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Home My WebLink About20123095.tiff RESOLUTION RE: APPROVE STATEMENT OF GRANT AWARD(SOGA)FOR DOMESTIC VIOLENCE FAST TRACK PROGRAM AND FELONY DOMESTIC VIOLENCE SERVICES PROJECT AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with a Statement of Grant Award (SOGA)for the Domestic Violence Fast Track Program and Felony Domestic Violence Services Project between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the 19th Judicial District Attorney's Office, and the Colorado Division of Criminal Justice, commencing January 1, 2013, and ending December 31, 2013,with further terms and conditions being as stated in said award, and NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado,that the Statement of Grant Award (SOGA)for the Domestic Violence Fast Track Program and Felony Domestic Violence Services Project between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the 19th Judicial District Attorney's Office, and the Colorado Division of Criminal Justice be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said award. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 31 s c . er, A.D., 2012. r \ BOARD OF COUNTY COMMISSIONERS 86! - 1 WELD COUNTY, COLORADO \if\ 1ATTEST: Sean P. C ay, Chair Weld County Clerk to the B y>."`', /A /7 At William F. Garcia, Pre-Term BY: � �_ Deputy Cler to he Board (Ca/2,- � dC/2, 2_ i ,2 Barbara Kirkmeyer ) APP ED AS FORM: David E. Long Y ount Attorney 7Qts.t 1—— Douglas Rade cher Date of signature: l 1\ V1\ �2 2012-3095 Ik--I-la- DA0023 OFCO N �`�- "g, COLORADO DIVISION OF CRIMINAL JUSTICE � t j STATEMENT OF GRANT AWARD (SOGA) .fist ' UV FEDERAL PROGRAM INFORMATION t 2017 CFDA Number: 16.588 Federal Agency: U.S. Department of Justice, Office on Violence Against Women Federal Award Name&Number: S.T.O.P. Violence Against Women Act Formula Grant Program- 2010-WF-AX-0028, 2011-WF-AX-0006, 2012-WF-AX-0019 Grantee Agency Name: Office of the District Attorney, 19th Judicial District Project Director: Ms.Jo Ann Holden Project Director Address: P.O. Box 1167 Greeley, CO 80632 Grant Number: 12-VW-19-20 Project Title: Domestic Violence: Fast Track Program &Felony Domestic Violence Services Grant Period: January 1, 2013- December 31, 2013 Date Issued: October 11, 2012 In accordance with provisions of the Colorado Revised Statutes§24-33.5-501 et seq.,the Division of Criminal Justice hereby awards a grant to the above-named grantee. The attached grant application (Exhibit A), including Special Provisions and Certified Assurances, is incorporated herein as a part of this document. APPROVED BUDGET Budget Category Federal Cash Match In-Kind Match Total $55,964.00 $18,655.00 $0.00 $74,619.00 Personnel $0.00 $0.00 $0.00 $0.00 Supplies and Operating $0.00 $0.00 $0.00 $0.00 Travel $0.00 $0.00 $0.00 $0.00 *Equipment $0.00 $0.00 $0.00 $0.00 * Professional Services _ $55,964.00 $18,655.00 $0.00 $74,619.00 TOTAL AWARD AMOUNT Purchase of equipment requires prior completion and approval of DCJ Form 13. •Professional services require prior completion and approval of DCJ Form 16. 11 N I/{Y N i{Y N Y Y N N Y Y W iii i{i Y 111 N i N N N u N Y Y N{Y/{{i{Y N{N Y{i i i Y i i i N N I Y I Y{N Y{W{i{/N N N i i i{Y Y i I N I Y 111 Y I Y{Y N W Y N N N N N N Y I Y Y{Y/1 Y i Y i Y/Y/{I N i{i{i{Y i{W Y Y I N I Y 111 Y i i i i/1 N Y Y Y{ SPECIAL CONDITIONS: There have been no Special Conditions placed on this award. Version 10-5-12 Page 1 of 3 Statement of Grant Award(SOGA) INSTRUCTIONS 1. Grant activities must be based on the approved budget shown on page one of this Statement of Grant Award,and the approved detailed budget(s)within the attached application, which supersedes any earlier budget request submitted, and which may be different from the budget originally submitted in your application. The grantee must secure prior written approval from DCJ if there is to be a change in any budget category(see DCJ Form 4-A). 2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary financial reports. 3. The Grantee Agency affirms that the parties'agreement consists of a two-part document,the Statement of Grant Award(SOGA), and Exhibit A, attached to the SOGA, which contains the Grant Application (including Project Summary, Budget and other Documents), the Certifications, the State Special Provisions, the Grant Requirements, the Federal Certified Assurances, and signatures of persons authorized to sign on behalf of the Grantee Agency on each part of the two-part document. 4. Review carefully the current applicable Administrative Guide of the Division of Criminal Justice for this grant program,that includes procedures regarding this document, draw-down of grant funds, reporting requirements and requesting grant modifications. 5. This grant award shall be effective upon the final approval by the State Controller or designee. No payment shall be made pursuant to the grant prior to State Controller approval. 6. This grant award may be voided in whole without further cause if it is not signed by the grantee's Authorized Official and retumed to the Division of Criminal Justice within 45 days of the date of issuance. 7. The signature of the Authorized Official below should be the same as the one on the grant application.The grantee must promptly notify the Division of Criminal Justice of any changes in the Authorized Official,Project Director,or Financial Officer,by completing and submitting DCJ Form 4-B. (If changes have already occurred, submit completed DCJ Form 4-B with this document). ADDITIONAL DCJ REQUIREMENTS (1) Commencement within 60 Days. If the Division concludes that the project has not commenced within 60 days of the start date of the grant period,the grantee must report the following by letter to the Division of Criminal Justice: a. the steps taken to initiate the project; b. the reasons for delay;and, c. the expected starting date. (2) Operational Within 80 Days. If the Division concludes that the project is not operational within 80 days of the original start date of the grant period,the Division of Criminal Justice may begin termination or reduction in grant award proceedings as described in "Special Provisions&Certified Assurances", Section entitled"Termination or Reduction in Grant Award." (3) All grants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on the DCJ quarterly narrative and financial reporting forms, which are provided with this SOGA. Technical assistance is available upon request. (4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended funds remaining at the end of the grant period must be retumed to the Division of Criminal Justice. RETURN: ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of Victims Programs, S.T.O.P. VAWA Program, 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are obtained, the white SOGA copy with approved application will be returned to your Project Director. Version 10-5-12 Page 2 of 3 • Statement of Grant Award(SOGA) CMS# 13 -W- 5,07(9(195,07(9(19 THE PARTIES HERETO HAVE EXECUTED THIS BINDING GRANT AWARD `Persons signing for Grantee hereby swear and affirm that they are authorized to act on Grantee's behalf and acknowledge that the State is relying on their representation to that effect. GRANTEE: STATE OF COLORADO: Office of the District Attorney, 19th Judicial District John W. Hickenlooper, GOVERNOR Legal Name of Grantee Agency �---- ��_ Syr By: � t By: /!�/," �?-71- `SIGNATURE of Authorized Official L ) eanne M. Smith, DIR TOR Colorado Division of Criminal Justice Sean P . Conway, Chair Print Name & Title of Authorized Official Date Signed: OCT 3 1 Z012 Date Signed: /7'y,_ STATE OF COLORADO LEGAL REVIEW: See Contract Routing Waiver#46 (or, if not waived) John W. Suthers, ATTORNEY GENERAL By: Signature—Assistant Attorney General Date Signed: ALL CONTRACTS & GRANT AWARDS MUST BE APPROVED BY THE STATE CONTROLLER CRS 24-30-202 requires that the State Controller approve all state contracts. This grant award is not valid until signed and dated below by the State Controller or delegate. If performance begins prior to the date below, the State of Colorado may not be obligated to pay for the goods and/or services provided. STATE CONTROLLER: David J. McDermott, CPA BY ‘707)45U �'�LC/Y12!'✓✓t DATE ja/.- /a7U/`2 Version 10-5-12 Vital-3i`74) Page 3 of 3 • W Q 1' OFFICE FOR VICTIMS PROGRA EXHIBIT A M• , •r "K 1) APPLICANT AGENCY: DCJ USE ONLY Legal Agency Name: District Attorney's Office, 19th Judicial District 2 CY 2013 Funding Doing Business As(dba): Weld County District Attorneys Office App# 12-VU- 11ck - Project Title: Domestic Violence: Fast Track Program& Felony DV Grant# 13_ , A/Lo Mailing Address: PO Box 1167 Award $ 5519 aLIL Street Address: 915 Tenth Street New Applicant Agency City/Town: Greeley Zip Code: 80632 Continuation Applicant Agency County: Weld Judicial District: 19 SOURCE 2013 2014 Phone#: 970 356-4010 Fax#:970 352-8023 VA Federal Employer Identification#(FAN): 84-6000813 VW Data Universal Numbering System#(DUNS): 75-757955 As-s- 90/ SASP Central Contractor Registration (CCR): ®Yes 0 No Exp Date (mm/dd/yyyy) 12/15/2012 SV TOTAL: Congressional District in Which the Agency is Located:4 C57�� CY 2014 Funding Congressional District(s)Where Agency Provides Services:4 Grant# 2 ) PROJECT DIRECTOR: Award $ Project Director Name: JoAnn Holden Position/Title: Director of Victim Services, Weld County District Attorney Note:Because this document is protected, you cannot run spellcheck. Phone#: 970 356-4010 X4747 Fax#: 970 352-8023 NOTE: The TOTAL OVP FUNDS field E-Mail:jholden@co.weld.co.us AUTOMATICALLY FILLS from Table 12F on page 18. 3 ) T•T L •V' FUNDS $55,964 4A) TYPE OF AGENCY: ' ❑ Non-Profit Agency ® Government Agency—Check if applicable: 0 Law Enforcement Agency 0 DA's Office 0 Courts/Probation ❑ Other(please specify): ❑ Dual Domestic Violence/Sexual Assault Agency, OR ❑ Rape Crisis Center 4B ) TYPE OF PROJECT(S): ❑ Child Advocacy Center ❑ Court Appointed Special Advocate Project(CASA) O Domestic Violence Project ® Domestic Violence Fast Track Staff ❑ Domestic Violence/Sexual Assault Investigator/Officer ❑ Domestic Violence/Sexual Assault Investigator/Prosecutor ❑ Sexual Assault Project ❑ Sexual Assault Nurse Examiner(SANE)/Sexual Assault Response Team(SART) Project ❑ Statewide Coalition ❑ Victim Services Project ❑ Victim/Witness Project ❑ Other(please specify): Crime Victim Services Funds • 8012 APPLICATION 1 • 0%/ F ' OFFICE FOR VICTIMS PROGRAMS 5) AGENCY DESCRIPTION AND HISTORY: The 19th Judicial District Attorney's Office is a government agency statutorily mandated to prosecute those charged with committing crimes against the State of Colorado. The Victim Witness Assistance Unit is a department in the Weld County District Attorney's Office and was established in 1980 to provide assistance to victims of crime as they become involved in the Criminal Justice System. The Victim Witness Assitance Unit provides a majority of the VRA mandated DA duties which are approximately 37%of the 2011 felony,juvenile and misdemeanor cases filed. Presently,the Victim Witness Assistance Unit staff consists of 13 staff(11.625 FTE)working with victims of any crime including traffic. In 2011, 14,278 cases were filed. Prior to 2006,the 19th JD Victim Witness Assistance Unit was understaffed and due to the inadequate staff resources victim support was"reactive" meaning that only victims who contacted the Weld County District Attorney's Office or showed up to court were assisted . There was no"pro-active" contact. The quality and quantity of Victim Witness Assistance Unit has improved noticeably turning the past six years as the role of a Victim Witness Assistant has changed from providing reactive service with no continuity, to being proactive with the victim from the initial filing of charges through trial and sentencing. This enhanced support and service is due to added financial support of the Weld County Commissioners and increased funding from local VALE&VAWA Grants. 6) DESCRIPTION OF PROJECT(S)FOR WHICH FUNDS ARE BEING REQUESTED: Grant dollars are being requested for District Attorney's Office Victim Witness Assistance Program to partially fund two Victim Assistants who support and assist victims of domestic violence. The Criminal Justice System can be scary, confusing,and frustrating. Victim Assistants help reduce the overwhelming feelings victims many times have by emotionally supporting victims, educating victims about the court system,and providing the many referrals a victim needs when faced with becoming a victim of domestic violence. Many times the Victim Assistants at the District Attorney's Office are the first victim assistance contact the victim has had with a law enforcement agency. The 19th Judicial District has had a dedicated misdemeanor domestic violence court since September 2001 to serve victims of misdemenaor domestic violence with immediate intial contact. In February 2005,the program was renamed to Misdemeanor Domestic Violence Fast Track Program when the Victim Witness Unit added a step of"meaningful consultation"to confer with the victim about possible resolution of the case prior to the court hearing. The"meaningful consultation", which is a VRA duty, includes getting input from the victim as to what they would like to see happen in the case in conjunction with explaining the possible penalties and the plea agreement which will be offered by the prosecutor. During the initial victim contact,the victim is also asked their position on bond, given Victim's Compensation information,restitution information, safety planning,community resources, counseling referrals, and their rights as victims of a crime. Whether the victim comes to the initial court hearing or not, the Prosecutor is able to make a plea offer to the defendant to ideally reach a disposition in the case if the Victim Assistant has had intial contact with the victim. This process makes the defendant accountable and ordered into domestic violence treatment more quickly curtailing continued violence. Since the initial contact with victims is usually the day after the incident,questions regarding modifying the Protection Orders are addressed early. The Domestic Violence Fast Track Program also support victims who appear in court for subsequent hearings(not just the initial hearing) and at trials when the victim testifies. The District Attomey's Office Victim Witness Assistance Unit has 1.5 FTE Victim Assistants working in County Court to support all victims of misdemeanor and traffic cases;the .5 FTE is Spanish-bilingual. This grant application requests funding for 64%of the full time County Court Victim Assistant providing assistance to the misdemeanor domestic violence victims. The Victim Assistant spends 80%of her time on these cases. VAWA provided 68%funding in 2011 which went down to 60% in 2012 when the funding remained the same but costs increased. In 2008,VOCA provided partial funding for a Victim Assistant to spend part of her time on the felony domestic violence cases which at that time were all filed in one criminal court division. This enabled a proactive approach to victims of felony domestic violence crimes, similar to the Domestic Violence Fast Track Program,rather than the minimal reactive interaction which had previously been the norm due to inadequate staff resources. The Victim Assistant acts as a liaison between the victim and the criminal justice system providing Victim's Rights information and education, referral to community services, updates on the status of the prosecution, and support throughout the court process. The felony domestic violence felony cases are now filed in four criminal court divisions and one Victim Assistant is assigned to each division. This grant application requests funding for 25%of one full time Victim Assistant, who is Spanish bi-lingual,to provide assistance to felony domestic violence victims in the division she is assigned to and to Spanish speaking victims of felony domestic violence in the other three court divisions. VAWA provided 25% funding in 2011 which went down to 23% in 2012 when the funding remained the same but personnel costs increased. Crime Victim Services Funds 1 