HomeMy WebLinkAboutWashington State Department of Children, Youth and Families (DCYF) $60,388 - 070921 J. 1 G f i l'rtt/c. 20.a?
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DCYF Agreement Number
PROGRAM AGREEMENT
2163-22192
Consolidated Contract
This Program Agreement is by and between the State of Washington Administration or Division r'
Department of Social and Health Services (DCYF) and the County identified Agreement Number
below, and is issued in conjunction with a County and DCYF Agreement On County Agreement Number
General Terms and Conditions, which is incorporated by reference.
DCYF ADMINISTRATION DCYF DIVISION DCYF INDEX NUMBER CCS CONTRACT CODE
Department of Children, Youth, Children, Youth and 1223 2072CS-63
and Families Families
DCYF CONTACT NAME AND TITLE DCYF CONTACT ADDRESS
Karena McGovern 1115 Washington St SE
Contract Specialist
Olympia, WA 98504
DCYF CONTACT TELEPHONE DCYF CONTACT FAX DCYF CONTACT E-MAIL
(360)870-5727 Click here to enter text. karena.mcgovern@dcyf.wa.gov
COUNTY NAME COUNTY DBA COUNTY ADDRESS
Jefferson County Jefferson County
PO Box 1220
Port Townsend, WA 98368
COUNTY UNIFORM BUSINESS IDENTIFIER(UBI) COUNTY CONTACT NAME
161-001-169 Barbara Carr
COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL
(360)385-9190 (360)385-9191 bcarr@co.jefferson.wa.us
IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS
AGREEMENT?
No
PROGRAM AGREEMENT START DATE PROGRAM AGREEMENT END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT '
07/01/2021 06/30/2023 See Exhibits
EXHIBITS. When the box below is marked with an X, the following Exhibits are attached and are incorporated
into this County Program Agreement:
® Exhibits (specify): ® Exhibit A: Consolidated Contract Term, Reimbursement Procedures, and Program
Responsibilities; ® Exhibit B: Juvenile Court Block Grant; ❑ Exhibit C: Detention Services
The terms and conditions of this Contract are an integration and representation of the final, entire and exclusive
understanding between the parties superseding and merging all previous agreements, writings, and communications, oral
or otherwise, regarding the subject matter of this Contract. The parties signing below represent that they have read and
understand this Contract, and have the authority to execute this Contract. This Contract shall be binding on DCYF only
upon signature by DCYF.
COUNTY SIGNATURE(S) PRINTED NAME(S)AND TITLE(S) DATE(S)SIGNED
c1 b oo e Vic
DCYF SIG TURE PRINTED NAME AND TITLE DATE SIGNED
/ - 3—
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 1
•
1. Definitions
The words and phrases listed below, as used in this Contract, shall each have the following definitions:
a. "Contractor" means the County.
b. "DCYF" means the Department of Children, Youth, and Families.
c. "Emergency Health Care" means care, services, and supplies for an acute or unexpected health
need that requires immediate evaluation or treatment by a health care practitioner.
d. "JR means the Juvenile Rehabilitation which is under the DCYF.
e. "JR Bulletins/Policies" means the JR Administrative Policies, which direct JR expectations.
f. "Limited Access" means supervised access to a juvenile(s) that is the result of the person's
regularly scheduled activities or work duties.
g. "Regular Access" means unsupervised access to a juvenile(s), for more than a nominal amount of
time that is the result of the person's regularly scheduled activities or work duties.
