HomeMy WebLinkAbout20122565.tiff RESOLUTION
RE: APPROVE STATEMENT OF GRANT(SOGA)FOR JUVENILE ACCOUNTABILITY BLOCK
GRANT 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, on September 12, 2012, the Board was presented with a Statement of Grant
Award (SOGA) for the Juvenile Accountability Block Grant between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of Justice
Services and North Range Behavioral Health, and the Colorado Division of Criminal Justice,
commencing October 1, 2012, and ending September 30, 2013, with further terms and conditions
being as stated in said SOGA, and
WHEREAS,the Board deemed it advisable to continue the matter to September 24, 2012,to
allow time to schedule a work session for further review of the matter, and
WHEREAS, the matter was called up on September 19, 2012, due to submittal deadline
requirements, and after review the Board deemed it advisable to approve said SOGA, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Statement of Grant(SOGA) for the Juvenile Accountability Block Grant
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Justice Services and North Range Behavioral
Health, to 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 SOGA.
cact 1.7r f"
T
c' '-` aoR a Ce; Weir
2012-2565
JS0004
STATEMENT OF GRANT (SOGA) FOR JUVENILE ACCOUNTABILITY BLOCK GRANT
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 19th day of September, A.D., 2012.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:/,' • - -
tc) Sean P. on v Chair
Weld County Clerk to the ar•
1861 G r,
y � William F. ar 'a,Pro- m
Deputy Clerk to the Boa%4e, i�C //, , ��' %— ,ji', ��
'.� - ar ara Kirkmeyer ;
� (�
APP D AS ORM: c>�J ,�.J
F ocv
David E. Long
unty Attorney C7u (c, l a Y✓�l 44_,JDouglas I demacher
Date of signature: 10/9
2012-2565
JS0004
Justice Services Division
1008 9t" Street - P.O. Box 758
Greeley, CO 80632
Phone: (970) 336-7227
V� � Jll Fax: (970) 392-4677
_GO N
MEMORANDUM
To: Sean P. Conway, Chair
c/o: Board of County Commissioners
Cc: Monica Mika
From: Doug Erler, Director
Re: Review and Signature by Chair—Weld County Juvenile Accountability Grant
Date: September 6, 2012
Enclosed are three (3) documents that require your signature.
1. Statement of Grant Award (Blue Form)—DCJ asks that it remain unstapled
2. Statement of Grant Award (White Form)
3. DCJ Form 30 (Gray Form)
This grant was previously under the care of the Sheriff's Office and recently transferred to
Justice Services (please see Resolution for reference purposes). I am now completing this
transfer. After your signature, please have staff send originals back to me and I can process on
your behalf (I am working with vendor NRBH to complete supplemental information that was not
completed with the original application—these will be included and sent with these three
documents). After the DCJ and State Controller sign, the white copy of the Statement of Grant
Award will be returned to me and I will personally deliver to your staff for final filing.
Thank you.
2012-2565
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
INSTRUCTIONS: Complete the identjing 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;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# L l —J l3 " L'l1 -13 Grant Project Title: LJ-eLc t J or/ 1 Nie.,q A C couterkbllity
Subgrantee Name(Funded Entity): W C Lip CD U Id 17
Address: l Sfvect (��Pet- / 1 CU 0332_-
Duration: Beginning date: l G l I / 20 t Z End date: cj J 3'/ 2012- Award: $ 3 3l 333
Project Director's Name& Plume#: DOR C Leo C 7O_ %- 7`Z7
Person responsible for reporting civil rights findings of discrimination: (Name, address & phone)
VAtRiCIA 215i t SPtllz CHAR Dezec-rcF)
I ty o e STRCC , eel.ei C° 50b34
Cj?0- 19(.0 - goi5 ;11{230
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.
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 grant from the Colorado Division of Criminal Justice less than $25,000 in feder
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 se
(CONTINUED ON REVERSE SIDE)
Colorado Ditision of Criminal Mace
Page 1 of 2 Rev.9/2010
DCJ FORM 30:
CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS(Continued)
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATIONS: (Continued)
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 grant 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 grant 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. Department 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 1 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.
6RI C-- _ SEP 19 2012 SEP 1 P 2012
(Authorized Official's signature] (Date]
Sean P. Conway Chair, Board of Weld County Commissioners
[Typed Name] [Title]
* * * * * * a * * *
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 be nnin date. You must also forward a signed copy to the person identified in the
box above. DCJ will forward a copy to the Ojfice for Civil Rights, Office of Justice Programs, U.S. Department of Justice.
,,?orb- 5Ws
Colorado Division of C. .,Justice Page 2 of 2 Rcv.9/2010
`k cam` COLORADO DIVISION OF CRIMINAL JUSTICE
STATEMENT OF GRANT AWARD (SOGA)
41876 - FEDERAL PROGRAM INFORMATION
CFDA Title& Number: #16.523
Federal Agency: Office of Juvenile Justice and Delinquency Prevention, OJP, DOJ
Federal Award Name& Number: #2011-JB-FX-0012
Juvenile Accountability Incentive Block Grant Program Award
Suborantee Name: Weld County RECEIVED By
Project Director: Mr. Doug Erler SEp ? 1 1012
Project Director Address: Weld County Justice Services /QW,
PO Box 758 �
Greeley, CO 80632
Grant Number: 11-JB-L-19-13
Project Title: Weld County Juvenile Accountability
Grant Period: 10/01/2012 To 09/30/2013
Date Issued: August 22, 2012
In accordance with provisions of the Colorado Revised Statutes §24-33.5-502, the Division of Criminal Justice hereby
awards a grant to the above-named subgrantee. The attached grant application (Exhibit A), including Special Provisions
and Certified Assurances, is incorporated herein as a part of this document.
APPROVED BUDGET BY PURPOSE AREA
Purpose Area#/Project Federal Award Cash Match Total
"PA#12-Weld County Juvenile Accountability $30,000.00 $3,333.00 $33,333.00
TOTAL AWARD AMOUNT $ 30,000.00 $ 3,333.00 $ 33,333.00
" The detailed budget(s)found in the attached, approved plan provide budget category amounts for each purpose area. Use
these approved detailed budget(s)for reporting expenditures by Purpose Area.
" Purchase of equipment requires prior completion and approval of DCJ Form 13.
* Professional services require prior completion and approval of DCJ Form 16.
Special Condition(s):
1. This project was supported by Grant No. 2011-JB-FX-0012 awarded by the Office of Juvenile Justice and Delinquency Prevention
through the Division of Criminal Justice, Colorado Department of Public Safety. The Office of Juvenile Justice and Delinquency
Prevention is a component of the Office of Justice Programs,which also includes the Bureau of Justice Statistics, the National
Institute of Justice,the Bureau of Justice Assistance, and the Office of Victims of Crime. Points of view or opinions in this
document are those of the author and do not represent the official position or policies of the United States Department of Justice
nor the Division of Criminal Justice, Colorado Department of Public Safety.
dO/.2?-r ;s4
Version 4-4-05 Page 1 of 3
P'.\OAJJA\JABG\SOGAS\2012 SOGAs\2012 Competitive and Direct SOGAs.8 13 2012.ver 2.wpd
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 subgrantee 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 Subgrantee 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 Subgrantee Agency on each
part of the two-part document.
4. Review carefully the"Administrative Guide for Federal Justice Grant Programs Administered by the Colorado Division
of Criminal Justice," which 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 subgrantee's Authorized Official
and returned 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 subgrantee
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 subgrantee 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 subgrants 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 returned 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
Juvenile Justice, 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 Page 2 of 3
P:\OAJJA\JABG\SOGAS\JABG SOGA.pages2-3 august 2008.wpd
Statement of Grant Award (SOGA)(//
)`Grant Routing Number O 7(O 40
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
* Persons signing for Subgrantee hereby swear and affirm that they are authorized to act on Subgrantee's behalf and
acknowledge that the State is relying on their representations to that effect.