2012 APPLICATION - 2 • (J /p 'OFFICE FOR VICTIMS PROGRAMS 7) PROJECT PURPOSE AREAS: Victim Services: (If applicable,check only those that apply to your proposed project) ® Domestic Violence ❑ 72 Hour Response ❑ Adult Sexual Assault ❑ Law Enforcement Victim Assistants for Protection Order Enforcement El Emergency Services for Victims&Their Families 0 Stalking El Child Physical and Sexual Abuse ❑ Services for Senior Crime Victims ❑ Assistance for Victims with Immigration Matters ❑ Services for Disabled Women LI Access for Underserved and/or Underrepresented Victims 0 Services for Indian Tribes El Statutorily Mandated to Implement the Victims Rights Act Statewide ❑ Services for Children who Witness Domestic Violence ❑ Specialized Advocacy T�ra�riiing (tf ajpircable cfi p, jy those ff1at apply to your proposed project) ❑ Training for Officers, Prosecutors ❑ Training of Sexual Assault Forensic Personnel ❑ Judicial Education&Court Related Projects ❑ Training & Protocols to address Police-Perpetrated Domestic Violence ❑ Specialized Training Systems lmprovemet"tit (If applicath •ohei c on)y i- b ih t'sop ly'to your proposed project) ❑ Specialized Units ❑ Coordinated Response to Domestic Violence ❑ Protection Order Enforcement El Coordinated Response to Sexual Assault O Policies, Protocols, Orders ❑ Multidisciplinary Coordinated Response O Collaborative,Community-based System Improvement ❑ Linked Data Collection&Communication Systems ❑ Model project that can demonstrate success and a plan for ❑ Statewide/Multi-jurisdictional Impact statewide replication Crime Victim Services Funds I 2012 APPLICATION 3 t71Jp OFFICE FOR VICTIMS PROGRAMS 8) PROVIDE A STATEMENT OF NEED FOR THE PROPOSED ACTIVITIES IN YOUR COMMUNITY: Weld County,Colorado covers 3,999 square miles, and is the third largest county in Colorado. The 2010 United States census indicates the county population was 252,825,a 39.7%increase from 2000 to 2010. The Hispanic population of 71,802 is 28.4%of the total population. There are 31 incorporated towns in Weld County. According to the 2010 census,the county seat and principal city, Greeley,contains 37% of the county's population of 92,889. Generally, most of the remaining population resides within a 20 to 30 miles radius of Greeley and the northeastern part of the county is sparsely populated. In addition, Weld County has a sizeable temporary population that includes a large seasonal worker population and students attending the University of Northern Colorado and Aims Community College In 2011, Weld County had 685 primary victims of misdemeanor domestic violence and 145 primary victims of felony domestic violence. Immediate contact with domestic violence victims is crucial to effectively prosecute the defendants in these cases whose victims may later recant the seriousness of the violence. The Misdemeanor Domestic Violence Fast Track Program has a dedicated courtroom, prosecutors and Victim Assistants. The felony domestic violence cases are handled in four courtrooms with four Victim Witness Assistants and several prosecutors. Both programs have immediate contact with domestic violence victims through the Victim Assistants. Immedicate contact with victims is essential to properly address bond conditions, mandatory protection orders and to give referrals for resources. Since 8.5%of the domestic violence victims(up from 4% in 2010)only speak Spanish,three of the Victim Witness Assistants working in the VW Unit are Spanish-bilingual enabling the our agency to provide the same victim service whether the victim is English-speaking or Spanish-speaking. The MISDEMEANOR DOMESTIC VIOLENCE FAST TRACK PROGRAM was instituted in 2005. Prior to 2005, Victim Assistants did not provide the step of"meaningful consultation" with the victim and only 15%of the cases reached a disposition at the first hearing because the Deputy District Attorneys were responsible for conferring with the victim,a VRA mandated duty. Many times there was not time for the Deputy District Attorney to speak with victims which resulted in the case being reset for another court hearing and the victim being spoken to on the phone rather than in person. Since the implementation of the Misdemeanor Domestic Violence Fast Track Program,our initial victim contact rate has increased to 71.5%in 2011, which in turn has increased the rate of resolution of cases at the first hearing to an average of 29%in 2011. Resolving the case at the defendant's first court appearance promptly sends the defendants to Probation who place them into state approved domestic violence treatment programs. Regardless of the disposition at the initial court hearing, victims have more immediate victim assistance contact which provides much needed resources and Criminal Justice System education to those most vulnerable because of the Victim Assistant's immediate contact. Victims of FELONY DOMESTIC VIOLENCE CASES also come to court the day after the offense, but prior to 2008,we had no process in place to know a new felony domestic violence case was scheduled for an initial court hearing. These victims would sit in crowded courtrooms with no one to answer their questions unless a Victim Assistant happened to be in the courtroom for another matter. In 2008,we received a VOCA Grant to fund part of one Victim Assistant to be assigned to the victims of felony domestic violence. A process was created to identify all new felony domestic violence cases on the docket each day. Prior to 2008, the Deputy District Attorneys were primarily responsible for victim contact which was not normally occuring at the first court hearing since the attorneys were busy with a full docket. Since 2008,the Victim Assistant goes to court to determine if a victim has come to the hearing and takes that opportunity to make an initial victim contact for those victims who attend. If the victim does not attend the intial court hearing, the Victim Assistant makes an outreach phone call. Immediate contact is crucial in supporting domestic violence victims through the court system,and providing needed information and resources to those most susceptible during this devastating time. The funding requsted in this grant will enable the Weld County District Attorney's Office to continue their proactive, immediate contact with victims of domestic violence. Crime Victim Services Funds ( 2012 APPLICATION 4 • e V p OFFICE FOR VICTIMS PROGRAMS 9 ) ANNUAL PROJECT DATA: VICTIM SERVICES PROJECT DATA:Complete this section (Tables A& B)only if your project will provide DIRECT victim services. Provide only the number of victims who will receive services from OVP grant funded personnel. Table 9A: NOTE:You must TAB through the numeric fields to activate the totaling function. E Y I, Type,of Crime Es# p Type of Crime(Continued) aims Victims 0 Child Physical Abuse 0 Survivors of Homicide Victims 0 Child Sexual Abuse 0 Robbery 0 Children Who Witness Domestic Violence 0 Vehicular Assault or Homicide, DUI/DWI Crashes, or Careless Driving Resulting in Death 526 Domestic Violence 0 Dating Violence 0 Assault 0 Stalking 0 Elder Abuse 0 Adult Sexual Assault 0 Other Violent Crimes(See instructions): 0 Adults Molested as Children L UNDUPLic .TED VICTIMS ESTIMATED TO act RVED DURING C�j2 ONTH PERIOD '526 ._ .. +,�- . v1 NOTE:No single entry/category in this table can exceed the TOTAL NUMBER OF VICTIMS in Table 9A. st # Type`of Services r st *11,;41;)r3 tb ers(Continued)" 76 Crisis Counseling/Crisis Intervention (in person) 30 Personal Advocacy 360 Follow-up(Includes crisis intervention by phone) 458 Telephone Contact 0 Therapy 0 Civil Legal Advocacy(advocate assistance) 0 Group Treatment/Support 0 Forensic Exam 0 Shelter/Safehouse 0 Hospital/Clinic/Medical Response 175 Information/Referral(in person) 27 Language Services 308 Criminal Justice Support/Advocacy 0 Transportation 0 Emergency Financial Assistance 0 Transitional Housing 0 Emergency Legal Advocacy(attorney assistance) Other 526 Victim Compensation Crime Victim Services Funds I 2012 APPLICATION 5 O`l/P OFFICE FOR VICTIMS PROGRAMS 9 ) ANNUAL PROJECT DATA—CONTINUED: Table 9C: LAW ENFORCEMENT PROJECT DATA:Complete this PROSECUTION PROJECT DATA: Complete this section section ONLY if you are requesting funds for a Law ONLY if you are requesting funds for a Prosecutor or Enforcement Officer or Investigator who will handle Investigator who will handle domestic violence, sexual domestic violence, sexual assault, stalking,and/or dating assault,stalking, and/or dating violence cases for victims violence cases/incidents for victims age 13 and older. age 13 and older. Estimate the number of types of cases Estimate the number of case/incidents that will be handled that will be handled by grant funded personnel during the by grant funded personnel during the first year of the grant first year of the grant period. A case should be counted period. Complete only those that apply: according to the most serious offense. Complete only those that apply: st.4 ..",:,'L,' T pe bff ervices Est # •Type of(CaseE # •a�� t'aSe3 , 1s ,,, s�,.p., > 4.4 ct. 2 1 /iv; ., < .-"12,1[14\40,,,, r' S'°s `Ta 'Sr t ,fir « r 0 Calls for Assistance(911 &other) 0 Misdemeanor Sexual Assault 0 Incident Reports 0 Felony Sexual Assault 0 Cases/Incidents Investigated 0 Homicide Related to Sexual Assault, Domestic Violence or Stalking 0 Arrests 0 Domestic Violence/Dating Violence Ordinance 0 Dual Arrests 0 Misdemeanor Domestic Violence/Dating Violence 0 Protection/Ex Parte/Temporary Restraining 0 Felony Domestic Violence/Dating Violence Orders Served 0 Arrests for Violation of Bail Bond 0 Stalking Ordinance 0 Enforcement of Warrants 0 Misdemeanor Stalking 0 Arrests for Violation of Protection Orders 0 Felony Stalking 0 Protection Orders Issued 0 Violation of Protection Order 0 Referrals of Cases to Prosecutor 0 Violation of Bail 0 Referrals of Federal Firearms Charges 0 Violation of Probation or Parole to Federal Prosecutor 0 Forensic Medical Evidence 0 Violation of Other Court Order Crime Victim Services Funds ( 2012 APPLICATION. 6 OvFp OFFICE FOR VICTIMS PROGRAMS 9 ) ANNUAL PROJECT DATA-CONTINUED: Table 9D: TRAINING PROJECT DATA: This table should only be completed if you are requesting funds for a FORMAL training project for professionals/volunteers, primarily outside your agency,who work directly with victims.There are only two eligible categories of training activities: 1)Training on domestic violence, sexual assault, stalking,and dating violence or; 2) Statewide or multi- jurisdictional training pertaining to victim assistance.This DOES NOT include outreach trainings/presentations about your program,or in-house staff/volunteer training.Refer to the Instructions for further details. NOTE: You must TAB through the numeric fields to activate the totaling function. Est.# Peoplei,ned Est # People >i rained `. Trained Tiain*d. 0 Advocacy Organization Staff 0 Military Command Staff (NAACP, AARP) 0 Attorneys/Law Students(Non Prosecutors) 0 Multidisciplinary Group 0 Batterer Intervention Program Staff 0 Prosecutors 0 Correction Personnel(probation, parole, and 0 Sex Offender Treatment Providers correctional facilities) O Court Personnel(judges,clerks) 0 Sexual Assault Nurse/Forensic Examiners 0 Disability Organization Staff(non-governmental) 0 Social Service Organization Staff(food bank, homeless shelter) O Educators (teachers, administrators) 0 Substance Abuse Organization Staff 0 Elder Organization Staff(non-governmental) 0 Supervised Visitation and Exchange Center Staff 0 Faith-based Organization Staff 0 Translators/interpreters 0 Government Agency Staff(vocational 0 Tribal Government/Tribal Government Agency rehabilitation,food stamps,TANF) 0 Health Professionals(doctors, nurses—not 0 Victim Advocates(non-governmental,includes including SANE or SAFE's) sexual assault,domestic violence and dual) 0 Immigrant Organization Staff(non-governmental) 0 Victim Assistants(governmental,includes victim- witness specialists/coordinators) 0 Law Enforcement Officers 0 Volunteers O Legal Services Staff(not including attorneys) 0 Other(specify): 0 Mental Health Professionals TOTAL NUMBER OF PERSONS TO BE TRAINED= Crime Victim Services Funds 2012 APPLICATION 7 • O'V1P OFFICE FOR VICTIMS PROGRAMS 10) UNDERSERVEDI UNDERREPRESENTED POPULATIONS: Please answer the following questions in the box below: A. Describe the underserved/underrepresented population in the community you serve (e.g.the ethnicity of victims served,etc.). How is the underserved population(s)determined? Cite your source(s). B. State how you address the needs of the underserved/underrepresented populations in your community(e.g.the diversity of staff,volunteers and/or board representation, etc.). C. Is any portion of your project specifically designed to serve underserved and/or underrepresented populations? ® Yes ❑ No D. If you checked"Yes"above,what percentage of your grant request will be used to serve your underserved populations? 1601% A.The 2 1 United 7% increase from 2000to 2010. The 0 0 States census indicates Weld County's population was 252,825,a 39. a a e Hispanic population of 71,802 is 28.4%of the total population. In 2011,based on statistics keep by the Victim Assistants for grant reports,42%of the domestic violence cases filed in Weld County Courts involved Hispanic or Latino victims and 14%of these victims were Spanish-speaking only. B.Three of the Victim Assistants in the VW Unit are Spanish-bilingual so we are able to provide the same victim service whether the victim is English-speaking or Spanish-speaking. C.& D. Project 526 domestic violence victims,321 Hispanic or Latino and 45 victims Spanish speaking only. (Figures based on Grant funded portion only.) Crime Victim Services Funds I 2012 APPLICATION 8 • ON/1P OFFICE FOR VICTIMS PROGRAMS 11 ) GOALS AND OBJECTIVES-PROJECT SPECIFIC IMPACT: Goals should be limited to three or four, with no more than three objectives for each goal.Your objectives must be measurable and related to the personnel position(s)/professional services or consultant(s) requested in your Total 12-Month Budget(see page 14 and 14A) and any personnel you are using as match(page 19). Enter agency name: District Attorney's Office, 19h Judicial District Section 11A: GOAL 1: The 19th Judicial District Attorney's Office will provide effective assistance to victims of misdemeanor domestic violence through the Domestic Violence Fast Track Program including VRA,Victim's Compensation,referrals to community agencies, criminal justice education, and court support and advocacy. Objective 1: The County Court Victim Assistant will provide services to 486 new primary victims(GRANT FUNDED PORTION) from filing of charges through the prosecution of the criminal case during the 12 month grant cycle. Position Title(s): County Court Victim Assistant Position#(s): I Objective 2: The Domestic Violence Fast Track Program will conduct"meaningful consultation" with 70%of the primary victims the next working day after the offense to attempt to resolve 25%of the cases at the first court hearing,thereby getting the defendant in treatment and supervised quickly. Position Title(s): County Court Victim Assistant Position#(s): I Objective 3: Achieve an 80%approval rating on returned victim surveys evaluating client satisfaction and uncover positive and negative aspects of the programs and make changes in policies and procedures as necessary. Position Title(s): County Court Victim Assistant Position#(s): 1 Crime Victim Services Funds j 2012 APPLICATION: 9 QVp OFFICE FOR VICTIMS PROGRAMS.. 