Common use of Non-Discrimination and Equal Opportunity Clause in Contracts

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxx Xxxxxx, Clinical Director Juvenile Probation Officer Pinnacle Services Date Date (Signer must have authority to bind the company) COUNTY LEGAL REVIEW FORM KK-08-078 Contract Description: Individual & Fam Group Psych Counseling /JPD/Pinnacle/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxx XxxxxxX. Madrid, Clinical Director LCDC Juvenile Probation Officer Pinnacle Services Chief Executive Director Date Date (Signer must have authority to bind the company) COUNTY LEGAL REVIEW FORM KK-08-078 077 Contract Description: Individual Individ & Fam Family Group Psych Counseling /JPDCounseling/ JPD/Pinnacle/08 Aliviane/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section Section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: Approved this the day of , 2008. ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxxxx Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORMJUVENILE PROBATION DEPARTMENT: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: El Paso Community Mental Health/ Mental Retardation Center Xxxxxxx Xxxxxxx Xxxxxxx, Xx., Chief Xxxxx Xxxxxx, Clinical Director Xxxx Xxxxxxxxxx Juvenile Probation Officer Pinnacle Services Executive Director Date Date (Signer must have legal authority to bind the company) COUNTY LEGAL REVIEW FORM KK-08Texas Juvenile Probation Commission Private Service Provider Contractual Monitoring and Evaluation Report1 NON-078 RESIDENTIAL PRODUCTS AND SERVICES GENERAL INFORMATION Name of Juvenile Probation Department County Name of Person Completing Report Title of Person Completing Report Name of Persons Contributing to Report Date Completed PROVIDER INFORMATION Name of Private Non-Residential Service Provider Applicable Dates of Contract DescriptionMailing Address of Service Provider City, State Zip Code Phone Number (000-000-0000) Fax Number (000-000-0000) E-Mail Address: Individual & Fam Group Psych Description and Frequency of Contracted Service Type of Non-Residential Service: Counseling /JPD/Pinnacle/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions Services Psychological Services Medical Services Products or comments you have regarding Services Programs Supervision Services Other The Texas Juvenile Probation Commission’s State Financial Assistance Contract requires that private service providers that are paid in whole or part with state funds shall be monitored at least twice during the terms fiscal year for programmatic and financial compliance. Use Pages 2-5 of this document to record the contractual requirements placed on the service provider and the results of your semi-annual or applicable periodic monitoring of the contractperformance of the service provider. Please complete the Evaluation Section below at least annually for all private service provider contracts to monitor the service provider’s compliance with contractual programmatic and financial requirements. Please refer to the Commission’s Private Service Provider Contract Requirements Summary [TJPC-FIS-32-04] for additional information on which service provider services require written contracts, as well as any specific provisions to which you object, or which you want to have changedperformance measures and accountability provisions. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not ApprovedOverall Review of Service Provider Performance Satisfactory Unsatisfactory*