SUBGRANTEE: STATE OF COLORADO:
Weld County, Colorado John W. Hickenlooper, GOVERNOR
Legal Name of Subgrantee Agency z/
By 2 By a-4€i �./ /
*SIGNATURE of Authorized Official () DIRECTOR Colorado Division of Criminal Justice
JEANNE M. SMITH
Sean P. Conway, Chair, Board of Weld County )/
Print Name & Title of Authorized Official CommissionaDate Signed: /1 —/—/cz
Date Signed: SEP 1 2 2012 SEP 19 2012
STATE OF COLORADO LEGAL REVIEW:
See Contract Routing Waiver# 127
(or, if not waived)
John W. Suthers, Attorney General
By:
Signature-Assistant Attorney General
Date Signed:
ALL CONTRACTS &SUBGRANT AWARDS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This subgrant 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: /97494; 4'fl2ft1
Date Signed: 034002
&C/D7—.0756.5d
Version Page 3 of 3
P:\OAJJA\JABG\SOGAS\JABG SOGA.pages2-3 august 2008.wpd
I� J' ' ' U HI JUVENILE ACCOUNTABILITY BLOCK GRANT
APPLICATION FOR PROGRAM FUNDS
SECTION I - APPLICANT INFORMATION
STATE USE ONLY
App#: I Grant#: I Award: L i t3 -113]
APPLICANT AGENCY: Weld County
Address 1008 9th Street P.O. Box 758 City, ZIP Greeley,80632
Project Director Doug Erler E-mail derler@co.weld.co.us
Telephone (970)336-7227 x4847 FAX (970)392-4677
Federal Employer ID Number 8 4 6 0 0 0 8 1 3 Has applicant agency registered with the CENTRAL
CONTRACTOR REGISTRATION(CCR)
DUNS NUMBER 157519f6 & 2 5 3 3 —7 8 1 database? ® Yes(CCR attached) 0 No
IMPLEMENTING AGENCY: NORTH RANGE BEHAVIORAL HEALTH
Contact REBECCA WYPERD Email REBECCA.WYPERD@NORTHRA
NGE.ORG
Address 1300 N. 17' AVE. City, ZIP GREELEY,80631
Telephone (970)313-1164 FAX (970)353-3906
FEDERAL FUNDS REQUESTED: $30,000 CASH MATCH: $3,333 TOTAL: $33,333
TYPE OF AGENCY: (check one) ❑State ['City/Town ®County ['Indian Tribe 0 Other
FUNCTION OF 0 Law Enforcement 0 Probation ❑ Prosecution
AGENCY: ❑ Courts 0 Social Services 0 Youth Services
O Public Defense ❑ Education 0 Treatment/Mental Health
® Treatment/Substance Abuse ❑ Other Describe:
TYPE OF APPLICATION: X JABG Local Allocation D State Program Funds ['Other
New: Continuation:
❑ Start a new project ® Continue a project currently receiving JABG funds
O Expand or enhance an existing project not previously ❑ Expand/enhance an existing project receiving JABG funds
JABG-funded For continuation applications, list up to three years of prior JABG
funding in the table below.
GRANT NUMBER FEDERAL FUNDS DURATION
30-JB-L-19-13 $23,640 1/1/12-12/31/12
29-JB-L-I9-13 $25,453 1/1/11-12/31/11
28-JB-L-19-13 $35,757 10/01/09-9/30/10
PROJECT TITLE: Weld County Juvenile Accountability PROJECT DURATION: From 1/1/2013 To 12/31/2013
PROJECT DESCRIPTION(Limit to space provided): These funds support behavioral health services, which will be provided
to juveniles in Weld County through multiple agencies: North Range Behavioral Health will deliver a continuum of mental health and
substance use disorder services to both detained youth from Weld County at Platte Valley Youth Services Center and non-detained
youth involved in the juvenile justice system. Services to be provided will include risk and needs assessments of juvenile offenders,
crisis intervention, mental health and substance use disorder treatment, and referrals to ongoing behavioral health care services as
needed. Partners in this collaboration include North Range Behavioral Health(including partners formally identified as Island Grove
Regional Treatment Center), Senate Bill 94 of the 19'"Judicial District, and Youth and Family Connections(fonnerly known as the
Juvenile Assessment Center).
PURPOSE AREA#1 (only one purpose area may be selected): Establishing and maintaining programs to conduct risk and
needs assessments
- I -
FY201 I JABG Application Direct Awards(3-2012)
SERVICE AREA:
Rural ❑ Suburban 0 Tribal 0 Urban 0
Judicial District(s)(Identify by District Number): 19th Judicial District
Cities and Counties to be served: All cities within Weld County
IS THE JURISDICTION(S)TO BE SERVED IN COMPLIANCE WITH THE DCJ USE ONLY-Jurisdiction
JJDP ACT? xYes ❑No ❑ No, but working with DCJ Compliance Monitor. Compliant with JJDP Act?
PROJECT WILL BE USING RESEARCH OR EVIDENCE-BASED PROGRAMS OR ACTIVITIES: Oyes ONo
If yes,provide the NAME and SOURCE where program information can be found:
SECTION II: LOCAL JUVENILE CRIME ENFORCEMENT COALITION (JCEC) AND
AGENCY CAPACITY
A. The Local Juvenile Crime Enforcement Coalition (JCEC) is the coalition you must have in
place to develop the plan. If it has the same membership as the list submitted with your "Intent
to Accept Funds", just copy that list. You are encouraged to use existing groups that focus on
youth and have or could be enhanced to have the required representation. This is required for all
localplans and local programs. Minimum required representation includes categories A-G:
(If any category was impracticable, explain on an attached page.)
A. Police F. Schools: School district and/or local middle
B. Sheriffs and/or High schools (Please include students.)
C. Prosecutors: District, County and/or City G. Business
D. Probation Services H. Prevention organizations
E. Juvenile Court: District and/or I. Religious,affiliated, fraternal, nonprofit,
municipal jurisdiction and/or social services
NAME AGENCY/ORG & ADDRESS CATEGORY
Sean P.Conway Weld County Board of Commissioners G
John Cooke Weld County Sheriff B
Jerry Garner Greeley Police Chief A
Nomie Ketterling Weld County Prevention Partners H
John Gates Greeley/Evans School District 6 F
Ken Buck Weld County District Attorney C
James Hartmann 19"'Judicial District Court Judge E
Jo Barbie Weld RE-I School District F
Jeannine Truswell United Way of Weld County 1
Richard Bartels Bartels and Company, CPA G
Heather Walker Weld County Social Services E
Kevin Nelan Weld County Probation Services D
Larry Pottorff North Range Behavioral Health H
_1 _
FY201 1 JABG Application Direct Awards(3-2012)
JCEC MEMBERSHIP AND INVOLVEMENT IN YOUR LOCAL JBAG PLAN (Limit Y: page)
Explain how members of the JCEC were recruited; how often the JCEC meets; and how the final
decision for the plan was made. How will the JCEC be used during the implementation of the plan and
what is its defined role in overseeing these funds? Does this JCEC oversee other plans for juvenile
services? If so, please explain how the plans are coordinated. If this is a continuation plan, address the
above questions and also describe any changes in the JCEC, including new members. Letters of support
and commitment from members are welcome as attachments to the plan.
JCEC members' composition mirrors (in general) the composition of the local SB 94 Committee.
The JCEC meets monthly and this plan is part of their regular duties. The JCEC provides input to the
Project Director and vendor as needed. They do not have a defined role in overseeing funds; this is the
sole responsibility of the Project Director with the selected vendor. The JCEC does not oversee any
other aspects of the Project Directors juvenile services.
B. APPLICANT AGENCY CAPACITY, COMMUNITY COLLABORATION AND SUPPORT. (Limit 'A
page) Show that the applicant agency has the resources and necessary skill set to adequately
manage the project. Describe collaboration with other agencies and groups in the community.
As its mission, "North Range Behavioral Health provides professional, culturally competent behavioral
health services for Weld County." Known previously as the Weld Mental Health Center, Inc.,NRBH has served
the mental health needs of the people in this area for more than four decades. From 1995 to 1997, it functioned as
the Mental Health Assessment Service Agency (MHASA)for Weld County. In 1998,NRBH joined with the
Larimer Center for Mental Health and Centennial Mental Health Center to form Northeast Behavioral Health
Partnership, which is now the Behavioral Health Organization (BHO)for Weld County, Larimer County, and the
12 counties comprising the northeastern corner of Colorado.
NRBH has developed numerous collaborative efforts over the years. NRBH has worked with staff from
District Six and other Weld County school districts to provide on-site mental health services to students of
Centennial, Dos Rios, and Cameron Elementary Schools and Northridge, Greeley Central, Jefferson and Greeley
West High Schools. A positive working relationship between the Family Education Network of Weld County and
NRBH enables selected Head Start students to receive mental health care in their schools. Staff of NRBH also
worked collaboratively with staff of the Platte Valley Youth Services Center(PVYSC)and with the Juvenile
Services Planning Committee(Senate Bill 94 or SB 94)to provide basic mental health services to detained youth.
In addition,NRBH was again awarded a JABG grant for the current fiscal year that helped provide services to
juveniles while they are detained. NRBH is a regular participant in meetings of the local Juvenile Services
(SB94) Planning Committee, local JABG,the Greeley-Evans Prevention Council,the Weld County Community
Juvenile Review Board, and the Weld County Child Abuse Team. NRI3H is a member of the Weld County
Interagency Oversight Group and works with A Kid's Place in the reviewing and updating of the Weld County
Child Abuse Protocol. An NRBH administrator is a member of the Board of Directors of A Kid's Place, which
operates the local children's advocacy center and the Court Appointed Special Advocate(CASA) program. A
related collaborative effort, Promises for Children, is now in place as well, necessitated by continuing needs in the
community.
An ongoing collaborative effort called the Multidisciplinary Youth Assessment Team (MYAT) is now in
its eighth year. Comprised of the Weld County Department of Human Services(WCDHS), Weld County
Probation, St. Vrain School District, Life Bridge Church and NRBH,this team has planned for and developed a
community-wide system to meet various needs of youth and families in conflict or in need of positive youth
development. NRBH has also joined in a community collaborative resulting in the formation of Youth and
Family Connections(formerly the Juvenile Assessment Center(JAC) an agency designed to assess, provide crisis
intervention and triage services to appropriate services for juveniles in the community.
