HomeMy WebLinkAboutbocc.con.007.2011CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR,
SCANNING(ARCFIIVING
CONT #: 007-2011
Originating DepartmenUDivision: Health & Human Services
Contact Person: Mitzi Ledingham Phone #: 920-5766
Project Name: Healthy Community Fund Crant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATURE
(BOCC s�gnamre required) (per Revised Procucement Code 7/2005)
Check procurement type:
�None �Informal QFormal QSole Source QEmergency QState Bid ❑
Check Contract Tvpe:
Dollar Amount: $9,000
se
Construction
Goods, Equipment, Supplies
Other (e.g. revenue)
Budget Line Item/Ledger Number 113.85.00000.84059
(for county employees)
ental Agreement (Requires BOCC Action)
Profit
i-Public
t Agreements (Requires BOCC Action)
«e Order/Contract Amendment
ContractorBusiness Complete Legal Name: Valley View Hospital
Sexual Assault Nurse Examiner (SANE) Program
Contract Execution 1/3/2011 Contract End Date: 12/31/12
Automatic Renewal Term of Contract: biennial
All Contracts should be proofed for the following:
� Pages Missing
a Page is Left Intentionally Blank —Note on Page
ige numbered consecutively
Signatures Affixed
Dates Fiiled In
Other Blanks Filled In
Exhibits Attached
�^ 1�"� V
�!l �
�
❑All Legal Descriptions Attached (;eappropriace)
�Notice of AwardlProceed Attached ��r approP��ace�
�Special Instructions for Finance Department: see grant payxnent worksheet
❑Sent to Clerk and Recorder for Scanning/Archiving
�Authorized Staff Person's Name: Mitzi Ledingham
QWarranty, ifapplicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCANNING.
Note: Clerk's Office will keep original documents in compliance with Colorado State
Archives retainage schedule.
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Feb. 8. 2011 11;01AM HUMAN RESOURCES No.2037 P. 2
PITKTN COUNTY
T�ALT�T AND T-TUMAN SETt'VICES
BIENNIAL GRANT AWARD
VALLEY VIEW HOSPITAL SANE PROGRAM. 2011-2012
ConU�act Number 007-2011 Ledger Number 113.85.00000.84059
This Crrant is made as of the date Iast below signed between Pitkin County, herein referred to as
"County", and Valley'View Hospital SANE program, hereafter referred to as "Agency".
Whereas, 'Valley View Hospital SANE program, a private non-profit agency, is providing sexual
assanit nurse examiner seivices, and wheseas Pitkin County wishes to award a grant for the
provision of these services:
1, Term and Renewal of A�reement; Absant any termination for cause under pazagraph 5 of
the Agreement, the term of this Agreement shall continue for a period of two years,
subject to bndget appropziation, compliance with contract obligations, and Board of
County Corrunissione►s approval.
2. A�ancv Oblieations: Agency shall:
a) Strictly adhara to all applicabla fedcral, stata and local laws or regulations that
have been or may hereafter be astablished,
b) Comnliance with House Bi1106-1023. Perform the following verifications to
comply with House Bi1106-1023: Grantees who provide a benefit to persons over
the age of 18 yeazs of age and which require an individual application from the
person who will recaive a benafit, are required to verify thc�applicant's lagal
presenCe in the C7nited States, The varification of lawful presence requires all
applicants 18 years of age or older to;
i. Produce a valid Colorado driver's license or a Colorado identificadon
caid; or a United States military card or military dependent's identification
cazd; or a United States Coast Guaxd Merehant Mariner card; or a Native
American Tribal document; and
ii, Execute an affidavit stating that applicant is a TJnited States citizen or
legal permanent resident; or that applicant is otherwise lawfully
present in the United States pnrsnant to Federal law.
