HomeMy WebLinkAboutbocc.con.043.2013 ' Rev. 08-30-11 jls
COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT #: 043-2013
ORIGINATING DEPARTMENT: Health& Human Services
PROCUREMENT OFFICER: Mitzi Ledingham PHONE#: 9205766
PROJECT NAME: HCF Grant Programs CONTRACTOR: The Neighborhood Clinic at
Woody Cree�
DOLLAR A�VIOiTNT: $15,000.00 LINE ITEM# 113.85.00000.84066
CONTRACT EXECUTION DATE: 1/1/2013 CONTRACT END DATE: 12/31/2013
AUTOMATIC RENEWAL: ❑ YES � NO TERM: annual
❑ BOCC AGENDA ITEM(Grants, IGA) � STAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (Per Revised Procurement Code 7/2005)
❑ OVER$50,000 (Requires Section Leader&County Manager's Signature)
✓ CHECK PROCUREMENT TYPE:
�None ❑ Informal ❑ Formal ❑ Sole Source ❑ Emergency ❑ Outside Agency/State Bid
❑ Compliance with C.R.S. 8-17-5-101, 102 as amended(Immigration Form) ❑ Exempt
❑ Contract Renewal
✓ CHECK CONTRACT TYPE:
❑ Services/Maintenance ❑ Employment �
❑ License/LTse ❑ Intergovernmental Agreement(Resolution Required)
❑ Lease �Non-Profit
❑ Construction ❑ Quasi-Public(e.g.-AVH)
❑ Goods, Equipment, Supplies ❑ Grant Agreements(Notify Finance &Resolution Required)
❑ Other(e.g. revenue) ❑ Change Order/Contract Amendment
(C/O: 10%or$25K whichever is the lesser must have Counry Manager signature)
All Contracts should be proofed and all e�ibits and notices must be attached for the following:
✓ �No Pages Missing ✓� All Other Blanks Filled In
✓ ❑ If Page Left Intentionally Blank—Note on Page ✓❑ All E�ibits Attached
✓ � Page numbered consecutively ✓❑ All Legal Descriptions attached (�applicable)
✓ � All Original Signatures Affixed ✓�Notice of Award/Notice to Proceed Attached (f applicable)
✓ � All Dates Filled In ✓❑ Warranty(if applicable)
✓ � Special Instructions for Finance Department: see contract payment worksheet
✓ � Authorized Procurement Officer'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 WII,L KEEP ORIGINAL DOCUMENTS [N COMPLIANCE WITH COLORADO STATE
ARCHIVES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLISTI
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PITKIN COUNTY
�.A,�.�ANA HUMAN SERV�CES
ANNUAL GRANT AWARD
THE NEIGHBORHOOD CLINIC AT WOODY CREEI�2013
ConuractNw�aber 043-20�3 Ledge�rNwoabez 113.85.�000.84066
'�'k�xs Gn'aiut is zuade as of the date last below sxgued betwee�p Pxt�iz�Cout�ty,b�exeiut�xe�ezt�ed to as
"County",and The Neighbarhood C1i.nic at Woody Creek,hereafter referred to as "Agency".
WJaereas,The Neighborhood Clinic at Woody Creek,a private non-profit ag�ency,provides a
wellness prog�r�tlaat o�£exs�iree z�ontb,�y claz�ics to beaxe�`it tlxose iux ueed.
1_ '�er���A e�ment: The term of�is Agreement is from January 1,2013, to Decembex
31,20�3.
2. A�emcy Ob�i�atioz�s: ,A.ge�cy sha11:
a) SV�ict�y ad.laexe to al�applicable�edezaL,state and�ocal laws or regulations that
have beez�or�oaa.y b�exea�te�r be estabixshed.
