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Home My WebLink About20111093 RESOLUTION RE: APPROVE APPLICATION FOR FEDERAL ASSISTANCE FOR WELD COUNTY YOUTH CONSERVATION CORPS, AMERICORPS PROGRAM, AND AUTHORIZE ELECTRONIC SUBMITTAL WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with an Application for Federal Assistance for the Weld County Youth Conservation Corps, AmeriCorps Program, from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Governor's Commission on Community Service, commencing October 5, 2011, and ending October 4, 2012,with further terms and conditions being as stated in said application, and WHEREAS,after review, the Board deems it advisable to approve said application,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 Application for Federal Assistance for the Weld County Youth Conservation Corps, AmeriCorps Program, from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Governor's Commission on Community Service be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Deputy Clerk to the Board be, and hereby is, authorized to electronically submit said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 4th day of May, A.D., 2011. BOARD OF COUNTY COMMISSIONERS W D COUNTY, CO ORADO _ ATTEST: • • A AJA 1861 � arbara Kirkmeye , Chair fl c--' Weld County Clerk t he — %r. "� �� Se . onway, Pro-Tem BY:Deputy Clerk to the Boar Wi • m FL Garcia V - O FORM: CIA/ r David E. Long //V ounty Attorney Obi alb Dougla ademac er Date of signature: 7// 2/// t--\S 2011-1093 a-\Ls-0 HR0082 MEMORANDUM 1861 - 2011 DATE: May 2, 2011 W E L 0 U N T Y TO: Barbara Kirkmeyer, Chair, Board of County Corn issi ers FR: Judy A. Griego, Director, Department o uman ervi RE: Third Year Continuation Grant for the Weld County Department of Human Services' Employment Services AmeriCorps Grant Enclosed for Board approval is the Third Year Continuation Grant between the Weld County Department of Human Services' Employment Services and the Corporation for National and Community Services. This Continuation Grant was reviewed under the Board's Pass-Around Memorandum dated March 28, 2011, and approved for placement on the Board's Agenda. This Grant was originally awarded in October 2009 and approved as a three year grant scheduled to end October 2012. The third year continuation grant covers the time period of October 5, 2011 through October 4, 2012. The only changes to the current grant include program year dates and to insert a continuation narrative. Additionally, in an effort to increase transparency, WCYCC will be required to submit a 500 character executive summary to provide a brief overview of all AmeriCorps programs. The total program year budget will remain consistent with that of the previous two years and is as follows: Total Budget - $345,421 Corporation for National and Community Service (CNCS) share - $188,852 Weld County Youth Conservation Corps (WCYCC) share - $156,569 If you have any questions, please contact me at extension 6510. 2011-1093 Attachment A 2011-2012 AmeriCorps Grant Narrative CURRENT ENROLLMENT: During the 2010-2011 program year,WCYCC has enrolled a total of 13 members. To date, WCYCC is at 100% retention and will continue to diligently work toward maintaining a high level of retention. Offering part time member service opportunities to increase retention have made significant improvement toward WCYCC's retention rate. WCYCC is in the process of hiring the additional members necessary to meet 100%of the planned enrollment which has and remains to be a high priority for WCYCC. Based upon the number of hours new members commit to complete during their time of service will dictate the number of additional members to serve with WCYCC May of 2011 through October 4, 2011; WCYCC plans to enroll an approximately 25-30 additional members. PERFORMANCE MEASURE UPDATE: Members have been engaged in numerous meaningful direct service projects, such as building community gardens, historic restoration and preservation projects, community beautification projects, forestry projects to include removing invasive species (Tamarisk and Russian Olive) and community code enforcement clean up with the City of Greeley which targets conservation, improve the environment, improves or creates recreation and or projects which meet the identified needs of the local communities. WCYCC anticipates exceeding the minimum of 24 projects as initially targeted. Members are working toward acquiring valuable training related certificates. 100%of members have participated in two certified training opportunities. To date, 92%of members have received CPR& First Aid Certification training. 85%of members have received Sawyer Certification; six members obtained Sawyer"A" Certificates with an additional four members obtaining their Sawyer"B" Certificates. WCYCC staff has also increased certifications with the Crew Leader obtaining a Faller"B" Certification and the Team Leader obtaining a Felling Boss Certification to enhance supervisory on worksites as well as risk management. Members have also been engaged with noxious weed eradication along with general environmental education. Selected members completed 15 Passenger Van Driver Safety as well. Additionally, of the 13 current members, five members did not possess a GED or High School Diploma. Since enrolling with WCYCC, two members have obtained their GED, two members are in the process of testing and one member continues to raise his basic skills levels in effort to obtain his GED prior to completing his term of service. WCYCC anticipates meeting the identified performance measure to have 90%of members obtain a minimum of three certifications targeted to enhance member's development while serving as an AmeriCorps member. Through a light bulb energy use pilot project, one corps member has begun to research and strategize for our summer's energy savings education program which will deliver Energy Conservation information to a minimum of 300 community members. NEW PARTNERSHIPS AND EFFORTS: In effort to be prepared in the event of a disaster,92%of current members have obtained their CPR and/or First Aid Certifications. WCYCC's Team Leader and Crew Leader also have obtained their CERT Instructor Certification. WCYCC is currently working with the Weld County Sheriffs Department of Emergency Management for our Saw Crew to be a response team in the State data base in the event of a disaster. New partnerships have been developed this program year with the Water Conservation Districts of Weld County as well as the Forrest Service, Bureau of Land Management (BLM) and Department of Agriculture. Members are presently engaged in land and water conservation efforts through the Natural Resource Conservation Service (NRCS)to remove non-native invasive species (Russian Olive &Salt Cedar) along the Big Thompson River in Weld County. Attachment B EXECUTIVE SUMMARY: The Weld County Youth Conservation Corps (WCYCC) is located in Greeley Colorado. Operated by the Weld County Department of Human Services and through Employment Services of Weld County, WCYCC engages young adults, ages 17-24, to participate in an AmeriCorps program. WCYCC's AmeriCorps program strives to employ young adults, many of whom are considered being at risk,to positively impact Weld County through community service projects and conservation efforts focusing on land, water and energy. Projects include but are not limited to historic restoration and preservation, maintenance and ecological restoration along Weld County's water systems, noxious species control and removal, and community beautification projects. WCYCC's AmeriCorps members have the unique opportunity to gain invaluable work maturity skills while enhancing personal development while simultaneously earning an educational award to use toward future post secondary endeavors. DRAFT PART I - FACE SHEET APPLICATION FOR FEDERAL ASSISTANCE 1.TYPE OF SUBMISSION: Modified Standard Form 424(Rev.02/07 to confirm to the Corporation's eGrants System) Application•X Non-Construction 2a.DATE SUBMITTED TO CORPORATION 3.DATE RECEIVED BY STATE: STATE APPLICATION IDENTIFIER: FOR NATIONAL AND COMMUNITY SERVICE(CNCS): 2b.APPLICATION ID: 4.DATE RECEIVED BY FEDERAL AGENCY: FEDERAL IDENTIFIER: 11AC129148 06AFHCO0010010 5.APPLICATION INFORMATION NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER LEGAL NAME: Board of Weld County Commissioners,Weld County Division o(Humr PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION(give DUNS NUMBER: 075757955 area codes): NAME: Tami Grant • ADDRESS(give street address,city,state,zip code and county): PO Box 1805 TELEPHONE NUMBER:(970)353-3800 6754 315 N.11th Ave FAX NUMBER: (970)346-7981 Greeley CO 80632 County: INTERNET E-MAIL ADDRESS:tgrant@co.weld.co.us 6.EMPLOYER IDENTIFICATION NUMBER(EIN): 7.TYPE OF APPLICANT: 7a. Local Government-County 846000813 _ 7b. Community Action Agency/Community Action Program 8.TYPE OF APPLICATION(Check appropriate box). NEW ' NEW/PREVIOUS GRANTEE i X CONTINUATION AMENDMENT If Amendment,enter appropriate letter(s)in box(es): A. AUGMENTATION B.BUDGET REVISION C.NO COST EXTENSION D.OTHER(specify below): 9.NAME OF FEDERAL AGENCY: Corporation for National and Community Service 10a.CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:94.006 11.a.DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: 10b.TITLE: AmeriCorps State Weld County Youth Conservation Corps(WCYCC) 12.AREAS AFFECTED BY PROJECT(List Cities,Counties,States,etc): 11.b.CNCS PROGRAM INITIATIVE(IF ANY): Weld County Colorado 13.PROPOSED PROJECT:START DATE: END DATE: 14.CONGRESSIONAL DISTRICT OF: a.Applicant b.Program ',CO 0041 15.ESTIMATED FUNDING:Year#: 3 1 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? • a.FEDERAL $ 86,252.00 _- YES.THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE $ 88,169.00 TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR b.APPLICANT _._ REVIEW ON: c.STATE $ 0.00 DATE: d.LOCAL $ 0.00 131 NO.PROGRAM IS NOT COVERED BY E.O.12372 e.OTHER $ 0.00 f.PROGRAM INCOME $ 0.00 17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? - -- --- —- YES if"Yes,"attach an explanation. k NO g.TOTAL $ 174 421.00 18.TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT,THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a.TYPED NAME OF AUTHORIZED REPRESENTATIVE: b.TITLE: c.TELEPHONE NUMBER: Esther Gesick I OfficeManager/Coord (970)356-0000 4226 • d.SIGNAT RE OF AUTHORIZED REPRE ENTATIVE: e.DATE SIGNED: 5y °20,, • &OP /09-3 Page 1 DRAFT For Official Use Only Narratives Executive Summary The Weld County Youth Conservation Corps(WCYCC) is located in Greeley Colorado. Operated by the Weld County Department of Human Services and through Employment Services of Weld County, WCYCC engages young adults,ages 17-24,to participate in an AmeriCorps program. WCYCC's AmeriCorps program strives to employ young adults, many of whom are considered being at risk,to positively impact Weld County through community service projects and conservation efforts focusing on land,water and energy. Projects include but are not limited to historic restoration and preservation, maintenance and ecological restoration along Weld County's water systems,noxious species control and removal,and community beautification projects. WCYCC's AmeriCorps members have the unique opportunity to gain invaluable work maturity skills while enhancing personal development while simultaneously earning an educational award to use toward future post secondary endeavors. Rationale and Approach A. RATIONALE AND APPRAOCH a. Compelling Community Need The continuing growth of an at-risk youth population,the continued and increasing need for service opportunities for youth as well as the increased need for parks/open space,trails and services to community based and faith based organization have all been identified as needs in Weld County. The Weld County Youth Conservation Corps (WCYCC)through its design and mix of services to corps members, its existing and emerging relationships with local communities, agencies, and community/faith based organizations is positioned to positively and actively respond to these needs through the utilization of a Youth Corps model under AmeriCorps. Community needs were identified through various Federal(2000 Census, e.g.), State(Kids Count in For Official Use Only Page 2 DRAFT For Official Use Only Narratives Colorado,e.g.)and local(Weld County Child Care and Youth Supervision Study, e.g.)reports.A review of this data makes it clear that Weld County and the County's youth face a major social issue of an increasing population of at-risk, disenfranchised youth. With a high rate of poverty(11.6%all ages and 13.2%for those 18 years of age and younger),a higher drop out rate compared to the state average,a high rate of adjudication, and a lower median household income than other Front Range areas,Weld County faces immediate challenges in positively effecting youth. In line with the Corporations Focus Area: "Ensure a brighter future for all America's youth: supporting youth in need by providing more opportunities to serve and receive services,particularly youth at risk of school failure,unemployment,criminal behavior and persistent poverty" the Weld County Youth Conservation Corps (WCYCC), is situated to positively effect this focus area. Greeley quality of life ballot issues passed in 2002 continue to foster projects that benefit residents of Greeley and surrounding areas. Areas from those initiatives that continue to be developed include new parks, improvement of existing parks, and creation of new recreational trails plus other development and renovation projects. These initiatives continue to be the impetus for development and improvements throughout the community and the WCYCC continues to participate in these projects. The strengthening of communities through environmental and conservation projects extends to other area communities throughout the County. Local communities and grant seeking groups such as Civil Resources, a private company that prepares proposals to assist small communities,pursue grant opportunities available through lottery proceeds to help carry out community improvement projects. The WCYCC will continue to seek collaborative efforts with the State's Office of Energy Management, along with other potential partners,to install energy efficient compact florescent light bulbs(CFL),low For Official Use Only Page 3 DRAFT For Official Use Only Narratives flow shower heads,carbon monoxide and smoke detector units,and to conduct Tier 1 energy audits in low income households eligible for Low Income Energy Assistance Program. However, at this time a working contract is not in place. WCYCC will continue to strive toward energy related services. Through the delivery of these services,the WCYCC is aligned with the Governor's Promise for Energy by encouraging energy efficiency and conservation in low income homes. Corps members also gain skills for jobs in the new energy economy. The WCYCC has,and will continue to collaborate in proposals and provide service to meet identified community needs. The WCYCC also provides much needed human needs services to agencies and faith based organizations allowing them to increase their capacity to serve area populations. The WCYCC through its AmeriCorps youth corps model supports the nation's commitment to assist individuals,families, and communities who have not shared in Americas'prosperity. It can do so by recruiting at risk youth to be AmeriCorps members and through their direct service to address the identified community needs for parks, open space,recreational trails,improvement of Head Start facilities, assisting CBO's/FBO's in meeting the needs of the people they serve, and improving county facilities. At risk youth are in need of additional opportunities to improve their lives. Through service to