c) Be lawfully prohibited, pursuant to Article 76.5 of Title 24, C.12.S., fi•om
providing a Fadaral public benefit or a stata or local public benefit in violation of
pazagraph (b) of this saction,
i. Statutory Exceptions; Excepted fi•om this Yequirement az�e the following
types ofbenefits;
A. Services for children nnder age 18;
B. Obtaining health care items and services necessaiy for treahnent 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 immunizations, with raspact to
immunizable diseases and for testing and treatment of symptoms of
Feb. B. 2011 11:07AM HUMAti RESOURCES No, 2037 P. 3
communicable disease, whether or not such sqmptoms are caused by
immunizable diseases;
E. Programs, services or assistance such as soup kitchens, crisis
counseling and intcrvention;
F, Prenatalcare.
d) Comuliance with I�ouse Bi1106-1343. In compliance with �Touse Bi1106�1343,
amending Title 8 of the Colorado Revised Statutas by the addition of Article 17.5,
Illegal Aliens-Public Contract for Sarvices, enacted by the General Assembly of
the State of Colorado, the Agency shall not;
i. Knowingly employ or contract with an illegal alien to perfoim work under
this contract, or;
ii, Enter into a conUact 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 conqact,
e) In compliance with F3ouse Bi1106-1343 anacted b� the General Assembly of ihe
State of Colocado:
i. The Agency shall verify or attempt to verify t}u•ough �ar[icipation in the
Basic Pilot Program (ereated in Public Law 208 104� Congress, as
amended and expanded in Public Law 156, 108`�` Congress, as amended,
that is administered by the iJnited States bepa��tment of Homeland
Security] that the Agency docs not emploq any illegal aliens and, if the
Agancy is not accepted into the Basic Filot Program prior to entering into
this contract, the Agency shall apply to partieipate in the Basic Pilot
Program every three months until the Agency is accepted or this conu•act
has been compleYed, whichever is earliei, This provision shall not be
required or effective if tha Basic Pilot Program is disconiinued.
ii, The Agency shall ba prohibited fi�om using Basic Pilot Program
procedures to undeitake pre-employment screening of job applicants while
this contract is being performed.
iii. If the Agency obtains actaal knowledge ihat a subcontractor performing
work under this eontCact knowingly employs or contcacts with an illegal
alien, the Agency shall be required to;
A. Notify the subcontractor and the County within tlu•ee days that the
Agancy has actual knowledge that the subconnactor is amploying
or contracting with an illegal alien; and
B. Terminate the subcontract with tha subcont�actor if Within three
days of receiving the notice requued pucsuaht to subparag�aph (A)
of this paragraph (o) the subeontractor does not stop employing or
contracting with the illegal aliens; except that the Agancy shall not
terminate the contraet with the subcont�actor if ducing such ibsee
days the subcontractor provides information to establish that the
subcontractor has not knowingly employad or contracted with the
illegal alien.
fl The Agency shall comply with any reasonable request by the Department of
Labor and Employment made in the course of an invesligation that the
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Feb. 8. 2911 11:07AM HUMAN RESOURCES No.2037 P, 4
Dapartmant of Labor and Employment is undertaking pursuant to the authority
established in Subsection (5) of C.1Z,S, § 8-17,5-102,
g) Hold and maintain for the term hereof the necessaty licenses(s) as specified under
State law, which permiis the performance of the service(s) Yo be provided herein.
h) Shall maintain an affordable sliding-fee scale schedule for its services in order to
accommodate low-Jncome individuals,
i) Subcont�acts utilized by the Agency shall be subject to tha raquirements of the
Grant as listed here, and the Agency is responsible for the performance of any
subconiractor,
j) Abide by all appiicable 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 �X
of tha Social Security Act of 1975 as ravised.
k) Maintain written requirements for safeguacding client information and comply
with the same,
1) Maintain seivice program records, fiscal records, doeumentation and other
records reievant to this Grant for the duradon of the grant plus six yeazs. The
above shall be subject at all reasonable times to inspections, review or sudit by
Federal, State or County personnel, and other persons authorized in writing by tha
County.
m) Provida the servicas at the location as shown as the addxess of the Agency or
whatever is appropriate for that service within Pitkin Conntq.