b) Com�liance with House Bill 06-1023.Perform the�o�low�g ve�i,�ieatioms�o
connply witb,I�ouse Bill 06-1023: Gxaatees wb�o�zovxde a beuefit to persons over
the age of 18 years of age and which require an ivadivxdua.l app�acatirnn from the
pexsoa�wb,o wx]�xeceive a be�e�iit,are rec�uired to verify the applicant's legal
presex�ce in the United Sta.tes. The verification of lawful presence zequ.izes a�1
app�icants 18 years of age or older to:
i. Produee a valid Colozado dz7ivez's�ice�se ox a Co�orado identification
card; or a U�nited States�aailitary card or military dependent's identi�icatxo�
cax'd; oz'a Ur�ited States Coast Guard Merchant Mariner card; oz a Na�ive
A�nerican Tzabal docum,ent; azad
ii. E�ecute an,affidavit statinig that applicant is a United Sta�tes citize�or
legal pezx�az�e�zt zes%de�t; ox tlaat ap�licant is ot7ierwise lawfully
�resent in the Uz�ited States pursua�ut to Fedeza��aw.
c) Be lawfully prohi.b�ttd,piusuaut to,A.ttAC1e 76.5 of Tit1e 24,C.R.S.,frorn
providing a Federal public benefit or a state oz loca�pub�xe benefit in violation of
paragraph(b)of tbds sect�on.
i. Statutory Exceptions: E�cepted�ro�this requizement are the t'o�lowiwg
ty�es of benefics:
A.. Services for children under age 18;
B. Obta�iz�uing healtlz caure�tez�►s and services necessary for treaUnae�at of an
emergency zzxeclical condibion o�tlae person involved and not xelated to
an orgau�ransp�ac�t;
C. Short-ter.ax, i�u-�samd,nom-cash e�m,ezgency disaster relief;
D. Public hea1th assistance for in�aza�un�izations,witbt zespect to
ix�azx�un�izable diseases and for cesting and lxeatmen�t o�symptoms of
communicable disease,whether or�aot such sym�toms aze caused by
xt�ntmunizable diseases;
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�. Prograins, services oz'assitstauce such as soup�C.itcb�e�ns, c�sis
coumse�g aaad intervention;
P. �'renata!care.
d) Public Grants for Servicea. CRS§5-17.5-1OL
[Not a,pplicable to agreements relating to the oj)''er, issuance,or sale of
securdtles, lnvestnient advisory servlces or fund management services,
sponsored projects, intergovernmental agreements, or injor�nation technology
services or psoducts and servicesJ Grantee certifi�s,warrants,and agrees that at
does not knowingly em�loy oz coz�tract wi,th a�u illega�a�ien who will perform
woz��C wadez tbais Gra�t and vvi���co�a�a the ebup�oy�arxent e�igib�lity o�a11
employees who are newly hired for employment in the United States tv per£or�
work under this Cnramt,through participation in the E-Venify�.'zogzaxx�or the
Ae�arbaxezat pzogram establ�shed pursua�t to C�iS §8-�7.5-102(5)(c),Crrantee
shall�ot 1�aowaxxglry e�ooip�oy ox crnabract wi�tb�au i�?�egaa a�ie�q to�erfo�nn work
wadeX tbais Gxaut ox enter unto a g�ra�zt witla a Subgraxatee that fails to cercify to
Grantee that tlxe Subgzauatee sk�all not�aaow�mgly em�p�oy ox comtract with an
illega�aaxe�,to perform work uqder this Gcant. Grantee:
i. shall not use E-Vez�y Pxogram ox Depaz�naent progzam procedures to
uadettalce pxe-e��oy�me�at scxee�uiuxg o�job applicants while this Grant is
beuxg peX£oxzncd
ii. shatl notify the Subgrar�tee and tk�e gxant�z�g State agez�cy wittk�iza�ree days
if Grantee has actual�Cnowledge tb�at a Subeca�atee�s e�pXoyi.ng or
contraeti.ng with an illegal alien for work under this Cnrazat
iax. s}aa��te�ninate the subgrarxt if a Subgrantee does not s�top empluyimg ox
contracti�mg wxth xUe illegal ali.e�t witl�i�a'tb�Zee days of receiving the notice,
and �
iv. shall comply witb.reasonable requests�ade i�u tb�e cowrse of an
investigation,undertaken�ursuant to CRS §8-1.7.5-102(5), by the C;o[orado
DeparUment of La.bor and Em�loyment.If Grantee part�icxpates;uo,tb�c
Deparnnent program, Grantee shall deli.ver. to the granting State agency,
Institution of Higher Education or political subditvxsxoz�, a wr�tten,notarized
affirmation,affirnuug that Grantee has examiued the legal wox�C status of
such ernployee, and sha11 comp�y wi,tb�al�o�the other zec�uirements c�f the
Deparhnen.t progxau�.I:f Gramtee�ai�s to co�oa�ly with any requirement of
thxs prov�s�o�or CRS §8-17.5-101 et seq.,the granting State age�acy,
institution of higher educataon or�olitical subdivision may te�x�a.i�o,ate tk�is
(izaut for bxeach a�ud,x�so tezzzairaated,Grantee shall be liable for danaages.