The Weld County Justice Services Division will assume oversight of this grant and shall serve as the
Project Director. The sub grantee was previously through the Weld County Sheriff's Office and the Board of
County Commissioners for Weld County authorized transfer to Justice Services in June 2012. Weld County
-3 -
FY2.011 JABG Application Direct Awards(3-2012)
mission, vision and values. The Division Director will serve as the primary Project Director with assistance
provided by staff assigned to him. Justice Services works with NRBH in other capacities and enjoys a positive
relationship with that agency.
SECTION III - PROJECT SUMMARY
1. PROBLEM IDENTIFICATION (Limit 1 page)
Clearly describe the problem to be addressed in the application. Use local and/or state data
to describe the nature and extent of the problem. The data should be relevant to the specific
the geographical area and the target population. Cite the sources of these data.
Weld County, extending from Denver to the south to Nebraska to the east and to Wyoming in the north,
covers an area of nearly 4,000 square miles. It contains 31 incorporated towns and 12 school districts. Greeley is
the only area within the county that is classified as "urban," and serves as the county seat.
The trends that have led the County to implement treatment courts argue for the establishment of the
continuation of this grant-funded service line. These trends, including sharp increases in population for this rural
and frontier county, coupled with its geographic configuration and cultural diversity, have made it one of the
fastest growing counties in the U. S. Local justice and mental health/substance use disorder agencies are
adversely impacted by this growth, leading to unacceptable results, such as regularly exceeding the capacity of the
26-bed regional youth detention center; an increase in emergency releases; and the consideration of additional jail
facilities to accommodate juvenile offender growth.
The estimated population of Weld County was approximately 148,000 in 1995,and has grown to an
estimated 254,759 in 2009,according to the U.S. Census Bureau. Moreover, the County's Hispanic (Latino)
population is growing faster than other populations with 84.01% growth from 1990 to 2000, as compared to
59.58%for all non-Hispanic citizens. Hispanics continue to make up 28% of Weld County's population. The
juvenile population between the ages of 10-18 is 29,859. Further, according to the 2009 American Community
Survey, 14% of people living in Weld County were in poverty, and 15% of related children under 18 years of age
were below the poverty level. According to U.S. Census figures, in 1999, 80% of Weld County households
earned less than $75,000 per year. The Census showed in 2008 that the median income for Weld County
residents was $55,845. The use of the County's approved juvenile detention center bed capacity has also
continued to increase.
Based on Average Daily Population (ADP)figures provided through the SB 94 program (another state-
local collaborative program that serves youth on pretrial through diversion and other programs), the County
exceeded its bed capacity at the jail in Weld County for several months throughout the year. To accommodate the
excessive capacity, there have been approximately 18 emergency releases so far this fiscal year in 2012. Because
of the public safety and health issues raised by these emergency releases, the Board of County Commissioners has
had ongoing discussions about the possibility of implementing more evidence based programs designed to treat at
risk youth within the community (i.e., Multisystemic Therapy(MST).
We have identified youth struggling with symptoms of oppositional defiant and conduct disorder as
potential recipients of the grant-funded services. These youth have been identified as target population because of
their struggle. and their sibling's struggles, to maintain behaviors that are not in conflict with our criminal justice
system. It is the intention of North Range Behavioral Health (NRBH)to utilize grant dollars to provide a
continuum of behavioral health (both mental health and substance use disorder) treatment in order to intervene
effectively with youth who are either at risk for criminal behavior(i.e.. prevention services provided at the
Juvenile Assessment Center)and/or intervention services(i.e.. services provided at the detention center, Platte
Valley Youth Services Center).
-4-
FY201 l JABG Application Direct Awards(3-2012)
A. Complete the Table provided to define the proposed target population.
Number of Juveniles Targeted to be Served
American Nat.
Black/
White/ Hispanic/ Indian/ Hawaiian/ Other/
African Asian Total
Caucasian Latino Alaskan Pacific Unknown
American
Native Islander
Males 100 14 220 13 14 14 14 375
Females 25 5 80 5 5 5 5 125
Total 125 19 300 18 19 19 19 500
Level of Juvenile Justice Involvement(select all that apply):
®At-Risk(no prior offenses) ®First Time Offenders ®Repeat Offenders ®Sex Offenders ®Status Offenders
®Violent Offender
Age Range of Target Population: 12-17
Percent of Total to be Served with Limited E_glish Proficie y: <10'%u
B. Provide a narrative description of the population to be served including age, gender,
race/ethnicity and other characteristics of those the project is intending to serve and
describe how gender/culture/language issues will be addressed.
Monies awarded as a result of this proposal will be applied to NRBH services at Platte Valley Youth
Services Center. Youth served are juvenile offenders who have been detained as a result of criminal activity
or inability to maintain in the community solely with the support of probation services.
NRBH is committed to providing culturally competent services to all consumers. To achieve this
goal all clinicians are required to participate in a minimum of three cultural competency trainings each
evaluation year. In addition, NRBH has committed to providing a bi-cultural bi-lingual counselor at PVYSC
and ensures that consumer preferences are met in any intervention provided. Gender sensitivity is achieved
by providing both a male and female counselor at PVYSC and offering youth the choice of whom they prefer
to work with. Services provided to youth who are emergency released are provided in-home so that family
culture may be adequately addressed.
- S -
FY20 I I JABG Application Direct Awards(3-2012)
•
A. PROJECT DESCRIPTION (Limit 1 %pages)
Describe in detail the proposed approach to addressing the identified problem. There
should be a clear link between the approach and the problem described above. Include
a description of the services and activities to be provided, cite evidence of the effectiveness
of the approach selected, and discuss experience implementing the approach. If this
request is for part of a larger program, the project (and associated costs) must be clearly
delineated.
These funds support behavioral health services, which will be provided to juveniles in Weld County
through multiple agencies: North Range Behavioral Health will deliver a continuum of mental health and
substance use disorder services to both detained youth from Weld County at Platte Valley Youth Services
Center and non-detained youth involved in the juvenile justice system. Services to be provided will include risk
and needs assessments of juvenile offenders, crisis intervention, mental health and substance use disorder
treatment (Behavioral Health Treatment) provided in both individual and group formats, and referrals to
ongoing behavioral health care services as needed. Partners in this collaboration include North Range
Behavioral Health, Senate Bill 94 of the 19°' Judicial District, Juvenile, and Youth and Family Connections
(formerly the Juvenile Assessment Center).
Through this proposal, NRBH seeks to be able to continue to quickly and appropriately identify, assess,
evaluate, and treat detained youth who are in need of Behavioral Health services; to communicate effectively
with the juvenile court, probation officers, human service workers, detention facility staff, mental health and
substance abuse therapists, school personnel, caregivers/guardians. and pertinent others about each referred
youth; and to provide timely behavioral health services to those identified as needing such services. JABG
funds have helped accomplish many of these tasks in past years.
Because of restrictions on staff time and clearance requirements, youth served by grant funds would
have no other assessment and treatment options while being detained at PVYSC.
-6 -
FY201 1 JABG Application Direct Awards(3-2012)
B. GOALS AND OBJECTIVES: (Limit 3 pages)
Provide project/program goals, objectives, activities, outcomes and outcome indicators,
measurement tools, and timeframc using the format provided. ONLY ONE PURPOSE AREA
MAY BE SELECTED.
DEFINITIONS
Goals are broad statements that convey a project's overall intent to change, reduce,or eliminate the problem
described. The goal is not in and of itself measurable.
Objectives describe in words what will be achieved and when in relation to each goal. Objectives are well-
defined, specific, quantifiable statements that further define the goals and provide the means to measure
program performance.
Activities are the specific tasks by which the objectives are achieved and programs are implemented.
Outcomes are the change or benefit the project expects to produce in the target population. Proposed outcomes
should be a change in behavior,attitude,skill and/or knowledge(BASK). Outcomes should be
measurable and include the specific type of change or improvement that will occur;the number or
percentage of individuals to be impacted; the expected magnitude, on average, of the expected change;and
should include outcomes reflecting the number of clients to be served.
Outcome Indicators are the specific items of data that will be used to document the changes or benefits the project
has realized.
Measurement tools are the instruments that will be used to collect data. Describe the specific measurement tool(s)
you will use to collect data for each outcome.
Timeframe is the month and/or quarter in which the objective will be completed.