n) Provide the service(s) described herein at a cost not greater than chazged to other
persons.
o) Provide semi-annual Pei�formance Measure reports and Financial Reports, These
repoits will include the numbar of unduplicated clients who live snd/or rvork in
Pitkin County served by the Agancy's program(s),
i. The first repoit is due August 2, 2011, for the first six months of the grant
year.
ii. The second report is due Januazy 31, 2012, for the entire period of iha
grant ycaz.
iii, The Yeports will include Agency's annual goals and act4al results year-to-
date as well as an explanation of any variances obseived and ihe steps that
are be taken to address those variances.
3. Pitkin Countv's Oblieations: Pitkin County shall:
a) County agrees to grent $9,000 to Valley �1'iew TYospital SANE program as
approved in the County's 2011 budget, which was approved by the Hoard of
County Commissioners on Aecember 15, 2010. CCrant request is to support
sexual assault nurse examiners aervices.
b) The County will pay Agency $9,000 on or before tha last day of March 2011,
Payment is contingent upon receipt of mutually agreed upon Performance
Mcasures and satisfactory semi-annual raports as outlined in section 2(0) of this
contract. The return of a completed contract is tequiied in order to receive
payment.
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Feb. 8. 2011 11:07AM HUMAN RESOURCES No, 2037 P, 5
c) As a Biennial gcantee, continued funding for 2012 is subjcct to budget
appropiiation, compliance with contractual obligations, and the Board of County
Commissioners approval each year.
4. General Provisions
a. Tha Partics to this G2ant intend that the 1'elationship between them contemplated
by the Grant is that of independent agency. I�Io agent, employee, oc selvant
Agency will be solely and entirely responsible for its acts and the act oPits'
agents, employees, servants and subcontractors during the per�'ormance of the
Grant.
b. Payment pursuant to the Crrant, if in County, State or Federal funds, whether in
whole or in part, is subject to and conAngent upon thc continuing availability and
appropriation of County funds for the purpose thereof,
c. This Crrant constituCes the full and complete agreement of the pat4ies and
supeisedes or incorporates any priot written and oral agreements of the parties. In
addition, Agancy undcrstands that no County o�eial or employee, othar than the
Boazd of County Conunissionets acting as a body at a Board meating, has
authoxity to enter into a Grant or to modify the terms of this Crrant on behalf of the
County, Any such Grant or modification to this Grant must be in rvriting and be
executed by the parties hereto.
Default/Cancellation. Tf Agency shall dafault in the performence of Agency's
Obligations pursuant to tha terms of this Agreement, and/or fails to provide an accounting
oi use ot appxopziation of monies granted in the manner in which such accounting was
represented [o the County, Agencq shall have the right to cure said default after written
notice by tha 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
diligentlp proceed with sach cuxe), County 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 natice
of defauit and cancellation shall be made to Agency by first class mail, postage prapaid
and by ceitified mail, return receipt requested, to the following address;
Lauren Gueriera
Valley View Hospital SANB Program
1906 Blake Avenue
Glenwood Springs, CO 81601
6. Bntira Aereement; This Agreement constitutes the full and complete Agreemcnt of the
parties hereto and shall not be modified except by a written agreement signed by the
parties,
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Feb. 8. 2011 11:07AM HUMAN RESOURCES No.2037
TN VVITNBSS WFIERBOP, the parties hereto have caused this Agreement to be
executed as of tha tatcst datc writtan balow.
PITKIN COUNTY, COT.pRAbO
By: 1`� � c l��?`7. ��..24,rn Z ��
Nancy N. Sundeen Date
D'u•ector of Health & Human Services
VALI.BY VIE� H SPITAL SANE PROGI2AM
�
By: v�`
� � �f Diti�� ��
T.sur�n Gueriera
Mailine Address:
Valley View Hospital SAN� Program
1906 Blake Avenue
Glenwood Spiings, CO 81601
���f �//
I�ate �
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