2. Background Checks
a. This requirement applies to any employees, volunteers and subcontractors who may have
unsupervised access to children served under this Contract.
b. In accordance with Chapters 388-700 WAC (JR-Practices & Procedures), 72.05 RCW (Children &
Youth Services), and by the terms of this Contract, Contractor and each of its employees,
subcontractors, and/or volunteers who may or will have regular access to any client/juvenile must
be cleared through a JR approved criminal history and background check. In addition, Contractor,
each of their employees, subcontractors, and/or volunteers, who may or will have limited access to
any client/juvenile, may be required to be cleared through a JR approved criminal history and
background check.
c. By execution of this Contract, Contractor affirms that Contractor, each of its employees,
subcontractors, and/or volunteers, who may or will have regular access have not been convicted of
any of the following:
(1) Any felony sex offense as defined in 9.94A.030 RCW (Sentencing Reform Act-Definitions) and
9A.44.130 RCW (Sex Offenses);
(2) Any crime specified in Chapter 9A.44 RCW (Sex Offenses) when the victim was a juvenile in the
custody of or under the jurisdiction of JR; or
(3) Any violent offense as defined in 9.94A.030 RCW (Sentencing Reform Act-Definitions).
d. Contractor must require that current employees, volunteers, and contracted service providers who
are authorized for regular access to a juvenile(s) report any guilty plea or conviction of any of the
above offenses. The report must be made to the person's supervisor within seven (7) days of
conviction and any person who have reported a guilty plea or conviction for one or more of these
offenses must not have regular access to any offender. Contractor shall also document
background checks/criminal history clearances for monitoring purposes.
Department of Children,Youth, and Families
2072CS County Consolidated Program Agreement 6-20-2019 2
3. Sexual Misconduct
a. Sexual Misconduct - 13.40.570 RCW (Sexual misconduct by state employees, contractors) states
that when the Secretary has reasonable cause to believe that sexual intercourse or sexual contact
between the employee of a Contractor and an offender has occurred, the Secretary shall require
the employee of a Contractor to be immediately removed from any employment position which
would permit the employee to have any access to any offender.
b. By execution of this Contract, Contractor affirms that Contractor, each of its employees,
subcontractors, and/or volunteers are knowledgeable about the requirements of 13.40.570 RCW
(Sexual misconduct by state employees, contractors) and of the crimes included in 9A.44 RCW
(Sex Offenses).
c. In addition, the Secretary shall disqualify for employment with a Contractor in any position with
access to an offender, any person:
(1) Who is found by the department, based on a preponderance of the evidence, to have had
sexual intercourse or sexual contact with the offender; or
(2) Convicted of any crime specified in chapter 9A.44 RCW (Sex Offenses) when the victim was an
offender
d. If any actions are taken under 13.40.570 RCW, subsections (3) or (4), the Contractor must
demonstrate to the Secretary they have greatly reduced the likelihood that any of its employees,
volunteers, or subcontractors could have sexual intercourse or sexual contact with any offender.
The Contract shall not be renewed unless the Secretary determines significant progress has been
made.
4. Subcontractor
If the Contractor utilizes subcontractors for the provision of services under this Contract, the Contractor
must notify JR in writing and maintain sufficient documentation to verify that the subcontractors meet all
the requirements under this Contract. In no event shall the existence of a subcontract release or
reduce the liability of the County for any breach of performance.
5. Monitoring
The County shall assist the JR to perform reviews of sites where services are delivered at regular
intervals using agreed upon forms and methods.
6. Billing and Payment
a. If reports required under this Contract are delinquent, DCYF, JR may stop payment to the
Contractor until such required reports are submitted to JR.
b. The Contractor agrees to accept this payment as total and complete remuneration for services
provided to offenders under this agreement. This does not preclude the Contractor from seeking
other funding sources. No indirect costs are allowed.
c. The Contractor shall use these funds to supplement, not supplant, the amount of federal, state, and
local funds otherwise expended for the services provided under this agreement.
d. Under no circumstance shall the Contractor bill twice for the same services.
Department of Children,Youth, and Families
2072CS County Consolidated Program Agreement 6-20-2019 3
e. The Contractor shall maintain backup documentation of all costs billed under this contract.
f. If the Contractor bills and is paid fees for services that JR later finds were either 1) not delivered or
2) not delivered in accordance with this contract or contract attachments, JR shall recover fees and
the Contractor shall fully cooperate.