- 7 -
FY201 I JABG Application Direct Awards(3-2012)
•
I.) o
> N
O -, 17 v C v
w Z W 0 4: 0 4°. '- ,o 'o
°> -. F " 2 v v u 3
a� y = E ro - c
z c E
.' = W 3 u 3 ° c >, 3u ii
N .O c_ w U 0 N '3 co V C V
a cD W o ro o c A cl ° O
=tO u a c ro o ° -0 MI o c
,6, y 3 a m v' 9 v' ,o v .o v' °
CA \ 'D N L O! N L N ,p
t=., cn v W a co ° cc, co `c' u = coat
0 .-- m y O.
v, -o RI " O I u � sus � > V U Q
C
o c F .E ro ° .E co o c y c o oN
C7
�,
c < o « < 0 « < ° u S .C
w? o MI _
O 0 ro v v S o 'G -
tG J pq'O ,O 'O N W _ « G 0. ° N O .- .C t° U an
NN
00 C U VUi >N U « .� m O 'C V 0 'O A LL >' O Cl) a, }
aoi -p > E v c v .E N V c o. 6) o t a u asi ro A > >, v a
> C � WPSro :occJ :� 0 :.o 'e, a .Z.3 .U. C ' a) o '> m cvC. , c`)
O cC f:: h v ca « a+ v " w y o •_c c o 'c V 4 o v O c tE° .E
c0 = u O F '> A v 3 A n- °o. « ° c t a um" 'Fs ._ v c L v 0.u- =
E c [U. U :o « m °a Lou E o 0 aV 0 s c c y a 0 = o 0 o c 3
N ca W E Y 00 v) ` c t N ° i° L N v c: .n -O U T ° A ' >'R 0`9 t° C
C) A .. >,2 `o v "' c m aroi 5 .. i° c « o 3 3 o v « o
Z m o O "'�-" R vm .3 'v- x 'o d .3 w u > � h 'E a o C .9 a °' ° v
C") = L 5 -6. 4 .-O
E Z .L p r ° m c >N c « d N '1.. « E a- N ts as, Z--
E N E Po 0 a
� t 0 CZ 'o E C2 . E Z � U 2 3 « °, U .E .E i. Z � v t Z � d m U 2
cccc
D N 2. N
G 3 ?. coL. d o -p
= E C 471 ,L+ '7 N C O ° C .C V R
O COD OU 9 O c t 0 N c C >a N > 0
0 ti -0 0 co) p 'O 4o v C 'E a > .- H N 00
c co U c
ro > U al U
•� O .C cc y 2 T- r .E co OC C,-. V C O
a 4 C '0
V1 C vi U .y y C ° c > v > > v
cu
U .U " a. et ` D. C E o —,0
> a � c
eel
o t> v a A� N 3 o c T v v n ,.. y GJ
L CJ E L c° y i .C ' E .C _ O U
F V h N H n N C
E 4J a"i > o '� •o v 'o C 3 .3 h G
O .> y s t C n. ` v cal m .? Lis w m
at c c E E
h _ U A E u 4
CDae v
G O. y 00
Vi o c f° m c h
y •E m y ., N c v c' y 4 u R r
d c cc- E c o S .4 . ° A � N ° 0p y v °0 .
MS o '0 o an 'o L v .Q > > C OA) v o U N t6. o °
EC N > i-y c oo .- p U t 'O v C 'O L U Y N .nro+ .E O4
o c > F i° '— ocn a' v h — y :° a` oq « E
U G y H « via G - u v 3 c c E 5 � 3 v
co coot) L '? E- a '3coa .E 'EcE waRsct Ca>iEt w m
•''`M .O y a=i R J 0 41 '� N sr,
Y ° C_`) 'L .U '0 y N F .—>' O C ° .'� 0
6. .0 s w s y ° E E E v c .". ro c a, 'E,�2 =; E = E
tad G U O O` 2„) ." ti v v a ° 'J m i>, E V U
L O 1.. S 4. O
et y Ct O > C 6. ca .E ro .- 0. ca 4 T Q ,vn N ci o m w v) 'm O U
O w c cc ca ca
U 4 a co co .•; N H ac
°
cla L Q> tj -0 L 1-I V°I O — 't .0 U U
Q L E O C W cc C O ca O. ca C •0 C
ari v, = ea a. Y L i0 C C c .-.i .y C , v, p i c r .° N ro w)
44 O t°.- - v F '� OA c •a v o 'V o U C N 'L—�J f° F ,_/, V im'
'� y >> " a E U E v v c U v o _ ?, p ,u U v y E v
T. ^O v 4._ .2 ou v W ou L cu Gsi :a v m E
0, = aroi cCa / z N v ro E ,_ = > V E 'c v v o � > N u
O CC CC C N •a `n v ° o `U, R o CG o .a
C� v a m m .5 E E O n. E u v N un v O C`. ro v ..
N
O
N
!1
O ..
a U
W rn p O ? O Co
a 0 o v 3
Co - E ¢
o W o .c .?' 3 0 c>
O.
+ W 3 s' o c 5 `
N w• 4 p.� Co o 0 c :° 0 0
a m ro a
o �' c 'D m 'o 2 c .5
G W "• At a G G 0 G o C U 0-
O oroa"i oo - roc C.
m O s � �. L '0 v u � ¢
�. F .c o .� c , o o
— < o � < o CO o -C Q
m
Co
= 'o 'G O
Co a) . G `, —
N
.>• up d } 0. .. T 4}-. G O N L}i.
• D• WI Yi :o > v E o 'ao U G
m / O .rc. ci .. ro c , Co
c OF5oyaw `s_ vcc
O G z 5 0 ur C c N
O F H 0 0 0 O -G ') N U C
> I� �' c N 4- O Ll T ro m
C.) O "Z" c o cc o o E E u a2i
R r O O ._ 7, T 0 at G ,n v,
O o .n C Co V- "%' H VUi
P. O 30 v o 'C 3 m m
s '� c 3 a .5 t 0, Co o 0 U
C
C C
Co o
s a
5 0 t
> G N
t 4
CI) U J 0 5 o'
FA a) ° C 0 t° >.
Co / N -_ 4.
C O °-'3 c o
• Uo
d C C
F in
b E
A0 .
3 "1. o E
A O • ro ta c c
.t., o bit) v .C O
F 'O 'O O
Ri H > h N Co N
to
N 00 ea U_ L 0
O L 0 L > U
G. c ro a U C.1trO
U N
0
N
N
CoCCr J or.>- a c o 3 o
•m Co -• o o. o Co ?
V) -o c m 'o C `o o
W ro E c s 4- t .4
c - r a c b0 @ ._ ,n
3 (.q bA_o v 3 C C. U
O _ c 5 0 O
N > U U } 'V ro G O
U• "" > y E co
G L" b�0'O 9 00 ro C O U p,
r` G Co Cot G T ...
0 v V ,O a O C 0 o .0 — C
O d .. G C c E' '> >, E
o Ccn
c ° .n caF 5 .D 0
O U 5 - 0000000
U ro O C &,
-c V) ro .O G. T ro ro
C
Co
0 C C 'E N a v
c o s N ,E o
N
L >
, R T cci0 U Dim J > _ v a>
0 03
U
cA on-C O Hr Q ._Fc
L O
G U v .�_ O e%' G V ,E 3 'O •
-
.E c > c CO— c a W v m 5
d N 7 %0 d. O Co N N i 7 > u 'D
O d L w O
'00 O L[7 0 0 '� 9 i O J' N 9 O
SECTION IV - PAST . iRFORMANCE
(For Continuation Applications Only)
PROGRESS ON GOAL AND OBJECTIVES/PROJECT PLAN (Limit 5 pages)
1. For the previous three years of funding, provide a cumulative evaluation of the impact produced
in the target population as a result of receiving program services. Include supporting
documentation.
Describe the youth that were served, services provided, and dosage. Discuss progress towards achieving
your goals, objectives and outcomes. Also discuss how it was confirmed your project has made progress
towards successfully achieving the stated goal.
All goals and objectives for the current fiscal year will be met or exceeded, based on data gathered
through 12/31/2011. Timely evaluation, case management, and treatment services have been delivered to
all youth referred. Specifically, 24-hour responses were provided to youth referred as well as to relevant
stakeholders and referral sources occur more than 90%of the time.
Fortunately we have seen a decrease in the number of emergency releases, however the current rate
of emergency releases at -4 per month continues to make the number of new referrals relatively high and
makes continuity of care a challenge for those being unexpectedly released into the community. To impact
this dynamic we have maintained the changes in staffing patterns to include the use of an intern and
increased hours at the beginning and end of the week and have increased staff in our Youth and Family
Team.
Again this year we were saddened to find that Hispanic youth were disproportionately represented
among youth in detention at PVYSC, though there was a decrease in Hispanic youth detained overall. Of
the 619 youth served last Fiscal Year, 62.2% were Hispanic, 35% were Caucasian, 3% were African
American, and .3% were Asian. In addition, males made up 74% of the total number of youth served and
females accounted for the remaining 26%.
It is exciting to look back upon the last three years of funding and see the widespread impact that
this funding has had on the community. We have been able to screen, serve, and refer more than 1500
youth. This is tremendous. Youth were assessed for mental health/substance abuse problems. Triage
services were provided that included prescreens for the court, extensive case management with the courts,
caseworkers, probation officers, and their families. Without this funding, these youth would be booked into
detention and released without services or referral for a higher level of intervention. There has been a
drastic increase in the number of youth who were referred to services and followed up upon release.
2. Describe the objectives that were partially achieved or not achieved, and any problems
encountered, provide an explanation.
All goals were met from the previous reporting periods.
3. Share any information learned that was not part of the original evaluation design.
For example. unintended results, lessons learned, and challenges overcome.
Because of the continued increase in emergency releases NRBH has had to refine the screening tool used
upon first contact so that time spent with clients has become more efficient. In addition, we have increased our
collaboration with the court and other community partners and begun staffing cases more frequently so that we
can provide the most appropriate services to youth more quickly. In order to address the needs of youth who are
emergency released from PVYSC NRBH has developed a proposal to submit to Senate Bill 94 requesting that
funds historically used to supplement JABG awards be re-directed to support evidenced based community based
services such as Functional Family Therapy (FFT) and Multisystemic Therapy (MST).
