adjustment issues. Implement STRONG program cohor ts specifically designed to suppor t newly immigrated students with building resilience and address psychological distress associated with the newcomer experience from a culturally contextualized lens. Referrals to appropriate community resources for additional suppor t. Timeline: Ongoing. Actions: School Systems Collaboration Establish and document collaborative relationships between AHC clinicians, school staff, and community partners. Define clear roles and expectations for integrating mental health services within the school environment. Develop screening, referrals, and follow-up protocols to ensure streamlined service delivery. Offer consultation and professional development for teachers to equip them with strategies for implementing social-emotional learning in classrooms. Suppor t staff in handling complex student behavioral or emotional concerns. Timeline: Ongoing. Actions: Program Evaluation and Outcomes Establish tracking systems to monitor the results of SEL screeners, service utilization, and overall program outcomes. Analyze the data to evaluate the effectiveness of individual and group interventions, the impact of the STRONG program on newly immigrated students, and improvements in students' social-emotional well- being. This includes reducing crisis incidents and collaborating with school student suppor t teams to ensure comprehensive suppor t services for students and their families. Use the findings to refine program delivery and drive continuous improvement effor ts. Timeline: Months 6- 12 (Ongoing monitoring and final evaluation). Mental Health Advisory Committee Alignment maximum character count: 3000 per question Activities and Actions:  Describe the steps and actions that will be taken to implement the project within the grant period: * 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…6/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 The program closely aligns with the Mental Health Alliance of Committee (MHAC) vision to adapt local systems that better suppor t mental well-being across Eagle County’s diverse populations. The program integrates equitable and proactive suppor t into students’ daily environments, reducing barriers such as transportation issues, financial constraints, and stigma. This approach ensures timely and accessible mental health care for all students, especially those from underserved communities. The program reflects MHAC’s emphasis on culturally responsive care and health promotion through initiatives like newcomer suppor t groups and STRONG groups. These initiatives specifically address the needs of newly immigrated students by tackling acculturation stress and fostering a sense of belonging. Collaboration with the Family Resource Center of the Roaring Fork Schools expands the program’s reach, connecting families to essential resources that address social determinants of health. The program has demonstrated a notable impact, with a 12-point decrease in students reporting sadness or hopelessness since 2021. However, despite these gains, there remains a concerning 2% increase in reported suicide attempts during the same period, highlighting the need for continued focus on comprehensive mental health interventions. The persistent challenges, par ticularly among Latinx/Hispanic students, underscore the importance of targeted, culturally responsive strategies to address underlying factors contributing to depression and suicidal behaviors. By establishing safe spaces, fostering resilience, and engaging families through collaborative effor ts, the program embodies MHAC’s commitment to creating culturally responsive and equitable mental health systems that adapt to the evolving needs of Basalt High School’s diverse student population. The staff is trained in trauma-informed care, cultural humility, and implicit bias awareness to provide respectful and effective services to students from various cultural and linguistic backgrounds. Additionally, the BHS staff on the student suppor t team are bilingual and bicultural, facilitating timely access to services from the AHC clinician. Tailored programming, such as newcomer peer groups and cohor ts through the STRONG program, specifically addresses the needs of newly immigrated students. This support helps them navigate acculturation stress and social isolation while fostering resilience and a sense of belonging. Family engagement is a core component of the program, with partnerships like the Family Resource Center offering holistic suppor t that includes referrals and culturally appropriate outreach. By embedding cost-free mental health services in schools, the program ensures equitable access for all students. It also actively seeks feedback from students, families, and school staff to remain adaptable and responsive to their needs. These combined efforts help create an inclusive and suppor tive environment where all students feel valued and empowered to thrive. MHAC Vision:  Describe how the proposed project aligns with the MHAC Vision Statement (see Grant Information Packet for Vision Statement and detailed reference): * Culturally responsive care: Describe how the proposed project meets the diverse needs of Eagle County community members with equity in access and cultural responsiveness (see  Grant Information Packet for definition and detailed reference): * 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…7/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 The School-Based Mental Health Program at Basalt High School is intentionally designed to meet the needs of a diverse student body through culturally responsive care and inclusive programming. Recognizing the varied backgrounds and experiences of its students, the program offers specialized suppor t groups that address specific cultural, gender, and identity-based needs: Newcomers Group: This group is specifically tailored for newly immigrated students, providing support to help them manage acculturation