their community,corps members acquire employability and job skills in addition to the skills they acquire through member development activities. Many need assistance in preparing for the GED and all members benefit from life skills, citizenship,leadership,and teamwork skills gained through training as well as their service on projects. Other needs for these youth have been identified in the area of health awareness and maintenance which aligns with the Lt. Governor's focus issue. The Weld County Child Care and Youth Supervision Study also identified mentoring and conflict resolution as specific needs for For Official Use Only Page 4 DRAFT For Official Use Only Narratives this target group. The WCYCC targets at-risk/disenfranchised youth to become AmeriCorps members since positively affecting this population of youth is part of the identified needs of the Corporation,the Governor's Promise of improving student achievement, and Weld County's need to reduce the number of disenfranchised youth. b. Description of Activities and Member Roles The WCYCC was developed to address the needs that affect so many in the County. The Weld County Workforce Development Board and the Weld County Youth Council assisted in the design and development of the Corps. Both entities are made up of community, education and business leaders, local government officials as well as representatives from CBO/FBOs. These Boards identified the target group for Corps membership as well as project focus. Members will be involved in service projects that meet the identified community needs and where project sponsors do not have adequate staffing or volunteer help to meet those needs. Examples of environmental and conservation projects that members will provide service on include: work in community and state parks; constructing and maintaining trails; planting trees and shrubs in parks; frost damage mitigation for saplings; removal of non-native species in parks and open spaces; energy conservation efforts through education and marketing materials distributed to community members and within schools and assisting in historical conservation/preservation projects at public museums. Additional service opportunities involving human service projects that provide service to community and faith based organizations include: preparing food boxes for Catholic Charities; picking up and For Official Use Only Page 5 DRAFT For Official Use Only Narratives distributing donations for United Way; preparing and delivering food and gift boxes for United Way; improving existing facilities of non-profit organizations; improve low income neighborhoods through clean up activities; and assisting community based organizations in the provision of needed services to the disabled senior citizens by constructing wheel chair ramps, or helping with snow removal when needed. The WCYCC uses crew based service learning projects as a means to enable at-risk youth, ages 17-25,the opportunity to provide valuable service to their communities at the same time they are learning valuable skills. The WCYCC will be made up of 15 MSY slots,where individuals will fill 3o half time(9Oo hours) slots. Through direct service on projects the corps provides its members the means to acquire employability and job skills at the same time that community needs are being met. Members receive project specific training prior to each project and through member development activities, corps members are trained in leadership,teamwork,conflict resolution skills,and conservation training which they can then practice and use on the various service projects. Members also receive assistance and support for GED preparation, and training in citizenship, disability awareness, diversity,and healthy life styles to further develop their skills. Through direct service on energy projects, as well as projects in parks and open space, members are involved in the areas of environment and conservation. Job and employability skills are acquired through service projects that have a lasting and visible benefit to their communities,and human services projects that assist CBO/FBO's in meeting the needs of the community provide the members the ability to serve those less fortunate and thereby enhance their understanding of the benefits of volunteerism and civic responsibility. For Official Use Only Page 6 DRAFT For Official Use Only Narratives c.Measurable Outputs and Outcomes WCYCC members will provide meaningful direct service to projects which; target conservation efforts, improve the environment, improve or create recreation, and which meet the identified needs of the local communities. Members will complete a minimum of 24 projects that focus on conservation efforts, improve the environment, improve or create recreation areas including parks,trails, pools, etc. Twenty of the twenty four projects (85%),completed will rate the services received as meeting or exceeding expectations and as a result of service,the community of Weld County will be improved and beautified by the completion of community improvement projects based on surveys administered to project sponsors and local community based agencies. Members will have a positive effect on communities within Weld County in relation to Energy Conservation. Members will provide Energy Conservation education to a minimum of 300 Weld County residents. Additionally,members will provide educational information within schools to promote conservation in youth. 90%of sampled recipients of energy conservation education will indicate a high level of satisfaction with the information received from members. Follow up surveys will be provided to a portion of the Weld County residents who received educational materials to determine how community members are working toward conserving energy. Corps member time sheets and project tracking logs will be used to track the number of conservation/environmental and energy projects completed. Satisfaction surveys will be used to track sponsor or home owner/renter satisfaction. For Official Use Only Page 7 DRAFT For Official Use Only Narratives Members will participate in a variety of training based activities designed to increase their knowledge and employability. Ninety percent(90%)of members will participate in training opportunities and of the total amount of participating members, 80%will obtain a minimum of three(3)certificates. By participating in training, members will receive transferable skills and certificates to enhance future employment endeavors. Eighty Percent(8o%)of members will receive a certificate in three(3)or more areas to include but not limited to: CPR/First Aid, CERT, Disability Awareness, 15 Passenger Van Driver Safety, Outdoor Stewardship Institute(OSI),Noxious Weed Eradication,and Civic Engagement. Training logs, member time sheets, and certificates will be used to track the member support activities. Member surveys at the end of service will identify the increase in job readiness and or personal life skills. d. Plan for Self Assessment and Improvement Tools used to track and evaluate progress towards outputs and outcomes include WCYCC member time sheets, project tracking logs,project sponsor evaluations,volunteer tracking sheets,WCYCC training logs,WCYCC citizenship test,home owner/renter surveys,follow-up surveys with project sponsors, CBO's and home owner/renters to identify end out come data, and GED test and training certificates of completion. To identify strengths and weaknesses in projects and the program, members are encouraged to provide feedback on activities and experiences. This is done formally at least twice a year. Members may also speak to the Corps Director at any time through open door practices. Formal member satisfaction surveys will be given to members during their term of service and project sponsors,community partners and collaborating organizations are specifically asked for input regarding projects and feedback on For Official Use Only Page 8 DRAFT For Official Use Only Narratives results of project activities. Recommendations and/or suggestions for improvement are taken seriously, evaluated and implemented as appropriate to the WCYCC mission and/or project. The WCYCC has been and will continue to be vested in continuous improvement. One of the areas indentified by the WCYCC as an area needing improvement has been how to improve the retention rate of the at-risk/disenfranchised youth we serve. Since 2007,the WCYCC has been heavily invested in strategic planning both locally and statewide to develop strategies to allow us to continue to serve disenfranchised youth while also making their experience more successful and to increase the member completion rate. As a result of this planning,we have developed the following key strategies: i) Balance the crew make up with youth whose life experiences have been more positive and who have been more successful to enhance mentoring opportunities with the at risk youth; 2)Convert a number of our full term MSY slots to part time slots to allow youth to experience short term success; 3) structure the corps year through the use of part time MSY slots to allow youth to matriculate to post secondary education sooner. e.Community Involvement As stated earlier the Weld County Workforce Development Board and the Weld County Youth Council representing a wide range of area leaders have not only identified the target group for Corps membership,but also identified project focus areas. They receive regular reports on Corps status, membership and projects and provide feedback to the Corps management team. The regular, consistent,formal communication of the past will continue as it has been successful. For Official Use Only Page 9 DRAFT For Official Use Only Narratives Community partners and project sponsors provide feedback to the program through sponsor surveys and remain engaged through that ability to make suggestions for program improvement and/or future project focus. f. Relationship With National and Community Service Programs The Corps has a sound working relationship with a number of entities: United Way of Weld County, Weld Food Bank, Salvation Army,Catholic Charities, Habitat for Humanity as well as other service organizations. In all cases WCYCC members enhance the capacity of these organizations to serve local populations. They often provide additional or primary person-power to carry out service activities. When appropriate, the WCYCC will collaborate with the NCCC on projects within the Weld County area, and currently collaborates with local community organizations that have VISTA members. g. Potential for Replication The WCYCC AmeriCorps program is a team based youth corps program and is highly replicable. As a result of the success of the WCYCC AmeriCorps program in connecting youth to their communities through service, two team based youth corps were developed at the request of Weld County Social Services to serve 1.)extremely at-risk adjudicated younger youth and, 2.) a summer youth corps which serves 1.4-15 year old youth whose families receive public assistance. A key factor in replicating the youth corps model is to have the initial support and involvement from community/county leaders and keep them continuously engaged with the program and its outcomes. It For Official Use Only Page 10 DRAFT For Official Use Only Narratives would be best replicated in a similar geographic area,with a larger community surrounded by smaller communities with fewer resources. Organizational Capability D.ORGANIZATIONAL CAPABILITY SOUND ORGANIZATIONAL STRUCTURE a.Ability to Provide Sound Programmatic and Fiscal Oversight Employment Services of Weld County, a department of the Weld County Government has been operating federal and state funded employment and training programs for OVER 3o years and has extensive experience with program design,implementation,delivery,evaluation and financial management. The official grant recipient for all funding is the Board of Weld County Commissioners. Grant management is provided by Weld County Department of Human Services, Division of Employment Services of Weld County. Fiscal oversight for all programs operated by the Division is provided by the Department's Fiscal Officer. There have been no audit exceptions with any programs operated under Employment Services over the 3o years of its existence. Many programs have been recognized as models for program implementation across the State. Programs currently operated by Employment Services include Wagner-Peyser basic labor exchange,Workforce Investment Act(WIA) Programs for youth, adults and dislocated workers,Temporary Assistance for Needy Families (TANF) Program, Employment First Food Stamp Job Search Program, Pillars for Successful Independence Program ,and the WCYCC program which includes the various youth corps programs such as the TIGHT Youth Corps Program, ,the TANF Summer Youth Corps Program,and the Weld County Youth Conservation Corps(WCYCC)/AmeriCorps Program. Oversight for all programs operated by Employment Services is provided by the Weld County Workforce Development Board,comprised of For Official Use Only Page 11 DRAFT For Official Use Only Narratives leaders in the community from the public and private arenas. The WCYCC has been operating the AmeriCorps program for six years and youth corps model programs for 13 years. The AmeriCorps program and its members have accomplished a tremendous amount of work for the communities and organizations it serves. Historically the AmeriCorps program has exceeded the goals for environmental projects and has received ratings from project sponsors that exceed the anticipated rate of satisfaction. Since the WCYCC program is a youth corps model, members typically work as a team although they can also work in a number of team settings at specific sites to meet multiple community needs on projects throughout the Weld County area. b. Board of Directors,Administrators and Staff The Weld County Workforce Development Board and the Weld County Youth Council provide oversight of the WCYCC program and have assisted in the design and development of the Corps. Both entities are made up of community,education and business leaders,local government officials as well as representatives from CBO/FBOs. The WCYCC AmeriCorps program is comprised of three staff positions: Corps Director,Youth Team Leader and Crew Leader. The Youth Team Leader was previously a crew leader for the adjudicated youth corps operated by Employment Services and was in that position for approximately two years. The Team Leader has an extensive background in working with young adults and is well acquainted with community agencies and organizations. The Crew Leader is new to the program and was selected for the current AmeriCorps program year(2008-2009)and has extensive background working with youth from For Official Use Only Page 12 DRAFT For Official Use Only Narratives all socio-economic backgrounds. The crew leader is skilled in supervising,leading and mentoring young adults and has a good knowledge relating to work done by the Corps. The Corps Director directly supervises the Youth Team Leader and the Crew Leader and is also the supervisor of the other youth programs operated by Employment Services of Weld County. The Director of the Corps is new to the position but has over 10 years experience in working with youth and working in federally funded programs including WIA Youth and the TANF Summer Youth Program. Approximately 20%of the Director's time is spent on Corps activities. The Youth Team Leader spends about 40%of his time on Corps activities in supervising the Crew Leader,project development, preparing and conducting weekly training for crew members and report preparation. The Crew Leader spends t00%of her time on Corps activities in direct supervision of crew members and the day to