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge of El Paso Date Date APPROVED AS TO FORM: CONTRACTOR: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxx Xxxxxx, Clinical Director Juvenile Probation Officer Pinnacle Services CEO Providence Service Corp. of Texas, Inc. Date Date (Signer must have authority to bind the company) APPROVED AS TO CONTENT: Xxxxxxx Xxxxxxx Xx., Chief Juvenile Probation Officer Date EL PASO COUNTY LEGAL REVIEW FORM KK-08-078 028 Contract Description: Individual & Fam Group Psych Counseling /JPD/Pinnacle/08 Professional Services Agreement with Providence Corporation of Texas, Inc. to Provide Crisis Intervention Services to Juveniles for JPD for CY2008 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted Please list any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not ApprovedApproved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 CRISIS INTEVENTION MENTAL HEALTH ASSESSMENT Identifying Information: Name: DOB:(m/d/yy) Date of assessment:(m/d/yy) Address: Phone: Parent( s)/Guardian( s): Referring JPO: Current Status: Client statements of presenting problems/concerns: Social History: Current Living Arrangement: Family/Peer: Work/Education: Medical: Psychiatric history and current status: Drug and alcohol history and current assessment: Developmental History: (include prenatal care that assesses for FAS/FAE if applicable) Mental Status Exam: Clinical Impressions: Axis I Axis II Axis III Axis IV Axis V GAF (current) GAF (past year) Diagnostic Impressions: Problem Summary List: Strengths/resources: Services the family wants: Recommendations: (with justification for recommended services and needs): Eligibility summary (discuss justification for functional recommended): Prognosis: Follow up Information: Clinician’s Name: Print Clinician’s signature, credentials and date: Juvenile’s Name : Print Juvenile’s Signature: Parent/Guardian(s) Name(s) : Print Parent/Guardian(s: Signature PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Crisis Intervention Evaluation Inputs Outputs Outcomes – Impact ● All referral scoring a on the Massachusetts Youth Screening Instrument - 2. MAYSI-2. Contract with Providence Corporation to address children and families who appear to have mental or emotional problems. Priorities To provide a brief follow- up of children who have been identified as having mental or emotional problems that may require immediate attention. What we invest Short Term Screening Medium Term Assessment Long Term Evaluation Identify youth who Through Assist the Court to are at an increase individualized determine how best to risk of disorders that data collection, meet the child’s needs warrant immediate such as through specific attention, psychological treatment needs and intervention or more testing, clinical service comprehensive interviewing as recommendation evaluation within 72 well as obtaining which shall address hours of an past records from psychological, evaluation. other agencies. emotional mental, interpersonal learning and behavioral disorders and whether these needs can be met in the community or whether the child requires placement services. Providence Corporation shall also provide a projected date of meeting these needs. Activities Participation Refer children Only referrals and families meeting criteria meeting criteria for Full Battery to Providence Assessment Corporation ●Any Court for Crisis ordered juveniles Intervention ●Any Court Services. ordered parent/guardian Providence Corporation Program Development/01-11-08

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section Section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: Approved this the day of , 2009. ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxxxx Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORMJUVENILE PROBATION DEPARTMENT: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx.El Paso Mental Health and Mental Retardation Xxxxx Xxxxxxxx, Chief Xxxxx Xxxxxx, Clinical Director Xxxx Xxxxxxxxxx Juvenile Probation Officer Pinnacle Services Chief Executive Officer Date Date (Signer must have authority to bind the company) COUNTY LEGAL REVIEW FORM KK-08FORM‌ KK-09-078 320 Contract Description: Individual & Fam Group Psych Counseling /JPDJPD/Pinnacle/08 Interlocal/EPMHMR/On-SiteOutreach Services COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not ApprovedApproved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx Xxxxxx Assistant County Attorney Date: December 8, 2009 Texas Juvenile Probation Commission‌‌ Private Service Provider Contractual Monitoring and Evaluation Report1

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxxx Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxx Xxxxxxxx Xxxxxxx Xxxxxxx Xx.Xxxxxxx, Ph.D. Chief Xxxxx Xxxxxx, Clinical Director Juvenile Probation Officer Pinnacle Services d/b/a Amanecer Psychological Services, P.C. Date Date (Signer must have authority to bind the company) COUNTY LEGAL REVIEW COMMISSIONERS COURT CONTRACT FORM KK-08-078 Contract DescriptionCONTRACT SUMMARY Approve and authorize the County Judge to sign the Agreement for Full Battery Psychological Evaluations from December 1, 2012 to November 30, 2013. This is a fee per use contract. The fees are: Individual & Fam Group Psych Counseling /JPD/Pinnacle/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed$190 for Psychological Evaluation by a licensed psychologist and $180 for Psychological Evaluation by a Psychological Associate. X Approved Funding for services will derive from JPD's general fund accounts. County Attorney's Office has reviewed and approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approvedlegal form (2012­ 0565). ADDITIONAL BACKGROUND: FISCAL IMPACT: PRIOR COURT ACTION: BASIC CONTRACT DETAILS CONTRACT NO.: 2012­0565 CONTRACT TITLE: Full Battery Psychological Evaluations SECOND PARTY: Amanecer Psychological Services, PC CONTRACT TYPE: Services TERM AND BUDGET DETAILS TERM: 1 Year EXTENSION OPTIONS (If Applicable): Two 1 Year Options EFFECTIVE DATE: December 01, 2012 EXPIRATION DATE (If Applicable): November 30, 2013 EXTENSION DEADLINE DATE (If Applicable): October 31, 2013 AMOUNT: Fee Per Use Contract: $190 for Psychological Evaluation by licensed psychologist and $180 for Psychological Evaluation by a Psychological Associate. APPROVALS