stress, navigate cultural adjustments, and build a sense of belonging within the school community. By addressing the unique challenges students who are immigrants face, the program fosters resilience and inclusivity. ExEd Women’s Empowerment Program: Designed for freshman girls, this program focuses on building self- confidence, leadership skills, and emotional resilience. It provides young women with a safe space to discuss relevant issues, empowering them to navigate high school with confidence and awareness. Freshman Girls Group: This group creates a supportive environment where freshman girls can discuss social, emotional, and academic challenges, fostering peer connections and providing a foundation for positive mental health. Genders & Sexualities Alliance (GSA): The GSA group suppor ts LGBTQ+ students, providing them with a safe and affirming space to explore issues related to identity, build community, and advocate for inclusivity. By offering a place for self-expression and support, the program helps LGBTQ+ students feel seen, understood, and valued. Dialectical Behavior Therapy (DBT) Sessions: These DBT groups equip students with practical skills for emotional regulation, distress tolerance, and interpersonal effectiveness. DBT is particularly beneficial for students facing ongoing mental health challenges, as it empowers them with tools to manage emotions, reduce stress, and build positive relationships. By embedding mental health services within the school and tailoring interventions to meet specific needs, the program ensures that every student has equitable access to culturally responsive care. Collaboration with community resources, such as the Family Resource Center, provides additional suppor t for families, addressing broader social determinants of health and reinforcing stability. Inclusivity and equity :  How does your staff and/or programming represent the population that the project will serve in a culturally responsive manner: * 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…8/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 The program addresses mental health promotion and recovery by focusing on root causes and providing long-term suppor t. Preventative effor ts for mindfulness and meditation sessions equip students with knowledge and skills to build resilience, manage stress, and reduce risks related to mental health challenges. In terms of recovery and aftercare, DBT groups and individual counseling sessions suppor t students navigating long-term mental health needs. For those transitioning out of crises, continued access to peer suppor t through groups like the GSA and Freshman Girls Group helps foster connection and community. Additionally, collaboration with the Family Resource Center ensures wraparound suppor t for students and families, addressing essential needs such as housing stability and food security, which are crucial for sustained mental well-being. By addressing the root causes of mental health issues and providing comprehensive recovery suppor t, the program cultivates a safe, inclusive environment where all students at Basalt High School can thrive. This funding will enable the continuation and enhancement of these essential, culturally responsive services, ensuring every student can feel suppor ted, build trusted and healthy relationships, and connect to their school community. Requirements Please review par ticipation requirements outlined below, checking boxes next to each identied requirement as an indication of commitment. If you cannot, for any reason, check one of these requirements below, please describe reasoning in the section below.  Sign a standard Eagle County Contract Provide a post-grant report to the Mental Health Advisory Committee Work collaboratively with Eagle County Public Health as needed throughout grant period Complete project within outlined time period Commit to one (1) progress presentation to the Mental Health Advisory Committee during the 2025 calendar Health promotion/root cause efforts AND/OR Recovery/after care:  Describe how the proposed project addresses either mental health promotion/root causes and/or recovery/after care (see Grant Information Packet for definition and detailed reference): * I Agree To:* 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLqM…9/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Please reach out to Kelly Medina, at kmedina@rfschools.com for questions. This form was created inside of Eagle County Government. Reason unable to fulfill any requirements listed above: Additional comments or questions:  Forms 11/18/24, 11:01 AM 2025 Mental Health Advisory Committee Funding Application https://docs.google.com/forms/d/1VNYcM9sUy4l4dxNVkgvDtajywSpDVsLHU246zlAbWok/edit#response=ACYDBNhQw1jOiU3FisHqlzXkqCDauLq…10/10 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 7 EXHIBIT B Scope of Work Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN EAGLE COUNTY GOVERNMENT AND ROARING FORK SCHOOL DISTRICT EXHIBIT B Scope of Work: Terms of Funding, Deliverables, and Deadlines These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above. I. Entity Name: Roaring Fork School District II. Project Description: This project serves to increase youth access to school-based mental health programming in the Basalt Middle School and Basalt High School to provide accessible mental health services to students in partnership with the Aspen Hope Center. This program focuses on prevention and early intervention to reduce crises and improve student well-being, ultimately fostering a healthier school environment. III. Definitions: Community Voice: An approach to decision-making, project management, and strategic planning which incorporates direct feedback and redistributes power to community members most impacted by the project or programming. Root cause: A descriptor for the underlying reasons that create the differences seen in health outcomes which originates from the community in which people live, and