7. Compliance with JR Policies and Standards
a. In addition to the governing Federal and State laws and regulations, the Contractor shall comply
with all DCYF and JR Rules and Policies as applicable to the services provided.
b. In case of conflict or inconsistency between the aforementioned, the higher standard of compliance
shall prevail.
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 4
EXHIBIT A
Consolidated Contract Term, Reimbursement Procedures, and Program Responsibilities
1. Purpose
The purpose of this Agreement is to fund and support the program services described in the attached
Statement of Work. The contract term begins July 1, 2021 and expires June 30, 2023.
2. Funding
As of July 1, 2021 the rates paid to the County will be the rate calculated for State Fiscal Year (SFY)
2022-2023.
If by July 1, 2021 the County does not have a completed written application for funding approved by JR
and signed by both parties, JR will temporarily reimburse the county according to the rates from the
State Fiscal Year Consolidated Contract 2020-2021 (DCYF No. 1963-59112) until September 1, 2021
to provide for continuity of services.
Once the County's application is signed and approved, the SFY 2022-2023 funding rate shall apply
retroactively to July 1, 2021 and the County is responsible for adjusting its expenditures during the
remainder of the agreement term to account for any discrepancies.
If the County has not properly accounted for the difference between the two rates by April 30, 2022, JR
may adjust the amount reimbursed to the County for the final two months of the agreement to account
for these discrepancies.
3. Statement of Work
As of July 1, 2021, the County is responsible for adhering to the Statement of Work described in the
Exhibit B: Statement of Work—Juvenile Court Block Grant.
If by July 1, 2021 the County does not have a completed written application for funding approved by JR
and signed by both parties, the Statement of Work from the State Fiscal Year Consolidated Contract
2020-2021 (DCYF No. 1963-59112) shall apply to all work performed under this agreement until
September 1, 2021 to provide for continuity of services.
Once the County's application is signed and approved, the County shall be responsible for providing
services in accordance with the SFY 2022-2023 Statement of Work from that date forward.
4. Late Applications
If the County does not have a completed written application for funding approved by JR and signed by
both parties by September 1, 2021, JR may discontinue reimbursement until the application is
completed and approved.
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 5
EXHIBIT B
STATEMENT OF WORK
Juvenile Court Block Grant
1. Purpose
As mandated by the Washington State Legislature, the purpose of this contract is to provide funding to
County Juvenile Courts throughout the State of Washington to support Block Grant programs for
juvenile offenders. These programs include, but are not limited to the following:
• Consolidated Juvenile Services At-Risk (CJS);
• Special Sex Offender Disposition Alternative (SSODA);
• Chemical Dependency and Mental Health Disposition Alternative (CDMHDA);
• Suspended Disposition Alternative (SDA),
• Community Juvenile Accountability Act (CJAA)/Evidence Based Programs (CJAA); and
• Promising Programs.
Program descriptions and requirements are outlined in the Block Grant Contract SFY 2022/23
Application, Budget, and Monitoring Instructions provided by the Juvenile Rehabilitation (JR).
2. General Requirements
The County Juvenile Court shall:
a. Provide projects and services in compliance with the County's Block Grant Contract SFY 2022/23
Application, Budget, and Monitoring Instructions (herein referred to as the "Application") and the
County's Approved Response (herein referred to as the "Application Response");
b. Administer the Washington State Juvenile Court Prescreen Assessment or full Risk Assessment to
all youth on probation supervision in accordance with the timeline specified in the County's
Application Response;
c. Administer a Washington State Juvenile Court Risk Assessment to all youth who are moderate to
high risk on the prescreen assessment, and a reassessment to all moderate to high risk youth at
the end of probation, in accordance with the timeline specified in the County's Application
Response;
d. Establish programs designed to impact the outcomes statewide by:
(1) Decreasing recidivism;
(2) Decreasing commitments to the JR; and
(3) Maintaining or increasing the number of committable youth receiving services in their
community.