4. Describe any significant project changes (programmatic or budgetary) in this proposal from
previously funded projects.
There are no anticipated project changes in this proposal from previously funded projects.
- 10-
FY201 I JABG Application Direct Awards(3-2012)
•
SECTION V- PROJECT EVALUATION
1. Describe how the project will be evaluated in response to the state objectives, outcomes and
measurement. Provide information about the following (Limit 1 page):
a. Describe the plan for collecting data on each specified outcome using the identified
measurement tools;
Youth who enter PVYSC are matched with NRBH staff for an intake. It is at this time that the data
collection process begins. An internal tracking system is in place using a simple database. Youth are
reported on daily and contacts entered into the system. Youth are monitored for activity and outcomes
through our center documentation and tracking system.
b. Discuss how the data will be measured once collected and where will the data be stored or
entered;
Once collected, data is measured daily, quarterly and yearly for outcomes in the agency database. The
following indicators are collected and reported on: age. ethnicity, gender, prior treatment history,
recidivism, and current needs.
c. Discuss how the collected data will be analyzed;
The above indicators are looked at separately and cumulatively to determine any trends from previous
years, and progress toward outcome benchmarks. Advances and barriers help determine the approach
for future funding cycles and inform providers on the needs of the juveniles being served in our
community.
d. Discuss the intended used of the data outside of DCJ reporting requirements; and
Data is not used outside of DCJ reporting requirements. Data collected and analyzed is done so only
for this project.
e. Discuss how and what types of consent will be obtained participants and how
confidentiality is maintained.
All youth receive a HIPAA and Disclosure Statement detailing the agency policy and procedure on
confidentiality. Those guidelines are followed. Pertinent Releases of Information are signed when
discussion with community partners is warranted.
2. Will research be conducted as part of this project? (Limit ''/Z pages)
x NO ❑ YES If yes, check the type of research proposed:
0 The planned research/evaluation activities do not involve the collection of information
identifiable to private persons.
❑ The planned research/evaluation activities involve the collection of information
identifiable to private persons.
If the second box is checked, describe the procedures that will be put in place to ensure
administrative and physical security of identifiable data and to preserve anonymity of
private persons to whom information relates.
- II -
FY201 1 JABG Application Direct Awards(3-2012)
s.,CTION VI- SUSTAINABILIT
1. Describe the steps you have taken to diversify your funding sources, and/or incorporate this
project into local funding sources indicating broad-based community support. (Limit %
pages)
NRBH has made a commitment to work as a collaborative partner in the Weld County Juvenile Treatment
Court,to begin operating in July 2010. In addition, the Division of Youth Corrections has partnered with NRBH
through a contract to provide services to youth and families post-commitment,to ensure successful reintegration
into the community. NBRH has also begun implementing the Transitions for Independence program which
provides case management services designed to support youth who are on track to emancipate or live
independently without the support of a family. These services will include case management to qualifying youth
and families as well as services designed to link youth and families to community supports designed to increase
accountability. Finally, prevention services have been developed, i.e., The Day Reporting Center, in the spirit of
decreasing the need for detention center services.
Weld County--This grant and services delivered are consistent with the mission of Weld County
Government in that we seek to operate in a fiscally responsible manner, seek ways to improve the quality of
life for all residents, provide public safety, promote a healthy economy through mutual business
development and economic diversity and promote cooperation and coordination among private and public
services.
- 12 -
FY201 I JABG Application Direct Awards(3-2012)
SECTION VII- BUDGET
List by category,the project costs being requested in this application. See Application Instructions for proper category descriptions.
Breakout the total of each row into the source of funding in the Funding Source columns. Only one(1)purpose area may be
selected.
ROLND ALL AMOUNTS TO THE NEAREST WHOLE DOLLAR.
Project Title: Weld County Juvenile Accountability
Purpose Area: #12 Establishing and maintaining programs to conduct risk assessments
(1) (2) (3) (4) Funding Source
Annual Full- Annual Sub-Total % of time TOTAL Fed $ Cash Match
time Salary Fringe for This
I. PERSONNEL Benefit Cost Project
% $
_ X % $
= 2< % $
X % $
TOTAL PERSONNEL COST $
TOTAL Funding Source
2.SUPPLIES AND OPERATING Fed $ Cash Match
Administrative $ 1,500.00 $1,500.00
$
TOTAL SUPPLIES AND OPERATING COSTS $ 1,500.00 $1,500.00
TOTAL Funding Source
3.TRAVEL(Designate specifically in-state and out-of-state travel.) Fed$ Cash Match
TOTAL TRAVEL COST $
TOTAL Source
4. EQUIPMENT Fed$ Cash Match
TOTAL EQUIPMENT COST $
5. CONTRACTED CONSULTANT AND PROFESSIONAL SERVICES TOTAL Funding Source
Attach a copy of each contract with a detailed budget. Fed$ Cash Match
NRBH PVYSC Services $31,833.00 $28,500.00 $3,333.00
TOTAL CONTRACTED COST $31,833.00 $28,500.00 $3,333.00
6. TOTAL OF ALL PROJECT Funding Source
COSTS TOTAL Fed$ °/V of Total Cash Match $ % of Total
(I through 5)
TOTAL COST $ 33,333.00 $30,000.00 ] 90% $3,333.00 10%
- 13 -
FY:20I 1 JABG Application Direct Awards(3-2012)
2. BUDGET NARRATIVE: (Limit 3 pages)
Refer to instructions. Follow the same categories and line items as in the Budget Table.
Project Title: Weld County Juvenile Accountability
Purpose Area: Administrative and Purpose Area #12
Supplies and Operating: Funds will be utilized by Weld County Justice Services Division to assist in
the administrative functions of this grant.
Contracted, Consultant and Professional Services: The Funding in this purpose area will help
support the salaries of two behavioral health clinicians at Platte Valley Youth Services Center. The two
clinicians split their time at the detention center to provide daily coverage at the facility. One male
clinician is employed at a Grade 3 or 13 with a Bachelor's degree in bicultural, bilingual capacity. The
other female staff member is employed at a Grade 7 of 13 with an LCSW and CAC II capability. Both
clinicians provide assessment, case management, group therapy, and crisis intervention services at the
Detention Center.
- 14-
FY2011 JABG Application Direct Awards(3-2012)
Will this project BE FUNDED using ADDITIONAL FUNDS other than those provided from this
grant? YES / X_NO
If yes, what percentage of the total project costs will be supported by these federal funds
including your match? %
List the type and amount of other funding that will be provided to this project.
Fund Type/Describe Amount
Federal:
State:
County Government:
Municipal Government:
Private:
Other—specify:
TOTAL PROJECT COSTS $ 0.00
- 15 -
FY2.0I I JABG Application Direct Awards(3-2012)
4. FINANCIAL MANAGEMENT: Please complete the items below.
A. Has a copy of your last independent audit or financial review been previously submitted to DCJ?
x YES ❑ NO
If YES, to which program and for what time period? 2009
If audit last provided to DCJ is older than one year, include one copy of the most recent audit or
financial review, including any management report or other auditor comments in the appendix.
Also, if there were findings, please attach the audit resolutions and/or corrective action plan.
B. Does your agency expend over $500.000 from combined federal sources in a year?
AYES LINO
If YES, attach a copy of the A-133 audit, including audit resolutions and/or corrective action plan.
C. Please respond to the following questions about whether your accounting system meets the criteria
for managing federal grant funds. (These questions cover areas that will be monitored by DCJ staff
during site visits or through other reporting mechanisms. They are not intended to be all inclusive
and do not substitute for the agency's responsibility to meet all federal and state requirements for
these grant funds.)
EYES ENO Does your accounting system separate ALL revenues and expenditures by funding
source?
®YES ONO Does your system track revenues and expenditures for each grant award separately
through a sub-ledger system?
®YES ONO Does your system allow expenditures to be classified by the broad budget categories
listed in the approved budget in your grant, i.e. Personnel. Supplies and Operating,
Travel, Equipment and Professional Services?
®YES ONO Do you reconcile sub-ledgers to your general ledger at least monthly?
®YES ONO Do you mark your invoices with the grant number?
®YES ONO Do you maintain time sheets, signed by the employee and supervisor for each
employee paid by DCJ grant funds?
®YES ONO Do you have written financial policies and procedures in place?
EYES ONO Do you have accounting internal controls in place, such as separation of duties, two
signatures on certain checks, reconciliations or other reviews?
For Continuation Applicants only
®YES ONO Do you use your accounting system data to prepare your quarterly financial reports
for DCJ?
®YES ONO Do you reconcile your accounting system data with your quarterly financial reports
for DCJ?
If you answered "No" to any of the questions above, please provide an explanation on an inserted
page referencing Section V Item #4.
_ 16 -
FY201 I JABG Application Direct Awards(3-2012)
SECTION VIII - CERTIFICATION OF MATCH
This Certification of Appropriation of Match form should be completed by all agencies
providing match.
Certification of Appropriation of Match
Date: May 1,2012
Colorado Division of Criminal Justice
Office of Adult and Juvenile Justice Assistance
700 Kipling Street
Denver,Colorado 80215
To Whom It May Concern:
Please be advised that North Range Behavioral Health has
committed support in the form of N Cash Match in the amount of$3,333.00 to match the State of Colorado
funds for the FY 2011 Federal Juvenile Accountability Block Grant funds for the
Weld County Juvenile Accountability Program.