the systems that dictate accessibility to resources and opportunities necessary for survival. Systems change/systems-level-work: The shift of responsibility for poor health outcomes from individual behavior, to the community systems which individuals rely on, where inequities in access to opportunities for success exist. This addresses population health measures on social, racial/ethnic, economic, and physical factors- often referred to as social determinants of health. Culturally Responsive Care: A provider, organization, and system’s understanding of an individual’s culture (the combination of a body of knowledge, a body of belief and a body of behavior with personal identification, language, communication preferences, customs, beliefs, value) when providing resources, education, and services in an effort to provide equitable, effective and respectful care and services. MHAC: Mental Health Advisory Committee ECPHE: Eagle County Public Health and Environment Roaring Fork School District (RFSD): Contractor/awardee Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 2025 Eagle County Mental Health Advisory Board Funding IV. Work Plan Goal I: Contractor will report progress specific to the funded project showing transparency in use of funds, adherence to grant focus, and project purpose. Objective Ia: Contractor will report budgetary, programmatic, and evaluation progress with MHAC, point of contact being ECPHE staff member, at a minimum of two (2) occurrences throughout the funding cycle, taking place at mid-grant and grant closure, in adherence to transparency, participation, and project-specific expectations. Deliverables Deadlines 1. Contractor will provide MHAC (via ECPHE staff contact) with budget updates with specificity and transparency in direct correlation with the funded project using the MHAC-provided reporting template. Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). 2. Contractor will provide MHAC (via ECPHE staff contact) with project-specific updates, as detailed in Objective Ib, using both narrative and indicator progress using the MHAC-provided reporting template. Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). 3. Contractor will provide ECPHE with evaluation updates using MHAC-provided reporting template. Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). Objective Ib: Contractor will provide project-specific updates that indicate progress and adherence to the project timeline and goals. Deliverables Deadlines 1. Contractor will provide MHAC (via ECPHE staff contact) data reflecting reach of students served, including, but not limited to: a. The number of contact hours for each counselor provided at each school in the district per month b. The number of students seen by mental health counselors at each school per month c. Demographics for each visit including: i. Age ii. Grade iii. Gender iv. New or repeat visit Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 2025 Eagle County Mental Health Advisory Board Funding v. If repeat visit, number of visits to date vi. Level of risk vii. Diagnosis, if applicable viii. Treatment recommended ix. Referral, if applicable x. Outcome 2. Contractor will provide information regarding care coordination and referral services for recovery/after care following crisis involvement, including, but not limited to: a. Reporting partnership listing/mapping as described in Goal IV, Objective IVa, Deliverable 2 b. Reporting partnership listing/mapping as described in Goal IV, Objective IVa, Deliverable 3 c. Sharing any additional referral data, such as referral outcomes, etc. 3. Contractor will provide results for participation surveys for the funded program, capturing information including, but not limited to: a. Stability measurements for high-need students b. Self-harm risk measurement self-scoring c. Other pertaining indicators collected d. Program-specific feedback, such as ease of access and opportunities for improvement, interest in programming offered, etc Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). Goal II: Contractor will describe cultural responsiveness of the project/program. Objective IIa: Contractor will provide a description of how the population impacted by the funded project was served in a culturally responsive manner. Deliverables Deadlines 1. Contractor will provide a description of how the population impacted by the funded project was served in a culturally responsive manner, including, but not limited to: a. volunteer, contractor, and staff training and/or lived experience Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 2025 Eagle County Mental Health Advisory Board Funding b. cultural knowledge and experience with population served c. authentic language accessibility d. authentic assessment and response to barriers in program/project access for population served Goal III: Contractor will indicate efforts to incorporate community voice of population(s) most impacted by the organization’s programming/the funded project into decision-making processes. Objective IIIa: Contractor will assess the organization’s current decision-making process and identify opportunities to incorporate direct community voice from the population(s) most impacted by the organization’s programming/funded project. Deliverables Deadlines 1. Contractor will identify the organization’s current decision-making process and share this outline with MHAC (via ECPHE staff contact) using MHAC- provided template. To be reported at mid-grant, roughly July, 2025 (specific date to be determined). 