e. Upon JR's request, provide JR and the Washington State Institute of Public Policy (WSIPP), with
statistical risk assessment data necessary to determine program impacts on the statewide
outcomes as agreed upon between JR and the County Juvenile Court;
f. Consistent with RCW, provide JR with information necessary for the JR to provide oversight of the
County Juvenile Court Block Grant, consistent with the responsibilities and duties of JR;
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 6
g. Comply with all applicable local, state, and federal licensing and accreditation requirements and
standards necessary in the performance of this Contract; and
h. When licensing or other statutory requirements differ from contract requirements, meet whichever
requirement imposes the higher standard. Any variance from licensing requirements shall require a
licensing waiver.
3. Supervision and Programs
All supervision and program services performed by the County Juvenile Court under the terms of this
Agreement shall be in conformance with the County's Application and the County's Application
Response. The County shall provide all services in compliance with applicable RCW, WAC, and
Appellate case law for the following programs within available resources:
a. Consolidated Juvenile Services (CJS) At-Risk Programs - The County Juvenile Court shall provide
services pursuant to RCW 13.06, Chapter 388-710 WAC.
b. Special Sex Offender Disposition Alternative (SSODA) - The County Juvenile Court shall provide
services pursuant to RCW 13.40.162 and the following standards:
(1) In a timely manner, pursuant to RCW 4.24.550, provide local law enforcement officials with all
relevant information about offenders placed on the SSODA program. Additionally, for the
purpose of risk level classification, provide Juvenile Rehabilitation with all relevant information
for the End of Sentence Review Juvenile Subcommittee in accordance with RCW 72.09.345 for
youth adjudicated for any registerable sex offense. This includes SSODA offenses and any
other sex offenses that require registration. The Juvenile Risk Level Classification Process and
Contact Information is hereby incorporated by reference.
(2) Provide a combination of services identified in the Sex Offender Treatment Provider
assessment and the Washington State Juvenile Court Risk Assessment, deemed most effective
to decrease recidivism, increase youth protective factors, and decrease youth risk factors.
Specifics of family, group, or individual sessions shall be identified in the provider treatment plan
provided during assessment and shall be updated quarterly Document in the case record
reductions in the levels of supervision and support for such reductions.
c. Chemical Dependency and Mental Health Disposition Alternative (CDMHDA)
(1) The county shall provide services pursuant to RCW 13.40.165 and the following standards:
(a) Utilize a Division of Behavioral Health and Recovery (DBHR) approved chemical
dependency assessment as detailed in Attachment A of the County's Application;
(b) Include family service strategies and components; and
(c) Include random urinalysis testing.
(2) Courts may utilize deferred or stipulated order of continuance with CDMHDA eligible youth.
d. Suspended Disposition Alternative (SDA) Services
(1) The County shall provide services pursuant to RCW 13.40.0357.
e. Community Juvenile Accountability Act/Evidence Based Programs (CJAA)
The County will comply with the statewide Evidence Based Quality Assurance plans and the
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 7
following program standards:
(1) For Functional Family Therapy (FFT):
(a) General precepts/practices contained in FFT, Inc. Initial 3-Day Training;
(b) Assessment/Reporting Standards contained in FFT, LLC. 1-Day Systems Training;
(c) Clinical feedback from FFT, LLC in on-going consultation and site visits;
(d) Feedback from designated FFT statewide Quality Assurance Administrator in on-going
consultation and site visits; and
(e) Precepts/practices of FFT contained in Blueprints for Violence Prevention.
(2) For Multi-Systemic Therapy (MST):
(a) Precepts/practices of MST contained in Blueprints for Violence Prevention; and
(b) General precepts/practices contained in training, consultation, and clinical oversight as
provided by the University of Washington.