day operation of the WCYCC. The Weld County Department of Human Services' Fiscal Officer reports directly to the Executive Director of the Department and provides fiscal oversight and fiscal management of the program. The Executive Director reports directly to the Board of Weld County Commissioners,the official grant recipient of the funding. c. Plan For Self Assessment/Improvement The WCYCC continuously assesses its effectiveness in the delivery of services to its project sponsors and the effect that it has on its corps members. Project evaluations completed by project sponsors rate the quality of the work,benefit to the sponsor,the cost savings and the overall evaluation of the crew's effectiveness. Evaluations also include the number of service hours provided. Member development For Official Use Only Page 13 DRAFT For Official Use Only Narratives evaluation includes the number of members achieving the development outputs/outcomes, e.g.GED, certificates obtained from member development training,etc. All of these evaluation results are reviewed immediately against outputs/outcomes with a management team debriefing to determine the need for program improvement alterations or adjustments. Evaluations of the programs structure,target populations,services,performance, other program functions, as well as general oversight are provided by the Weld County Workforce Development Board and the Weld County Youth Council. External fiscal audits are provided through the county's arrangement for external auditing of programs. d. Plan For Effective Technical Assistance A strength of this program is its relationship with the community and its agencies and organizations. Knowledge of local and State resources and a willingness of these resources to assist has not been an issue in securing technical assistance. Conversely, collaboration with the community has provided Corps management with the opportunity to provide technical assistance in relation to potential service projects. The Corps plans to continue to approach each potential service project with the questions: what is it to be done; what is the timeline;what more do we need to do the project effectively, and what is the end result of the project? The answers to these questions determine the viability of the project for Corps involvement and provide a framework for any necessary technical assistance. Technical assistance is sought from the appropriate source if it is determined that it is advisable or necessary. It may be a training session for members,training or orientation for the Crew Leader and/or project sponsor;or it may be information assistance for all involved. The management team in collaboration with sponsors determines the need for and the type of assistance. For Official Use Only Page 14 DRAFT For Official Use Only Narratives The Director often seeks technical assistance through the AmeriCorps national web site and the resources available listed there,especially Project Star. This has been and will continue to be a valuable resource, especially in preparing performance measurement and updating the procedures. SOUND RECORD OF ACCOMPLISHMENT AS AN ORGANIZATION a.Volunteer Generation and Support Members will directly be involved in volunteer recruitment. As previously stated, members recruit from local service organizations and pools of youth as well as agencies that work with people with disabilities. It is also important that the volunteers reflect ethnic and gender diversity. When a project may require more assistance to expand the Corps' capacity,volunteers are sought, oriented and/or trained to assist. Care is taken in the proper preparation of a volunteer to participate in a project,not just for the effectiveness of their assistance but also to provide them with a rewarding experience. b. Organizational and Community Leadership Based on the accomplishments of and the outcomes achieved by the WCYCC and the recognition of the results, Social Services of Weld County looked the Corps management team to create other corps. Staff developed the TANF Summer Youth Corps program and the TIGHT Youth Corps which serves very at risk youth to meet the needs identified, and all of the youth corps program models developed fall under the umbrella of the WCYCC. For Official Use Only Page 15 DRAFT For Official Use Only Narratives The WCYCC is heavily involved in the Community Events Task Force, assisting with many city-wide activities. When the Weld County Fair was having major preparation difficulties, the County Commissioners recommended the Corps be brought in to assist. They were recognized as literally "saving the Fair". The Corps has also received similar recognitions from the communities it serves. They are seen and appreciated as a valuable community resource. In March 2006, as a result of the all of the service provided to United Way of Weld County,the WCYCC was recognized as the"2005 United Way of Weld County Community Partner"of the Year. The WCYCC was also recognized by the Office of the Lieutenant Governor in August 2006 with a certificate of appreciation for the service to the State of Colorado and for being nominated for the 2006 Governor's Volunteer Service Award. Also in 2006 the WCYCC was recognized by the National Philanthropy Day in Colorado for being nominated as the"Outstanding Youth Group"category. In 2007 the WCYCC was recognized by United Way of Weld County for the assistance provided in their School Drive effort. The WCYCC program Director is the chair of the State of Colorado Youth Operator Initiative and staff from Employment Services serve on numerous community boards,workgroups, and are involved in a wide variety of community events. c. Success in Securing Match Resources The major sources of match funds have been program income received form fee for service projects and matching funds form the WIA Youth program to cover staff salary and fringe costs not paid by corporation funds. For Official Use Only Page 16 DRAFT For Official Use Only Narratives In the past WIA Youth dollars have covered the grantee share of personnel expenses, member travel, equipment, supplies,staff and member training plus other program costs. Program income from fee for service agreements has covered the grantee share for member living allowances and member support costs. As fee for service projects have increased the amount of WIA funds used to cover the staff costs will be lowered. There has not been any difficulty in securing match resources required to meet match requirements and we foresee that due to the expanding fee for service projects with the energy portion of the project services we will continue to be able to meet future match needs. SUCCESS IN SECURING COMMUNITY SUPPORT a. Collaboration The WCYCC has collaborated with a number of CBOs, United Way, Weld Food Bank, Salvation Army, Catholic Charities, Habitat for Humanity,Weld County Health Department on a consistent basis. Through these organizations and agencies we have developed a relationship of reliable, quality service and mutual support for projects. These relationships have allowed the Corps to provide focused,valid,necessary services to Weld County communities. The CBO/FBOs and other agencies play the role of identifying needs and service targets to meet the needs of target populations and identify the outcomes expected. They provide whatever support they can and as appropriate. These collaborations synergistically extend the reach that may be otherwise available to the citizens of Weld County. b. Local Financial and In-Kind Contributions For Official Use Only Page 17 DRAFT For Official Use Only Narratives The WCYCC receives funds from the fee for service projects such as the installation of energy efficient products in low income homes,service projects with the city of Greeley, service performed at St.Vrain State Park, and other fee for service projects arranged with local communities and project sponsors. The Workforce Investment Act provides some coverage of staff costs as appropriate in relation to the number of WIA program youth served, and in-kind costs cover some overhead and administrative costs. The WCYCC also receives funding from fee for service activities for work done at Head Start sites throughout the County. From initial work completed and our growing reputation for quality work,more fee for service projects have been obtained. Additionally, as an Accredited Corps under the Colorado Youth Corps Association, there is potential for additional fee for service work. As collaboration,visibility and reputation of the WCYCC have increased so has fee for service funding. c.Wide Range of Community Stakeholders The range of community stakeholders in the WCYCC is wide and diverse. Through the Weld County Workforce Development Board,the Corps is able to access a range of government,business (small and large),educational leaders as well as a number of CBOs and FBOs building a stakeholder pool. Through Employment Services the Corps is further able to expand the stakeholder population through the connections with area employers and the identification of future potential projects. The variety of project sponsors creates an even further group of diverse stakeholders. Ultimately the people of Weld County(280,000)who have benefited from Corps services comprise the largest group of stakeholders. Non-financial support comes in the form of participating in the Corps either as a project sponsor or by providing feedback and input into activities and direction of the corps. The Workforce Development For Official Use Only Page 18 DRAFT For Official Use Only Narratives Board has taken a large piece of responsibility in designing the Corps,its target membership and activity mission. As the Corps has become more known and recognized,the stakeholder base has become more diverse and broader in scope. d. Special Circumstances Employment Services of Weld County,the administrative arm of the WCYCC,has served the County and its citizens for over 3o years. The County,which has historically been a rural community, is one of the fastest growing areas in the State of Colorado. It has a high poverty rate with 13.2%of youth ages 18 and under living below the poverty level and an n.6%overall poverty rate. The county has limited large corporate resources and what resources do exist are spread thin among the population. Cost Effectiveness and Budget Adequacy E. COST EFFECTIVENESS AND BUDGET ADEQUACY COST EFFECTIVENESS a. Corporation Cost per Member Service Year This proposal requests funding for 15 MSY's. WCYCC is currently operating with 15 MSY's,WCYCC has followed the Corporations request to continue operations with 15 MSY's for continuation grant request. b. Diverse Non-Federal Support Non-federal financial support comes to the program through fee for service dollars for service performed on specified projects. As Great Outdoor Colorado funds are made available to local For Official Use Only Page 19 DRAFT For Official Use Only Narratives communities to develop parks,trails,and open space,the WCYCC will continue to collaborate with our community partners to be built in to the work components as appropriate. Non-federal funds also come through some services provided to local communities and through State negotiated projects. The Corps plans to continue to seek these funds and types of funding sources. The WCYCC will continue to partner with communities and the Colorado Youth Corps Association for additional fee for service projects. c. Decreased Reliance on Federal Support As the WCYCC continues to operate, collaborations have continued to expand and with those expansions there has been an increase in fee for service opportunities. This has been shown through the history of the Corps and the WCYCC continues to work toward the goal of 5o%match by year ten, in accordance with Corporation Guidelines. In this grant proposal we have a 44%match which is above the Corporation goal for seventh year grantees. BUDGET ADEQUACY The budget(current)has been adequate to provide the array of services and member development. With the extent of partnerships built, additional partnerships anticipated and program design, it is anticipated that the budget under this grant proposal will be adequate to continue a strong program. Evaluation Summary or Plan F. Evaluation Summary or Plan The WCYCC receives funds that are less than those required for an external evaluation and therefore has completed internal evaluations of the program. For Official Use Only Page 20 DRAFT For Official Use Only Narratives The WCYCC continuously assesses its effectiveness in the delivery of services to its project sponsors and the effect that it has on its corps members. Project evaluations completed by project sponsors rate the quality of the work,benefit to the sponsor,the cost savings and the overall evaluation of the crew's effectiveness. Evaluations also include the number of service hours provided. Member development evaluation includes the number of members achieving the development outputs/outcomes, e.g. GED, certificates obtained from member development training, etc. All of these evaluation results are reviewed immediately against outputs/outcomes with a management team debriefing to determine the need for program improvement alterations or adjustments. Evaluations of the programs structure,target populations, services,performance, other program functions,as well as general oversight are provided by the Weld County Workforce Development Board and the Weld County Youth Council. External fiscal audits are provided through the county's arrangement for external auditing of programs.Asa result of the internal evaluations the WCYCC program identified a number of areas for program improvement and strengthening. As indicated previously in this proposal,since 2007 the WCYCC has been heavily invested in strategic planning both locally and statewide to develop strategies to allow us to continue to serve disenfranchised youth while also making their experience more successful and to increase the member completion rate. As a result of this planning,we developed key strategies which were implemented for the 2008-2009 program year and which we will continue monitor,evaluate and adjust for future crews: t) Balance the crew make up with youth whose life experiences have been more positive and who have been more successful to enhance mentoring opportunities with the at risk youth; 2) Convert a number of our full term MSY slots to part time slots to allow youth to experience short term success; 3) structure For Official Use Only Page 21 DRAFT For Official Use Only Narratives the corps year through the use of part time MSY slots to allow youth to matriculate to post secondary education sooner. Additionally a"Crew Member of the Month"recognition will be given as a means to motivate members and hopefully also to improve retention. We anticipate retention rates will greatly improve as a result of the changes and are committed to pursue the highest retention rates possible. Amendment Justification G.Amendment Justification N/A Clarification Summary H. Clarification Information Continuation Changes I.Continuation Update During the'o8-'09 grant cycle,WCYCC's AmeriCorps program enrolled eighteen(18)corps members, successfully graduating thirteen(13)members. With over 70% retention rate(hiring targeted at-risk corps members)was a tremendous increase for WCYCC over previous program years. i00%of enrolled members whom had not previously obtained their GED received educational services to meet this identified need.A total of eight(8) corps members received educational services to obtain their GED. Four(4) members received their GED while serving in AmeriCorps and through member follow-up, another two (2)obtained their GED following their term or service. One(i)member continues to receive