11 ) GOALS AND OBJECTIVES PROJECT SPECIFIC IMPACT—CONTINUED: GOAL 2: The 19th JD DA's Office will provide effective assistance to victims of felony adult domestic violence victims including VRA, Victim Compensation,referrals to community agencies, criminal justice education, and court support and advocacy. Objective 1: The District Court Victim Assistant,who is Spanish bilingual,will provide services to 40 new primary victims(3 of them Spanish speaking only) (GRANT FUNDED PORTION)from filing of charges through the prosecution of the criminal case during the 12 month grant cycle. Position Title(s): District Court Victim Assistant Position#(s): 2 Objective 2: The District Court Victim Assistant,who is Spanish bilingual, will have contact with 68%of the new primary victims (3 of them Spanish speaking only) prior to the defendant's Advisement Hearing which provides the victim with a liaison during the lengthy court process. Position Title(s): District Court Victim Assistant Position#(s): 2 Objective 3: Achieve an 80%approval rating on returned victim surveys evaluating client satisfaction and uncover positive and negative aspects of the programs and make changes in policies and procedures as necessary. Position Title(s): District Court Victim Assistant Position#(s): 2 Crime Victim Services Funds I 2012 APPLICATION 10 wp OFFICE FOR VICTIMS PROGRAMS 11 ) GOALS AND OBJECTIVES-PROJECT SPECIFIC IMPACT-CONTINUED: GOAL 3: Objective 1: Position Title(s): Position#(s): Objective 2: Position Title(s): Position#(s): Objective 3: Position Title(s): Position#(s): Crime Victim Services Funds 2012 APPLICATION 11 wp OFFICE FOR VICTIMS PROGRAMS 11 ) GOALS AND OBJECTIVES-PROJECT SPECIFIC IMPACT-CONTINUED: GOAL 4: Objective 1: Position Title(s): Position#(s): Objective 2: Position Title(s): Position#(s): Objective 3: Position Title(s): Position#(s): Crime Victim Services Funds I 2012 APPLICATION 12 (QVp - OFFICE FOR VICTIMS PROGRAMS 11 ) GOALS AND OBJECTIVES-PROJECT SPECIFIC IMPACT-CONTINUED: Section 11B: Project specific impact: Refer to the Instructions for important information on how to complete this item. 1) Please state the intended impact of the project goals and objectives. The 19th Judicial District Attorney's Office will provide effective assistance to victims of domestic violence by providing Victim's Rights information and education, Victim Compensation information, referral to community services,updates on the status of the prosecution and support throughout the court process. The support and services provided should give these results: Victims felt their contact with the court system was positive under the circumstances; Victims felt their Victim Assistant was accessible by phone; Victims felt that they received adequate explanation of what would happen at court hearings,that they were aware of their victim rights at each critical stage of the court process and supported by a Victim Assistant whenever they came to acourt hearing; Victims were given referrals to community agencies; Victims were told about Victim Compensation and were assisted in completing applications by their Victim Assistant. 2) Please provide the impact data collection methods to be used. Client Survey using a 5-point scale- "Not at all helpful"to "Extremely helpful". Client Survey gives the victim opportunity to make additional comments or contact the Project Director by phone with comments. Victim Assistant's documenation of victim contacts(in person and on the phone) indicates a victim's questions were answered and that there was notification of the criminal justice process. Statistical information compiled by Victim Assistants indicates the result of the goal of the Domestic Violence Fast Track Program to have "meaningful consultation" ,a VRA duty, with 70%of the new primary victims the next working day after the offense to attempt to resolve 25%of the cases thereby getting the defendant in treatment and supervised quickly on the misdemeanor cases. Statistical information compiled by Victim Assistants indicates the result of the goal to have contact 68%of the new primary victims of felony cases prior to the defendant's Advisement Hearing which provides the victim with a liaison during the lengthy court process. Crime Victim Services Funds 2012 APPLICATION • 13 • Qv-FD OFFICE FOR VICTIMS PROGRAMS 12 ) TOTAL 12-MONTH BUDGET—Calendar year,January 1 to December 31 Enter agency name: NOTE: You must TAB through the numeric fields to activate the totaling function. 12A: Personnel Request: Position 1: Title:County Court Victim Assistant DCJ Staff Use Only Name:Laurie Hammer Total#hours per week this position works for the agency(max=40 hrs):40 Annual Budget Amount requested Amount from all other from OVP sources for this position Salary $42,222 $27,022 List Sources:VALE Admini dollars, VAWA Grant,VAWA Match Fringe/Benefits $21,955 $ 14,051 Totals: $64,177 $41,073 Total from all other sources: $23,104 Position'2: Title: District Court Victim Assistant DCJ Staff Use Only }' - Name: Erma Portillo • .,,o:. Total#hours per week this position works for the agency(max=40 hrs):40 Annual Budget Amount requested Amount from all other ..... from OVP sources for this position Salary $43,474 $ 10,869 List Sources:County Funding, VAWA Grant,VAWA Match Fringe/Benefits $ 16,086 $4,022 Totals: $ 59,560 $ 14,891 Total from all other sources:$44,669 Position.3: Title: DCJ Staff Use Only Name: Total#hours per week this position works for the agency(max=40 hrs): Annual Budget Amount requested Amount from all other from OVP sources for this position Salary $ $ List Sources: Fringe/Benefits $ $ Totals: $0 $0 Total from all other sources:$ Position 4: Title: DCJ Staff Use Only Name: Total#hours per week this position works for the agency(max=40 hrs): Annual Budget Amount requested Amount from all other from OVP sources for this position Salary $ $ List Sources: Fringe/Benefits $ $ Totals: $0 $0 Total from all other sources: $ OVP Personnel Funds Requested-Positions ONE to FOUR: $55,964 TOTAL OVP Personnel Funds Requested: $ 55,964 . Crime Victim Services Funds I 2012 APPLICATION 14 • • • QVp OFFICE FOR VICTIMS PROGRAMS 12) TOTAL 12-MONTH BUDGET—Calendar year,January 1 to December 31 CONTINUED: Enter agency name: NOTE: You must TAB through the numeric fields to activate the totaling function. 12k Personnel Request—Continued(applicant should use this page ONLY if requesting more than 4 positions): Position 5: Title: DCJ Staff Use Only Name: Total#hours per week this position works for the agency(max=40 hrs): Annual Budget Amount requested Amount from all other from OVP sources for this position Salary $ $ List Sources: Fringe/Benefits $ $ Totals: $0 $0 Total from all other sources: $ Position'6: Title: D(3,!Staff Use;Only Name: • Total#hours per week this position works for the agency(max=40 hrs): Annual Budget Amount requested Amount from all other r, - from OVP sources for this position Salary $ $ List Sources: Fringe/Benefits $ $ Totals: $0 $0 Total from all other sources:$ Posit Qa i Title: DCJ Std Use' 'nly Name: Total#hours per week this position works for the agency(max=40 hrs): • Annual Budget Amount requested Amount from all other `�• from OVP sources for this position Salary $ $ List Sources: Fringe/Benefits $ Totals: $0 $0 Total from all other sources: $ Position 8: Title: DGJ Staff Use Only Name: Total#hours per week this position works for the agency(max=40 hrs): Annual Budget Amount requested Amount from all other from OVP sources for this position Salary $ $ List Sources: Fringe/Benefits $ $ Totals: $0 $0 Total from all other sources: $ OVP Personnel Funds Requested-Positions FIVE to EIGHT: $0 Crime Victim Services Funds j 2012 APPLICATION 14A OVP OFFICE FOR VICTIMS PROGRAMS. 12)TOTAL 12-MONTH BUDGET—Calendar year,January 1 to December 31 -CONTINUED: 12A: Personnel Request-Continued: If you are requesting funding for PERSONNEL,you must fully explain and justify the need for the current request. Position l: County Court Victim Assistant(Hammer) is a continuation of a previously funded position which handles the daily duties and support of the Domestic Violence Fast Track Program which includes direct victim contact, support in court, follow-up information with victims and trial support.The person in this position works a total of 40 hours a week for the agency;this request is for 64% funding of her 40 hour a week position in salary and benefits even though this VW Assistant spends 80%of her time on these cases. VAWA provided 68%funding in 2011 which went down to 60% in 2012 when the funding remained the same but personnel costs increased. Salary: $42,222 X .64 OVP=27,022. This includes a 2%cost of living increase of $828. Benefits: $21,955 X .64 OVP= $14,051 Yearly: FICA of $2376; MEDICARE of $556; Health of$13,380;Life of $244; Disability of $133;Retirement of$4313 Position 2: Spanish bi-lingual District Court Victim Assistant(Portillo)is a continuation of a previously funded position which provides services to 25%of the felony domestic violence victims which includes supporting victims in her assigned courtroom as well as Spanish speaking victims in the other three courtrooms. The person in this position works a total of 40 hours a week for the agency;this request is for 25%funding of her 40 hour a week position in salary and benefits. VAWA provided 25% funding in 2011 went down to 23% in 2012 when the funding remained the same but personnel costs increased. Personnel 2012 VAWA 2013 requested VAWA DIFFERENCE Grant Funding Grant Funding District Victim Assistant—Portillo $13,899 $14,891 $ 992 Salary: $43,474 X .25 OVP= 10,869. This includes a a 2%cost of living increase of$852. Benefits: $16,086 X .25 OVP=$4,022 Yearly: FICA of $2529; MEDICARE of $591; Health of$7,380; Life of $256;Disability of$136; Retirement of$4441 Crime Victim Services Funds I 2012 APPLICATION 15 (J1/p OFFICE FOR VICTIMS PROGRAMS 12)TOTAL 12-MONTH BUDGET Calendar year,January 1 to December 31 -CONTINUED: NOTE: You must TAB through the numeric fields to activate the totaling function. 12B: Supplies& Operating Expenses: List,Requested Operating Expenses Annual Amount Amount'ftid}lablel: Amount-_ Requested AQQticipated#roiff from OVP Other Sources $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ if qVP S3Ppfies&°Operating Funds Requ ted y' 0 �;,:, vtg` v $5Q; 7s 4 "c'# pp� �-.,A5' - _ e*'�3w r a..k. �H r z�'�z.� ?a 'w awn�:'_ v ._ .....xz. .c. s� . ., rw, If you are requesting funding for SUPPLIES&OPERATING, you must fully explain and justify the need for the current request. Crime Victim Services Funds j 2012 APPLICATION - 16 O Vi ' OFFICE FOR VICTIMS PROGRAMS 12 )TOTAL 12-MONTH BUDGET—Calendar year,January 1 to December 31 -CONTINUED: NOTE: You must TAB through the numeric fields to activate the totaling function. 12C: In-State Travel Itemize Request Annual_ Amount' Amount Available/ (Transportation, Per Diem,etc.) Amount requested Anticipated from trottifrtOVP Other Sources $ $ $ $ $ $ $ $ $ Total{3VPinState Travel Funds Requested: $0 - •y $0 $0 If you are requesting funding for IN-STATE TRAVEL*, you must fully explain and justify the need for the current request. (*See instructions) 12D Equipment(durable,single item $5,000&over): 4—x 3 .i v .. s 5 4 k, rer a 'l Y i`t equesterrI Equipment Expenses Annva stuntAmount A ailable! Amount-a - S q s,¢3tedr Anticipated from tis a Other Sources $ $ $ $ $ $ 14l UVP'Eggipment Funds Requested: $0 If you are requesting funding for EQUIPMENT, you must fully explain and justify the need for the current request. Crime Victim Services Funds 1 2012 APPLICATION 17'. w17) OFFICE FOR VICTIMS PROGRAMS. 12 )T•TAL'12-MO •ary ar,Janu.ry1t• D c m er31 —C�NTINUE�`. NOTE: You must TAB through the numeric fields to activate the totaling function. 12E: Professional Services/Consultants: Professional Services!Consultants Total Hourly #of Hours AmOunt Rate of Pay to be,Worked Regbested on This Project from OVP $ Hrs $ $ Hrs $ $ Hrs $ $ Hrs $ $ Hrs $ Total CVPPt{fessional Services/Consultants Funds Requested:- If you filled out any of the boxes for PROFESSIONAL SERVICES/CONSULTANTS, you must fully explain and justify, both the need and the rate of pay, for the current request. Please note that professional services expenditures may require prior approval by DCJ if your requested amount is over the$450.00 per day fee(use Form 16). 12F: OVP Grant Request Summary(This chart summarizes all dollars by category): NOTE: This table automatically fills from other tables. ' Budgetoatggor�es �. OVP Grant Request Personnel $55,964 Supplies&Operating $0 In-State Travel $ 0 Equipment $0 Professional Services/Consultants $0 Total OVP Funds Requested: $55,964 Crime.Victim services Funds I 2012 APPLICATION 18 0-VT) OFFICE FOR VICTIMS PROGRAMS 13) MATCH. For purposes of this application,demonstrate the ability to provide match to be used for project related activities. To calculate match, divide your total OVP fund requested by 3. Remember,federal funds cannot be used for match. For additional information, refer to the instructions. NOTE: You must TAB through the numeric fields to activate the totaling function. PERSONNEL MATCH (Employees/volunteers of the applicant agency) Cash In Kind Employee/Volunteer/Job Position(Full Time.Equivalent) Laurie Hammer-County Court Victim Assistant $ 13,691 $ Erma Portillo-District Court Victim Assistant $4,964 $ $ $ Fringe Benefits $ $ Subtotal $ 111611 ., „ ,, , t' a t, h ., . Source of Match: SUPPLIES AND OPERATING MATbil Cash )aidx N (Copying, rent,phone,tuition registrratiot"i`fees.andhther items under$5,000) $ $ $ $ 1` Subtotal $0 > $'0 ,. . Source of Match: r. Cash - 'OTHER Ca ,w s �. In-State Travel Match $ $ Equipment Match $ $ Professional Services/Consultants Match $ $ Source of Match: TOTAL MATCH: $ 18,655 • AS t a 14) OVP GRANT BUDGET SUMMARY: NOTE: This table automatically fills from other tables. Budget Categories OVP Funding Cash Match In-Kind Match Totals „f Request Personnel $55,964 $ 18,655 $0 $74,619 Supplies&Operating $0 $0 $0 $0 In-State Travel $0 $0 $0 $0 , ._ Equipment $0 $0 $0 $0 Professional Services/Consultants $0 $0 $0 $0 TOTALS $55,964 $ 18,655 $C $74,619 Crime Victim Services Funds j 2012 APPLICATION 19 • OV-P OFFICE FOR VICTIMS PROGRAMS 15) NECESSARY FUNDING INFORMATION: NOTE: Section WA OR 158 must be completed. Section 15A: CONTINUATION Applicants Only: Briefly summarize the reasons for the differences between this application and your current OVP grant award (VOCA, VAWA, SASP and/or State VALE)for each budget item requested. Position I: County Court Victim Assistant(Hammer) supporting the misdemeanor Domestic Violence Fast Track Program. 2012 VAWA 2013 requested VAWA DIFFERENCE Grant Funding Grant Funding $37,699 $41,073 +$3,374 Salary request increase by 2%projected 2013 cost of living. Benefit request increase by 12%based on increases in FICA, MEDICARE, Health, Life, Disablity,Retirement This employee has family health coverage. Position 2: Spanish bi-lingual District Court Victim Assistant(Portillo)supporting victims of felony domestic violence/ 2012 VAWA 2013 requested VAWA DIFFERENCE Grant Funding Grant Funding $13,899 $14,891 + $992 Salary request increase by 2%projected 2013 cost of living. Benefit request increase by 7%based on increased in FICA, MEDICARE, Health, Life, Disablity,Retirement This employee has single health coverage Section 158: NEW Applicants Only: If not currently receiving OVP grant funds(VOCA, VAWA, SASP and/or State VALE),you must describe how the requested budget items are currently being funded. Crime Victim Services Funds 12012 APPLICATION 20 O k/:p.... OFFICE FOR:VICTIMS PROGRAMS 16) TOTAL AGENCY REVENUE AND EXPENDITURES: NOTE:Section 16A AND 16B must be completed by non-profit, non-governmental agencies only. NOTE: You must TAB through the numeric fields to activate the totaling function. Section 16A:Total agency revenue and expenditures for the last completed fiscal year: Beginning date(mm/dd/yyyy). Ending date(mm/dd/yyyy): REVENUE Amount E CPENDIIT4RES: Amount VOCA $0 Personnel Salaries $0 VAWA $0 Personnel Taxes $0 SASP $0 Personnel Benefits $0 FVPSA/DAAP/TANF $0 Professional Services $0 , City Government $0 Accounting Services(i.e.,Payroll) $0 Local VALE: Attorneys Fees $0 JD# $0 Translation/Interpretation Services $0 JD# $0 Equipment(copiers,fax machines, computers) $0 JD# $0 Rent/Mortgage $0 JD# $0 Utilities $0 State VALE $0 Maintenance/Repair $0 County Funding $0 Telephone $0 United Way $0 Answering Service $0 Corporate/Foundation Grants $0 Insurance $0 Local Fundraising Activities/Events $0 Fundraising Expenses $0 Donations $0 Audit/Financial Review $0 - Client Fees $0 Staff Travel $0 Investment income $0 Staff, Board&Volunteer Training/Development $0 State Government Funding $0 Program Supplies&Materials $0 Other Federal Funds— $0 Office Supplies $0 Specify: Project Income $0 Advertising $0 (i.e., educational trainings/materials,etc.) Sexual Assault Prevention Funds(CDPHE) $0 Postage $0 _ Other: $0 Duplication/Printing $ 0 Other: $0 Books 8,Subscriptions $0 Other: $0 Memberships $0 Other: $0 Computer Consultants $0 Other: $0 Client Services(food, motel,transportation,etc.) $0 Other: $0 Client Services $0 Other: $0 Bank/Finance Fees $0 Other: $0 Newsletter/Education $0 Other: $0 Depreciation $0 Other: $0 Other: $0 TOTAL: $0 TOTAL: $0 • Crime yi.Ctim Services Funds R 2012 APPLICATION 21 OVP OFFICE FOR VICTIMS PROGRAMS 16) TOTAL AGENCY REVENUES AND EXPENSES-CONTINUED: Section 166: (Non-profit agencies only) Please explain the percentage of your agency's budget used for crime victim services. 