e) The Agency sha11 comply with any zeasozaable ze4uest by tbe DepaTtment of
Labox a�d.Em�loyment made in the course o�au a�avestigatxon that the
Depat�nae�t o�Labor and Employment is undertaking pwrsuant to the authority
established in Sub�ec.tion(5)o�C.R-S_ § 8-17.5-102.
� Hold and rriai.utain�oz tb�e tez�on hezeo£the�,ecessary liceuses(s)as speci�ed under
State law,whick�pexx�its the pez�oz�a�ace of the service(s)to be provided hexe�z�.
g) Sk�aJl maintain an affordable sliding-fee sca�e schedu�e�oz its services in ordex to
accommodate low-incoz�ae individua�s.
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h) Subcontracts utilized by the Agency sb�all be subjeet to the requiz'ezxtents of the
Gzant as listed here,aud the Aseracy is responsible �oz'tlze perfotmancc o�az�y
subconbractor.
x) Abide by a11 a�plicable provisxozls of�the Tit1e Vz aud VII of Che Federal Czvil
Rights Act o��964, Sectioa SU4 of the Rehabxlxtation Act of 1973, a�d Title XX
of Llxe Soczal Security A,et o�1975 as zev%sed,
j) Mai.ntain writtexl z�ec�uirement�for sa�eguazding client infot7ooiatiom and com�ly
wiTh the sax�e.
k) Maintaaz�sezvxce program recoz�ds,fiscal records,docw�a.entation and othex
records re�evant to this Grant foz'the duration o�the gxant plus six years. �e
abo'�e sball be subject at a��reasonable times to xnspections,review oz'aud�it by
Federal, State oz Couuty personz�ea, a�zd other persons autho�t�ized an writing by the
County.
1) �xov�de the services at the location as shown as the address of the A,gez�cy ox
whatever is appro�riate�oz that service wxtk�iuo��it�in County.
m) Provxde tb�e se�rvice(s)described hexeiva at a cost not greater than cb�atged to other
pe�rsozas.
n) Provide se�-aamual PerFormance N�easure reports aud Fivaauc�al Repores. These
repozts will i�ac�ucie the numbex of uzadupllCated clients who live attd/or work in
�itici.m County served by�e Agency's�rogatn(s).
a_ 'Z'he first report is ne�t year's application,and xt xs due,August 1,2013.
Xou wxll xeport your first si��naonths' activity for 2013 within yowr
application.If you do not choose to rea�ly,you wx��only be required to
submit a 2013 ycas-cmd zeport.
ii. The secoz�d xeport,the yeaz-end report,is due Jaz�uary 31,20�4, foz the
eAtiure pe�od of t}�e grant year.
iii. Tb�e�cepoxts will include Age�ncy's an�uual goals and aetual results year-to-
date, as wcl�as an explanation o�auy va�ei,auces observed and the steps that
are to be ta�cen to address those va�a�o�ces.