educational services working toward the obtainment of his GED. The Energy Crew corps members performed Tier-1 Home Energy Audits in 229 low-income homes throughout Weld County. In addition to members installing energy efficient items in homes members For Official Use Only Page 22 DRAFT For Official Use Only Narratives also encouraged homeowners, as well as community members,to implement additional energy savings measures in their homes. Corps members completed over 3o meaningful environmental service projects and provided over 15,000 hours of direct service to the residents and communities of Weld County. WCYCC has incorporated a Chainsaw Crew to compliment the established crews. The versatility has provided WCYCC with additional opportunities to positively impact the State of Colorado. Members of the Saw Crew participate in a variety of projects to include the removal of invasive species, such as Tamarisk and Russian Olive Trees, complete beetle kill forest restoration work as well as additional community service related projects. All members of the Saw Crew receive appropriate training and certification prior to operating a chainsaw. Upon completion of a members'term of service,youth transition from a corps environment with quality employment skills to be utilized in future employment endeavors. CONTINUATION 2 During the 09-10 program year,WCYCC has enrolled 34 members equivalent to 9.5 MSY's. To date, WCYCC is at t00% retention and are diligently working toward maintaining a high level of retention. WCYCC is in the process of hiring the additional members necessary to meet t00%of the planned enrollment. Members have been engaged in numerous meaningful direct service projects,such as flower bed planting,forestry projects to include removing invasive species(Tamarisk and Russian Olive) and community code enforcement clean up with the City of Greeley,which target conservation,improve the environment, improve or create recreation and or projects which meet the identified needs of the local communities. WCYCC anticipates exceeding the minimum of 24 projects as initially targeted. Members are working toward acquiring valuable training related certificates. To date, members have obtained CPR and First Aid certifications, noxious weed eradication along with general environmental education. Identified members have also earned Wilderness CPR and First Aid certifications to increase For Official Use Only Page 23 DRAFT For Official Use Only Narratives safety on remote project sites,completed Outdoor Stewardship Institute(OSI)training as well as 15 Passenger Van Driver Safety. Members are also working toward fulfilling the identified performance measure of installing energy efficient measures into low income homes. To date,members have provided educational materials in various Weld County communities along with installing Compact Fluorescent Light bulbs (CFL's). WCYCC initially planned to continue conducting Tier I Energy Audits throughout the three year grant period. Due to changes within the Governor's Energy Office(GEO),WCYCC does not currently have a contract in place with a weatherization partner. In effort to establish realistic and achievable performance standards,WCYCC has elected to modify the Energy Conservation Performance Measure to enable WCYCC to provide a variety of Energy related services. WCYCC will strive to provide Energy Conservation education to a minimum of 300 Weld County residents. WCYCC will continue working toward securing a contract to continue providing Tier I Energy Audits to enhance and exceed this performance measure. CONTINUATION 3 OCTOBER 5, 2011--OCTOBER 4, 2012 CURRENT ENROLLMENT: During the 2010-2011 program year,WCYCC has enrolled a total of 13 members. To date,WCYCC is at t00%retention and will continue to diligently work toward maintaining a high level of retention. Offering part time member service opportunities to increase retention have made significant improvement toward WCYCC's retention rate. WCYCC is in the process of hiring the additional members necessary to meet 100%of the planned enrollment which has and remains to be a high priority for WCYCC. Based upon the number of hours new members commit to complete during their time of service will dictate the number of additional members to serve with WCYCC May of 2011 through October 4, 2011;WCYCC plans to enroll an approximately 25-30 additional members. PERFORMANCE MEASURE UPDATE: For Official Use Only Page 24 DRAFT For Official Use Only Narratives Members have been engaged in numerous meaningful direct service projects,such as building community gardens,historic restoration and preservation projects,community beautification projects, forestry projects to include removing invasive species(Tamarisk and Russian Olive) and community code enforcement clean up with the City of Greeley which targets conservation,improve the environment,improves or creates recreation and or projects which meet the identified needs of the local communities. WCYCC anticipates exceeding the minimum of 24 projects as initially targeted. Members are working toward acquiring valuable training related certificates. i00%of members have participated in two certified training opportunities. To date, 92%of members have received CPR&First Aid Certification training. 85%of members have received Sawyer Certification; six members obtained Sawyer"A"Certificates with an additional four members obtaining their Sawyer"B" Certificates. WCYCC staff has also increased certifications with the Crew Leader obtaining a Faller"B" Certification and the Team Leader obtaining a Felling Boss Certification to enhance supervisory on worksites as well as risk management. Members have also been engaged with noxious weed eradication along with general environmental education. Selected members completed 15 Passenger Van Driver Safety as well. Additionally,of the 13 current members,five members did not possess a GED or High School Diploma. Since enrolling with WCYCC,two members have obtained their GED,two members are in the process of testing and one member continues to raise his basic skills levels in effort to obtain his GED prior to completing his term of service. WCYCC anticipates meeting the identified performance measure to have 90%of members obtain a minimum of three certifications targeted to enhance member's development while serving as an AmeriCorps member. Through a light bulb energy use pilot project,one corps member has begun to research and strategize for our summer's energy savings education program which will deliver Energy Conservation information to a minimum of 30o community members. NEW PARTNERSHIPS AND EFFORTS: In effort to be prepared in the event of a disaster, 92%of current members have obtained their CPR and/or First Aid Certifications. WCYCC's Team Leader and Crew Leader also have obtained their CERT For Official Use Only Page 25 D RAFT For Official Use Only Narratives Instructor Certification. WCYCC is currently working with the Weld County Sheriffs Department of Emergency Management for our Saw Crew to be a response team in the State data base in the event of a disaster. New partnerships have been developed this program year with the Water Conservation Districts of Weld County as well as the Forrest Service, Bureau of Land Management(BLM) and Department of Agriculture. Members are presently engaged in land and water conservation efforts through the Natural Resource Conservation Service(NRCS)to remove non-native invasive species (Russian Olive&Salt Cedar) along the Big Thompson River in Weld County. For Official Use Only Page 26 DRAFT For Official Use Only Performance Measures SAA Characteristics x] Rural Urban Encore program None of the above Focus Areas Education Healthy Futures Selected for National Measure Selected for National Measure x Environmental Stewardship Veterans and Military Familie: Selected for National Measure Selected for National Measure Economic Opportunity x Other Selected for National Measure Selected for National Measure Grand Total of all MSYs entered for all Focus Areas 15 Service Categories Other Education Primary ❑ Secondary Energy Conservation Primary 1 Secondary x❑ Other Environment Primary ii Secondary I Member skill de elo•meet Service Category: Other Education Measure Category:Participant Development Strategy to Achieve Results Briefly describe how you will achieve this result(Max 4,000 chars.) Members will participate in a variety of education and training based activities designed to increase their knowledge and employability. Results Result: Output Members will participate in a variety of education and training based activities designed to increase their knowledge and employability. Indicator: Increase in civic knowledge and skills Target: 90% of members will participate in training opportunities and will receive a certificate in three (3)or more areas to include but are not limited to: CPR/First Aid, CERT, Disability Awareness, 15 Passenger Van Driver Safety, OSI, Noxious Weed Eradic Target Value: 90% Instruments: Training logs PM Statement: Members will participate in a variety of education and training based activities designed to increase For Official Use Only Page 27 DRAFT For Official Use Only Result: Output their knowledge and employability. 90% of members will participate in training opportunities and will receive a certificate in three (3)or more areas to include but are not limited to: CPR/First Aid, CERT, Disability Awareness, 15 Passenger Van Driver Safety, OSI, Noxious Weed Eradication and Civic Engagement. Prey. Yrs. Data: Result: End Outcome Graduating members who participated in a variety of education and training based activities will increase their knowledge and employability Indicator: Increase in civic knowledge and skills Target: 80% of members completing their term of service will report an increase in job readiness and/ or personal life skills. Target Value: 80% Instruments: Member survey PM Statement: Graduating members who participated in a variety of education and training based activities will increase their knowledge and employability. 80% of members completing their term of service will report an increase in job readiness and/or personal life skills. Prey. Yrs. Data: Result: Intermediate Outcome Members will participate in a variety of education and training based activities designed to increase their knowledge and employability. 90%of members will participate in training opportunities and will receive a certificate in three(3)or more areas to include but are not limited to: CPR/First Aid,CERT, Disability Awareness, 15 Passenger Van Driver Safety,OSI,Noxious Weed Eradication and Civic Engagement. Indicator: Increase in civic knowledge and skills Target: 90% of members that participate in traiing will receive transferable skills and certificates to enhance future employment endeavors. Target Value: 10 Instruments: Training logs, member surveys PM Statement: Members will participate in a variety of education and training based activities designed to increase their knowledge and employability. 90% of members will participate in training opportunities and will receive a certificate in three (3)or more areas to include but are not limited to: CPR/First Aid, CERT, Disability Awareness, 15 Passenger Van Driver Safety, OSI, Noxious Weed Eradication and Civic Engagement. 90% of members that participate in training will receive transferable skills and certificates to enhance future employment endeavors. Prey. Yrs. Data: Environmental Pro'ects-Other Service Category: Other Environment Measure Category:Needs and Service Activities For Official Use Only Page 28 DRAFT For Official Use Only Strategy to Achieve Results Briefly describe how you will achieve this result(Max 4,000 chars.) Members will provide meaningful service to projects which; target conservation efforts,improve the environment,improve or create recreation, and which meet the identified needs of the local communities. Members will complete a minimum of 24 projects that focus on conservation efforts, improve the environment,improve or create recreation areas including parks,trails,pools,etc. Results Result: Intermediate Outcome Members will complete a minimum of 24 projects that focus on conservation efforts, improve the environment, improve or create recreation areas including parks,trails,pools,etc. Indicator: Target: 20 of the 24 projects (85%), completed will rate the services received as meeting or exceeding expectations Target Value: 85% Instruments: Project spoonsor satisfaction surveys PM Statement: Members will complete a minimum of 24 projects that focus on conservation efforts, improve the environment, improve or create recreation areas including parks, trails, pools, etc. 20 of the 24 projects (85%), completed will rate the services received as meeting or exceeding expectations Prey. Yrs. Data: Result: Output Members will provide meaningful service to projects which;target conservation efforts,improve the environment, improve or create recreation, and which meet the identified needs of the local communities. Indicator: beneficiaries Target: Members will complete a minimum of 24 projects that focus on conservation efforts, improve the environment, improve or create recreation areas including parks, trails, pools, etc. Target Value: 24 Instruments: Member time sheets, project tracking logs PM Statement: Members will provide meaningful service to projects which; target conservation efforts, improve the environment, improve or create recreation, and which meet the identified needs of the local communities. Members will complete a minimum of 24 projects that focus on conservation efforts, improve the environment, improve or create recreation areas including parks, trails, pools, etc. Prey. Yrs. Data: Result: End Outcome The community of Weld County will be improved and beautified by the completion of community improvement projects based on surveys administered to project sponsors and local community based agencies Indicator: beneficiaries For Official Use Only Page 29 DRAFT For Official Use Only Result: End Outcome Target: 80% of project sponsors and local community based agencies will report that they see a noticeable improvement in the community and that they are aware that AmeriCorps members in the community have completed the work. Target Value: 80% Instruments: Project sponsor surveys PM Statement: The community of Weld County will be improved and beautified by the completion of community improvement projects based on surveys administered to project sponsors and local community based agencies. 