17) DIVERSIFICATION OF FUNDING: Please list all sources of funding that you have solicited or plan to solicit(government,local VALE, foundations, etc) in CY 2012. Include the time period in which these funds would be available. Indicate any funding reductions your agency experienced which will affect your revenues in CY 2012. The Victim Witness Assistance Program, as a division of a governmental agency, is limited in the sources and activities it is allowed to use to raise revenue. While the financial support provided by Weld County has increased,the VW Unit must compete with other high priority programs for limited county funding. The Director of Victim Services writes grants for funding when available and appropriate,but grant funding cannot be relied to always be available. Additionally,the VALE Administration dollars and COMP Administration dollars decreased from 2008-2010 due to the economy. In past years,reserve VALE and COMP dollars were used to make up the difference between grants and county funding. Reserve dollars in both VALE and COMP are now depleted. The DA's Office Victim Witness Assistance Unit staff's salaries and benefits were funded in 2011: 52%=Weld County Commissioners 13%=VALE Administration funds 9%=COMP Administration funds 8%=VAWA Grant 18%=VALE Grant Crime Victim Services Funds I 2O12 APPLICATION - 22 C VF OFFICE FOR VICTIMS PROGRAMS 'IS) FINANCIAL MANAGEMENT: To be eligible for federal/state funds, your agency must be able to demonstrate the ability to comply with financial requirements. A. What is the fiscal year covered by your most recent audit or financial review? Enter start and end dates(mm/dd/yyyy): 1/1/2010 to(mm/dd/yyyy): 12/31/2010 including any management report or Include one copy of your most recent audit or financial review,me g 9 P other auditor comments in the appendix.Also,if there were findings, please attach the audit resolutions and/or corrective action plan. ®Yes O No ❑N/A B. If your agency expends$500,000 or more from combined federal sources during the fiscal year of your most recent audit,did your agency indude the A-133 Single Audit Report with your financial audit? r• b1- k:+A. r?:,"•� �. .nw Y' • ti�j��. i �s >: a+sit 6 o 4` �ce. r(�L €�t lLi C �'Y i_}j c` f tf r.a a :n 1 ��?IE 4LR,�rr . 3 x Z a 1 TA s cc i e �jT�c�`" ! e 'to ,ge sr S'e s e o e Kx. r '•. '.t;.� at- ,.. .Ycr `15r��j,'a i '� ,,_ ��_ ..��. , �_"' l; �,.",�, hope .fie��: ��z'4x'�"�', ra..-.c. ? ®Yes ❑ No Does your accounting system separate ALL revenues and expenditures by specific funding source? ®Yes ❑ No Does your system track revenues and expenditures for each grant award separately through a sub-ledger system? ®Yes O No Does your system allow expenditures to be classified by grant in the broad budget categories listed in the budget in your application,i.e. Personnel, Supplies and Operating,Travel,Equipment and Professional Services? ® Yes O No Do you reconcile sub-ledgers to your general ledger at least monthly? ® Yes O No Do you mark your invoices with the grant number? ® Yes ❑ No Do you maintain time sheets,signed by the employee and supervisor for each employee paid by DCJ grant funds? ®Yes ❑ No ❑N/A Does your accounting system have the ability to clearly identify the funds and amount used as a cash match? ❑Yes O No ®N/A If you will be using in-kind match such as volunteer hours,can you dearly document how you will keep track of the match that you will be reporting on your quarterly financial report? 0 Yes ❑ No Do you have written financial policies and procedures in place? ®Yes ❑ No Do you have accounting internal controls in place,such as separation of duties,two signatures on certain checks, reconciliations or other reviews? ®Yes D No ❑ N/A Are you able to ensure that you will not be using these grant funds to provide services that will be paid by Victim Compensation? ❑Yes - ® N/A Will this grant funded project generate income from grant funded activities? ®Yes O No Will you use your accounting system data to prepare your quarterly financial reports for DCJ? ®Yes O No Will you reconcile your accounting system data with your quarterly financial reports for DCJ? D. If you answered NO to any of the questions above,please provide an explanation. Timesheets are maintained electronically. The employee enters the time and supervisor approves the time; both are documented electronically. Personnel spreadsheets are generated quarterly to indicate all funding sources(ie.grants)for each employee.The entries and supervisory approvals substantially meet the requirments.There is not an actual written signature,but an electronic approval. Crime Vfct:irn-Services Funds 1 2O12 APPLICATION 23 • :CYVIPID ' OFFICE FOR VICTIMS PROGRAMS 19) PROSECUTION,LAW ENFORCEMENT AND COURTS AGENCIES ONLY: If you are NOT a prosecution, law enforcement or courts agency, skip to question#20. Prosecution,law enforcement and courts agencies must consult with victim services agencies in developing their grant applications to ensure that the proposed activities are designed to promote safety,confidentiality, and economic independence of victims.This includes victim services projects within prosecution,law enforcement,and courts agencies. Check, if appropriate. Prosecution Agency ❑ Law Enforcement Agency 0 Courts Agency If checked, indicate below which victim services agencies were consulted in developing this application: Agency Name Agency Contact Desdnbe;the Consultation:Process • &.Rhone utr ber' (Seeinstructions) • A Woman's Place(AWP) Fawn Harmon Advocates meet quarterly to discuss DV projects in Weld 970 351-0476 County, strategize victim safety plans and train. AWP& DA Victim Assistant meet at least two times a week to review DVFast Track cases and victim outreach.We refer victims to AWP Legal Advocacy Program for civil PO. Colorado Legal Services Debora Wagner The Project Director meets with staff from Colorado 970 353-7554 Legal Services at the quarterly CCVC Meeting. We refer domestic victims to Colorado Legal Services for help with divorces,child custody matters,eviction issues and any other legal issue which is presented. Catholic Charities Brittany Coonrad District Attorney Victim Assistants contact this agency to 970 347-8712 discuss and refer victims for monetary needs that have no other resources. 20) COMMUNITY COORDINATION: List three agencies with which your project staff will be coordinating most frequently.DCJ reserves the right to contact the agencies listed. K w-r s 1sl. Agency Name Ag • • cy r s�{° � z BSc b •too drnatron°of Activities •A Woman's Place Fawn Harmon The Victim Witness Assistance Unit refers victims of 970 351-0476 domestic violence for shelter,couseling,Hopeline phones, and assistance in obtaining civil protection orders. • Probation Victim Assistance Sheri Mann The Victim Witness Assistance Unit refers victims of 970 392-4589 X 5846 domestic violence for continual victim notification while the defendant is on Probation. Greeley Police Department Victim Dave Beckman The Victim Witness Assistance Unit coordinates with Assistance 970 350-9667 Greeley Police Department on new domestic violence cases to promote a continuous support to the victim from crime to the court system. Crime Victim Services Funds 2012 APPLICATION 24 ON/ P OFFICE FOR VICTIMS PROGRAMS 21) MEMORANDUMS OF UNDERSTANDING OR AGREEMENT: If you have active memorandums of understanding or agreement that are relevant to this request, list the name of the agency and briefly describe the terms of the agreement. Do not attach the memorandums to the application, but have available upon request. Agency Terms of Agreement Coordinating Committee for Victims of Crime agencies: Agencies in Weld County sign a Coordination Agreement yearly to formalize their joint commitment to work with each other Weld County Probation Victim Services, Lutheran Family seeking to achieve the most effective delivery of crime victim Services, Area Agency on Aging, services. Colorado Legal Services, Weld County Law Enforcement Victim Services Unit, Sexual Assault Victim Services, 19th JD District Administrator's Office, Greeley Police Department Victim Assistance, A Woman's Place, Catholic Charities, UNC Adult Survivors Advocacy Program,A Kid's Place, Intervention,Weld County Legal Services and the District Attorney's Office Victim Assistance Program. A Woman's Place The District Attorney's Office gives cell phones donated by Verizon Wireless Services to A Woman's Place to be used for victims of domestic violence. 22) VICTIM RIGHTS ACT(VRA): Please list the date of the last VRA training that was provided to your program staff(mm/dd/yyyy): 9/13/2010 Name and Title of the individual who provided the training? Kelly Kissell,Division of Criminal Justice 23) VICTIM COMPENSATION: Please list the date of the last Victim's Compensation training that was provided to your program staff(mm/dd/yyyy): 9/13/2010 Name and Title of the individual who provided the training? Karol Patch,Victim Compensation Coordinator Weld County Crime Victim Services Funds I 2O1:2 APPLICATION 25 DCJ FORM 30 CERTIFICATION OF COMPLIANCE WITH REGULATIONS OFFICE FOR CIVIL RIGHTS,OFFICE OF JUSTICE PROGRAMS FOR SUBGRANTS ISSUED BY THE COLORADO DIVISION OF CRIMINAL JUSTICE(DCJ) INSTRUCTIONS: Complete the ident(fying information, which is found on the Statement of Grant Award(SOGA), in the table below. Read the form completely, identifying the person responsible for reporting civil rights findings, certifying that the required Civil Rights training has been completed;and checking only the one certification under"II"that applies to your agency. Have your Authorized Official sign at the bottom of page 2,forward a copy to the person you identified as being responsible for reporting civil rights findings and return the original to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the grant award beginning date. Grant# VW')9 'a o Grant Project Title: Doc CSI\ \f'l)\erncQ , Rx}\---c(0,ty,-- c%\c ce Subgrantee Name(Funded Entity): OSS-cit jyq\-t;;.} pint�,l�i so 1 ¶Q\0 A� - y Address: PO BOX 1161 Ceelev: CO F-0 DI Duration: Beginning date: O) toil )3 End date: 11J j j! L3 Award: $ 14 Project Director's Name&Phone#:-34111n y o\1 erg sic) 3�6 Lloto Person responsible for reporting civil rights findings of discrimination: (Name,address& phone) -1>CL-V-\-A SSe \ DE (W - Sff (,fee\ey C� iSb63q X110 33v--722.0 I acknowledge that I viewed at least one of the trainings on Civil Rights available on DCJ's website at http://dcj.state.co.us/. I accept responsibility for insuring that project staff understands their responsibilities as outlined in the presentation. I understand that if I have any questions about the material presented and my responsibilities as a Subgrantee that I will contact my grant manager. Project Director' ssgnatura Data V))9-12 • AUTHORIZED OFFICIAL'S CERTIFICATION: As the Authorized Official for the above Subgrantee,I certify,by my signature below,that I have read and am fully cognizant of our duties and responsibilities under this Certification. I. REQUIREMENTS OF SUBGRANT RECIPIENTS: All subgrant recipients(regardless of the type of entity or the amount awarded)are subject to prohibitions against discrimination in any program or activity, and must take reasonable steps to provide meaningful access for persons with limited English proficiency. ♦I certify that this agency will maintain data(and submit when required) to ensure that: our services are delivered in an equitable manner to all segments of the service population;our employment practices comply with Equal Opportunity Requirements,28 CFR 42.207 and 42.301 et seq.;our projects and activities provide meaningful access for people with limited English proficiency as required by Title VI of the Civil Rights Act,(See also, 2000 Executive Order#13166). ♦I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of discrimination will submit these findings,if any,to the Division of Criminal Justice within 45 days of the finding,and/or if the finding occurred prior to the grant award beginning date, within 45 days of the grant award beginning date. Colorado Division of Criminal Justice Page 1 of 2 Rev.9/2012 (DCJ FORM 30: CERTIFICATION OF COMPLIANCE WITH REGULATIONS, OFFICE FOR CIVIL RIGHTS,OFFICE OF JUSTICE PROGRAMS(Continued) II. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATIONS: Check the box before ONLY THE ONE APPROPRIATE CERTIFICATION(A, B,or C below)that applies to this subgrantee agency during the period of the grant duration noted above. O CERTIFICATION "A" ]NO EEOP IS REQUIRED if(1), (2)or(3),below, apply.] This is the Certification that most non-profits and small agencies will use. Check all that apply to your entity. This funded entity: (1) is an educational,medical or non-profit organization or an Indian Tribe; (2) has less than 50 employees; (3) was awarded through this single grant award from the Colorado Division of Criminal Justice less than $25,000 in federal U.S.Department of Justice funds. Therefore, I hereby certify that this funded entity is not required to maintain an EEOP,pursuant to 28 CFR 42.301, et seg. H. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATIONS: CERTIFICATION "B" (EEOP MUST BE ON FILE) This funded entity, as a for-profit entity or a state or local government having 50 or more employees, is receiving, through this single grant award from the Colorado Division of Criminal Justice,more than$25,000,but less than $500,000 in federal U.S. Department of Justice funds. Therefore, I hereby certify that the funded entity has formulated an Equal Employment Opportunity Plan in accordance with 28 CFR 42.301, et seq., subpart E, that it has been signed into effect within the last two years by the proper authority and disseminated to all employees, and that it is on file for review or audit by officials of the Division of Criminal Justice or the Office for Civil Rights, Office of Justice Programs as required by relevant laws and regulations. O CERTIFICATION "C" (EEOP MUST BE SUBMITTED)This funded entity,as a for-profit entity or a state or local government having 50 or more employees, is receiving,through this single grant award from the Colorado Division of Criminal Justice, more than $500,000 in federal U.S. Department of Justice funds. Therefore,I hereby certify that the funded entity will submit,within 60 days of the award, an EEOP or an EEOP Short Form to the U.S. Depattzuent of Justice, Office for Justice Programs,Office for Civil Rights that will include a section specifically analyzing the subgrantee(implementing)agency. (If you have already submitted an EEOP applicable to this time period, send a copy of the letter received from the Office for Civil Rights showing that your EEOP is acceptable.) As the Authorized Official for the above Subgrantee, I certify,by my signature below, that I have read and am fully cognizant of our duties and responsibilities under this Certification. I,hereby,also certify that the content of this form, other than the data entry required,has not been altered. OCT 3 12012 ]Authorized Official's signature] ]Date] Sean P. Conway_ Chair, Board of County Commissin ]Typed Name] ]Title] * * * * * * * * * * This original signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the grant award beginning date. You must also forward a signed copy to the person idea!fed in the box above. DCJ will forward a copy to the Office for Civil Rights, Office ofJustice Programs, U.S. Department of Justice. Colorado Division of Criminal Justice Page 2 of 2 Rcv.9/2012 SPECIAL PROVISONS AND CERTIFIED ASSURANCES Page 1 of 15 Special Provisions&Certified Assurances must remain attached to the approved application CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY: iInter-Governmental Grant Grant to a Colorado State Agency (Section A does not apply) Grant to a Unit of Local Government,Tribal Government,or Special District. 