HomeMy WebLinkAboutbocc.con.067.2002 CHECK LIST FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
Originating Department/Division: Health & Human Services
Contact Person: Connie Overton
Phone #: X5766
Check Contract Type:
Services CONTRACT'�N;7_v?Ma_
Maintenance
License/Use
Lease
Construction
Purchase
Employment
Intergovernmental Agreement (Requires BOCC Action)
_X_Non-Profit
Quasi-Public
Grant Agreements (Requires BOCC Action)
Other
Signatures Required:
Under 25K—Department Head
25-50K—Department Head (if appropriate), Section Leader
Over 50 K—Department Head (if appropriate), Section Leader, County Manager
Contractor/Business (Complete Name): Aspen Valley Hospital DBA Aspen Basalt Care Clinic
Contract Start Date: _January 1, 2002_ Contract End Date: _December 31, 2002_
Automatic Renewal (Y/N): N
All Contracts should be proofed for the following:
• No Pages Missing
• If a Page is Left Intentionally Blank—Note on Page
• Page numbered consecutively
• All Signatures Affixed
• All Dates Filled In
• All Other Blanks Filled In
• All Exhibits Attached
• All Legal Descriptions Attached (if appropriate)
• Notice of Award/Proceed Attached (if appropriate)
Sent to Clerk and order r Scanning/Archiving
D t : 4/30/02
Authorized Staff Person
Signature of authorized staff person indicate 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.
PITKIN COUNTY CONTRAC " � D� �
HEALTH AND HUMAN SERVICES
GRANT AWARD
ASPEN VALLEY HOSPITAL D.B.A.
ASPEN-BASALT CARE CLINIC,2002
THIS Grant, is made as of the date last below signed between Pitkin County herein referred to as
"County", and Aspen Valley Hospital d.b.a. Aspen-Basalt Care Clinic, hereafter referred to as
"Agency". Whereas, Aspen-Basalt Care Clinic is providing quality primary health care to residents
of the Aspen area and mid-Roaring Fork Valley who have no health insurance and who lack the
financial, social or cultural resources to obtain health care elsewhere, and whereas Pitkin County
wishes to award a grant for provision of these services:
l. Term. Subject to its other provisions, the term of the Grant shall be from 1 st day
of January 2002,through the 31 st day of December 2002
2. Agency's Obligations. Agency shall:
a) Strictly adhere to all applicable federal, state, and local laws or regulations (including
County Procurement Code)that have been or may hereafter be established.
b) Hold and maintain for the term hereof the necessary license(s) as specified under State law
which permits the performance of the service(s)to be provided
c) Shall maintain a sliding-fee scale schedule for its services in order to accommodate low-
income individuals.
d) Subcontracts utilized by the Agency shall be subject to the requirements of the Grant as
listed here, and the Agency is responsible for the performance of any subcontractor.
e) 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.
f) Maintain written requirements for safeguarding client information and comply with the
same.
g) Maintain service program records, fiscal records, documentation and other records relevant
to this Grant for a period of five 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.
h) Provide the services at the location as shown as the address of the Agency or wherever is
appropriate for that service within Pitkin County.
i) Provide the service(s)described herein at a cost not greater than charged to other persons.
j) Upon submission of this Grant, provide a final draft of a Results Based Management
Evaluation plan to be executed during grant year 2002.
k) Provide a semi-annual PROGRESS REPORT on services provided.
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3. Pitkin County's Obligations. Pitkin County shall:
County agrees to grant $5,613 to Aspen Basalt Care Clinic as approved in the County's 2002
budget, which was approved by the Board of County Commissioners on December 19, 2001.
The grant is to support the general operations of the Aspen Basalt Care Clinic to provide
bilingual primary health services to low-income families and individuals who have no
insurance, no Medicaid, nor Medicare and live or work in the mid to upper Roaring Fork
Valley.
The total amount of this grant shall not exceed $5,613 maximum. The County will pay Agency
the total amount of this grant on or before the last day of March 2002. Annual payment is
contingent upon the County's receipt of satisfactorily semi-annual reports and a final draft of
the Agency's 2002 Results Based Evaluation plan.
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 of Agency shall be
deemed to be an employee, agent, or servant of County. Agency will be solely and,entirely
responsible for its acts and the act of its agents, employees, servants and sub-contractors
during the performance of the Grant.
b) Payment pursuant to this 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 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 for 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), 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 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:
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Randy Middlebrook
CEO,
Aspen Valley Hospital
0401 Castle Creek Road
Aspen, CO 81611
In the event this Agreement becomes subject to Default/Cancellation, the County, at its
sole discretion, may determine that Agency is ineligible to apply for future awards from Pitkin
County.
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.
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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
APPROVED AS TO FORM:
John Ely Date
Co rney
APPROVED AS TO FO .
VA1-?;LA?jj4t 3 a50-
i tin J;wkek DEL
Risk Manageme
ASPEN VA LEY HOSPITAL
By: 4' AaW4mk 3 l
Randy Middlebro k Date
CEO,
Aspen Valley Hospital
Mailing Address:
0401 Castle Creek Road
Aspen,CO 81611
ATTEST:
STATE OF COLORADO )
)ss.
COUNTY OF
The foregoing was acknowledged before me this l/ day of 2002,by /�
agent Aspen Valley Hospital.
Witness my hand and official seal.
Notary Public
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My My Commission expires:
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