80% of project sponsors and local community based agencies will report that they see a noticeable improvement in the community and that they are aware that AmeriCorps members in the community have completed the work. Prey. Yrs. Data: Environmental-Ener Service Category: Energy Conservation Measure Category:Needs and Service Activities Strategy to Achieve Results Briefly describe how you will achieve this result(Max 4,000 chars.) Members will complete service projects that provide energy saving measures for low income,elderly, and disabled residents of Colorado Results Result: Intermediate Outcome Members will have a positive effect on communities within Weld County in relation to Energy Conservation. Members will provide Energy Conservation education to a minimum of 30o Weld County residents. Indicator: beneficiaries Target: 90% of sampled clients will indicate a high level of satisfaction with the information received from members Target Value: 90% Instruments: Satisfaction surveys for homeowners and community members to include school aged youth. PM Statement: Members will provide community members with door to door educational materials highlighting energy conservation. Members will also provide school aged youth with classroom based education promoting energy conservation. Prey. Yrs. Data: Result: Output Members will provide education that will encourage energy saving measures for low income,elderly, and disabled residents of Colorado Indicator: beneficiaries Target: Energy conservation information will be provided to 300 Weld County residents For Official Use Only Page 30 DRAFT For Official Use Only Result: Output Target Value: 300 Instruments: Member time sheets, Energy project tracking sheets PM Statement: Members will provide energy saving education to include low income, elderly, and disabled residents of Colorado. Energy efficient information will be provided to 300 Weld County residents. Prey. Yrs. Data: Result: End Outcome Follow up surveys will be provided to a portion of the Weld County residents who received educational materials to determine how community memebers are working toward conserving energy. Indicator: beneficiaries Target: 85% of community members, to include students, completing a follow up survey conducted by members will indicate implementation of the individuals energy conservation efforts Target Value: 85% Instruments: Community members will complete a follow up survey PM Statement: Follow up services will be provided to gather data pertaining to community members who state their energy consumption was reduced after receiving educational materials. 85% of home owners/ renters completing a follow up survey conducted by members will indicate individuals implementation of energy consumption. Prey. Yrs. Data: For Official Use Only Page 31 DRAFT For Official Use Only Required Documents Document Name Status Evaluation Not Sent Labor Union Concurrence Not Sent For Official Use Only Page 32 RPT_BGT_424 May 3,2011 11:43 AM Weld County Youth Conservation Corps (WCYCC) Board of Weld County Commissioners, Weld County Division of Human Application ID: 11AC129148 Services Budget Dates: Total Amt CNCS Share Grantee Share Section I.Program Operating Costs A.Personnel Expenses 64,144 43,545 20,599 B.Personnel Fringe Benefits 18,034 10,820 7,214 C.Travel Staff Travel 0 0 0 Travel to CNCS-Sponsored Meetings 2,000 1,000 1,000 0 Member Travel 29,399 2,399 27,000 Total $31,399 $3,399 $28,000 D.Equipment 0 0 0 E.Supplies 6,000 2,000 4,000 F.Contractual and Consultant Services 0 0 0 G.Training Staff Training 2,000 1,000 1,000 Member Training 8,000 2,000 6,000 Total $10,000 $3,000 $7,000 H.Evaluation 800 0 800 I.Other Program Operating Costs Section I.Subtotal $130,377 $62,764 $67,613 Section I Percentage 48% 52% Section II.Member Costs A. Living Allowance Full Time(1700 hrs) 0 0 0 1-Year Half Time(900 hours) 45,600 0 0 Reduced Half Time(675 hrs) 0 0 0 Quarter Time(450 hrs) 0 0 0 Minimum Time(300 hrs) 0 0 0 2-Year Half Time(2nd Year) 0 0 0 2-Year Half Time(1st Year) 0 0 0 Total $45,600 $0 $0 B.Member Support Costs FICA for Members 13,082 7,849 5,233 Worker's Compensation 0 0 0 Health Care 22,950 13,770 9,180 Total $36,032 $21,619 $14,413 Section II.Subtotal $81,632 $21,619 $14,413 Section II.Percentages 27% 18% Section III.Administrative/Indirect Costs A.Corporation Fixed Percentage Corporation Fixed Amount 6,143 0 6,143 Commission Fixed Amount 1,869 1,869 0 Total $8,012 $1,869 $6,143 B.Federally Approved Indirect Cost Rate Section III.Subtotal $8,012 $1,869 $6,143 Section III Percentage 23% 77% Section I+M.Funding Percentages 478° 53% Budget Totals $220,021 $86,252 $88,169 Budget Total Percentage 39% 40% Required Match 46% #of years Receiving CNCS Funds 9 Total MSYs 14.98 Form 424A Modified SF-424A(4/88 and 12/97) Page 1 RPT_BGT_424 May 3,2011 11:43 AM Weld County Youth Conservation Corps (WCYCC) Board of Weld County Commissioners, Weld County Division of Human Services Cost/MSY $5,758 Form 424A Modified SF-424A(4/88 and 12/97) Page 2 Budget Narrative for 11 AC 129148 Page 1 of 4 Budget Narrative: Weld County Youth Conservation Corps (WCYCC) for Board of Weld County Commissioners, Weld County Division of Human Services Section I. Program Operating Costs A. Personnel Expenses Position/Title-Qty-Annual Salary-%Time CNCS Share Grantee Share Total Amount Crew Leader:-1 person(s)at 34790 each x 100%usage 25,448 9,342 34,790 Team Leader:-1 person(s)at 40318 each x 60%usage 14,999 9,192 24,191 Program Director:-1 person(s)at 51632 each x 10"/usage 3,098 2,065 5,163 CATEGORY Totals 43,545 20,599 64,144 B. Personnel Fringe Benefits Purpose-Calculation-Total Amount CNCS Share Grantee Share Total Amount Crew Leader:Fringe is calculated @ 30%of salary attributed to grant 6,262 4,175 10,437 Team Leader:Fringe is calculated @ 30%of salary attributed to grant 3,629 2,419 6,048 Program Director: Fringe is calculated @ 30%of salary attributed to grant 929 620 1,549 CATEGORY Totals 10,820 7,214 18,034 C. Travel Staff Travel Purpose-Calculation CNCS Share Grantee Share Total Amount Travel to CNCS-Sponsored Meetings: 1,000 1,000 2,000 N/A: 0 0 0 CATEGORY Totals 1,000 1,000 2,000 Member Travel Purpose-Calculation CNCS Share Grantee Share Total Amount Transportation to project sites,training,all corps day,etc:$1.80 per mile(cost 0 27,000 27,000 of depreciation,gas,maintenance)x 15000 miles Gas Vouchers/Bus Passes for Members: 2,399 0 2,399 CATEGORY Totals 2,399 27,000 29,399 https://egrants.cns.gov/espan/main/report.jsp?sid=1 c5feb2c4497348d3a1 f57d507cd19c46e3... 5/3/2011 Budget Narrative for 11AC129148 Page 2 of 4 D. Equipment Item/Purpose-Qty-Unit Cost CNCS Share Grantee Share Total Amount N/a:-0 x 5000 0 0 0 CATEGORY Totals 0 0 0 E. Supplies Item-Calculation CNCS Share Grantee Share Total Amount Member Uniforms/Member equipment/safety equipment:20 members x$300 2,000 4,000 6,000 CATEGORY Totals 2,000 4,000 6,000 F. Contractual and Consultant Services Purpose-Calculation-Daily Rate CNCS Share Grantee Share Total Amount N/A:-Daily Rate of 0 0 0 0 CATEGORY Totals 0 0 0 G. Training Staff Training Purpose-Calculation-Daily Rate CNCS Share Grantee Share Total Amount State Commission Training project site training and other professional 1,000 1,000 2,000 development opportunities:No cost to Program-Daily Rate of 0 CATEGORY Totals 1,000 1,000 2,000 Member Training Purpose-Calculation-Daily Rate CNCS Share Grantee Share Total Amount Basic Skills/Ged preparation:4 members @ 2,000 ea-Daily Rate of 10 2,000 6,000 8,000 CATEGORY Totals 2,000 6,000 8,000 H. Evaluation Purpose-Calculation-Daily Rate CNCS Share Grantee Share Total Amount Internal Evaluation by Board:Based on staff time to compile reports and data- 0 800 800 Daily Rate of 0 https://egrants.cns.gov/espan/main/report.jsp?sid=1 c5feb2c4497348d3a1 f57d507cd19c46e3... 5/3/2011 Budget Narrative for 11AC129148 Page 3 of 4 CATEGORY Totals 0 800 800 I. Other Program Operating Costs Purpose-Calculation CNCS Share Grantee Share Total Amount CATEGORY Totals 0 0 0 SECTION Totals 62,764 67,613 130,377 PERCENTAGE 48% 52% Section II. Member Costs A. Living Allowance Item-#Mbrs w/Allow-Allowance Rate-#Mbrs w/o Allow CNCS Share Grantee Share Total Amount Full Time(1700 hrs):4 Member(s)at a rate of 0 each 0 0 0 Members W/O allowance 0 1-Year Half Time(900 hours):8 Member(s)at a rate of 5700 each 0 0 45,600 Members W/O allowance 0 2-Year Half Time(1st Year): Member(s)at a rate of each 0 0 0 Members W/O allowance 2-Year Half Time(2nd Year): Member(s)at a rate of each 0 0 0 Members W/O allowance Reduced Half Time(675 hrs):Member(s)at a rate of each 01 0 0 Members W/O allowance Quarter Time(450 hrs): 12 Member(s)at a rate of each 0 0 0 Members W/O allowance Minimum Time(300 hrs): 18 Member(s)at a rate of each 0 0 0 Members W/O allowance CATEGORY Totals 0 0 45,600 B. Member Support Costs Purpose-Calculation CNCS Share Grantee Share Total Amount FICA for Members: 15 MSY @ 11,400 x 7.65% 7,849 5,233 13,082 Worker's Compensation:Weld County is self insured and does not pay incsurance costs.Members are covered for Worker's Compensation as well 0 0 0 as unemployment insurance under this self insured status. Health Care: 15 MSY @ 127.50 per month 13,7701 9,180 22,950 CATEGORY Totals 21,619 14,413 36,032 SECTION Totals 21,619 14,413 81,632 https://egrants.cns.gov/espan/main/report.jsp?sid=1 c5feb2c4497348d3a1 f57d507cd19c46e3... 5/3/2011 Budget Narrative for 11 AC 129148 Page 4 of 4 PERCENTAGE 26% 18% Section III. Administrative/Indirect Costs A. Corporation Fixed Percentage Item-Calculation CNCS Share Grantee Share Total Amount Corporation Fixed Amount: 0 6,143 6,143 Commission Fixed Amount: 1,869 0 1,869 CATEGORY Totals 1,869 6,143 8,012 B. Federally Approved Indirect Cost Rate Calculation-Cost Type-Rate-Rate Claimed-Cost Basis CNCS Share Grantee Share Total Amount CATEGORY Totals 0 0 0 SECTION Totals 1,869 6,143 8,012 PERCENTAGE 23% 77% BUDGET Totals 86,252 88,169 220,021 PERCENTAGE 39% 40% Total MSYs 14.98 Cost/MSY 5,758 Source of Funds Section Match Description Amount Type Source https://egrants.cns.gov/espan/main/report.jsp?sid=1 c5feb2c4497348d3a1 f57d507cd19c46e3... 5/3/2011 F i 2 U a Z J U- 0_ C C O O d N 0 N N _ N N CO• a •V U Q � c 0 L. O 0 c 0 LL LL O 0 co C O 0 O m L_ E O C c Cc v m C, U Co n E • o • O o N Co P9 N C f o T O 0 a) v co 3 m ( \LB 0 , 0 « co 0 ; k \ & o j � < � Ti \ ( � \ ) \ \ 0 2 ] § 4 } Eau a { no 4 { t act ! ] I / / - _ § O � 6 » !t. ; el CD 2 cc en ° C � el ON ON CN C = A en rn en % § � � / j , , - _ ± t O— aC Cl? •N! CL 00 | a L el re en en en O 20. 0. „ CoIN- tc-‘.0 , '0 C C15, CO \ O 0 \ & k CI el ° \ * a U } -03 0 ) c. 0 0 r U U 'a' ) § CO / Occ a. < 8 � d \ \ \ \ / j \ / , k7 ] rn 2 = GGAj - < \ / 0O M r. ) ` etl O en LC 0 } ul � / « 2 / } \ k \ I } eri \ 2 / ( E = * * O w EL CL CC en 0O O O 1/4O 4 cc t w / 0 k ) CV CD C a \ § § L. k C \ ) } O \ CO \ \ § \ ) 1O I to c ) \ | \ ° ) ) as t § k ) \ _ , \ 3 i \ t0 § VI P. \ mT. ; \ ; o O \ el \ ) } - a \ \ O / Elizabeth Strong From: Tami Grant Sent: Tuesday, May 03, 2011 8:48 AM To: Elizabeth Strong; Esther Gesick Subject: AmeriCorps Continuation Grant Thank-you in advance for your help with processing the AmeriCorps Continuation Grant. Below is the information from e-Grants to ensure the correct information is provided. Please contact me with any additional questions or concerns. The info will be found by clicking on this link: 1 Subapplicant edit of application 11AC129148 Continuation 04/27/2011 Tami Grant Youth Program Manager Employment Services of Weld County 3158 N. 11th Avenue Greeley, CO 80631 970-353-3800 ext. 6754 [ Bill 2011 W Ei`06-UNIT u%C Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Page 1 of 1 5/10/2011, 6:06 PM, EDT home my account help logout COMMUNITY SERVICE= yY Thank you You have successfully completed the action to Submit 424 to prime applicant on 5/10/2011 at 6:06 PM, EDT.The status of your application is now Submitted to Prime. Go to your eGrants home 508 Approved I Contact Help Desk I disable the pictures https://egrants.cns.gov/espan/gr_app/thanks.j sp?sid=3cfd32871 c56081 dfa8d872f3a 142942... 5/10/2011 ASSURANCES Page 1 of 4 ASSURANCES As the duly authorized representative of the applicant,I certify,to the best of my knowledge and belief,that the applicant: • llas the legal authority to apply for federal assistance,and the institutional,managerial,and financial capability(including funds sufficient to pay the non-federal share of project costs)to ensure proper planning,management,and completion of the project described in this application. • Will give the awarding agency,the Comptroller General of the United States,and if appropriate,the state,through any authorized representative,access to and the right to examine all records,books,papers,or documents related to the award;and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. • Will establish safeguards to prohibit employees from using their position for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest,or personal gain. • Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. • Will comply with the Intergovernmental Personnel Act of 1970(42 U.S.C.4728-4763)relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration(5 CFR 900,Subpart F). • Will comply with all federal statutes relating to nondiscrimination.These include but are not limited to:Title VI of the Civil Rights Act of 1964(P.L.88-352)which prohibits discrimination on the basis of race,color,or national origin;(b)Title IX of the Education Amendments of 1972,as amended(20 U.S.C. 1681-1683,and 1685-1686).which prohibits discrimination on the basis of sex;(c)Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C.794),which prohibits discrimination on the basis of disability(d)The Age Discrimination Act of 1975,as amended(42 U.S.C.6101-6107),which prohibits discrimination on the basis of age;(e)The Drug Abuse Office and Treatment Act of 1972(P.L.92-255),as amended,relating to nondiscrimination on the basis of drug abuse;(f)The Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and Rehabilitation Act of 1970(P.L.91-616),as amended,relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g)sections 523 and 527 of the Public Health Service Act of 1912(42 U.S.C.290dd-3 and 290ee-3),as amended,relating to confidentiality of alcohol and drug abuse patient records;(h)Title VIII of the Civil Rights Act of 1968(42 U.S.C.3601 et seq.), as amended,relating to nondiscrimination in the sale,rental or financing of housing;(i)any other nondiscrimination provisions in the National and Community Service Act of 1990,as amended;and(j)the requirements of any other nondiscrimination statute(s) which may apply to the application. • Will comply,or has already complied,with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970(P.L.91-646)which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or federally assisted programs.These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchases. • Will comply with the provisions of the Hatch Act(5 U.S.C. 1501-1508 and 7324-7328)which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. • Will comply,as applicable,with the provisions of the Davis-Bacon Act(40 U.S.C 276a and 276a-77),the Copeland Act(40 U.S.C 276c and 18 U.S.C.874),and the Contract Work Hours and Safety Standards Act(40 U.S.C.327-333),regarding labor standards for Federally assisted construction sub-agreements. • Will comply,if applicable,with flood insurance purchase requirements of Section 102(a)of the Flood Disaster Protection Act of 1973(P.L.93-234)which requires the recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. • Will comply with environmental standards which may be prescribed pursuant to the following:(a)institution of environmental quality control measures under the National Environmental Policy Act of 1969(P.1,.91-190)and Executive Order(EO) 11514; (b)notification of violating facilities pursuant to HO 11738;(c)protection of wetlands pursuant to HO 11990;(d)evaluation of flood hazards in floodplains in accordance with HO 11988;(e)assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972(16 U.S.C 1451 et seq.);(t)conformity of federal actions to State(Clean Air)Implementation Plans under Section 176(c)of the Clean Air Act of 1955,as amended(42 U.S.C.7401 et seq.);(g)protection of underground sources of drinking water under the Safe Drinking Water Act of 1974,as amended(P.L.93-523);and(h)protection of endangered species under the Endangered Species Act of 1973,as amended(P.L. 93-205). • Will comply with the Wild and Scenic Rivers Act of 1968(16 U.S.C 1271 et seq.)related to protecting components or potential components of the national wild and scenic rivers system. • Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966,as amended(16 U.S.C.470),HO 11593(identification and protection of historic properties),and the Archaeological and Historic Preservation Act of 1974(16U.S.C.469a-I et seq.). • Will comply with P.L.93-348 regarding the protection of human subjects involved in research,development,and related activities supported by this award of assistance. https://egrants.cns.gov/cnsmisc/eAssur.htm 