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for this grant application.
The individual authorized to commit these
Sincerely, funds on behalf+ofthe unit of local government
or corporation. This individual is either the
authorized official or appropriate controller of
the matching funds.
Signature DAte
Larry D. Pottorff, Executive Director,North Range Behavioral Health
North Range Behavioral Health, 1300 N. 17th Avenue, Greeley, Colorado 80631
- 17-
FY201 I JABG Application Direct Awards(3-2012)
SECTION IX - CERTIFICATIONS/SIGNATURES
These pages contain the required federal and state certified assurances and certifications (updated) necessary for
the applicant to qualify for federal funding. Read these carefully. If you have any questions regarding these
assurances, call OAJJA. These pages must accompany the completed application.
X - ATTACHMENTS
Attach the following applicable items behind the Signature page (Page 11 of the Special Provision and Certified
Assurances pages) and label with the appropriate title:
A. Organizational Chart—Highlight any positions included in the budget personnel category.
B. Job Descriptions for the positions included in the budget personnel category.
C. Memoranda of Understanding/Agreement or Letters of Commitment— Refer to the Application
Instructions and the specific program area to which this application is responding to determine if these are
required. If so, attach and label.
D. Copy of Privacy Certificate, if applicable.
E. Copy of CCR Registration.
F. Copy of last audit or formal financial review — Supply only one copy of the last audit or formal financial
review. However, if there were any management reports or other auditor comments, attach them to each
copy of the application. It is not necessary to provide copies with each copy of the application.
NOTE: Applicants for federal funding are required to undergo an annual A-133 audit if$500,000 or more is
spent annually from any federal source. Applicants that spend less than $500,000 in federal assistance must
maintain records and internal controls sufficient for audit. DCJ requires all subgrantees, regardless of amount
received, to submit a current formal financial review or audit report every year.
- Is.
FY2011 JABG Application Direct Awards(3-2012)
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 1 of 15
CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY:
Inter-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.
Grant to a Non-Profit, Private Organization(Non-Governmental)
The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing
legislation as indicated below; that all information contained in the application is correct; that there has been appropriate coordination
with affected agencies;and,that the applicant 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 applicant further
understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the 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:
Juvenile Accountability Block Grant Program. From the United States Department of Justice, Office of Justice Programs, Office of
Juvenile Justice and Delinquency Prevention, under federal statutory authority, PL107-273, November 2002, Making Appropriations
for the Departments of Commerce, Justice and State, the Judiciary, and related Agencies and for other Purposes(Appropriations Act)
and under applicable program guidelines established by said federal program office.
A. STANDARD STATE SPECIAL PROVISIONS
Revised 1-1-09
1. CONTROLLER'S APPROVAL.CRS 24-30-202(1)
This subgrant 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 subgrant shall 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. §§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):
THE SUBGRANTEE AGENCY SHALL PERFORM THE DUTIES FUNDED UNDER THIS GRANT AS AN
INDEPENDENT CONTRACTOR AND NOT AS AN EMPLOYEE OF THE STATE. NEITHER THE SUBGRANTEE
AGENCY NOR ANY AGENT, SUB-CONTRACTOR, OR EMPLOYEE OF THE SUBGRANTEE AGENCY SHALL BE
OR SHALL BE DEEMED TO BE AN AGENT OR EMPLOYEE OF THE STATE BY VIRTUE OF THIS SUBGRANT.
SUBGRANTEE AGENCY SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX
AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS GRANT. SUBGRANTEE AGENCY
ACKNOWLEDGES THAT THE SUBGRANTEE AGENCY AND ITS EMPLOYEES ARE NOT ENTITLED TO
UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE SUBGRANTEE AGENCY OR THIRD PARTY PROVIDES
SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE.
SUBGRANTEE AGENCY SHALL NOT HAVE AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE
TO ANY AGREEMENTS,LIABILITY,OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. IF
THIS GRANT PROVIDES FUNDS FOR ANY PERSONAL SERVICES, SUBGRANTEE AGENCY SHALL PROVIDE
AND KEEP IN FORCE WORKERS COMPENSATION (AND SHOW PROOF OF SUCH INSURANCE) AND
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 2 of 15
UNEMPLOYMENT COMPENSATION INSURANCE IN THE AMOUNTS REQUIRED BY LAW AND SHALL BE
SOLELY RESPONSIBLE FOR ITS ACTS OF ITS EMPLOYEES, INDEPENDENT SUB-CONTRACTORS AND
AGENTS.
5. COMPLIANCE WITH LAW.
The Subgrantee 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
enforcement of this subgrant. 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 subgrant,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 subgrant 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 subgrant shall not be used for the acquisition, operation, or maintenance of
computer software in violation of federal copyright laws or applicable licensing restrictions. The Subgrantee Agency hereby
certifies and warrants that,during the term of this subgrant and any extensions,the Subgrantee 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
Subgrantee Agency is in violation of this provision, the State may exercise any remedy available at law or equity or under
this Subgrant, including, without limitation, immediate termination of the Subgrant and any remedy consistent with federal
copyright laws or applicable licensing restrictions.
9. EMPLOYEE FINANCIAL INTEREST/CONFLICT OF INTEREST CRS§§24-I8-201 &CRS 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 subgrant award. The Subgrantee 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 Subgrantee Agency's services
and Subgrantee Agency shall not employ any person having such known interests.
10. VENDOR OFFSET. CRS H24-30-202 (1)&CRS 24-30-202.4 (Not applicable to intergovernmental grants)
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. FEDERAL FUNDING.
This subgrant is subject to and contingent upon the continuing availability of federal funds for the purposes hereof
12. 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 Subgrantee Agency
certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work
under this subgrant and will confirm the employment eligibility of all employees who are newly hired for employment in the
United States to perform work under this subgrant,through participation in the E-Verify Program or the Department program
established pursuant to CRS §8-17.5-102(5)(c), the Subgrantee Agency shall not knowingly employ or contract with an
illegal alien to perform work under this subgrant or enter into a contract with a subcontractor that fails to certify to the
Subgrantee Agency that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under
this subgrant. The Subgrantee Agency (a) shall not use E-Verify Program or Department program procedures to undertake
pre-employment screening of job applicants while this subgrant is being performed, (b) shall notify the subcontractor and the
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 3 of 15
contracting State agency within three days if the Subgrantee Agency has actual knowledge that a subcontractor is employing
or contracting with an illegal alien for work under this subgrant, (c) shall terminate the subgrant 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 Subgrantee Agency participates in the Department program, the Subgrantee
Agency shall deliver to the contracting State agency, Institution of Higher Education or political subdivision a written,
notarized affirmation, affirming that the Subgrantee Agency has examined the legal work status of such employee, and
comply with all of the other requirements of the Department program. If the Subgrantee 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 subgrant for breach and, if so terminated, the Subgrantee Agency shall be liable for
damages.
13. PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Subgrantee Agency, 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 subgrant.
B. GRANT REQUIREMENTS
1. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee 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 Subgrantee 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 Subgrantee 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 Subgrantee 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-Subgrant Financial Report, which are hereby incorporated by reference.
c. The Subgrantee 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 Subgrantee 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 Subgrantee 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 subgrant.
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 Subgrantee Agency fails to comply with conditions, including
all financial reporting requirements and certifications contained in this grant award.
3. PROCUREMENT AND CONTRACTS
• COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 4 of 15
a. The Subgrantee 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 Subgrantee 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 Subgrantee Agency assures that contractors/vendors who assist the Subgrantee 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 Subgrantee Agency assures that where activities supported by this subgrant 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
Subgrantee Agencies must clearly:
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 Subgrantee 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 Subgrantee Agency assures that it will procure an audit or financial review, incorporating this subgrant, 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 subgrant 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 Subgrantee 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
••
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 5 of 15
any audit findings.
b. The Subgrantee Agency assures that:
i. It will retain all project records, as will facilitate an effective audit, for seven years alter 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 Subgrantee Agency assures that it will keep copies of all documents, correspondence, and required receipts
related to this subgrant 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
subgrant agency, and at the location of any collaborating entities, for the same purpose. Subgrantee Agencies will
be notified in advance of any on-site monitoring visit.
e. The Subgrantee Agency assures that the Division of Criminal Justice, Colorado Department of Public Safety, shall
have access for purposes of monitoring, audit and examinations to any bonds, documents, papers and records of the
Subgrantee Agency and to relevant books and records of subcontractors of the Subgrantee Agency. It is the
responsibility of the Subgrantee Agency to notify any of its project collaborators and subcontractors of these
provisions.
f. The Subgrantee Agency assures that signatories of the application and subgrant award and personnel employed
through this subgrant will appear when requested at any administrative hearing, monitoring site visit, conference or
meeting conducted by the Division of Criminal Justice.