2. Contractor will assess the organization’s opportunities to incorporate direct community voice into decision-making using MHAC-provided template. To be reported at mid-grant, roughly July, 2025 (specific date to be determined). Objective IIIb: Contractor will identify needs for internal capacity building to incorporate community voice in decision-making processes. Deliverables Deadlines 1. Contractor will assess current organizational capacity for the incorporation of community voice in decision-making, including but not limited to staff and board representation, community-member advisory roles, community boards, etc. narratively using MHAC-provided template. To be reported at end-of-grant report, roughly July, 2025 (specific date to be determined). Goal IV: Contractor will collaborate with partners of shared population(s) served in an effort to establish, determine, and/or strengthen the Organization’s role within the population’s systems/system of care. Objective IVa: Contractor will, or describe strategy to, communicate/collaborate with key community partners in assessing the needs of the population most impacted by the project and Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 2025 Eagle County Mental Health Advisory Board Funding utilize these strategic conversations to advocate for the population served using information provided directly by the community. Deliverables Deadlines 1. Contractor will provide ECPHE updates regarding School-Clinician program leadership’s role in participation of regular (monthly, quarterly, etc) youth mental health-focused coalitions, groups, strategies, and/or similar convenings and share this with MHAC (via ECPHE staff contact) using MHAC-provided template. Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). 2. Contractor will provide ECPHE evidence of program leadership’s strategizing efforts with key partners within the youth mental health-focused, including additional partners crucial to the efficacy of meeting the needs of Basalt Middle and High School students. Contractor will share this information in narrative format with MHAC (via ECPHE staff contact) using MHAC-provided template. Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). 3. Contractor will share referral processes, both to and from, the funded project and share with MHAC (via ECPHE staff contact) using MHAC-provided template. Mid-grant, roughly July, 2025, and end of grant, roughly December, 2025 (specific date to be determined). V. Monitoring: The Mental Health Advisory Committee members and/or Eagle County Public Health and Environment will monitor this Contract for compliance with performance requirements throughout the Contract period. Methods used will include progress meetings with MHAC and/or ECPHE as needed/requested with required documentation provided by the contractor. The Contractor’s performance will be evaluated in December of 2025 prior to the release of final payment of contract funds, at the end of the contract period, with an evaluation discussion required one-year following contract closure. VI. Resolution of Non-Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and Mental Health Advisory Committee members and/or Eagle County Government will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. VII. Allocation of Funding: Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 2025 Eagle County Mental Health Advisory Board Funding Basalt Schools-Based Mental Health Services Annual Operating Budget Personnel Expense Middle School Clinician $40,000 Personnel Expense High School Clinician $40,000 General Operating Expenses $4,000 Total Direct Expenses $84,000 Net Billable Expenses $84,000 (1) Salaries and Wages include the following positions: one full-time mental health clinician in Basalt Middle School and one full-time mental health clinician in Basalt High School. (2) General Operating Expenses are estimated at 5.5% of Personnel Expenses and include client expenses, operating supplies, medical records system inclusion for data and outcome gathering, and other general operating expenses. Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 8 EXHIBIT C Certificate of Insurance Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149 Certificate of Coverage ) 303.722.2600 : www.csdsip.org * 6857 South Spruce Street Centennial, CO 80112 Toll-Free: 800.332.3556 Fax: 303.722.7888 : @CSDSIP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER, AUTHORIZED REPRESENTATIVE, AND THE CERTIFICATE HOLDER. 07/01/2024 Member:ROARING FORK SCHOOL DISTRICT RE-1 Ben BohmfalkAttention: Mailing Address:400 Sopris Avenue Carbondale, CO 81623 Policy Number:2301-24-00158 Policy Period:07/01/2024 to 07/01/2025 THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER ABOVE FOR THE POLICY PERIOD INDICATED . NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE COVERAGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, DEFINITIONS AND CONDITIONS OF SAID COVERAGE FORMS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Coverages Limits/Deductibles School Entity Liability Coverage Occurrence Form Each Occurrence, School Leaders Wrongful Act & Employment Wrongful Act $3,000,000 $15,000,000Annual Aggregate Limit Medical Expense (Per Person/ Per Accident)$1,000/$10,000 School Auto Coverage Limit Per Accident $2,000,000Any Auto, Hired and Non-Owned Limit Per Person $5,000Medical Payments Auto Physical Damage Coverage Auto Physical Damage Deductible $1,000 Property Coverage Special Form Building/Business Personal Property Limit $478,778,481 $500,000Property Damage To Premises Rented To You Description of Operations/Locations/Vehicles/Special Items Certificate Holder has been included as an additional insured on the Member's School Entity Liability Coverage for "bodily injury", "personal injury" or "property damage" caused by the Member's negligence if required by written contract or agreement subject to the policy terms and conditions with respect to the Member's partnership with the Certificate Holder to provide Mental Health Counselors at Basalt Middle School & Basalt High School. Cancellation: SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE, WE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Authorized Representative Certificate Holder: Attn: Chelsea Carnoali Email: chelsea.carnoali@eaglecounty.us Eagle County Public Health and Environment 551 Broadway PO Box 660 Eagle, CO 81631 Docusign Envelope ID: 7EA51945-3486-4696-A6B5-EC7077944149