5/4/2011 ASSURANCES Page 2 of 4 • Will comply with the Laboratory Animal Welfare Act of 1966(P.L.89-544,as amended,7 U.S.C.2131 et seq.)pertaining to the care,handling,and treatment of warm blooded animals held for research,teaching,or other activities supported by this award of assistance. • Will comply with the Lead-Based Paint Poisoning Prevention Act(42 U.S.C. §§4801 et seq.)which prohibits the use of lead based paint in construction or rehabilitation of residence structures. • Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984,as amended,and OMB Circular A-133,Audits of States,Local Governments,and Non-Profit Organizations. • Will comply with all applicable requirements of all other Federal laws,executive orders,regulations,application guidelines,and policies governing this program. For AmeriCorps State and National Applicants ONLY If you are not applying for a grant through AmeriCorps*State and National,you may ignore this section. • Will comply with all rules regarding prohibited activities,including those stated in applicable Notice,grant provisions,and program regulations,and will ensure that no assistance made available by the Corporation will be used to support any such prohibited activities. • Will comply with the nondiscrimination provisions in the national service laws,which provide that an individual with responsibility for the operation of a project or program that receives assistance under the national service laws shall not discriminate against a participant in,or member of the staff of,such project or program on the basis of race,color,national origin,sex,age,political affiliation,disability,or on the basis of religion. (NOTE:the prohibition on religious discrimination does not apply to the employment of any staff member paid with non-Corporation funds or paid with Corporation funds but employed with the organization operating the project prior to or on the date the grant was awarded. If your organization is a faith-based organization that makes hiring decisions on the basis of religious belief,your organization may be entitled,under the Religious Freedom Restoration Act,42 U.S.C. §2000bb,to receive federal funds and yet maintain that hiring practice,even though the national service legislation includes a restriction on religious discrimination in employment of staff hired to work on a Corporation-funded project and paid with Corporation grant funds. (42 U.S.C. §§5057(c)and 12635(c)). For the circumstances under which this may occur,please see the document"Effect of the Religious Freedom Restoration Act on Faith-Based Applicants for Grants"on the Corporation's website at: http://www.usdoj.gov/archive/foci/effect-rfra.pdf. • Will comply with all other federal statutes relating to nondiscrimination, including any self-evaluation requirements. These include but are not limited to:(a)Title VI of the Civil Rights Act of 1964(P.L.88-352)which prohibits discrimination on the basis of race,color,or national origin;(b)Title IX of the Education Amendments of 1972,as amended(20 U.S.C. 1681-1683, and 1685-1686).which prohibits discrimination on the basis of sex;(c)Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C. 794),which prohibits discrimination on the basis of handicaps(d)The Age Discrimination Act of 1975,as amended(42 U.S.C.6101-6107),which prohibits discrimination on the basis of age;(e)The Drug Abuse Office and Treatment Act of 1972(P.L.92-255),as amended,relating to nondiscrimination on the basis of drug abuse;(f)The Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and Rehabilitation Act of 1970(P.L.91-616),as amended,relating to nondiscrimination on the basis of alcohol abuse or alcoholism;(g)sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C.290 dd-3 and 290 ee-3),as amended,relating to confidentiality of alcohol and drug abuse patient records;(h)Title VIII of the Civil Rights Act of 1968(42 U.S.C.3601 et seq.),as amended,relating to nondiscrimination in the sale,rental or financing of housing;and(i)the requirements of any other nondiscrimination statute(s)which may apply to the application. • Will provide,in the design,recruitment,and operation of any AmeriCorps program,for broad-based input from—(1)the community served, the municipality and government of the county(if appropriate)in which the community is located,and potential participants in the program;and(2)community-based agencies with a demonstrated record of experience in providing services and local labor organizations representing employees of service sponsors,if these entities exist in the area to be served by the program; • Will,prior to the placement of participants,consult with the appropriate local labor organization,if any,representing employees in the area who are engaged in the same or similar work as that proposed to be carried out by an AmeriCorps program,to ensure compliance with the nondisplacement requirements specified in section 177 of the NCSA; • Will,in the case of an AmeriCorps program that is not funded through a State,consult with and coordinate activities with the State Commission for the state in which the program operates. • Will ensure that any national service program carried out by the applicant using assistance provided under section 121 of the National and Community Service Act of 1990 and any national service program supported by a grant made by the applicant using such assistance will address unmet human,educational,environmental,or public safety needs through services that provide a direct benefit to the community in which the service is performed; • Will comply with the nonduplication and nondisplacement requirements set out in section 177 of the National and Community https://egrants.cns.gov/cnsmisc/eAssur.htm 5/4/2011 ASSURANCES Page 3 of 4 Service Act of 1990,and in the Corporation's regulations at§2540.100; • Will comply with the grievance procedure requirements as set out in section 176(1)of the National and Community Service Act of 1990 and in the Corporation's regulations at 45 CFR§2540.230; • Will provide participants in the national service program with the training,skills,and knowledge necessary for the projects that participants are called upon to perform; • Will provide support services to participants,such as information regarding G.E.D.attainment and post-service employment, and,if appropriate,opportunities for participants to reflect on their service experiences; • Will arrange for an independent evaluation of any national service program carried out using assistance provided to the applicant under section 121 of the National and Community Service Act of 1990 or,with the approval of the Corporation,conduct an internal evaluation of the program; • Will apply measurable performance goals and evaluation methods,which are to be used as part of such evaluation to determine the program's impact on communities and persons served by the program,on participants who take part in the projects,and in other such areas as required by the Corporation; • Will ensure the provision of a living allowance and other benefits to participants as required by the Corporation; • Has not violated a Federal criminal statute; • If a state applicant,will ensure that the State subgrants will be used to support national service programs selected by the State on a competitive basis; • If a state applicant,will seek to ensure an equitable allocation within the State of assistance and approved national service positions,taking into consideration such factors as the locations of the programs,population density,and economic distress; • If a state applicant,will ensure that not less than 60%of the assistance will be used to make grants to support national service programs other than those carried out by a State agency,unless the Corporation approves otherwise. For Learn and Serve America Applicants ONLY If you are not applying for a grant through Learn and Serve America,you may disregard this section. • Will keep such records and provide such information to the Corporation with respect to the programs as may be required for fiscal audits and program evaluation. • Will comply with the nonduplication,nondisplacement,and grievance procedure requirements of 45 CFR Part 2540. • Will,prior to the placement of a participant,consult with the appropriate local labor organization,if any,representing employees in the area who are engaged in the same or similar work as that proposed to be carried out by the program,to prevent the displacement and protect the rights of those employees. • Will comply with the 45 CFR 2540.200-207 criminal history check requirements for all individuals receiving a living allowance, stipend,national service educational award,or salary through a program receiving assistance under the national service laws— regardless of the type of service the individual is performing or the individual's access to vulnerable populations. • Will comply with the parental involvement requirements 45 CFR 2540.330. • Will,for school-based grants,make efforts to: I. ensure that students of different ages,races,sexes,ethnic groups,disabilities,and economic backgrounds have opportunities to serve together; 2. include any opportunities for students,enrolled in schools or programs of education providing elementary or secondary education,to participate in service-learning programs and ensure that such service-learning programs include opportunities for such students to serve together; 3. involve participants in the design and operation of the programs; 4. promote service-learning in areas of greatest need,including low-income or rural areas;and 5. otherwise integrate service opportunities into the academic program of the participants. For Social Innovation Fund Applicants ONLY https://egrants.cns.gov/cnsmisc/eAssur.htm 5/4/2011 ASSURANCES Page 4 of 4 If you are not applying for a Social Innovation Fund grant,you may disregard this section. • Will use the funds received through the award in order to make subgrants to community organizations that will use the funds to replicate or expand proven initiatives,or support new initiatives,in low-income communities. • Will consult with a diverse cross section of community representatives in making decisions about subgrants for communities (including individuals from the public,nonprofit private,and for-profit private sectors). • Will make subgrants of a sufficient size and scope to enable the community organizations to build their capacity to manage initiatives,and sustain replication or expansion of the initiatives; • Will not make any subgrants to-- • the parent organizations of the applicant, • a subsidiary organization of the parent organization of the applicant,or, • if the applicant applied for a SIF award as a partnership,any member of the partnership. • Commits to meeting the matching fund requirements of section 198k(i)of the National and Community Service Act of 1990(42 U.S.C.§12653k(i)). • Commits to use data and evaluations to improve the applicant's own model and to improve the initiatives funded by the applicant. • Commits cooperate with any evaluation activities undertaken by the Corporation. https://egrants.cns.gov/cnsmisc/eAssur.htm 5/4/2011 CERTIFICATIONS Page 1 of 2 CERTIFICATIONS Certification—Debarment,Suspension,and Other Responsibility Matters This certification is required by the government-wide regulations implementing Executive Order 12549, Debarment and Suspension,2 CFR Part 180, Section 180.335, What information must I provide before entering into a covered transaction with a Federal agency? As the duly authorized representative of the applicant,I certify,to the best of my knowledge and belief,that neither the applicant nor its principals: • Is presently excluded or disqualified; • Has been convicted within the preceding three years of any of the offenses listed in § 180.800(a)or had a civil judgment rendered against it for one of those offenses within that time period; • Is presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal, State,or local)with commission or any of the offenses listed in § 180.800(a);or • Has had one or more public transactions(Federal, State,or local)terminated within the preceding three years for cause or default. Certification—Drug Free Workplace This certification is required by the Corporation's regulations implementing sections 5150-5160 of the Drug-Free Workplace Act of 1988(P.L. 100-690),45 CFR Part 2545,Subpart B. The regulations require certification by grantees,prior to award,that they will make a good faith effort,on a continuing basis,to maintain a drug-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when the agency determines to award the grant. False certification or violation of the certification may be grounds for suspension of payments,suspension or termination of grants,or government-wide suspension or debarment(see 2 CFR Part ISO, Subparts G and H). As the duly authorized representative of the grantee, I certify,to the best of my knowledge and belief,that the grantee will provide a drug-free workplace by: A. Publishing a drug-free workplace statement that: a. Notifies employees that the unlawful manufacture,distribution,dispensing,possession,or use of a controlled substance is prohibited in the grantee's workplace; b. Specifies the actions that the grantee will take against employees for violating that prohibition;and c. Informs employees that,as a condition of employment under any award,each employee will abide by the terms of the statement and notify the grantee in writing if the employee is convicted for a violation of a criminal drug statute occurring in the workplace within five days of the conviction; B. Requiring that a copy of the statement described in paragraph(A)be given to each employee who will be engaged in the performance of any Federal award; C. Establishing a drug-free awareness program to inform employees about: a. The dangers of drug abuse in the workplace; b. The grantee's policy of maintaining a drug-free workplace; c. Any available drug counseling,rehabilitation,and employee assistance programs;and d. The penalties that the grantee may impose upon them for drug abuse violations occurring in the workplace; D. Providing us,as well as any other Federal agency on whose award the convicted employee was working,with written notification within 10 calendar days of learning that an employee has been convicted of a drug violation in the workplace; E. Taking one of the following actions within 30 calendar days of learning that an employee has been convicted of a drug violation in the workplace: a. Taking appropriate personnel action against the employee,up to and including termination;or b. Requiring that the employee participate satisfactorily in a drug abuse assistance or rehabilitation program approved for these purposes by a Federal, State,or local health,law enforcement,or other appropriate agency; F. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs(A)through(E). Certification-Lobbying Activities As required by Section 1352,Title 31 of the U.S.Code,as the duly authorized representative of the applicant,I certify,to the best of my knowledge and belief,that: https://egrants.cns.gov/cnsmisc/eCerts.htm 5/4/2011 CERTIFICATIONS Page 2 of 2 • No federal appropriated funds have been paid or will be paid,by or on behalf of the applicant,to any person for influencing or attempting to influence an officer or employee of any agency,a member of Congress,an officer of Congress in connection with the awarding of any federal contract,the making of any federal loan,the entering into of any cooperative agreement,or modification of any federal contract,grant,loan,or cooperative agreement; • If any funds other than federal appropriated funds have been paid or 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 federal contract,grant,loan,or cooperative agreement,the applicant will submit Standard Form-LLL,"Disclosure Form to Report Lobbying," in accordance with its instructions; • The applicant will require that the language of this certification be included in the award documents for all subcontracts at all tiers(including subcontracts,subgrants,and contracts under grants,loans and cooperative agreements)and that all subrecipients will certify and disclose accordingly. Certification-Grant Review Process(State Commissions Only) I certify that in conducting our review process,we have ensured compliance with the National and Community Service Act of 1990,the Corporation's peer review requirements,and all state laws and conflict of interest rules. For AmeriCorps State and National Applicants ONLY If you are not applying for a grant through AmeriCorps*State and National,you may ignore this section. Erroneous certification or assurance he assurances and certifications are material representations of fact upon which we rely in determining whether to enter into this transaction. If we later determine that you knowingly submitted an erroneous certification or assurance,in addition to other remedies available to the federal government,we may terminate this transaction for cause or default. Notice of error in certification or assurance You must provide immediate written notice to us if at any time you learn that a certification or assurance was erroneous when submitted or has become erroneous because of changed circumstances. Definitions The terms"debarment","suspension","excluded","disqualified","ineligible","participant","person","principal","proposal",and "voluntarily excluded"as used in this document have the meanings set out in 2 CFR Part 180,subpart I,"Definitions." A transaction shall be considered a"covered transaction"if it meets the definition in 2 CFR part 180 subpart B,"Covered Transactions." Assurance requirement for subgrant agreements You agree by submitting this proposal that if we approve your application you shall not knowingly enter into any lower tier covered transaction with a person who is debarred,suspended,declared ineligible,or voluntarily excluded from participation in this covered transaction,unless authorized by us. Assurance inclusion in subgrant agreements You agree by submitting this proposal that you will obtain an assurance from prospective participants in all lower tier covered transactions and in all solicitations for lower tier covered transactions that the participants are not debarred,suspended,ineligible,or voluntarily excluded from the covered transaction. Assurance of subgrant principals You may rely upon an assurance of a prospective participant in a lower-tier covered transaction that is not debarred,suspended,ineligible, or voluntarily excluded from the covered transaction,unless you know that the assurance is erroneous. You may decide the method and frequency by which you determine the eligibility of your principals. You may,but are not required to,check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs. Non-assurance in subgrant agreements If you knowingly enter into a lower tier covered transaction with a person who is suspended,debarred,ineligible,or voluntarily excluded from participation in this transaction,in addition to other remedies available to the federal government,we may terminate this transaction for cause or default. Prudent person standard Nothing contained in the aforementioned may be construed to require establishment of a system of records in order to render in good faith the assurances and certifications required. Your knowledge and information is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. https://egrants.cns.gov/cnsmisc/eCerts.htm 5/4/2011 https:llegrants.cns.govlespantgi_app/narrative_popup.jsp?textid-22190448sid-20d2f6f033e4723ff49 - Microsoft Inteinet Exploiei p https:JJegraits.cns.govfespanigr appinarrativeyopup.jspAextid=2219044&std=20d2W033e4723ff49c3edf4bda8m7c8d917482fbaa6c5a5b0Bdf759d8f2b8 • N 1T1ISVALS7 COMSERVICE=UNITY A jTC SFRViCF� �J `' Narratives - Tease enter the Clarificabor Summary H. Clarification Information WCYCC will begin the third year of the current grant cycle or October 5, 2011 and will end the grant year on October 4, 2012. WCYCC will begin member enrollment on or _ around October 5, 2011; all enrolled members will complete their terms of service on or before October 4, 2012. close • Done Internet +000% " Inbox-Miao Qw Microsoft Word I, y Weld TylerCM... j Narabves- UMIr hT S et 4:09 PM ?OA Stan Attutat Atc41) a_boui2 (An,\ottrvo (142 ChAitt.65titni ) 1/4/t 11:IA4j Afi -4Ltilne1Atta • cttr ,kicsili Aukinejta Lad. tileAs Aljeo t5y\ isi (O-ao -Q.o l i ao / t - I oR3 HQcxo2a Page 1 of 1 6/ 15 / 2011, 6 : 05 PM, EDT home my account help logout ,..y.a� i 7 WC".NATIONAL& • COMMUNITY SERVICES Tyve i I ,/ ,I I 1 r I v f t , I ks of,, tK 4 s Thank you You have successfully completed the action to Submit 424 to prime applicant on 6/15/2011 at 6:05 PM, EDT. The status of your application is now Submitted to Prime. Go to your eGrants home ga 508 Approved I Contact Help Desk I disable the pictures https://egrants.cns.gov/espan/gr_app/thanks.jsp?sid=20d2f6f033e4723ff49c3edf4bda8ec7c... 6/15/2011 ASSURANCES Page 1 of 4 Ce 057:27n ASSURANCES As the duly authorized representative of the applicant,I certify,to the best of my knowledge and belief,that the applicant: • Has the legal authority to apply for federal assistance,and the institutional,managerial,and financial capability(including funds sufficient to pay the non-federal share of project costs)to ensure proper planning,management,and completion of the project described in this application. • Will give the awarding agency,the Comptroller General of the United States,and if appropriate,the state,through any authorized representative,access to and the right to examine all records,books,papers,or documents related to the award;and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. • Will establish safeguards to prohibit employees from using their position for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest,or personal gain. • Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. • Will comply with the Intergovernmental Personnel Act of 1970(42 U.S.C.4728-4763)relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration(5 CFR 900,Subpart F). • Will comply with all federal statutes relating to nondiscrimination.These include but arc not limited to:Title VI of the Civil Rights Act of 1964(P.L. 88-352)which prohibits discrimination on the basis of race,color,or national origin;(b)Title IX of the Education Amendments of 1972,as amended(20 U.S.C. 1681-1683,and 1685-1686).which prohibits discrimination on the basis of sex;(c)Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C.794),which prohibits discrimination on the basis of disability(d)'lhe Age Discrimination Act of 1975,as amended(42 U.S.C.6101-6107),which prohibits discrimination on the basis of age;(e)The Drug Abuse Office and Treatment Act of 1972(P.L.92-255),as amended,relating to nondiscrimination on the basis of drug abuse;(f)The Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and Rehabilitation Act of 1970(P.L.91-616),as amended,relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g)sections 523 and 527 of the Public Health Service Act of 1912(42 U.S.C.290dd-3 and 290ee-3),as amended,relating to confidentiality of alcohol and drug abuse patient records;(h)Title VIII of the Civil Rights Act of 1968(42 U.S.C.3601 et seq.), as amended,relating to nondiscrimination in the sale,rental or financing of housing;(i)any other nondiscrimination provisions in the National and Community Service Act of 1990,as amended;and(j)the requirements of any other nondiscrimination statute(s) which may apply to the application. • Will comply,or has already complied,with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970(P.L.91-646)which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or federally assisted programs.These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchases. • Will comply with the provisions of the Hatch Act(5 U.S.C. 1501-1508 and 7324-7328)which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. • Will comply,as applicable,with the provisions of the Davis-Bacon Act(40 U.S.C 276a and 276a-77),the Copeland Act(40 U.S.C 276c and 18 U.S.C.874),and the Contract Work Hours and Safety Standards Act(40 U.S.C.327-333),regarding labor standards for Federally assisted construction sub-agreements. • Will comply,if applicable,with flood insurance purchase requirements of Section 102(a)of the Flood Disaster Protection Act of 1973(1'.L.93-234)which requires the recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. • Will comply with environmental standards which may be prescribed pursuant to the following:(a)institution of environmental quality control measures under the National Environmental Policy Act of 1969(P.L.91-190)and Executive Order(EO) 11514; (b)notification of violating facilities pursuant to EO 11738;(c)protection of wetlands pursuant to EO 11990;(d)evaluation of flood hazards in floodplains in accordance with EO 11988;(e)assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972(16 U.S.C 1451 et seq.);(0 conformity of federal actions to State(Clean Air)Implementation Plans under Section 176(e)of the Clean Air Act of 1955,as amended(42 U.S.C.7401 et seq.);(g)protection of underground sources of drinking water under the Safe Drinking Water Act of 1974,as amended(P.L.93-523);and(h)protection of endangered species under the Endangered Species Act of 1973,as amended(P.L. 93-205). • Will comply with the Wild and Scenic Rivers Act of 1968(16 U.S.C 1271 et seq.)related to protecting components or potential components of the national wild and scenic rivers system. • Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966,as amended(16 U.S.C.470),EO 11593(identification and protection of historic properties),and the Archaeological and Historic Preservation Act of 1974(l6U.S.C.469a-1 et seq.). • Will comply with P.L.93-348 regarding the protection of human subjects involved in research,development,and related activities supported by this award of assistance. https://egrants.cns.gov/cnsmisc/eAssur.htm 6/15/2011 ASSURANCES Page 2 of 4 • Will comply with the Laboratory Animal Welfare Act of 1966(P.L.89-544,as amended,7 U.S.C.2131 et seq.)pertaining to the care,handling,and treatment of warm blooded animals held for research,teaching,or other activities supported by this award of assistance. • Will comply with the Lead-Based Paint Poisoning Prevention Act(42 U.S.C. §§4801 et seq.)which prohibits the use of lead based paint in construction or rehabilitation of residence structures. • Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984,as amended,and OMB Circular A-133,Audits of States,Local Governments,and Non-Profit Organizations. • Will comply with all applicable requirements of all other Federal laws,executive orders,regulations,application guidelines,and policies governing this program. For AmeriCorps State and National Applicants ONLY If you are not applying for a grant through AmeriCorps"State and National,you may ignore this section. • Will comply with all rules regarding prohibited activities,including those stated in applicable Notice,grant provisions,and program regulations,and will ensure that no assistance made available by the Corporation will be used to support any such prohibited activities. • Will comply with the nondiscrimination provisions in the national service laws,which provide that an individual with responsibility for the operation of a project or program that receives assistance under the national service laws shall not discriminate against a participant in,or member of the staff of,such project or program on the basis of race,color,national origin,sex,age,political affiliation,disability,or on the basis of religion. (NOTE:the prohibition on religious discrimination does not apply to the employment of any staff member paid with non-Corporation funds or paid with Corporation funds but employed with the organization operating the project prior to or on the date the grant was awarded. If your organization is a faith-based organization that makes hiring decisions on the basis of religious belief,your organization may be entitled,under the Religious Freedom Restoration Act,42 U.S.C. §2000bb,to receive federal funds and yet maintain that hiring practice,even though the national service legislation includes a restriction on religious discrimination in employment of staff hired to work on a Corporation-funded project and paid with Corporation grant funds. (42 U.S.C. §§5057(c)and 12635(c)). For the circumstances under which this may occur,please see the document"Effect of the Religious Freedom Restoration Act on Faith-Based Applicants for Grants"on the Corporation's website at: http://www.usdoj.gov/archive/fbei/effect-rfra.pdf. • Will comply with all other federal statutes relating to nondiscrimination,including any self-evaluation requirements. These include but are not limited to:(a)Title VI of the Civil Rights Act of 1964(P.L.88-352)which prohibits discrimination on the basis of race,color,or national origin;(b)Title IX of the Education Amendments of 1972,as amended(20 U.S.C. 1681-1683, and 1685-1686).which prohibits discrimination on the basis of sex;(c)Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C.794),which prohibits discrimination on the basis of handicaps(d)The Age Discrimination Act of 1975,as amended(42 U.S.C.6101-6107),which prohibits discrimination on the basis of age;(e)The Drug Abuse Office and Treatment Act of 1972(P.L.92-255),as amended,relating to nondiscrimination on the basis of drug abuse;(f)The Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and Rehabilitation Act of 1970(P.L. 91-616),as amended,relating to nondiscrimination on the basis of alcohol abuse or alcoholism;(g)sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C.290 dd-3 and 290 ee-3),as amended,relating to confidentiality of alcohol and drug abuse patient records;(h)Title VIII of the Civil Rights Act of 1968(42 U.S.C.3601 et seq.),as amended,relating to nondiscrimination in the sale,rental or financing of housing;and(i)the requirements of any other nondiscrimination statute(s)which may apply to the application. • Will provide, in the design,recruitment,and operation of any AmeriCorps program,for broad-based input from—(1)the community served, the municipality and government of the county(if appropriate)in which the community is located,and potential participants in the program;and(2)community-based agencies with a demonstrated record of experience in providing services and local labor organizations representing employees of service sponsors,if these entities exist in the area to be served by the program; • Will,prior to the placement of participants,consult with the appropriate local labor organization,if any,representing employees in the area who are engaged in the same or similar work as that proposed to be carried out by an AmeriCorps program,to ensure compliance with the nondisplacement requirements specified in section 177 of the NCSA; • Will,in the case of an AmeriCorps program that is not funded through a State,consult with and coordinate activities with the State Commission for the state in which the program operates. • Will ensure that any national service program carried out by the applicant using assistance provided under section 121 of the National and Community Service Act of 1990 and any national service program supported by a grant made by the applicant using such assistance will address unmet human,educational,environmental,or public safety needs through services that provide a direct benefit to the community in which the service is performed; • Will comply with the nonduplication and nondisplacement requirements set out in section 177 