5. TERMINATION or REDUCTION IN GRANT AWARD
The Division will monitor the performance of the Subgrantee Agency against goals and performance standards as found in
the application, Section VI required herein. The Division will provide reasonable assistance to the Subgrantee Agency
concerning project goals, performance standards and subgrant requirements. Any determination of substandard performance
on the part of the Subgrantee 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.
ii. If the state reduces the grant amount for cause, it will first give ten (10) days written notice to the
Subgrantee Agency, stating the reasons for reduction, steps taken to correct the problems, and the date the
subgrant award amount will be reduced in the event problems have not been corrected to the satisfaction of
the Division.
iii. In the event this grant is reduced for cause, the Division will only reimburse the Subgrantee 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 Subgrantee 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 Subgrantee Agency or the state, the Subgrantee
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 Subgrantee
Agency, stating the reasons for termination, steps taken to correct the problems, and the date the subgrant
will be terminated in the event problems have not been corrected to the satisfaction of the Division.
iii. In the event this grant is terminated for cause,the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of termination.
• COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 6 of 15
iv. In the event this grant is terminated for cause, final payment to the Subgrantee 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.
6. ORDER OF PRECEDENCE
Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Special
Provisions and Certified Assurances, (b)Statement of Grant Award; and, (c)the final approved Subgrant Application.
7. 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 fmal.
C. FEDERAL CERTIFIED ASSURANCES
1. FEDERAL PUBLIC POLICY ASSURANCES
a. The Subgrantee 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;
ii. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act,as appropriate;
iii. All other applicable Federal laws,orders,circulars,regulations or guidelines.
b. The Subgrantee 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;
ii. 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. Subgrantee 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 government 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
c) 28 CFR 66, Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments
ii. 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)
•
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 7 of 15
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 Part 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 Subgrantee 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 Subgrantee
is ultimately responsible for compliance with applicable state and federal laws,rules and regulations.)
3. NON-SUPPLANTING OF FUNDS(Governmental Agencies Only)
a. The Subgrantee 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 Subgrantee 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 Subgrantee Agency shall give a written
explanation demonstrating that the Subgrantee 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 (Subgrantee Agencies receiving$100,000 or more in total
federal funds per year. See 28 CFR Part 69.)
The prospective Subgrantee Agency certifies,by submission of this proposal,that:
a. No federal funds received through this subgrant 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 subgrant 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 subg,rant, the prospective Subgrantee 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 prospective Subgrantee Agency certifies,by submission of this proposal,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
• COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 8 of 15
local)terminated for cause or default; and
e. Where the prospective Subgrantee Agency is unable to certify to any of the statements in this certification,he or she
shall attach an explanation to this application.
6. CERTIFICATION REGARDING DRUG FREE WORKPLACE (See, 28 CFR Part 67, Subpart F.)
The prospective Subgrantee Agency certifies, by submission of this proposal, 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. Upon award, each Subgrantee Agency will be provided DCJ's Form 30, entitled "Certification of Compliance with
Regulations Regarding Federal Civil Rights Requirements and Equal Employment Opportunity Plans (EEOP), and
will be required to do the following:
i. The Project Director must submit the form to the Subgrantee Agency's Authorized Official for this grant;
ii. The Authorized Official must review the form in conjunction with subgrant agency personnel responsible
for reporting civil rights findings of discrimination;
iii. The Authorized Official must accurately complete the required information and provide all information
requested;
iv. The Authorized Official must provide an original signature on the form as indicated;and,
v. The DCJ 30 Form with original signature must be returned to the Division with the Statement of Grant
Award(SOGA).
b. Any subgrant 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 Subgrantee 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 Subgrantee Agency or by a subcontractor. A:s 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:
b. New construction;
c. 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;
d. 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.
e. 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)
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 9 of 15
The Subgrantee 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 prospective Subgrantee Agency certifies,by submission of this proposal,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 prospective Subgrantee Agency certifies, by submission of this proposal, 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.
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 subgrant
award recipients.
1. Right if Privacy for Recipients of Service and Sharing of information.
The prospective Subgrantee Agency certifies,by submission of this proposal,that:
a. Pursuant to Section 223(a)(18)of the Juvenile Justice and Delinquency Prevention Act,procedures have been
established to ensure that this program will not disclose program records containing the identity of individual
juveniles. Exceptions to this requirement are authorization by law;consent of either the juvenile or his/her legal
authorized representative; or justification that otherwise the functions of this title cannot be performed. Under
no circumstances may public project reports or findings contain names of actual juvenile service recipients.
b. Necessary information will be shared appropriately among schools, law enforcement,courts and juvenile-
serving agencies pursuant to the Family Educational Rights and Privacy Act(FERPA)(20 U.S.C. §1232g),as
amended by Improving America's School Act of 1994(IASA). FERPA allows schools to play a vital role in a
community's effort to identify children who are at risk of delinquency and provide services prior to a child's
becoming involved in the juvenile justice system.
c. Necessary information will be shared in accordance with the"Children's Code Records and Information Act,"
19-1-301 et seq., Colorado Revised Statutes,to balance the best interests of children and the privacy interests of
children and their families with the need to share information among service agencies and the need to protect
the public safety.
2. In addition to the"Termination for Cause"item,F.3 under Grant Requirements above,the subgrant may be
suspended or terminated by the Division of Criminal Justice if the Subgrantee Agency fails to comply with the core
requirements of the Juvenile Justice and Delinquency Prevention Act. 1974,as amended: Deinstitutionalization of
Stats Offenders, Section 223 (a)(12)(A); Separation of Juveniles from Incarcerated Adults, Section 223(a)(13);
Removal of Juveniles from Adult Jails and Lockups, Section 223 (a)(14); Disproportionate Minority Confinement,
Section(a)(23).
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 10 of 15
E. GENERAL PROVISIONS
1. INDEMNIFICATION.
a. To the extent authorized by law,the Subgrantee 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 attorney fees and
related costs, incurred as a result of any act or omission by the Subgrantee Agency, or its employees, agents, subcontractors,
or assignees pursuant to the terms of this subgrant award.
FOR GRANTS TO STATE AGENCIES AND HIGHER EDUCATION ONLY:
b. A self-insured, Subgrantee 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 Subgrantee Agency,or its employees, agents, subcontractors, or assignees pursuant to the terms
of this subgrant 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]
By entering into this subgrant, Subgrantee 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.
Subgrantee performance shall be evaluated in accordance with the terms and conditions of this subgrant, State law, including
CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance. Evaluation of Subgrantee's performance shall be part of
the normal contract administration process and Subgrantee'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 Subgrantee's obligations under this subgrant 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 subgrant. 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 Subgrant term.
Subgrantee 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 Subgrantee 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 Subgrantee and prohibit Subgrantee from bidding on future contracts. Subgrantee may contest the fmal 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 Subgrantee, by the Executive
Director,upon showing of good cause.
3. The Subgrantee 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 Subgrantee
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 subgrant 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.
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 11 of 15
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 financial 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
I11-5).
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
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 12 of 15
1.6.5.A Federal agency,but only a Subrecipient under an Award or Subaward to a non-
Federal entity.
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 Subgrantee.
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 Prune 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.
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 13 of 15
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 fmal financial report required under the Award or receives final payment,whichever
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 Dim&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 15(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
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
June 2011 SPCA Page 14 of 15
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.
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.
CG .. RADO DIVISION OF CRIMINAL JUSTI,
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP) ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
i,,,,r 2011 SPCA Page 1 of 15
SIGNATURE PAGE ->->-> TO BE COMPLETED BY ALL APPLICANTS
(ORIGINAL SIGNATURES REQUIRED-Please sign in BLUE ink. See instructions for description of proper signatories.)
The Subgrantee Agency and responsible signatories certify by signing that they have read the Application including the Special Provisions and
Certified Assurances, and arc fully cognizant of their duties and responsibilities for this project. The Subgrantee Agency understands and agrees that
any subgrant award received as a result of this application shall incorporate by reference the 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 application is considered a public record.
AUTHORIZED OFFICIAL
Name Sean P. Conway
Position County Commissioner
Agency Weld County
Mailing Address 1150 O St. PO Box 758
City,State,Zip Greeley,CO,80634
Telephone# 970-356-4000 ext 4206
Fax# 970-352-0242
E-mail Address sconway@co.weld.co.us
Signaturec. p DAY 0 2012
arc IC IC:R 1I
Name Monica Mika
Position Director, Finance and Administration
Agency Weld County
Mailing Address 1150 O St. PO Box 758
City, State,Zip Greeley,CO,80634
Telephone# 970-356-4010
Fax# 970-352-0242
E-mail Address mmika@co.weld.co.us
Signature • Date
r ice ; ., �� MAY 3 02012
PROJECT DIRECTOR
Name Doug Er1er
Position Director,Weld County Justice Services
Agency Weld County Sheriff's Office
Mailing Address 1008 9th St.,PO Box 758
City, State,Zip Greeley, CO,80632
Telephone# 970-336-7227 X4847
Fax# 970-392-4677
E-mail Address derler@co.weld.co.us
Signature i://1-2/ DAY 3 0 7017
* 4
Citizens of Weld County
Board of Commissioners, Weld County
Monica Mika, Director of Finance & Administration Department
, Ystac& Services
Pretrial Services Administration Criminal Justice Advisory
Advisory Board Director _ Committee (DAC)
Pretrial Services Unit
Community Corrections Unit
Pretrial Services Supervisor (1) Community Corrections
Technician III (1) Weld County Community
Pretrial Services Specialist (3.5) Corrections Board
Pretrial Services Clerk (1)
Agreements & Partnerships Sub-Contract Service Providers
BI Inc. Intervention Community Corrections Services
Intervention Inc. (ICCS)
RMOMS LLC. BI & RMOMS LLC
North Range Behavioral Health
(monitored sobriety/ electronic monitoring services)
Weld County Government - Class Specification Bulletin Page 1 of 4
C °vrVA CQ ) . 7 AcWCCc*i NYr 3
4 ; Chief of
Corrections Class Code:
IS
00000
Bargaining Unit: Not Applicable
► a: a�: 9 9 PP
WELD COUNTY GOVERNMENT
Revision Date:Jul 31, 2008
.6 .