3. Pitkin County's Ob�i a�: Pitkin County shalL•
a) County agrees to grant$15,000 to The Neighborhood C;linic at Woody Creek as
approved in the County's 2013 budget,wbdcb�was approvcd by tb.c Bosrd of
County Commissxopers o�Aecember 19,2012. Grant request is to suppart t�e
financing of the clinic,B�eca�ca�y p�-og�ra�na administration, assisted
referrals,assessment su�pUes a�d education materials,promotion and
outxeacb�.
b) The total amount of this conbract sb�al��ot e�ceed$15,000 cash z�a�i�u�i,u
2013. The County wil1 pay,A,gez�cy tbie total a�ouut o�Lb�.is gra�at oz�ox befo�re ttxe
last day of Mazch 2013. Payxxi,ent is contivagent upon reeeipt of nautually agreed
upom�exfo�zzauce Measuzes and sat�s�actory sean�i-annual reports as outlined in
sectxo�a 2(�a)of tbas co�atzact.The retum of a compleTed contract is rec�uired in
order to receive payment.
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4. General Provisions
a. The Parties to this Cn•ant intet�d t]xat tlxe relatxomsbap betweem theim con.te�anplated
by the Grant is that of indepe�adent agency. No agezxt, employee,or servant
.A.gency wi�be solely and entirely responsible for its acts and the act of its agemts,
employees, servants and subcontractors duri�ng the�er�oz�aance of tb�e Gran.t.
b. �ayi�ent pursuant to We GxaAtl, if in County, Ststc or Federal funcis,whether in
who�e or iva part,is subject to and contingent upon the conianuing availability and
appropriatio�a o£County�unds�'or the pulpose thereof.
c. This Grant constitutes the full and complete agreemer�t o�'tk�e�arties and
supersedes or incorporates any�rior written and oral agreements of the�arties, ln
addirion,A,ge�cy unde�rstab,ds tb�at no Cou�aty offiici.al o�em�,p�oycc,o�tb�ar tham tkAe
Boazd of County Comaussioners acting as a body at a Board meeting,has
authority to enter into a Crrant ox to ax�odi�y tbe tea�as o�tlus Gz-ant oz�bek�alf o�the
Cowuty. Ax►y sucb�Cnraut or zb,odification to tb.xs Grant must be iux vv�r�t�ug axad be
e�ecuted by tb�e par[i,es hexeto.
5. Default/Cancellation. If Ageucy sha11 default in the performance of Agency's
Obligations pursuant to the teims of tlus Agreement,and/or fails to provide an accounting
or use or approp�zariom o��ondes granued in the manner in which such accounti.ag was
represented to the Coumty,A,gea�cy shall hF►ve the right to cure sa.id default a£ter wxittem
notxce by kb�e County of Llxe de�su�t to.A.geaacy. �f A,gency fai�.s to cwre such de�au�t witk�anx
sixry(60)days a�ter 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
tam�e,x�the Agz�acy shall fail to promipt�y commence to cure the saane and to tliereaRer
diligently proceed with such cuze),County shall reserve the right to camcel ttuts
Agreement and make a de�maud�or the retuxm o:f all rb.ozuies tbiat County determines,at its
sole discretion,were not appropziated in accordance with t�uis A,greez�aez�t. W�ittez�notice
o�default and cancellauon shall be made to Agency by first class mail,postage prepaid
and by certified mail,return receipt re9uested,to the followin�addxess:
Cindy Kahn
Interiin Director
The Neighborhovd C�i,zuic at Woody Cxcek
P.O.Boz�4,0006 Woody Czeek�'�aza
Woody Creek,CO 81656
6. �mtize A�eement: This Agreement constitu.tes the full and co�plece A,gxeez�e�oit of the
paxk.ies bezeto and sha11 not be modified except by a written ag�eez�ez�t sxgued by the
pazties.
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llV�WITNESS WHEItEOF, the�ax4ics heretu b�ave caused this Agreemeat to be executed as
of the latest date written below.
P�TKIN COUNTY,C�LORADO
�Y: � �-G1 -� �i�-- ._..�'%v\� ��,�v'� �-—Z i �— l �
Naio�cy N. Sundeen � Date �'
Directox o�Health&Human Servxces
THE , 130 O CLIN AT wOODY CRE�K
;
�-.:................ .._._.
By: � zti �Z�,3
Cindy K.aha� . Date
Interim Diu�ector
Mailin�Address:
k.0.Box 4,UU06 Wood.y Creek��aza
Woody Czeek,CO 81656
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