11 Grant to a Non-Profit,Private Organization(Non-Governmental) The Grantee Agency certifies by signing that the project described in this grant meets all the requirements of the applicable governing legislation as indicated below; that all information contained in the approved application, hereby attached as reference, is correct;that there has been appropriate coordination with affected agencies; and, that the Grantee will read, understand and comply with all provisions of the governing legislation and all other applicable federal and state laws, rules and regulations that have been or may hereafter be established. The Grantee further understands and agrees that this grant award shall be subject to any additional grant conditions set forth in the Statement of Grant Award, and in the current applicable Administrative Guide of the Division of Criminal Justice. GOVERNING LEGISLATION FOR THIS GRANT PROGRAM. Authority to enter into this grant exists in Colorado Revised Statute 24-33.5-503 and 507, and funds have been appropriated and otherwise made available from the United States Department of Justice, Office on Violence Against Women, under federal statutory authority 42 U.S.C. 3796gg - 3796gg-5 and 3796gg-8 (OVW - S.T.O.P. Formula), 28 CFR Part 90, and the applicable program guidelines and regulations as required by the federal program office as referenced under CFDA #16.588 to the Colorado Division of Criminal Justice. A. COLORADO SPECIAL PROVISIONS Revised 1-1-09 These Special Provisions apply to all grants except where noted in italics. 1. CONTROLLER'S APPROVAL. CRS§24-30-202(1) This grant award shall not be valid until it has been approved by the Colorado State Controller or designee. 2. FUND AVAILABILITY. CRS§24-30-202(5.5) Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted,and otherwise made available. 3. GOVERNMENTAL IMMUNITY. No term or condition of this grant award shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections, or other provisions, of the Colorado Governmental Immunity Act, CRS§24-10-101, et seq.,or the Federal Tort Claims Act,28 U.S.C.§§1346(b)and 2671 ,et seq. as applicable now or hereafter amended. 4. INDEPENDENT CONTRACTOR. (THIS PROVISION IS NOT APPLICABLE TO GRANTS TO COLORADO STATE AGENCIES): Grantee shall perform its duties hereunder as an independent contractor and not as an employee. Neither Grantee nor any agent or employee of the Grantee agency shall be deemed to be an agent or employee of the State. Grantee and its employees and agents are not entitled to unemployment insurance or workers compensation benefits through the State and the State shall not pay for or otherwise provide such coverage for Grantee or any of its agents or employees. Unemployment insurance benefits will be available to Grantee and its employees and agents only if such coverage is made available by Grantee or a third party. Grantee shall pay when due all applicable employment taxes and income taxes and local head taxes incurred pursuant to this grant. Grantee shall not have authorization, express or implied, to bind the State to any agreement, liability or understanding, except as expressly set forth herein. Grantee shall (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, (b) provide proof thereof when requested by the State,and(c)be solely responsible for its acts and those of its employees and agents. 5. COMPLIANCE WITH LAW. The Grantee Agency shall strictly comply with all applicable federal and State laws,rules,and regulations in effect or hereafter established, including,without limitation, laws applicable to discrimination and unfair employment practices. 6. CHOICE OF LAW. Colorado law, and rules and regulations issued pursuant thereto, shall be applied in the interpretation, execution, and Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 2 of 15 Special Provisions&Certified Assurances must remain attached to the approved application enforcement of this grant award. Any provision included or incorporated herein by reference which conflicts with said laws, rules, and regulations shall be null and void. Any provision incorporated herein by reference which purports to negate this or any other Special Provision in whole or in part shall not be valid or enforceable or available in any action at law, whether by way of complaint, defense, or otherwise. Any provision rendered null and void by the operation of this provision shall not invalidate the remainder of this grant award,to the extent capable of execution. 7. BINDING ARBITRATION PROHIBITED. The State of Colorado does not agree to binding arbitration by any extra-judicial body or person. Any provision to the contrary in this grant award or incorporated herein by reference shall be null and void. 8. SOFTWARE PIRACY PROHIBITION.(Governor's Executive Order D 002 00) State or other public funds payable under this grant award shall not be used for the acquisition, operation, or maintenance of computer software in violation of federal copyright laws or applicable licensing restrictions. The Grantee Agency hereby certifies and warrants that, during the term of this grant award and any extensions,the Grantee Agency has and shall maintain in place appropriate systems and controls to prevent such improper use of public funds. If the State determines that the Grantee Agency is in violation of this provision, the State may exercise any remedy available at law or in equity or under this Grant award, including, without limitation, immediate termination of this Grant award and any remedy consistent with federal copyright laws or applicable licensing restrictions. 9. EMPLOYEE FINANCIAL INTEREST/CONFLICT OF INTEREST CRS§§24-18-201 and 24-50-507. The signatories aver that to their knowledge, no employee of the State has any personal or beneficial interest whatsoever in the service or property described in this grant award. The Grantee Agency has no interest and shall not acquire any interest, direct or indirect, that would conflict in any manner or degree with the performance of Grantee Agency's services and Grantee Agency shall not employ any person having such known interests. 10. VENDOR OFFSET. CRS§§24-30-202(1)and 24-30-202.4[Not applicable to intergovernmental agreements] Subject to CRS §24-30-202.4 (3.5), the State Controller may withhold payment under the State's vendor offset intercept system for debts owed to State agencies for: (a)unpaid child support debts or child support arrearages; (b)unpaid balance of tax,accrued interest, or other charges specified in CRS§39-21-101,et seq.;(c)unpaid loans due to the Student Loan Division of the Department of Higher Education; (d) amounts required to be paid to the Unemployment Compensation Fund; and (e) other unpaid debts owing to the State as a result of final agency determination or judicial action. 11. PUBLIC CONTRACTS FOR SERVICES. CRS§8.17.5.101. [Not applicable to agreements relating to the offer, issuance, or sale of securities, investment advisory services or fund management services, sponsored projects, intergovernmental agreements, or information technology services or products and services] The Grantee Agency certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this grant award and will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this grant award, through participation in the E-Verify Program or the Department program established pursuant to CRS §8-17.5-102(5)(c), the Grantee Agency shall not knowingly employ or contract with an illegal alien to perform work under this grant award or enter into a contract with a subcontractor that fails to certify to the Grantee Agency that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this grant award. The Grantee Agency (a) shall not use E-Verify Program or Department program procedures to undertake pre-employment screening of job applicants while this grant award is being performed, (b) shall notify the subcontractor and the contracting State agency within three days if the Grantee Agency has actual knowledge that a subcontractor is employing or contracting with an illegal alien for work under this grant award, (c) shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three days of receiving the notice,and (d)shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to CRS§8- 17.5-102(5), by the Colorado Department of Labor and Employment. If the Grantee Agency participates in the Department program, the Grantee Agency shall deliver to the contracting State agency, Institution of Higher Education or political subdivision a written, notarized affirmation, affirming that the Grantee Agency has examined the legal work status of such employee, and shall comply with all of the other requirements of the Department program. If the Grantee Agency fails to comply with any requirement of this provision or CRS §8-17.5-101 et seq., the contracting State agency, Institution of Higher Education or political subdivision may terminate this grant award for breach and, if so terminated, the Grantee Agency shall be liable for damages. 12. PUBLIC CONTRACTS WITH NATURAL PERSONS.CRS§24-76.5-101. Grantee, if a natural person eighteen(18)years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-76.5-101 et seq.,and(c)has produced one form of identification required by CRS§24-76.5-103 prior to the effective date of this grant award. 13. FEDERAL FUNDING. This grant award is subject to and contingent upon the continuing availability of federal funds for the purposes hereof. Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 3 of 15 Special Provisions&Certified Assurances must remain attached to the approved application B. GRANT REQUIREMENTS 1. FINANCIAL&ADMINISTRATIVE MANAGEMENT a. The Grantee Agency assures that fund accounting,auditing,monitoring,evaluation procedures and such records as necessary will be maintained to assure adequate internal fiscal controls, proper financial management, efficient disbursement of funds received, and maintenance of required source documentation for all costs incurred. These principles must be applied for all costs incurred whether charged on a direct or indirect basis. b. All expenditures must be supported by appropriate source documentation. Only actual, approved, allowable expenditures will be permitted. c. The Grantee Agency assures that it will comply with the provisions of the current applicable Administrative Guide of the Division of Criminal Justice which is hereby incorporated by reference. However, such a guide cannot cover every foreseeable contingency,and the Grantee Agency is ultimately responsible for compliance with applicable state and federal laws, rules and regulations. 2. PAYMENT&REPORTING a. The Division of Criminal Justice will pay the Grantee Agency the reasonable and allowable costs of performance, in accordance with current Colorado State Fiscal Rules, not to exceed the amount specified herein as the Total Award Amount, as identified in the Statement of Grant Award. b. The Division's requirements for invoice and cost reporting submissions are contained in the DCJ Form 3 - Cash Request Procedures, and DCJ Form 1-A - Grant Award Financial Report, which are hereby incorporated by reference. c. The Grantee Agency assures that it shall maintain data and information to provide accurate quarterly program narrative and financial reports to the Division. Said reports shall be provided in such form and contain such data and information as the Division of Criminal Justice reasonably requires to administer the program. d. The Grantee Agency assures that quarterly financial and narrative reports shall be submitted within 15 days of the end of each calendar quarter and shall be current and actual. e. The Grantee Agency further assures that final financial and narrative reports shall be submitted on the forms provided by the Division of Criminal Justice within 45 days of the end date of the grant award. f. The Division reserves the right to make and authorize modifications, adjustments, and/or revisions to the Grant Award for the purpose of making changes in budget categories, extensions of grant award dates, changes in goals and objectives, and other modifications which do not change the total amount of the Grant Award. The Division's requirements for such grant adjustments are contained in the procedures for DCJ Forms 4A, 4B, 4C, and 4D, which are hereby incorporated by reference. g. The Division may withhold payment in the event the Grantee Agency fails to comply with conditions, including all financial reporting requirements and certifications contained in this grant award. 3. PROCUREMENT AND CONTRACTS a. The Grantee Agency assures that open,competitive procurement procedures will be followed for all purchases under the grant. All contracts for professional services,of any amount, and equipment purchases over five thousand dollars (per item,with a useful life of at least one year)must receive prior approval by the Division of Criminal Justice. b. The Grantee Agency assures that no contract or agreement will be made for execution of project activities or provisions of services(other than purchase of supplies or standard commercial or maintenance services)that is not incorporated in the approved application or approved in advance by the Division of Criminal Justice. c. The Grantee Agency assures that contractors/vendors who assist the Grantee Agency to develop specifications, requirements, statements of work and/or Request For Proposal for a proposed procurement shall be excluded from bidding or submitting a proposal to compete for the award of such procurement. d. The Grantee Agency assures that where activities supported by this grant produce any discovery or invention, original computer programs, writing, sound recordings, pictorial reproductions, drawing or other graphical representation and works of any similar nature,the following requirements apply: i. The Division of Criminal Justice reserves a royalty-free, non-exclusive, and irrevocable license to reproduce, publish, or otherwise use, and authorize others to use, for Federal government purposes: The copyright in any work developed under an award or subaward; and 2) Any rights of copyright to which a recipient or subrecipient purchases ownership with support. ii. If any program produces patentable items, patent rights, processes or inventions, in the course of work sponsored by the Federal award or subaward funds, such facts must be promptly and fully reported to the awarding agency, Division of Criminal Justice. The awarding agency shall determine whether protection on the invention or discovery shall be sought. The awarding agency will also determine how rights in the invention or discovery (including rights under any patents issued thereon) shall be allocated and administered in order to protect the public interest pursuant to published Presidential and government memorandums and guidelines,and the regulations promulgated by the Department of Commerce in 37 CFR Part 401. iii. When issuing statements, press releases, requests for proposals, bid solicitations, and other published documents describing projects or programs funded in whole or in part with these grant funds, all Grantee Agencies must clearly: Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 4 of 15 Special Provisions&Certified Assurances must remain attached to the approved application a) State the percentage of the total cost of the program or project, which will be financed with this grant money; b) State the dollar amount of state or federal funds for the project or program; c) Use the phrase-"This project was supported by federal grant # , issued by the Colorado Division of Criminal Justice." e. The Grantee Agency may not assign its rights or duties under this grant without the prior written consent of the Division of Criminal Justice. 