DESCRIPTION:
The Chief of Corrections performs executive level management and decision making
functions for the Community Corrections Department. The Chief of Corrections reports to
the Board of County Commissioners. The Chief oversees and works as a liaison with the
Weld County Community Corrections Board. The Chief of Corrections is responsible for
monitoring--efficiencies and effectiveness of the Department's divisions; assuring proper
quality controls are in place and are functioning properly.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
To perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are representative of
the knowledge, skill, and/or ability required. Reasonable accommodations may be
made to enable individuals with disabilities to perform the essential functions.
Other duties may be assigned. (any one position may not include all of the duties
listed nor do the listed examples include all duties which may be found in
positions of this class.)
Responsibilities include short and long term planning to provide and maintain quality
services and plan for the future needs of the criminal justice system within Weld County.
Provides oversight and review of the Weld County Community Corrections Board. Reviews
program management and contractual program outcomes.
Manage and participate in the development and implementation of program goals,
objectives, and policies. Research, develop and implement community corrections
alternative programs to benefit state and local community, reduce incarceration costs and
address system problems; develops revenue sources and implements and sets program
fees in an effort to make the department completely self-sufficient.
Identify program needs and develops annual program budget; assure there is proper
monitoring and tracking of line item expenditures of approved budget; provide information
for special budgetary reports; periodically update program expenditures. Responsible for
ensuring cost effectiveness through oversight of program revenues and expenditures.
Reviews and monitors quality and outcomes of program effectiveness for the current
contract program. Provide program effectiveness outcomes and measures to the
Community Corrections Board and the Board of County Commissioners
Participate in and/or make executive decisions regarding long range planning of
Department's needs and services, hiring, promotions, and terminations.
http://agency.governmentjobs.com/weld/default.cfm?action=specbulletin&C1assSpecID=9... 9/10/2012
, Weld County Government - Class Specification Bulletin Page 2 of 4
Responsible for acting as the Department's representative for the Board of County
Commissioners in business associations with the local community, local criminal justices
agencies, as well as State and Federal agencies.
Confers with the Weld County Commissioners and other elected officials to keep them
informed on key issues and progress toward objectives and to gain their direction and
approval for community corrections issues.
Responsible for providing leadership for the design and program development of the Weld
County Community Corrections facility and program by monitoring all Community
Corrections contracts, evaluate options for in-house versus contact implement of
community corrections programming.
Responsible for new programs, such as ICAPP, to keep the use of valuable jail beds to a
minimum. Responsible for reviewing successful evidence based practices being used by
other entities to alternatively supervise and treat those individuals sentenced by the courts
and determine its usefulness and applicability for future Weld County applications.
Responsible for heading up the initiative to design and implement program development of
the Community Corrections facility, monitor the Community Corrections contract, evaluate
whether or not Weld County should operate the program in-house versus contract, and
develop a plan to transition alternative jail programs to the Department of Corrections.
Responsible for program audits and monitoring of community corrections programs
ensuring compliance with state related community corrections statutes, State standards,
and policies. Interprets State Statutes and Department of Corrections policies and State
issued guidelines pertaining to community corrections offenders and treatment, and then
develops and writes program procedures accordingly.
Other Duties/Responsibilities
Monitor activities of current program providers:
•County Jail
•Community Corrections
•Pre-Trial Supervision Program
•Work Release
•Electronic Home Monitoring
•In-Custody Alternative Placement Program (ICAPP)
•County paid Bail Bond Magistrate
•Useful Public Service (Contract)
•Probation (State)
Supervisory Duties
Plans, coordinates, and oversees team building activities of staff; informs staff of program
changes; assists staff in developing their individual teams by providing individual and group
support; actively participates in planning meetings to develop Department and Division
goals and objectives; monitors Supervisor team meetings by reviewing team meeting
minutes.
Conducts and completes periodic formal performance appraisals; tracks and monitors
appraisals to ensure they are properly completed; utilizes a systemized tracking system to
ensure staff compliance with Department policies and procedures; continuously reviews
progress toward individual and goals and objectives; provides regular feedback to staff
regarding achievements, strengths, deficiencies, and desired improvements.
http:Uagency.governmentjobs.com/weld/default.cfm?action=specbulletin&ClassSpeclD=9... 9/10/2012
Weld County Government - Class Specification Bulletin Page 3 of 4
QUALIFICATIONS:.
Education: Master's degree in criminal justice, behavioral science, organizational
management.
Experience: Seven (7) or more years of progressively responsible experience, at least four
years of which were in a management capacity.
Any combination of education, training and experience which provides the knowledge, skills
and abilities required for the job. The successful candidate must have a proven history of
successful management of a community based and orientated correctional facility and
program.
OTHER NECESSARY REQUIREMENTS:
Language Skills
Ability to read and/or listen to, comprehend, and apply sometimes complex statutory, legal,
or policy and directive information. Ability to communicate effectively in verbal and written
English. Bilingual ability in Spanish helpful.
Ability to effectively communicate with and persuade persons of differing backgrounds and
behavior patterns in a wide range of settings. Must communicate on the telephone;
evaluate multi-media training materials; read bulletins, printouts, manuals etc.;
communicate with the public; public speaking; write directives, policy, letters, reports, etc.
Advanced English composition principles. Ability to compose and write letters, write reports.
Ability to clearly communicate ideas verbally and in writing, investigate complaints, and
document findings.
Ability to read, analyze, and interpret common scientific and technical journals, financial
reports, and legal documents, and complex. Ability to interpret significance of court
decisions on agency operations. Ability to respond to common inquiries from regulatory
agencies, or members of the business community or to answer complaints. Able to perform
negotiations, work and communicate with work groups. Ability to effectively present
information to top management, public groups, and/or boards.
Mathematical Skills
Ability to work with mathematical concepts such as probability and statistical inference.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical
situations. Ability to develop charts and graphs. Document data, keep records, plan,
calculate, basic math computations, develop charts and graphs, computer documentation.
Reasoning Ability
Ability to apply sound, objective reasoning and decision making. Ability to foresee problems
and plan for solutions. Ability to plan five years in advance, interpret significance of court
decisions on agency operations. Ability to define problems, collect data, establish facts, and
draw valid conclusions. Ability to interpret an extensive variety of technical instructions in
mathematical or diagram form and deal with several abstract and concrete variables. Ability
to investigate complaints and document findings. Must be able to foresee problems and
plan for solutions.
Physical Demands
While performing the duties of this job, the employee is regularly required to sit and talk or
hear. The employee is occasionally required to stand and walk. Specific vision abilities
required by this job because of personal computer usage include close vision, distance
http:/agency.governmentjobs.com/weld/default.cfm?action=specbu.11etin&ClassSpecID=9... 9/10/2012
Weld County Government - Class Specification Bulletin Page 4 of 4
vision, color vision, and the ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the
essential functions.
Generally an office environment during regular county business hours, Monday through
Friday 8:00 a.m. to 5:00 p.m. Evening and weekend hours may be necessary from time to
time to accomplish essential duties and responsibilities. Always subject to being called-in to
assume responsibilities during emergencies.
http:/,/agency.governmentj obs.com/weld/default.cfm?action=specbulletin&C lassSpecI D=9... 9/10/2012
Home Page Page 1 of I
WELD,COUNTY OF 1150 O ST
DUNS: 075757955 CAGE Code: 4KEF9 GREELEY,CO,80631-111?,
Status:Active UNITED STATES
Entity Overview
Entity Information
DUNS:075)57955
Name:WELD,COUNTY OF
Business Type:US Local Government
POC Name:None Specified
Registration Status:Active
Expiration Date:03/14/2013
Exclusions
Active Exclusion Records?No
SAM I System for Award Management 1.0 IBM v1.1)8.20120909-0011
wwwt ® ® 175.5., t�?
Note to all Users:This is a Government atallticomputer system.Use of this 'y
rysten constitutes consent to monitoring at all times.
https://www.sarn. f5-fdb9-4668-9782-... 9/10/2012
•
ATTACHMENT F--Copy of last audit or formal financial review
The 2011 Weld County Comprehensive Annual Financial Report(CA FR) is the annual comprehensive
look at Weld County's finances prepared by the Accounting Department.
The entire report can be downloaded as a single PDF file or each section may also be downloaded
separately.
For questions regarding this report, please call (970) 356-4000 Ext. 4445 or access it online:
http://www.co.weld.co.us/Departments/Accounting/CAFR/201 ICAFR.html
Hello