(3) For Coordination of Services (COS):
(a) General precepts and practices contained in the COS Statewide Manual.
(b) Feedback from designated COS statewide Quality Assurance Specialist in on-going
consultation and site visits.
(4) Family Integrated Transitions (FIT):
(a) Precepts/practices of FIT contained in University of Washington Program Manual; and
(b) General precepts/practices contained in training, consultation, and clinical oversight as
provided by the University of Washington.
(c) Clinical guidance as supplied by the University of Washington.
(5) Employment Education and Training (EET):
(a) General precepts and practices contained in the EET Statewide Manual.
(b) Feedback from designated EET statewide Quality Assurance Specialist in on-going
consultation and site visits.
f. Promising Programs
County Juvenile Courts may utilize their funding to implement a Promising Program when they have
met the criteria developed by the Washington State Institute for Public Policy and approved by the
CJAA Advisory Committee.
4. Performance-Based Contracting Implementation
DCYF is strategically implementing quality and outcome performance measures in contracts that
provide services to children and families as required by House Bill 1661. The purpose of this change is
Department of Children,Youth, and Families
2072CS County Consolidated Program Agreement 6-20-2019 g
to help achieve DCYF's long-term outcome goals, with a focus on building partnerships, using data to
learn and improve, and advancing racial equity.
a. DCYF Outcome Goals supported by Juvenile Courts' EBPs include:
(1) Parents and caregivers are supported to meet the needs of children and youth;
(2) Youth school engagement;
(3) High school graduation; and
(4) Youth mental/behavioral health.
b. Quality Measures
The quality measures below only apply to Juvenile Court EBPs, which are described in Exhibit B:
Statement of Work -Juvenile Block Grant. The Contractor shall participate in ongoing reporting,
monitoring, and discussion with DCYF for the following quality measures (Program Starts):
Program Starts
Goal Youth access needed Evidence-Based Programs (EBPs)
Metric Number of youth who start an EBP
Target 100% of youth identified in contractor's application to start an EBP
Reporting Contractors will continue to report program starts in PACT (See Section 2.b & c)
Requirement
Performance N/A; informational only. DCYF will collect baseline data during the contract
Management period to validate the target and identify a performance management tool the
following contract period.
Continuous DCYF will support continuous improvement by establishing a performance
Improvement feedback loop to share and review performance data with contractors at least
annually.
5. Consideration
a. The maximum consideration for this agreement is identified in the "County Juvenile Court Pass
through Distribution SFY 2022/23", hereby incorporated by reference.
A revenue sharing process shall be made available during the latter part of the fiscal year for all
counties participating in the Block Grant, provided funding is available or unless otherwise agreed
upon by the JR and the Juvenile Court Administrators.
The full list of priorities for revenue sharing will be provided by the JR and developed in
collaboration with the County Juvenile Courts. The County Juvenile Court shall submit their
"Revenue Sharing Requests/Returns Form" to their respective Regional Administrators no later
than May 15th or as agreed upon by the JR and Juvenile Court Administrators.
Late submittals shall not be considered. Revenue sharing increases and decreases will be
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 9
awarded by distribution of an updated "County Juvenile Court Pass through Distribution SFY
2022/23". The total maximum consideration for this contract may increase or decrease, depending
on the results of revenue sharing distributions and changes in appropriations as directed by the
legislature.
b. The Chemical Dependency and Mental Health Disposition Alternative (CDMHDA) reimbursement
rates for treatment shall be based on the approved Managed Care Organization (MCO)
reimbursement rates for treatment. The Juvenile Rehabilitation suggests that the courts request and
receive a copy of the approved MCO reimbursement rates for treatment.
c. The County Juvenile Courts shall not be reimbursed for youth placed on consecutive or combined
CDMHDA sentences that exceed 12 months active supervision. UNLESS the offense date of an
additional CDMHDA sentence occurs after the termination date of the preceding CDMHDA
disposition OR the youth begins as a CDMHDA Local Sanction and then is sentenced to CDMHDA
Committable for a new offense.