4. AUDIT, RECORD-KEEPING, AND MONITORING/INSPECTION a. The Grantee Agency assures that it will procure an audit or financial review, incorporating this grant award, by an independent Certified Public Accountant(CPA), licensed to practice in Colorado. If the agency expends more than $500,000 per year in combined federal funds, a Single Audit must be conducted in accordance with OMB Circular A- 133 (Audits of States, Local Governments, and non-profit organizations). If the agency expends less than $500,000 per year in combined federal funds, the following policy applies: Agencies with total annual revenue from all sources of$200,000 or more shall procure a financial audit; a financial review shall not be sufficient to meet this requirement. Agencies with total annual revenue of less than$200,000 shall procure either a financial review or financial audit. i. At such time as the audit or financial review is completed, ONE COPY OF THE REPORT, INCLUDING THE CORRESPONDING MANAGEMENT LETTER, MUST BE FORWARDED TO THE DIVISION OF CRIMINAL JUSTICE for clearance. The audit or financial review incorporating this grant award must be completed and received within 12 months of the end of the fiscal years that includes the end date of the grant. ii. The Grantee Agency accepts responsibility for the costs of a financial program audit to be performed by the Department of Public Safety in the event that the audit report or financial review: a) does not meet the applicable A-133 or DCJ standards; b) is not submitted in a timely manner,or, c) does not provide an audit response plan with corresponding corrections made sufficient to satisfy any audit findings. b. The Grantee Agency assures that: i. It will retain all project records, as will facilitate an effective audit, for seven years after the end of the state fiscal year that includes the end date of the grant. (For example if the grant ended 9/30/2001, the state FY would be July 1,2001-June 30,2002. The files could be destroyed after 6/30/2009);except, ii. If an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily, then records must be retained beyond the seven-year period until such issues are resolved. c. The Grantee Agency assures that it will keep copies of all documents, correspondence, and required receipts related to this grant award in a separate file bearing the project title and grant number. d. The Division may periodically request submission of supporting financial and programmatic documentation, subcontracts, general and sub-ledgers for the purpose of monitoring compliance with the grant award via desk review, or in preparation for an on-site monitoring visit. Routine or special on-site visits may be conducted at the grant award agency,and at the location of any collaborating entities,for the same purpose. Grantee Agencies will be notified in advance of any on-site monitoring visit. e. The Grantee Agency assures that the Division of Criminal Justice, Colorado Department of Public Safety, and any representatives of the Office on Violence Against Women (OVW) and/or the Office of the Chief Financial Officer (OCFO),shall have access for purposes of monitoring, audit and examinations to any bonds, documents, papers and records of the Grantee Agency and to relevant books and records of subcontractors of the Grantee Agency. It is the responsibility of the Grantee Agency to notify any of its project collaborators and subcontractors of these provisions. f. The Grantee Agency assures that signatories of the application and grant award and personnel employed through this grant will appear when requested at any administrative hearing, monitoring site visit, conference or meeting conducted by the Division of Criminal Justice. 5. COLORADO VICTIM RIGHTS ACT(Applies to Government Agencies only) The Grantee Agency assures that the application signatories, all staff and all volunteers assigned to the funded project have read and understand the rights afforded to crime victims pursuant to § 24-4.1-302.5 C.R.S., and the services delineated pursuant to§§24-4.1-303 and 24-4.1-304 C.R.S.,commonly known as the Victim Rights Act, and enabling legislation. 6. TERMINATION OR REDUCTION IN GRANT AWARD The Division will monitor the performance of the Grantee Agency against goals and performance standards required herein. The Division will provide reasonable assistance to the Grantee Agency concerning project goals, performance standards and grant award requirements. Any determination of substandard performance on the part of the Grantee Agency shall be within the discretion of the Division, based upon the Division's review of the terms and conditions of the Grant Award,the application and project summary,the grant terms and assurances,and the requirements of applicable law. Substandard performance, as determined by the Division, shall constitute non-compliance, which may result in termination for cause, or reduction of the Grant Award for cause, as follows: a. Reduction In Grant Award Amount for Cause i. The Division may reduce the total Statement of Grant Award amount for cause, without compensation for reduction costs. U. If the state reduces the grant amount for cause, it will first give ten (10)days written notice to the Grantee Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 5 of 15 Special Provisions&Certified Assurances must remain attached to the approved application Agency,stating the reasons for reduction, steps taken to correct the problems, and the date the grant award amount will be reduced in the event problems have not been corrected to the satisfaction of the Division. Hi. In the event this grant is reduced for cause, the Division will only reimburse the Grantee Agency for acceptable work or deliverables received up to the date of reduction. iv. In the event this grant is reduced for cause, final payment to the Grantee Agency may be withheld at the discretion of the Division until completion of final Division review. b. Termination for Convenience: i. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate. ii. If the grant is terminated for convenience by either the Grantee Agency or the state, the Grantee Agency shall be paid the necessary and allowable costs incurred through the date of termination, but not exceeding a prorated amount based on the number of days of project operation prior to the date of termination. c. Termination for Cause: i. The Division may terminate the grant for cause without compensation for termination costs. ii. If the state terminates the grant for cause, it will first give ten(10)days written notice to the Grantee Agency, stating the reasons for termination, steps taken to correct the problems, and the date the grant award will be terminated in the event problems have not been corrected to the satisfaction of the Division. Hi. In the event this grant is terminated for cause, the Division will only reimburse the Grantee Agency for acceptable work or deliverables received up to the date of termination. iv. In the event this grant is terminated for cause, final payment to the Grantee Agency may be withheld at the discretion of the Division until completion of final Division review. d. Any equipment purchased under this grant would revert, at the option of the Division, to the Division of Criminal Justice upon termination of the grant for any of the above reasons. 7. ORDER OF PRECEDENCE Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Supplemental Provisions for the Federal Funding Accountability and Transparency Act of 2006(FFATA), (b)Special Provisions and Certified Assurances, (c)Statement of Grant Award,and(d)the final approved grant award Application. 8. DISPUTE RESOLUTION(This Provision Applies Only To Interagency Agreements): Any failure of either party to perform in accordance with the terms of this agreement shall constitute a breach of the agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall be referred to superior departmental management staff designated by each department. Failing resolution at that level, disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive directors, the dispute shall be submitted in writing by both parties to the State Controller,whose decision on the dispute will be final. C. FEDERAL CERTIFIED ASSURANCES 1. FEDERAL PUBLIC POLICY ASSURANCES a. The Grantee Agency hereby agrees that it will comply, and all of its contractors will comply with the applicable provisions of: i. Title I of the Omnibus Crime Control and Safe Streets Act of 1968,as amended; H. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act,as appropriate; Hi. All other applicable Federal laws,orders,circulars,regulations or guidelines. b. The Grantee Agency hereby agrees that it will comply, and all of its contractors will comply with the provisions of 28 CFR applicable to grants and cooperative agreements including: i. Part 18,Administrative Review Procedure; H. Part 22, Confidentiality of Identifiable Research and Statistical Information; iii. Part 23, Criminal Intelligence Systems Operating Policies; iv. Part 30 Intergovernmental Review of Department of Justice Programs and Activities; v. Part 35, Nondiscrimination on the Basis of Disability in State and Local Government Services; vi. Part, 38, Equal Treatment for Faith Based Organizations; vii. Part 42 Nondiscrimination/Equal Employment Opportunity Policies and Procedure; viii. Part 61 Procedures of Implementing the National Environmental Policy Act; ix. Part 63 Floodplain Management and Wetland Protection Procedures;and, x. Federal Laws or regulations applicable to Federal Assistance Programs. 2. FINANCIAL&ADMINISTRATIVE MANAGEMENT a. The Grantee Agency assures that it will comply with appropriate federal cost principles and administrative requirements applicable to grants as follows: i. For state, local or Indian tribal govemment entities; a) 2 CFR Part 225, Cost Principles for State, Local&Indian Tribal Governments (codified at 28 CFR Part 66, by reference and(formerly known as OMB Circular A-87) b) OMB Circular A-102, Common Rule-Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments Rev.0ct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 6 of 15 Special Provisions&Certified Assurances must remain attached to the approved application c) 28 CFR 66, Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments H. For non-profit organizations; a) 2 CFR Part 230, Cost Principles for Non-Profit Organizations(formerly known as OMB Circular A- 122) b) 2 CFR Part 215, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Nonprofit Organizations (codified at 28 CFR Part 70 and formerly known as OMB Circular A-110) c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with Institutions of Higher Education, Hospitals,and other Non-Profit Organizations iii. For colleges and universities; a) 2 CFR Part 220, Cost Principles for Educational Institutions (codified at 28 CFR Pad 66, by reference and formerly known as OMB Circular A-21) b) 2 CFR Part 215, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Nonprofit Organizations(codified at 28 CFR Part 70 and formerly known as OMB Circular A-110) c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with Institutions of Higher Education, Hospitals, and other Non-Profit Organizations iv. For each agency spending more than$500,000 per year in federal funds from all sources; a) OMB Circular A-133,Audits of States, Local Governments and Nonprofit Organizations b. The Grantee assures that it will comply with the provisions of the U.S. Department of Justice, Office of the Chief Financial Officer, Office of Justice Programs, Financial Guide for Grants,current edition. (For practical purposes,the requirements pertinent to the management of these funds have been extracted from the above documents and are contained in the current applicable Administrative Guide of the Division of Criminal Justice, which is hereby incorporated by reference. However, such a guide cannot cover every foreseeable contingency, and the Grantee is ultimately responsible for compliance with applicable state and federal laws, rules and regulations.) 3. NON-SUPPLANTING OF FUNDS a. The Grantee Agency certifies that any required matching funds used to pay the non-federal portion of the cost of this subgrant are in addition to funds that would have otherwise been made available for the purposes of this project. b. The Grantee Agency certifies that federal funds made available under this grant: i. Will not be used to supplant state or local funds; ii. Where there is a reduced or unchanged local investment, then the Grantee Agency shall give a written explanation demonstrating that the Grantee Agency's reduced or unchanged commitment would have been necessitated even if federal financial support under this federal grant program had not been made available. 4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS (Grantee Agencies receiving $100,000 or more in total federal funds per year. See 28 CFR Part 69.) The Grantee Agency certifies,by accepting this grant award,that: a. No federal funds received through this grant award will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the making of any federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any federal grant or cooperative agreement;and, b. If any funds other than funds through this grant award will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this grant,the prospective Grantee Agency shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities." 5. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION (Subgrantee Agencies receiving$100,000 or more in total federal funds per year. See, 28 CFR Part 67.) The Grantee Agency certifies, by accepting this grant award,that neither it nor its principals,subcontractors or suppliers: a. Are presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from participation in this transaction by any Federal department or agency; b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public(Federal, State, or local)transaction or contract under a public transaction;violation of Federal or State antitrust statutes or commission of embezzlement,theft, forgery, bribery,falsification or destruction of records, making false statements,or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph(5)(b)of this certification;and d. Have not within a three-year period preceding this application had one or more public transactions(Federal, State, or local)terminated for cause or default;and e. Where the Grantee Agency is unable to certify to any of the statements in this certification, he or she shall attach an Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 7 of 15 Special Provisions&Certified Assurances must remain attached to the approved application explanation to this application. 6. CERTIFICATION REGARDING DRUG FREE WORKPLACE (See, 28 CFR Part 67, Subpart F.) The Grantee Agency certifies, by accepting this grant award, that it will comply with the Drug Free Workplace Act of 1988, as implemented at 28 CFR Part 67,Subpart F. 7. CIVIL RIGHTS COMPLIANCE (See, 28 CFR Part 42.) a. The Grantee Agency shall submit DCJ's Form 30, entitled "Certification of Compliance with Regulations Regarding Federal Civil Rights Requirements and Equal Employment Opportunity Plans (EEOP), and is required to do the following: i. The Project Director must submit the form to the Grantee Agency's Authorized Official for this grant; ii. The Project Director must view an applicable Civil Rights training as provided on the DCJ website and acknowledge by providing an original signature that the project's staff will be made aware of all obligations regarding Civil Rights compliance. iii. The Authorized Official must review the form in conjunction with grant agency personnel responsible for reporting civil rights findings of discrimination; iv. The Authorized Official must accurately complete the required information and provide all information requested; v. The Authorized Official must provide an original signature on the form as indicated;and, vi. The DCJ 30 Form with original signature must be returned to the Division with the Statement of Grant Award (SOGA). b. Any Grantee Agency findings of discrimination must be reported to the Division of Criminal Justice within 45 days of receipt of this grant award, and to the Office for Civil Rights,Office of Justice Programs, U.S. Department of Justice. 