HomeMy WebLinkAboutbocc.con.243.2009 CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR SCANNING/ARCHIVING
CONTRACT 243 - 2~
ORIGINATING DEPARTMENT/DIVISION: HHS
CONTACT PERSON: Mitzi Ledingham PHONE 920-5766
PROJECT NAME: ,.yu~:;;_~ t~ ~ ~-~>i
i! w.. ' r^ ~ c-i. ~ ~
? BOCC AGENDA ITEM ®STAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (per Revised Procurement Code 7/2005)
? Over $50,000 (Requires County Manager's Signature)
? CHECK PROCUREMENT TYPE:
?None ?Informal ?Formal ?Sole Source ®Emergency ?State Bid ?
?Compliance with House Bills 06-1343 and 07-1073 Immigration Form (Under $10,000, Letters of Engagement, etc
DOLLAR AMOUNT: $16,000 BUDGET LINE ITEM/LEDGER NUMBER:
? CHECK CONTRACT TYPE:
?Services/Maintenance ?Employment (for county employees)
?License/L7se ?Intergovernmental Agreement (Requires BOCC Action)
?Lease ®Non-Profit
?Construction ?Quasi-Public
?Goods, Equipment, Supplies ?Grant Agreements (Requires BOCC Action)
?Other (e.g. revenue) ?Change Order/Contract Amendment
CONTRACTOR: Colorado West Regional Mental Health, Inc. COMPLETE LEGAL OF NAME OF BUSINESS (if
different from contractor)
Contract Execution Date:July 7, 2009 Contract End Date: one time request
Automatic Renewal: ?Yes ®No Term of Contract: one-time request
S~T~~ All Contracts should be proofed for the following: y ,
? ®No Pages Missing ~
? ?If a Page is Left Intentionally Blank -Note on Page ~ V
? ®Page numbered consecutively
? ®All Signatures Affixed
? ®All Dates Filled In
? ®All Other Blanks Filled In
? ?All Exhibits Attached
? ?HB 06-1343 and 07-1073 (Immigration Legislation) Included in RFP and/or Contract
? ?All Legal Descriptions Attached (if applicable)
? ?Notice of Award/Notice to Proceed Attached (if applicable)
? ®Warranty (if applicable)
? ?Special Instructions for Finance Department: one-time request
? ?Sent to Clerk and Recorder for Scanning/Archiving
? ®Authorized Staff Person's Name: Mitzi Ledingham
BY CHECKING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF PERSON INDICATES THAT
THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING.
NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHIVES RETAINAGE SCHEDULE.
PITKIN COUNTY
HEALTHY COMMUNITY FUND
EMERGENCY GRANT AWARD
COLORADO WEST REGIONAL MENTAL HEALTH, INC.
Contract Number _243 Ledger Number
This Grant is made as of the date last below signed between Pitkin County, herein referred to as
"County", and Colorado West Regional Mental Health, [nc., (CWRMH) hereafter referred to as
"Agency". Whereas, CWRMH, a private non-profit agency, is providing in-patient psychiatric
services for residents from 18 locations in a 10-county region, including Pitkin, and whereas
Pitkin County wishes to award an emergency grant of operating cash for this calendar year to be
applied toward the $400,000 needed to sustain hospital operations and develop step down
alternatives which will insure future sustainability.:
1. Term of Agreement: The teen of this Agreement is from July 7`~', 2009 and is a one-time
emergency funding request.
2. Agency Obli atg ions: Agency shall:
a) Strictly adhere to all applicable federal, state and local laws or regulations that
have been or inay hereafter be established.
b) Compliance with House Bi1106-1023. Perform the following verifications to
comply with House Bill 06-1023: Grantees who provide a benefit to persons over
the age of 18 years of age and which require an individual application from the
person who will receive a benefit, are required to verify the applicant's legal
presence in the United States. The verification of lawful presence requires all
applicants 18 years of age or older to:
i. Produce a valid Colorado driver's license or a Colorado identification
card; or a United States military card or military dependent's identification
card; or a United States Coast Guard Merchant Mariner card; or a Native
American Tribal document; and
ii. Execute an affidavit stating that applicant is a United States citizen or
legal permanent resident; or that applicant is otherwise lawfully
present in the United States pursuant to Federal law.
c) Be lawfully prohibited, pursuant to Article 76.5 of Title 24, C.R.S., from
providing a Federal public benefit or a state or local public benefit in violation of
paragraph (b) of this section.
i. Statutory Exceptions: Excepted from this requirement are the following
types of benefits:
A. Services for children under age 18;
B. Obtaining health care items and services necessary for treatment of an
emergency medical condition of the person involved and not related to
an organ transplant;
C. Short-term, in-kind, non-cash emergency disaster relief;
D. Public health assistance for inmlunizations, with respect to
immunizable diseases and for testing and treatment of symptoms of
1
communicable disease, whether or not such symptoms are caused by
immunizable diseases;
E. Programs, services or assistance such as soup kitchens, crisis
counseling and intervention;
F. Prenatal care.
d) Compliance with House Bi1106-1343. In compliance with House Bill 06-1343,
amending Title 8 of the Colorado Revised Statutes by the addition of Article 17.5,
Illegal Aliens-Public Contract for Services, enacted by the General Assembly of
the State of Colorado, the Agency shall not:
i. Knowingly employ or contract with an illegal alien to perform work under
this contract, or;
ii. Enter into a contract with a subcontractor that fails to certify to the
Agency that the subcontractor shall not knowingly employ or contract
with an illegal alien to perform work under this contract.