6. Billing and Payment
a. Monthly invoices (A-19) are to be submitted to JR each month for services provided. JR retains the
right to withhold payment for incomplete or delinquent reimbursement packages. Invoices shall
include the following documents provided by the JR and completed by the County:
(1) Required sentencing worksheets and Disposition Orders for SSODA, CDMHDA, and SDA
Committable youth;
(2) Monthly Program Updates for each Evidence Based Program and Promising Program;
(3) Roster Reports for local sanction and committable youth for all Disposition Alternatives, and
(4) Monthly Business Intelligence Tool (BIT) Summary Report for evidence-based programs.
b. The County Juvenile Court may utilize their funding to implement a Promising Program when they
have met the criteria developed by the Washington State Institute for Public Policy and approved by
the CJAA Advisory Committee.
c. Costs related to risk assessment may be billed in the formula of three (3) hours of the provider's
time for each moderate to high-risk youth assigned to a probation caseload. Reassessment costs
are not billable. Risk Assessment costs will be billed separately.
d. Costs incurred for direct treatment services may be billed for youth residing out of state whom are
on a SSODA, CDMHDA, or SDA.
e. Costs incurred for supervision of youth on a SSODA, CDMHDA, or SDA may be billed for the actual
time spent providing supervision at the rate of the probation counselor providing the supervision.
f. Detention costs, for up to 30 days per period of confinement and consistent with RCW 13.40.200,
for SSODA, CDMHDA, and SDA committable offenders will be reimbursed at a rate no higher than
that charged to other courts purchasing beds.
g. For SSODA, CDMHDA, and SDA programs, the County shall be eligible for reimbursement for
supervision costs for up to 14 days following a youth being placed on absconder status and a
warrant being issued. Program payment will be reinstated when the youth is apprehended.
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 10
•
h. Reimbursement for SSODA expenses may be for up to two years. If a youth is extended beyond
two years, the juvenile court must provide JR with a court order documenting the extension. The
court may continue to be reimbursed for SSODA expenses throughout the extension.
i. For CDMHDA programs, a chemical dependency inpatient treatment provider shall be reimbursed
for services up to 72 hours following discharge, if a committable youth has been discharged from a
subcontracted inpatient facility on a temporary basis and is expected to return, and/or if a
committable youth has left the program against clinical advice and the bed is being held for
readmission.
j. For CDMHDA programs, in the event of a revocation, the County shall be eligible for reimbursement
for treatment services until the youth is committed to JR.
k. For CDMHDA programs, the County shall be eligible for reimbursement in the event of a new
offense for up to 14 days from arrest. Payment is reinstated when the youth is placed back to
active CDMHDA status.
I. Reimbursement for administrative and equipment costs shall not exceed 15% of the original annual
allotment. Administrative costs shall remain with the agency providing services paid under this
contract, include discrete, assignable activities, and cost necessary for overall management and
support of a program.
m. The County must maintain backup documentation of all costs billed under this Block Grant Contract
and provide this information as requested by the JR.
7. Racial and Ethnic Disparity Reporting
a. Juvenile Courts shall continue to build on work to address Racial and Ethnic Disparities (RED) as it
relates to RCW 13.06.050. This RCW applies to conditions for counties to receive state funds and
includes a requirement to annually review and analyze racial disproportionality information.
b. Juvenile Courts shall review their own data and processes to see if barriers are present regarding
equity in access to juvenile court services. Juvenile Courts will identify areas in need of
improvement. They will then create and implement an action-oriented plan to include strategies that
will result in measurable improvements of the identified inequities in the Response to Application.