8. NON-DISCRIMINATION The following federal non-discrimination cites apply in particular the nondiscrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968, as amended; Title VI of the Civil Rights Act of 1964; Section 504 of the Rehabilitation Act of 1973, as amended; Subtitle A, Title II of the Americans with Disabilities Act of 1990, 42 U.S.C. 12101, et seq. and Department of Justice Regulations on Disability Discrimination, 28 CFR Part 35 and Part 39;Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination Regulations 28 CFR Part 42, Subparts C, D, E, and G; and Executive Order 11246,as amended by Executive Order 11375, and their implementing regulations,41 CFR Part 60.1 et seq.as applicable to construction contracts. 9. NATIONAL ENVIRONMENTAL POLICY ACT(NEPA)AND NATIONAL HISTORIC PRESERVATION ACT(NHPA) COMPLIANCE (42 USC§§4321-4370 and 16 USC§470) a. The Grantee Agency agrees to assist the Division of Criminal Justice and the Office of Justice Programs, U.S. Department of Justice,in complying with the National Environmental Policy Act,the National Historic Preservation Act (NHPA)and other related federal environmental impact analyses requirements in the use of these grant funds either directly by the Grantee Agency or by a subcontractor.As long as the activity needs to be undertaken in order to use these grant funds, this NEPA requirement first must be met whether or not the activities listed below are being specifically funded with these grant funds.The activities covered by this special condition are: i. New construction; ii. Minor renovation or remodeling of a property either listed on or eligible for listing on the National Register of Historic Places, or located within a 100-year flood plain; Hi. Renovation, lease or any other proposed use of a building or facility that will either result in a change in its basic prior use,or significantly change its size. iv. Implementation of a new program involving the use of chemicals other than chemicals that are either purchased as an incidental component of a funded activity and traditionally used, for example, in office, household, recreational or educational environments. 10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (This provision applies only to entities that provide medical care and treatment) The Grantee Agency acknowledges that it is a covered health care provider under the Health Insurance Portability and Accountability Act, 42 U.S.C. 1320d-1320d-8, and its implementing regulations and agrees to comply with the requirements of HIPAA concerning any uses and disclosures of protected health information. 11. UNIFORM RELOCATION ASSISTANCE AND REAL PROPERTY ACQUISITIONS ACT OF 1970(Government Entities Only) The Grantee Agency certifies, by accepting this grant award, that it will comply with the requirements of the Uniform Relocation Assistance and Real Property Acquisitions Act of 1970, which govern the treatment of persons displaced as a result of federal and federally-assisted programs. 12. POLITICAL ACTIVITY OF CERTAIN STATE AND LOCAL EMPLOYEES (5 U.S.C. §§ 1501-08 and§§ 7324-28—applies to Government Entities Only) The Grantee Agency certifies, by accepting this grant award, that it will comply with requirements of 5 U.S.C. §§ 1501-08 and §§ 7324-28, which limit certain political activities of State and local government employees whose principal employment is in connection with an activity financed in whole or part by federal assistance. Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 8 of 15 Special Provisions&Certified Assurances must remain attached to the approved application 13. REPORTING FRAUD,WASTE, ERROR AND ABUSE Each Grantee Agency must promptly refer to the Department of Justice, Office of the Inspector General any credible evidence that a principal, employee, agent, contractor, subgrantee, subcontractor, or other person has either 1)submitted a false claim for grant funds under the False Claims Act; or 2) committed a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or similar misconduct involving grant funds. Potential fraud,waste, abuse, or misconduct should be reported to the U.S.Department of Justice, Office of the Inspector General(OIG)by: a) mail: Office of the Inspector General U.S. Department of Justice Investigations Division 950 Pennsylvania Avenue, N.W. Room 4706 Washington, DC 20530; b) email: oiq.hotline(a)usdoi.aov; c) hotline:(contact information in English and Spanish):(800)869-4499;or d) hotline fax:(202)616-9881. D. PROGRAM SPECIFIC REQUIREMENTS The following program specific requirements are imposed by the Federal or State sponsoring agency concerning special requirements of law, program requirements, and other administrative requirements which must be passed on to grant award recipients(Grantee Agencies). These requirements are more likely to change from year to year than the special provisions and federal certified assurances shown above,and usually vary across offices within the Division. 1. The capacity for S.T.O.P. Formula Grant Program funds to provide future continuation dollars for projects is undetermined at this time. Grantee Agencies are advised to seek other funding sources, especially for personnel dollars. 2. The Grantee Agency certifies that the signing authorities, all staff and volunteers assigned to the S.T.O.P. Formula Grant Program funded project have read state laws and applicable rules of professional conduct related to issues of confidentiality and privilege, particularly with respect to releasing identifying information about victims of crime, including but not limited to, those found in.Section 13-90-107, C.R.S. 3. The Grantee Agency certifies that the signing authorities, all staff and volunteers assigned to the S.T.O.P. Formula Grant Program funded project understand that disclosure of personally identifying information about victims served with VAWA funds is prohibited without a written release,court order or statutory requirement. 4. The following activities cannot be conducted under the S.T.O.P. Formula Grant Program federal action: Research and technology whose anticipated and future application could be expected to have an effect on the environment. 5. Under the S.T.O.P. Violence Against Women Act Reauthorization (42 U.S.C. 3799gg — (d)(4), prosecution, law enforcement and courts applicants must consult with local, nonprofit, non-governmental victim services programs in developing their application to ensure that the proposed activities are designed to promote safety, confidentiality, and economic independence of victims of domestic violence,sexual assault, stalking and dating violence. 6. All materials and publications(written, visual or sound)resulting from grant award activities shall contain the following statements: "This project was supported by grant no. , awarded by the Colorado Department of Public Safety, Division of Criminal Justice — administering office for the S.T.O.P. Formula Grant Program. The opinions, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of the author(s)and do not necessarily reflect the views of the state or the U.S. Department of Justice, Office on Violence Against Women". 7. The Grantee Agency understands that approval of this award does not indicate approval of any consultant rate in excess of $650 per day. A detailed justification must be submitted to the Division of Criminal Justice, Office for Victims Programs, prior to obligation or expenditure of such funds. The detailed justification will then be submitted to the Office on Violence Against Women for review,if required. 8. Pursuant to 28 CFR §§ 66.34, the Office on Violence Against Women reserves a royalty-free, nonexclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, in whole or in part (including in the creation of derivative works),for Federal Government purposes: (a) any work that is subject to copyright and was developed under this award, subaward, contract or subcontract pursuant to this award;and (b) any work that is subject to copyright for which ownership was purchased by a recipient, subrecipient or a contractor with support under this award. In addition,the Grantee Agency (or subrecipient, contractor or subcontractor) must obtain advance written approval from the Office on Violence Against Women program manager assigned to this award, and must comply with all Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 9 of 15 Special Provisions&Certified Assurances must remain attached to the approved application conditions specified by the program manager in connection with that approval before: 1) using award funds to purchase ownership of, or a license to use, a copyrighted work; or 2) incorporating any copyrighted work, or portion thereof,into a new work developed under this award. 9. Pursuant to Executive Order 13513, "Federal Leadership on Reducing Text Messaging While Driving", 74 Fed. Reg. 51225 (October 1, 2009), the State encourages the Grantee Agency to adopt and enforce policies banning employees from text messaging while driving any vehicle during the course of performing work funded by this grant, and to establish workplace safety policies and conduct education, awareness, and other outreach to decrease crashes caused by distracted drivers. 10. The Grantee Agency understands and agrees that it cannot use any federal funds, either directly or indirectly, in support of any contract or subaward to either the Association of Community Organizations for Reform Now(ACORN) or its subsidiaries,without the express prior written approval of OM. 11. The Grantee understands and agrees that any training materials developed or delivered with funding provided under this award must adhere to the OVW Training Guiding Principles for Grantees and Subgrantees available at http://www.ovw.usdagov/grantees.html. 12. The Grantee agrees that grant funds will not support activities that compromise victim safety and recovery, such as; procedures or policies that exclude victims from receiving safe shelter, advocacy services, counseling, and other assistance based on their actual or perceived sex, age, immigration status, race, religion, sexual orientation, gender identity, mental health condition, physical health condition, criminal record, work in the sex industry,or the age and/or sex of their children; pre-trial diversion programs not approved by OVW or the placement of offenders in such programs; mediation, couples counseling, family counseling or any other manner of joint victim-offender counseling; mandatory counseling for victims,penalizing victims who refuse to testify, or promoting procedures that would require victims to seek legal sanctions against their abusers (e.g., seek a protection order, file formal complaint); the placement of perpetrators in anger management programs; or any other activities outlined in the federal solicitation for this program. 13. The Grantee Agency agrees that it is responsible for submitting an annual statistical report in addition to all other required reporting forms. 14. Grantee Agency shall notify the Office for Victims Programs(OVP) if the agency has obtained funding for a specific (OVP) funded position which totals more than 100% of the cost for that position. The agency must resolve the allocation of funds to the satisfaction of the Division of Criminal Justice. 15. Grantee Agency must notify the Office for Victims Programs (OVP) immediately in writing, via email or regular mail, of: a) any OVP grant funded personnel changes, b) any OVP grant funded position that is vacant for 45 days; c) any change of an Official and/or employee who is listed as responsible signatory on this OVP grant funded project. E. GENERAL PROVISIONS 1. INDEMNIFICATION. a. To the extent authorized by law,the Grantee Agency shall indemnify,save, and hold harmless the State, its employees and agents, against any and all claims, damages, liability and court awards including costs, expenses, and attomey fees and related costs, incurred as a result of any act or omission by the Grantee Agency, or its employees, agents, subcontractors, or assignees pursuant to the terms of this grant award; however, the provisions hereof shall not be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protection, or other provisions, of the Colorado Governmental Immunity Act, CRS §24-10-101 et seq., or the Federal Tort Claims Act, 28 U.S.C. 2671 et seq., as applicable, as now or hereafter amended. FOR GRANTS TO STATE AGENCIES AND HIGHER EDUCATION ONLY: b. A self-insured, Grantee state Agency agrees that its Self-Insurance Program shall BE RESPONSIBLE FOR any and all claims, damages, liability and court awards, including costs, expenses, and attorney fees and related costs, incurred as a result of any act or omission by the Grantee Agency, or its employees, agents, subcontractors, or assignees pursuant to the terms of this grant award. 2. STATEWIDE CONTRACT MANAGEMENT SYSTEM (This section shall apply when the Effective Date is on or after July 1, 2009 and the maximum amount payable to Subgrantee hereunder is$100,000 or higher] Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 10 of 15 Special Provisions&Certified Assurances must remain attached to the approved application By entering into this grant award, Grantee agrees to be governed, and to abide, by the provisions of CRS §24-102-205, §24- 102-206, §24-103-601, §24-103.5-101 and §24-105-102 concerning the monitoring of vendor performance on state contracts and inclusion of contract performance information in a statewide contract management system. Grantee performance shall be evaluated in accordance with the terms and conditions of this grant award, State law, including CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance. Evaluation of Grantee's performance shall be part of the normal contract administration process and Grantee's performance will be systematically recorded in the statewide Contract Management System. Areas of review shall include, but shall not be limited to quality, cost and timeliness. Collection of information relevant to the performance of Grantee's obligations under this grant award shall be determined by the specific requirements of such obligations and shall include factors tailored to match the requirements of the Project Plan of this grant award. Such performance information shall be entered into the statewide Contract Management System at intervals established in the Project Plan and a final review and rating shall be rendered within 30 days of the end of the grant award term. Grantee shall be notified following each performance and shall address or correct any identified problem in a timely manner and maintain work progress. Should the final performance evaluation determine that the Grantee demonstrated a gross failure to meet the performance measures established under the Project Plan, the Executive Director of the Colorado Department of Personnel and Administration (Executive Director), upon request by the Colorado Division of Criminal Justice, and showing of good cause, may debar Grantee and prohibit Grantee from bidding on future contracts. Grantee may contest the final evaluation and result by: (i)filing rebuttal statements,which may result in either removal or correction of the evaluation(CRS§24-105-102(6)),or(ii) under CRS §24-105-102(6), exercising the debarment protest and appeal rights provided in CRS §§24-109-106, 107, 201 or 202,which may result in the reversal of the debarment and reinstatement of Grantee, by the Executive Director, upon showing of good cause. 