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Contract - 08-01-2017 - 8892 - Amendment to PSA with Nelita Wallingford DBA Strengthening Foundations Counseling.AS -8892 Motion Items 4. BOCC Agenda Meeting Date: 08/01/2017 Amendment to PSA with Nelita Wallingford dba Strengthening Foundations Counseling Submitted For: Chad Connors, Juvenile Submitted By: Randi Gosselin, Juvenile Department: Juvenile Information Subject and Summary Statement This Amendment seeks to extend the existing Professional Services Agreement between Cowlitz County and Nelita Wallingford dba Strengthening Foundations Counseling Services for the provision of professional services to youth under the jurisdiction of the Cowlitz County Juvenile Department. Said services are funded by grants from the Department of Social and Health Services Juvenile Administration. Will Staff Attend Y / N N Department Recommendation The Department recommends that the County approve the Amendment. Fiscal Impact Expenditure Required $: Budget Sufficient Y -N: Y Amendment Required Y -N: N Source of Funds - Fund /Dept.: 00199 115100 Grant Y -N: Attachments WALLINGFORD Amendment 2017 -2021 Form Review Inbox Reviewed By Date Chad Connors Chad Connors 07124/2017 10:38 AM Doug Jensen Doug Jensen 07/24/2017 04:01 PM Claire Hauge, Financial Management Claire Hauge 07/24/2017 05:14 PM Clerk of the Board Tiffany Ostreim 07/25/2017 01:42 PM Form Started By: Randi Gosselin Started On: 07/24/2017 10:09 AM Final Approval Date: 07125/2017 AMENDMENT NO. 1 to Professional Services Agreement between COWLITZ COUNTY and Nelita Wallingford dba Strengthening Foundations Counseling Services. 1. This is Amendment No. 1 to Agreement is between Cowlitz County, Washington, COWLITZ "), and (CONTRACTOR) shall take effect and be in force on the 15' day of July, 2017. 2. COWLITZ AND CONTRACTOR have entered into an Professional Services Agreement for juvenile services, to wit: AGREEMENT FOR FUNCTIONAL FAMILY SERVICES, effective July 1, 2013 (the "Original Agreement "). 3. COWLITZ is now in need of continuing or modifying the Agreement with CONTRACTOR under the Original Agreement, as set forth herein, and CONTRACTOR is amendable to this amendment in providing Functional Family Services to COWLITZ, under the same terms and conditions of the Original Agreement. NOW THEREFORE, the Parties agree as follows: The Original Agreement is amended as follows: a. The term of this Agreement is amended and shall commence on the V day of July, 2017, and shall unless terminated earlier as provided elsewhere in the Original Agreement, terminate on the 30`n day of June 2021. b. Attachment B "COMPENSATION" is amended to read as follows: FIRST AMENDED ATTACHMENT B Except as provided above in this Amendment No. 1, all terms, conditions, duties, obligations and provisions of the Original Agreement and any prior Amendment(s) shall remain in full force and effect. 3. The parties hereto have executed this Amendment No. 1 and each signatory to this Amendment No. 1 warrants that he /she is duly authorized and executes this Amendment for and on behalf of the below- inscribed parties hereto. Nelita'Wallingford Strengthening / 1Foou Date: -7 l77 I BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON Joe Gardner, Chairman Counseling Srcg" Cq(lN ATTEST: m cowNrr IL r, 't'asHINGTON 6 LIJ Tiffan str m, Clerk of Bo FORM PREVIOUSLY APPROVED BYE PROSECUTING ATTORNEY'S OFC. Dennis P. Weber, Commissioner Arne Mortensen, Commissioner Date: r]7 I _- 17 Page 1 of 1 Amendment No. 1— Professional Services Agreement between Cowlitz County and David Simonsen for Functional Family Therapy Services PROFESSIONAL SERVICES AGREEMENT FIRST AMENDED ATTACHMENT B COMPENSATION 1. The Contractor shall be paid as follows: 2,600.00 per successfully completed referred case as defined by FFT, Inc. for services as described in the Statement of Work, including: a. Face to Face contact; b. Phone Contact; c. Collateral contact for youth and families; d. Travel; e. Consultation; and f. Report writing Cancelled appointments will be rescheduled by the Contractor and client at the earliest date possible. The Contractor will bill Cowlitz County $2,600.00 after each referred case that successfully completes all phases of the FFT intervention. In the event of completion of a phase but the referred is unable to continue the intervention, the complete phase shall be paid as follows: a. Engagement and Motivation $866.66 b. Behavioral Change $866.66 c. Completion of Case $866.66 d. $216.66 per completed week for interventions that are terminated prior to the successful completion as defined by FFT, Inc. for services described in the State of Work, including those items noted in (1) above. Additionally, this rate will apply to interventions that are incomplete at the termination of this Agreement. The Contractor shall not be reimbursed for daily operation costs, such as office supplies, telephones, vehicle expenses and copying. The Contractor shall ensure that work to be performed does not duplicate work to be charged to Cowlitz County under any other contract or agreement with the Contractor. If the Contractor bills and is paid fees for services that Cowlitz County later finds were a) not delivered or (b) not delivered in accordance with applicable standards, Cowlitz County shall recover the fees for those services and the Contractor shall fully cooperate during the recovery. 2. Billing and Payment The Contractor shall submit an invoice Voucher to the Cowlitz County Juvenile Court after the successful completion of each intervention phase, or at the time it is determined that a family /case will be discontinued, or at the end of the fiscal period. Cowlitz County shall pay the Contractor upon acceptance of a properly completed invoice voucher. The invoice shall describe and document the following: a. Date and time period of service(s) performed; b. Name(s)ofjuvenile(s);and c. Phase complete and date completed Payment shall be considered timely if made by Cowlitz County within 30 days after the receipt of the properly completed invoice. The Contractor accepts the Cowlitz County payment as the sole and complete payment for the services provided under this contract. Cowlitz County shall not reimburse the Contractor for authorized services not provided to clients, or for services which are not authorized or provided in accordance with the Scope of Work". If Cowlitz County pays the Contractor for service authorized but not provided by the Contractor in accordance with the "Scope of Work ", the amount paid shall be considered to be an overpayment. If this Agreement is terminated for any reason, Cowlitz County shall pay for only those services authorized and provided through the date of termination.