8. Items Incorporated by Reference
a. County Juvenile Court Pass through Distribution SFY 2022/23
b. Block Grant Contract SFY 2022/23 Application, Budget, and Monitoring Instructions and the
County's Approved Application Response;
c. Consolidated Juvenile Services Programs: Chapter 388-710 WAC;
d. RCW's 13.06; 13.40.162; 13.40.165; 70.96A.520; 13.40.500;
e. Juvenile Offender Sentencing Standards (13.40.0357);
f. Evidence-Based Public Policy Options to Reduce Future Prison Construction (October 2006); and
g. Juvenile Risk Level Classification Process and Contact Information.
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 11
9. JR Program Contact Information
The primary program contact for Juvenile Court Block Grant for DCYF shall be:
Cory Redman
Juvenile Court Programs Administrator
Juvenile Rehabilitation
1115 Washington St. SE 98504-4570
360.902.8079
cory.redmandcyf.wa.gov
Department of Children,Youth,and Families
2072CS County Consolidated Program Agreement 6-20-2019 12
Consent Agenda
Juvenile Services
Jefferson County
Board of County Commissioners
Agenda Request
To: Board of County Commissioners
Mark McCauley, County Administrator
From: Barbara Carr, Juvenile Court Administrator
Date: July 6, 2021
Subject: Signing County Program Agreement#2163-22192
Consolidated Contract DCYF —Juvenile Rehabilitation
STATEMENT OF ISSUE:
The attached document is the contract with DCYF/JRA that supports supervision for
moderate/high risk offenders, CJAA programs, CDDA, SSODA, evidenced-based programs such
as iACT, Connect and EET.
ANALYSIS:
This reflects the bridge contract arrangement until such time as the block grant contract
applications are disseminated, completed and approved by WAJCA and JR.
ALTERNATIVE:
N/A
FISCAL IMPACT:
This is a contract that will provide fee for service coverage until the final biennium contract is
applied for and finalized by DCYF, Juvenile Rehabilitation. Will be included in our 2022-2023
budget.
RECOMMENDATION:
That the BOCC sign three original Consolidated Contract Program Agreements as presented.
DEPARTMENT CONTACT:
Barbara Carr
REVIEWED BY:
444:„.4 -17,(,2/
Mark McCauley, ounty Administrator Date
4
CONTRACT REVIEW FORM
CONTRACT WITH: Dept of Children Youth & Families (DCYF) Contract - 2163-22192
CONTRACT FOR: Consolidated Contract with DCYF TERM: 07/01/21-06/30/23
COUNTY DEPARTMENT Juvenile & Family Court RECEIVED
For More Information Contact: Barbara Carr SUN 2 4 7021
Contact Phone #: 385-9192
JEFFERSON COUNTY
RETURN TO Barbara Carr RETURN BY: ASAP COMMISSIONERS
(Person in Department) (Date)
AMOUNT: TBD PROCESS: Exempt from Bid Process
Consultant Selection Process
Revenue: TBD ~ Cooperative Purchase
Expenditure: TBD _^ Competitive Sealed Bid
Matching Funds Required: _ Small Works Roster
Sources(s) of Matching Funds _ Vendor List Bid
_ RFP or RFQ
Other Sole source
Step 1 : REVIEW BY RISK MANAGEMENT
Review by:
n Date Reviewed:
ri APPROVED FORM E Returned for revision (See Comments)
EleiPahi8bily approved by Risk Management on 6/24/2021
State contrart language
Step 2: REVIEW BY PROSECUTING ATTORNEY
Review by:
Date Reviewed:
nAPPROVED AS TO FORM Returned for revision (See Comments)
Comments
Electronically approved as to form by PAO on 6/24/2021.
State lanq��lge- anno�IfBreq ed) DEPARTMENT MAKES REVISIONS & RESUBMITS TO
`��L��pp RISK MANAGEMENT AND PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF
ORIGINALS
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 9 copies of Contract, Review Fonn, and Agenda Bill to BOCC Office.
Place"Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 5 p.m. TUESDAY for the following Monday's agenda.
(This form to stay with contract throughout the contract review process.)