3. REVISIONS AND ADDITIONAL REQUIREMENTS The Grantee Agency shall comply with all applicable revisions or additional requirements that may be imposed by law and any future state and federal guidance including clarifications of requirements. Any revisions to such provisions or regulations shall automatically become a part of these Special Provisions and Certified Assurances, without the necessity of either party executing any further instrument. The State of Colorado may provide written notification to the Grantee Agency of such revisions, but such notice shall not be a condition precedent to the effectiveness of such revisions. 4. CORA DISCLOSURE To the extent not prohibited by federal law,this grant award and the performance measures and standards under CRS§24- 103.5-101, if any, are subject to public release through the Colorado Open Records Act, CRS§24-72-101,et seq. Rev.Oct 2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 11 of 15 Special Provisions&Certified Assurances must remain attached to the approved application State of Colorado Supplemental Provisions for Federally Funded Contracts,Grants,and Purchase Orders Subject to The Federal Funding Accountability and Transparency Act of 2006(FFATA),As Amended As of 10-15-10 The contract,grant,or purchase order to which these Supplemental Provisions are attached has been funded,in whole or in part,with an Award of Federal funds. In the event of a conflict between the provisions of these Supplemental Provisions,the Special Provisions,the contract or any attachments or exhibits incorporated into and made a part of the contract,the provisions of these Supplemental Provisions shall control. 1.Definitions.For the purposes of these Supplemental Provisions,the following terms shall have the meanings ascribed to them below. 1.1."Award"means an award of Federal fmancial assistance that a non-Federal Entity receives or administers in the form of: 1.1.1.Grants; 1.1.2.Contracts; 1.1.3.Cooperative agreements,which do not include cooperative research and development agreements(CRDA)pursuant to the Federal Technology Transfer Act of 1986,as amended(15 U.S.C.3710); 1.1.4.Loans; 1.1.5.Loan Guarantees; 1.1.6. Subsidies; 1.1.7.Insurance; 1.1.8.Food commodities; 1.1.9.Direct appropriations; 1.1.10.Assessed and voluntary contributions; and 1.1.11.Other financial assistance transactions that authorize the expenditure of Federal funds by non-Federal Entities. Award does not include: 1.1.12.Technical assistance,which provides services in lieu of money; 1.1.13.A transfer of title to Federally-owned property provided in lieu of money;even if the award is called a grant; 1.1.14.Any award classified for security purposes;or 1.1.15.Any award funded in whole or in part with Recovery funds,as defined in section 1512 of the American Recovery and Reinvestment Act(ARRA)of 2009 (Public Law 111-5). 1.2."Central Contractor Registration(CCR)"means the Federal repository into which an Entity must enter the information required under the Transparency Act,which may be found at http://www.bpn.gov/ccr. 1.3."Contract"means the contract to which these Supplemental Provisions are attached and includes all Award types in§1.1.1 through 1.1.11 above. 1.4."Contractor"means the party or parties to a Contract funded,in whole or in part, with Federal financial assistance,other than the Prime Recipient,and includes grantees,subgrantees, Subrecipients,and borrowers. For purposes of Transparency Act reporting,Contractor does not include Vendors. 1.5."Data Universal Numbering System(DUNS)Number"means the nine-digit number established and assigned by Dun and Bradstreet,Inc.to uniquely identify a business entity. Dun and Bradstreet's website may be found at: http://fedgov.dnb.com/webform. 1.6."Entity"means all of the following as defined at 2 CFR part 25,subpart C; 1.6.1.A governmental organization,which is a State,local government,or Indian Tribe; 1.6.2.A foreign public entity; 1.6.3.A domestic or foreign non-profit organization; 1.6.4.A domestic or foreign for-profit organization;and 1.6.5.A Federal agency,but only a Subrecipient under an Award or Subaward to a non- Federal entity. Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 12 of 15 Special Provisions&Certified Assurances must remain attached to the approved application 1.7."Executive"means an officer,managing partner or any other employee in a management position. 1.8."Federal Award Identification Number(FAIN)"means an Award number assigned by a Federal agency to a Prime Recipient. 1.9."FFATA"means the Federal Funding Accountability and Transparency Act of 2006(Public Law 109-282),as amended by§6202 of Public Law 110-252. FFATA,as amended,also is • referred to as the"Transparency Act." 1.10."Prime Recipient"means a Colorado State agency or institution of higher education that receives an Award. 1.11."Subaward"means a legal instrument pursuant to which a Prime Recipient of Award funds awards all or a portion of such funds to a Subrecipient,in exchange for the Subrecipient's support in the performance of all or any portion of the substantive project or program for which the Award was granted. 1.12."Subrecipient"means a non-Federal Entity(or a Federal agency under an Award or Subaward to a non-Federal Entity)receiving Federal funds through a Prime Recipient to support the performance of the Federal project or program for which the Federal funds were awarded.A Subrecipient is subject to the terms and conditions of the Federal Award to the Prime Recipient,including program compliance requirements. The term"Subrecipient"includes and may be referred to as Grantee. 1.13."Subrecipient Parent DUNS Number"means the subrecipient parent organization's 9-digit Data Universal Numbering System(DUNS)number that appears in the subrecipient's Central Contractor Registration(CCR)profile,if applicable. 1.14."Supplemental Provisions"means these Supplemental Provisions for Federally Funded Contracts,Grants,and Purchase Orders subject to the Federal Funding Accountability and Transparency Act of 2006,As Amended,as may be revised pursuant to ongoing guidance from the relevant Federal or State of Colorado agency or institution of higher education. 1.15."Total Compensation"means the cash and noncash dollar value earned by an Executive during the Prime Recipient's or Subrecipient's preceding fiscal year and includes the following: 1.15.1. Salary and bonus; 1.15.2.Awards of stock,stock options,and stock appreciation rights,using the dollar amount recognized for financial statement reporting purposes with respect to the fiscal year in accordance with the Statement of Financial Accounting Standards No. 123 (Revised 2005)(FAS 123R), Shared Based Payments; 1.15.3.Earnings for services under non-equity incentive plans,not including group life, health,hospitalization or medical reimbursement plans that do not discriminate in favor of Executives and are available generally to all salaried employees; 1.15.4.Change in present value of defined benefit and actuarial pension plans; 1.15.5.Above-market earnings on deferred compensation which is not tax-qualified; 1.15.6.Other compensation,if the aggregate value of all such other compensation(e.g. severance,termination payments,value of life insurance paid on behalf of the employee,perquisites or property)for the Executive exceeds$10,000. 1.16."Transparency Act"means the Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282),as amended by§6202 of Public Law 110-252.The Transparency Act also is referred to as FFATA. 1.17"Vendor"means a dealer,distributor,merchant or other seller providing property or services required for a project or program funded by an Award.A Vendor is not a Prime Recipient or a Subrecipient and is not subject to the terms and conditions of the Federal award.Program compliance requirements do not pass through to a Vendor. 2.Compliance.Contractor shall comply with all applicable provisions of the Transparency Act and the regulations issued pursuant thereto,including but not limited to these Supplemental Provisions.Any revisions to such provisions or regulations shall automatically become a part of these Supplemental Provisions,without the necessity of either party executing any further instrument.The State of Colorado may provide written notification to Contractor of such revisions,but such notice shall not be a condition precedent to the effectiveness of such revisions. 3.Central Contractor Registration(CCR)and Data Universal Numbering System(DUNS) Requirements. 3.1.CCR.Contractor shall maintain the currency of its information in the CCR until the Contractor submits the final financial report required under the Award or receives fmal payment,whichever Rev.0ct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 13 of 15 Special Provisions&Certified Assurances must remain attached to the approved application is later. Contractor shall review and update the CCR information at least annually after the initial registration,and more frequently if required by changes in its information. 3.2.DUNS.Contractor shall provide its DUNS number to its Prime Recipient,and shall update Contractor's information in Dun&Bradstreet, Inc. at least annually after the initial registration, and more frequently if required by changes in Contractor's information. 4.Total Compensation.Contractor shall include Total Compensation in CCR for each of its five most highly compensated Executives for the preceding fiscal year if: 4.1.The total Federal funding authorized to date under the Award is$25,000 or more;and 4.2.In the preceding fiscal year,Contractor received: 4.2.1.80%or more of its annual gross revenues from Federal procurement contracts and subcontracts and/or Federal financial assistance Awards or Subawards subject to the Transparency Act;and 4.2.2.$25,000,000 or more in annual gross revenues from Federal procurement contracts and subcontracts and/or Federal financial assistance Awards or Subawards subject to the Transparency Act;and 4.3.The public does not have access to information about the compensation of such Executives through periodic reports filed under section 13(a)or I5(d)of the Securities Exchange Act of 1934(15 U.S.C. 78m(a),78o(d)or§ 6104 of the Internal Revenue Code of 1986. 5.Reporting.Contractor shall report data elements to CCR and to the Prime Recipient as required in §7 below if Contractor is a Subrecipient for the Award pursuant to the Transparency Act.No direct payment shall be made to Contractor for providing any reports required under these Supplemental Provisions and the cost of producing such reports shall be included in the Contract price.The reporting requirements in§7 below are based on guidance from the US Office of Management and Budget(OMB),and as such are subject to change at any time by OMB. Any such changes shall be automatically incorporated into this Contract and shall become part of Contractor's obligations under this Contract,as provided in§2 above.The Colorado Office of the State Controller will provide summaries of revised OMB reporting requirements at http://www.colorado.gov/dpa/dfp/sco/FFATA.htm. 6.Effective Date and Dollar Threshold for Reporting.The effective date of these supplemental provisions apply to new Awards as of October 1,2010.Reporting requirements in§7 below apply to new Awards as of October 1,2010,if the initial award is$25,000 or more.If the initial Award is below $25,000 but subsequent Award modifications result in a total Award of$25,000 or more,the Award is subject to the reporting requirements as of the date the Award exceeds$25,000.If the initial Award is$25,000 or more,but funding is subsequently de-obligated such that the total award amount falls below$25,000,the Award shall continue to be subject to the reporting requirements. 7.Subrecipient Reporting Requirements.If Contractor is a Subrecipient,Contractor shall report as set forth below. 7.1 To CCR.A Subrecipient shall register in CCR and report the following data elements in CCR for each Federal Award Identification Number no later than the end of the month following the month in which the Subaward was made: 7.1.1 Subrecipient DUNS Number; 7.1.2 Subrecipient DUNS Number+4 if more than one electronic funds transfer(EFT) account; 7.1.3 Subrecipient Parent DUNS Number; 7.1.4 Subrecipient's address,including: Street Address,City,State,Country,Zip+4,and Congressional District; 7.1.5 Subrecipient's top 5 most highly compensated Executives if the criteria in§4 above are met;and 7.1.6 Subrecipient's Total Compensation of top 5 most highly compensated Executives if criteria in§4 above met. 7.2 To Prime Recipient.A Subrecipient shall report to its Prime Recipient,upon the effective date of the Contract,the following data elements: 7.2.1 Subrecipient's DUNS Number as registered in CCR. 7.2.2 Primary Place of Performance Information, including: Street Address,City,State, Country,Zip code+4,and Congressional District. Rev.Oct.2012 SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 14 of 15 Special Provisions&Certified Assurances must remain attached to the approved application 8. Exemptions. 8.1.These Supplemental Provisions do not apply to an individual who receives an Award as a natural person,unrelated to any business or non-profit organization he or she may own or operate in his or her name. 8.2 A Contractor with gross income from all sources of less than$300,000 in the previous tax year is exempt from the requirements to report Subawards and the Total Compensation of its most highly compensated Executives. 8.3 Effective October 1,2010,"Award"currently means a grant,cooperative agreement,or other arrangement as defined in Section 1.1 of these Special Provisions.On future dates"Award" may include other items to be specified by OMB in policy memoranda available at the OMB Web site;Award also will include other types of Awards subject to the Transparency Act. 8.4 There are no Transparency Act reporting requirements for Vendors. 9.Event of Default.Failure to comply with these Supplemental Provisions shall constitute an event of default under the Contract and the State of Colorado may terminate the Contract upon 30 days prior written notice if the default remains uncured five calendar days following the termination of the 30 day notice period.This remedy will be in addition to any other remedy available to the State of Colorado under the Contract,at law or in equity. Rev.Oct 2012 1 3fiECIAL PROVISIONS AND CERTIFIED ASSURANCES Page 15 of 15 Special Provisions&Certified Assurances must remain attached to the approved application SIGNATURE PAGE->->->TO BE COMPLETED BY ALL APPLICANTS (ORIGINAL SIGNATURES REQUIRED- Please sign in BLUE ink. See instructions for description of proper signatories.) The Grantee Agency and responsible signatories certify by signing that they have read the attached approved Application including the Special Provisions and Certified Assurances, and are fully cognizant of their duties and responsibilities for this project. The Grantee Agency understands and agrees that this grant award shall be incorporated by reference and all information contained herein. Responsibility for narrative and fiscal reporting requirements are delegated to the designated Project Director, who will sign all such reports. This delegation is for purposes of reporting to the Division and for operational ease, and in no way limits the authority and responsibility of the Authorized Official. In accordance with the Colorado Revised Statutes 24-72-202.6, information supplied in this grant award is considered a public record. AUTHORIZED OFFICIAL Name Sean P. Conway Position Chair, Board of County Commissioners, Weld County Agency Weld County Government Mailing Address PO Box 758 City, State,Zip Greeley, CO 80632 Telephone# 970 336-7204 Fax # 970 352-0242 E-mail Address sconway@co.weld.co.us Signature Date _ -) — ( - ------' OCT 3 12012 FINANCIAL OFFICER Name Barbara Connolly Position Financial Officer Agency Weld County Government Mailing Address PO Box 758 City,State,Zip Greeley,CO 80632 Telephone# 970 356-4000 Fax# 970 352-0242 E-mail Address bconnolly@co.weld.co.us Signature Date OCT 3 12012 PROJE IRECTOR Name JoAnn Holden Position Director of Victim Services Agency Weld County District Attorney's Office Mailing Address PO Box 1167 City,State,Zip Greeley,CO 80632 Telephone# 970 356-4010 x 4747 Fax# 970 352-8023 E-mail Address jholden@co.weld.co.us Signature Date 0119—i 2-- j AT/c9- e)2,5 Rev.Oct.2012 Hello