e) In compliance with House Bi1106-1343 enacted by the General Assembly of the
State of Colorado:
ii. The Agency shall verify or attempt to verify through participation in the
Basic Pilot Program [created in Public Law 208, 104" Congress, as
amended and expanded in Public Law 156, 108`h Congress, as amended,
that is administered by the United States Department of Homeland
Security] that the Agency does not employ any illegal aliens and, if the
Agency is not accepted into the Basic Pilot Program prior to entering into
this contract, the Agency shall apply to participate in the Basic Pilot
Program every three months until the Agency is accepted or this contract
has been completed, whichever is earlier. This provision shall not be
required or effective if the Basic Pilot Program is discontinued.
iii. The Agency shall be prohibited from using Basic Pilot Program
procedures to undertake pre-employment screening of job applicants while
this contract is being performed.
iv. If the Agency obtains actual knowledge that a subcontractor performing
work under this contract knowingly employs or contracts with an illegal
alien, the Agency shall be required to:
A. Notify the subcontractor and the County within three days that the
Agency has actual knowledge that the subcontractor is employing
or contracting with an illegal alien; and
B. Terminate the subcontract with the subcontractor if within three
days of receiving the notice required pursuant to subparagraph (A)
of this paragraph (e) the subcontractor does not stop employing or
contracting with the illegal aliens; except that the Agency shall not
terminate the contract with the subcontractor if during such three
days the subcontractor provides information to establish that the
subcontractor has not knowingly employed or contracted with the
illegal alien.
f) The Agency shall comply with any reasonable request by the Department of
Labor and Employment made in the course of an investigation that the
2
Department of Labor and Employment is undertaking pursuant to the authority
established in Subsection (5) of C.R.S. ~ 8-17.5-102.
g) I-Iold and maintain for the term hereof the necessary licenses(s) as specified under
State law, which permits the performance of the service(s) to be provided herein.
h) Continue to provide inpatient crisis stabilization for uninsured Pitkin County
residents in order to make inpatient mental health services accessible to low
income residents.
i) Subcontracts utilized by the Agency shall be subject to the requirements of the
Grant as listed here, and the Agency is responsible for the perfornance of any
subcontractor.
j) Abide by all applicable provisions of the Title VI and VII of the Federal Civil
Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and Title XX
of the Social Security Act of 1975 as revised.
k) Maintain written requirements for safeguarding client information and comply
with the same.
Maintain service program records, fiscal records, documentation and other
records relevant to this Grant for the duration of the grant plus six years. The
above shall be subject at all reasonable times to inspections, review or audit by
Federal, State or County personnel, and other persons authorized in writing by the
County.
m) Provide the services at the location as shown as the address of the Agency or
whatever is appropriate for that service.
3. Pitkin Count's Obli ations: Pitkin County shall:
a) County agrees to grant $16,000 to CWRMHC to help off-set the 2008-2009 debt
of their Grand Junction psychiatric in-patient hospital, the Colorado West
Psychiatric Hospital. The funds will be used as operating cash so the hospital can
continue to remain open. In addition, all legal fees associated with involuntary
placement of Pitkin County residents in the Crisis Stabilization Unit will be
covered by this contribution.
a) The total amount of this contract is for $16,000. The County will pay Agency the
total amount of this grant upon receipt of signed contract.
4. General Provisions
a. The Parties to this Grant intend that the relationship between them contemplated
by the Grant is that of independent agency. No agent, employee, or servant
Agency will be solely and entirely responsible for its acts and the act of its'
agents, employees, servants and subcontractors during the performance of the
Grant.
b. Pa}nnent pursuant to the Grant, if in County, State or Federal funds, whether in
whole or in part, is subject to and contingent upon the continuing availability and
appropriation of County funds for the purpose thereof.
c. This Grant constitutes the full and complete agreement of the parties and
supersedes or incorporates any prior written and oral agreements of the parties. In
addition, Agency understands that no County official or employee, other than the
Board of County Commissioners acting as a body at a Board meeting, has
3
authority to enter into a Grant or to modify the terms of this Grant on behalf of the
County. Any such Grant or modification to this Grant must be in writing and be
executed by the parties hereto.
5. Default/Cancellation. If Agency shall default in the performance of Agency's
Obligations pursuant to the terms of this Agreement, and/or fails to provide an accounting
or use or appropriation of monies granted in the manner in which such accounting was
represented to the County, Agency shall have the right to cure said default after written
notice by the County of the default to Agency. If Agency fails to cure such default within
sixty (60) days after written notice is given from the County to Agency specifying the
nature of such default (or if such default cannot be cured within the aforesaid period of
time, if the Agency shall fail to promptly commence to cure the same and to thereafter
diligently proceed with such cure), Cowrty shall reserve the right to cancel this
Agreement and make a demand for the return of all monies that County determines, at its
sole discretion, were not appropriated in accordance with this Agreement. Written notice
of default and cancellation shall be made to Agency by first class mail, postage prepaid
and by certified mail, return receipt requested, to the following address:
Sharon Raggio
CEO
Colorado West Regional Mental Health, Inc.
6916 HWY 82 Box A
Glenwood Springs, CO 81601
6. Entire Agreement: This Agreement constitutes the full and complete Agreement of the
parties hereto and shall not be modified except by a written agreement signed by the
parties.
4
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed as of the latest date written below.
PITKIN COUNTY, COLORADO
Nancy N. Sundeen Date
Director of Health & Human Services
COLORADO WEST REGIONAL MENTAL HEALTH, INC.
Sharon Raggio
CEO Date
Colorado West Regional Mental Health, Inc.
6916 HWY 82 Box A
Glenwood Springs, CO 81601 Taxpayer ID Number: # 84-0625890
5