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Xxxxx Xxxxxxxx Chief Xxxxx XxxxxxX. Xxxx, Clinical Director LCSW Juvenile Probation Officer Pinnacle Services d/b/a Xxxx & Associates Date Date (Signer must have authority to bind the company) COUNTY LEGAL REVIEW FORM KK-08FORM‌ KK-10-078 342 Contract Description: Contract between El Paso County, on behalf of JPD, and Xxxx & Associates for Individual & Fam and Family Group Psych Counseling /JPD/Pinnacle/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not ApprovedApproved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxxxxxx Xxxxxxx Assistant County Attorney EL PASO COUNTY JUVENILE PROBATION DEPARTMENT Plan of Service Name: Admissions Date: PID: DOB: JPO: Projected Discharge Date: Diagnosis & Presenting Problem(s): Axis I: Axis II: Axis III: Axis IV: Axis V: Presenting problem(s): Juvenile and//or Family Strengths: Possible Barriers to Treatment & Intervention Strategies: Presenting Problem 1: Treatment Goal 1: Intervention(s): Frequency of service: Projected Completion Date: Presenting Problem 2: Treatment Goal 2: Intervention(s): Frequency of service: Projected Completion Date: Presenting Problem 3: Treatment Goal 3: Intervention(s): Frequency of service: Projected Completion Date: Prognosis: Resources: Community Linkage: Crisis Plan (identification of high risk situations/behaviors; alternate activities; emergency contacts and resources): Signatures indicate participation in the development of this plan and receipt of a copy of the plan: Youth: Date: Parent/Guardian: Date: Parent/Guardian: Date: Therapist: Date: JPO: Date: Caseworker: Date: Other: Date: Other: Date: EXHIBIT 2 MONTHLY ATTENDANCE / PROGRESS REPORT Participant Summary for the Month of Juvenile’s Last Name: Juvenile’s First Name: Date of Admission: P.O.: Juvenile Referred For: ❑ Substance Abuse Counseling ❑ Anger Management ❑ Cognitive Skills ❑ Prevention Intervention ❑ Family Counseling ❑ Individual Counseling Number of Session Scheduled: Treatment Goal(s) Date of Sessions Attended Type of Service Services performed directly by: (Print name) Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress:: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: EXHIBIT 2 Treatment Goal(s) Date of Sessions Attended Type of Service Services performed directly by: (Print name) Session ❑ Ind ❑ Group ❑ Family Goal . Identify progress or lack of progress: Session ❑ Ind ❑ Group ❑ Family Goal Identify progress or lack of progress: No Show Appointments: Reason for missed appointments: Reschedule Appointment by Contractor: Reason for reschedule: PLAN OF ACTION Juvenile Signature Date Parent /Guardian Signature Date Therapist Signature Date Signature above indicates juvenile and/or parents participated in the services indicated above. El Paso County Juvenile Probation Department DISCHARGE SUMMARY Name: Discharge Date: PID: DOB: JPO: Admissions Date: Successful Discharge: Unsuccessful Discharge:

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxx XxxxxxJ. Xxxxxxx Xxxxxxxxx M. Ed., Clinical Director LPC Juvenile Probation Officer Pinnacle Services d/b/a Henneburg Counseling Center Date Date (Signer must have authority to bind the company) COUNTY LEGAL REVIEW FORM KK-08-078 076 Contract Description: Individual Individ & Fam Group Psych Counseling /JPD/Pinnacle/08 /Henneburg/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxx XxxxxxXxxxxxx Xxxxxxx, Clinical Director Ph.D. Juvenile Probation Officer Pinnacle Services Date Date (Signer must have legal authority to bind the company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08-078 026 Contract Description: Individual & Fam Group Psych Counseling /JPD/Pinnacle/08 Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted Please list any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not ApprovedApproved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs Outputs

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxxx Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Xxxxx Xxxxxxxx Xxxxxxxxx Xxxxxxx-Xxxxxxxxxx Chief Xxxxx Xxxxxx, Clinical Director Juvenile Probation Officer Pinnacle Services d/b/a The Family Empowerment Center Date Date (Signer must have authority to bind the company) COUNTY LEGAL REVIEW COMMISSIONERS COURT CONTRACT FORM KK-08-078 Contract DescriptionCONTRACT SUMMARY Approve and authorize the County Judge to sign the Agreement for Sex Offender Treatment Provider for Juvenile Sex Offenders Treatment Services from February 1, 2013 to January 31, 2014. This is a fee per use contract. The fees are: Individual $300 for Evaluation & Fam Assessment (one time fee); $70 for individual session; $70 Adjunct service (if any); $70 for family session; $30 Non­Developmentally Delayed Juvenile Group Psych Counseling /JPDSession; $30 for Developmentally Delayed Juvenile Group Session; $30 for Parent Group Session (pair). Funding for services will derive from JPD's general fund accounts. County Attorney's Office has reviewed and approved as to legal form (2013­0006). ADDITIONAL BACKGROUND: FISCAL IMPACT: PRIOR COURT ACTION: BASIC CONTRACT DETAILS CONTRACT NO.: 2013­0006 CONTRACT TITLE: JPD/Pinnacle/08 Adolescent Sexual Behavior Therapy/M Aguilar­Desrosiers SECOND PARTY: Family Empowerment Center CONTRACT TYPE: Professional Services TERM AND BUDGET DETAILS TERM: 1 Year EXTENSION OPTIONS (If Applicable): Two 1 Year Options EFFECTIVE DATE: February 11, 2013 EXPIRATION DATE (If Applicable): February 11, 2014 EXTENSION DEADLINE DATE (If Applicable): January 11, 2014 AMOUNT: Fee Per Use Contract: $300 for Evaluation & Assessment (one time fee); $70 for individual session; $70 Adjunct service (if any); $70 for family session; $30 Non­Developmentally Delayed Juvenile Group Session; $30 for Developmentally Delayed Juvenile Group Session; $30 for Parent Group Session (pair) APPROVALS COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: We assume you have submitted any questions or comments you have regarding APPROVAL The attached document has been given legal review by the terms El Paso County Attorney's Office on behalf of the contractCounty of El Paso, as well as its officers, and employees. Said legal review should not be relied upon by any specific provisions to which you objectperson or entity other than the County of El Paso, or which you want to have changedits officers, and employees. X COUNTY ATTORNEY: Xxx Xxxxxx LEGAL REVIEW: Approved as to Form as Submitted Approved as LEGAL REVIEW NOTES (If Applicable): DATE: February 01, 2013 DIRECTOR/DEPARTMENT HEAD APPROVAL The undersigned hereby certifies that he/she has read the contract, understands and approves the contract terms and conditions and further certifies that the contract conforms to Form with Amendmentsthe bid specifications, if any, and acknowledges that he/Modificationsshe is responsible for administering all terms and conditions. DIRECTOR/Reservations Noted Below* Not ApprovedDEPARTMENT HEAD/DESIGNEE: Xxxxx Xxxxxxxx DEPARTMENT CONTACT: Xxxxxx, Xxxxx