of the National and Community https://egrants.cns.gov/cnsmisc/eAssur.htm 6/15/2011 ASSURANCES Page 3 of 4 Service Act of 1990,and in the Corporation's regulations at§2540.100; • Will comply with the grievance procedure requirements as set out in section 176(f)of the National and Community Service Act of 1990 and in the Corporation's regulations at 45 CFR§2540.230; • Will provide participants in the national service program with the training,skills,and knowledge necessary for the projects that participants are called upon to perform; • Will provide support services to participants,such as information regarding G.E.D.attainment and post-service employment, and,if appropriate,opportunities for participants to reflect on their service experiences; • Will arrange for an independent evaluation of any national service program carried out using assistance provided to the applicant under section 121 of the National and Community Service Act of 1990 or,with the approval of the Corporation,conduct an internal evaluation of the program; • Will apply measurable performance goals and evaluation methods,which are to be used as part of such evaluation to determine the program's impact on communities and persons served by the program,on participants who take part in the projects,and in other such areas as required by the Corporation; • Will ensure the provision of a living allowance and other benefits to participants as required by the Corporation; • Has not violated a Federal criminal statute; • If a state applicant,will ensure that the State subgrants will be used to support national service programs selected by the State on a competitive basis; • If a state applicant,will seek to ensure an equitable allocation within the State of assistance and approved national service positions,taking into consideration such factors as the locations of the programs,population density,and economic distress; • If a state applicant,will ensure that not less than 60%of the assistance will be used to make grants to support national service programs other than those carried out by a State agency,unless the Corporation approves otherwise. For Learn and Serve America Applicants ONLY If you are not applying for a grant through Learn and Serve America,you may disregard this section. • Will keep such records and provide such information to the Corporation with respect to the programs as may be required for fiscal audits and program evaluation. • Will comply with the nonduplication,nondisplacement,and grievance procedure requirements of 45 CFR Part 2540. • Will,prior to the placement of a participant,consult with the appropriate local labor organization,if any,representing employees in the area who are engaged in the same or similar work as that proposed to be carried out by the program,to prevent the displacement and protect the rights of those employees. • Will comply with the 45 CFR 2540.200-207 criminal history check requirements for all individuals receiving a living allowance, stipend,national service educational award,or salary through a program receiving assistance under the national service laws— regardless of the type of service the individual is performing or the individual's access to vulnerable populations. • Will comply with the parental involvement requirements 45 CFR 2540.330. • Will,for school-based grants,make efforts to: 1. ensure that students of different ages,races,sexes,ethnic groups,disabilities,and economic backgrounds have opportunities to serve together; 2. include any opportunities for students,enrolled in schools or programs of education providing elementary or secondary education,to participate in service-learning programs and ensure that such service-learning programs include opportunities for such students to serve together; 3. involve participants in the design and operation of the programs; 4. promote service-learning in areas of greatest need,including low-income or rural areas;and 5. otherwise integrate service opportunities into the academic program of the participants. For Social Innovation Fund Applicants ONLY https://egrants.cns.gov/ensmisc/eAssur.htm 6/15/2011 ASSURANCES Page 4 of 4 If you are not applying for a Social Innovation Fund grant,you may disregard this section. • Will use the funds received through the award in order to make subgrants to community organizations that will use the funds to replicate or expand proven initiatives,or support new initiatives,in low-income communities. • Will consult with a diverse cross section of community representatives in making decisions about subgrants for communities (including individuals from the public,nonprofit private,and for-profit private sectors). • Will make subgrants of a sufficient size and scope to enable the community organizations to build their capacity to manage initiatives,and sustain replication or expansion of the initiatives; • Will not make any subgrants to-- • the parent organizations of the applicant, • a subsidiary organization of the parent organization of the applicant,or, • if the applicant applied for a SIF award as a partnership,any member of the partnership. • Commits to meeting the matching fund requirements of section 198k(i)of the National and Community Service Act of 1990(42 U.S.C. §12653k(i)). • Commits to use data and evaluations to improve the applicant's own model and to improve the initiatives funded by the applicant. • Commits cooperate with any evaluation activities undertaken by the Corporation. https://egrants.cns.gov/ensmisc/eAssur.htm 6/15/2011 CERTIFICATIONS // Page 1 of 2 • �t-tc v1-ini .cZli- Cd // CERTIFICATIONS CERTIFICATIONS Certification—Debarment,Suspension,and Other Responsibility Matters This certification is required by the government-wide regulations implementing Executive Order 12549,Debarment and Suspension,2 CFR Part 180,Section 180.335, What information must!provide before entering into a covered transaction with a Federal agency? As the duly authorized representative of the applicant, I certify,to the best of my knowledge and belief,that neither the applicant nor its principals: • Is presently excluded or disqualified; • Has been convicted within the preceding three years of any of the offenses listed in § 180.800(a)or had a civil judgment rendered against it for one of those offenses within that time period; • Is presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal,State, or local)with commission or any of the offenses listed in § 180.800(a);or • Has had one or more public transactions(Federal,State,or local)terminated within the preceding three years for cause or default. Certification—Drug Free Workplace This certification is required by the Corporation's regulations implementing sections 5150-5160 of the Drug-Free Workplace Act of 1988(P.L. 100-690),45 CFR Part 2545,Subpart B. The regulations require certification by grantees,prior to award,that they will make a good faith effort,on a continuing basis,to maintain a drug-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when the agency determines to award the grant. False certification or violation of the certification may be grounds for suspension of payments,suspension or termination of grants,or government-wide suspension or debarment(see 2 CFR Part 180,Subparts G and H). As the duly authorized representative of the grantee,I certify,to the best of my knowledge and belief,that the grantee will provide a drug-free workplace by: A. Publishing a drug-free workplace statement that: a. Notifies employees that the unlawful manufacture,distribution,dispensing,possession,or use of a controlled substance is prohibited in the grantee's workplace; b. Specifies the actions that the grantee will take against employees for violating that prohibition;and c. Informs employees that,as a condition of employment under any award,each employee will abide by the terms of the statement and notify the grantee in writing if the employee is convicted for a violation of a criminal drug statute occurring in the workplace within five days of the conviction; B. Requiring that a copy of the statement described in paragraph(A)be given to each employee who will be engaged in the performance of any Federal award; C. Establishing a drug-free awareness program to inform employees about: a. The dangers of drug abuse in the workplace; b. The grantee's policy of maintaining a drug-free workplace; c. Any available drug counseling,rehabilitation,and employee assistance programs;and d. The penalties that the grantee may impose upon them for drug abuse violations occurring in the workplace; D. Providing us,as well as any other Federal agency on whose award the convicted employee was working,with written notification within 10 calendar days of learning that an employee has been convicted of a drug violation in the workplace; E. Taking one of the following actions within 30 calendar days of learning that an employee has been convicted of a drug violation in the workplace: a. Taking appropriate personnel action against the employee,up to and including termination;or b. Requiring that the employee participate satisfactorily in a drug abuse assistance or rehabilitation program approved for these purposes by a Federal,State,or local health,law enforcement,or other appropriate agency; F. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs(A)through(F.). Certification-Lobbying Activities As required by Section 1352,Title 31 of the U.S.Code,as the duly authorized representative of the applicant,I certify,to the best of my knowledge and belief,that: https://egrants.cns.gov/cnsmise/eCerts.htm 6/15/2011 CERTIFICATIONS Page 2 of 2 • No federal appropriated funds have been paid or will be paid,by or on behalf of the applicant,to any person for influencing or attempting to influence an officer or employee of any agency,a member of Congress,an officer of Congress in connection with the awarding of any federal contract,the making of any federal loan,the entering into of any cooperative agreement,or modification of any federal contract,grant,loan,or cooperative agreement; • If any funds other than federal appropriated funds have been paid or 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 federal contract,grant,loan,or cooperative agreement,the applicant will submit Standard Form-ILL,"Disclosure Form to Report Lobbying," in accordance with its instructions; • The applicant will require that the language of this certification be included in the award documents for all subcontracts at all tiers(including subcontracts,subgrants,and contracts under grants,loans and cooperative agreements)and that all subrecipients will certify and disclose accordingly. Certification-Grant Review Process(State Commissions Only) I certify that in conducting our review process,we have ensured compliance with the National and Community Service Act of 1990,the Corporation's peer review requirements,and all state laws and conflict of interest rules. For AmeriCorps State and National Applicants ONLY If you are not applying for a grant through AmeriCorps*Slate and National,you may ignore this section. Erroneous certification or assurance The assurances and certifications are material representations of fact upon which we rely in determining whether to enter into this transaction. If we later determine that you knowingly submitted an erroneous certification or assurance,in addition to other remedies available to the federal government,we may terminate this transaction for cause or default. Notice of error in certification or assurance You must provide immediate written notice to us if at any time you learn that a certification or assurance was erroneous when submitted or has become erroneous because of changed circumstances. Definitions The terms"debarment","suspension","excluded","disqualified","ineligible","participant","person","principal","proposal",and "voluntarily excluded"as used in this document have the meanings set out in 2 CFR Part 180,subpart I,"Definitions." A transaction shall be considered a"covered transaction"if it meets the definition in 2 CFR part 180 subpart B,"Covered Transactions." Assurance requirement for subgrant agreements You agree by submitting this proposal that if we approve your application you shall not knowingly enter into any lower tier covered transaction with a person who is debarred,suspended,declared ineligible,or voluntarily excluded from participation in this covered transaction,unless authorized by us. Assurance inclusion in subgrant agreements You agree by submitting this proposal that you will obtain an assurance from prospective participants in all lower tier covered transactions and in all solicitations for lower tier covered transactions that the participants are not debarred,suspended,ineligible,or voluntarily excluded from the covered transaction. Assurance of subgrant principals You may rely upon an assurance of a prospective participant in a lower-tier covered transaction that is not debarred,suspended,ineligible, or voluntarily excluded from the covered transaction,unless you know that the assurance is erroneous. You may decide the method and frequency by which you determine the eligibility of your principals. You may,but are not required to,check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs. Non-assurance in subgrant agreements If you knowingly enter into a lower tier covered transaction with a person who is suspended,debarred,ineligible,or voluntarily excluded from participation in this transaction,in addition to other remedies available to the federal government,we may terminate this transaction for cause or default. Prudent person standard Nothing contained in the aforementioned may be construed to require establishment of a system of records in order to render in good faith the assurances and certifications required. Your knowledge and information is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. https://egrants.cns.gov/cnsmisc/eCerts.htm 6/15/2011 Page 1 of I 8/9/2011, 2:28 PM, EDT home my account help logout NATiONAL& rir `:, COMMUNITY Y • SERVICE= >} `. 4 I ,fir Thank you You have successfully completed the action to Submit 424 to prime applicant on 8/9/2011 at 2:28 PM, EDT.The status of your application is now Submitted to Prime. Go to your eGrants home 508 Approved I Contact Help Desk I disable the pictures c2011 - 1093 httnsWeprants.cns.s?ov/esoan/2r app/thanks.jsp?sid=250d6e9790c48e943b19d19a704826d9... 8/9/2011 Esther Gesick From: Tami Grant Sent: Tuesday, August 09, 2011 12:37 PM To: Esther Gesick Subject: FW: AmeriCorps grant returned for budget revision Importance: High Tami Grant Youth Program Manager Employment Services of Weld County 3158 N. 11th Avenue Greeley, CO 80631 970-353-3800 ext. 6754 i 1 t 1 91I WEL1LC0) 41r I Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Skinner, Mark jmailto:Mark.Skinner©state.co.usl Sent: Monday, August 08, 2011 4:24 PM To: Tami Grant Subject: AmeriCorps grant returned for budget revision Importance: High Tami: Your 2011-2012 grant has been returned in eGrants for revision. It is noted that your required match is 46%. It is currently showing 45%. This is a difference of approximately$1, 800. Please increase your match with either cash or inkind so that it shows the required 46%match. This small amount should be relatively easy to add in. If you wish to discuss, please call me. Mark Mark Skinner Senior Program Officer I Serve Colorado I Office of Lt. Gov. Joseph A. Garcia 1225 E 16th Ave Suite B-52 I Denver CO 80203 I w. 303.866.2565 I f. 303.866.2525 Budget Section 1 Page 1 of 4 8/9/2011, 2.33 PM, EDT home my account help logout N 1T[OVALST • jt • N •+� COMMUNITY II 1"1 SERVICE , ♦ 3 .. '�_.� ew• .. .4 • Al :210 1 Welcome Esther View Continuation Grant Application 4• back next •> View Continuation Applicant Info Application Info Budget Section I. Program Operating Costs Narratives p. . .,,t.., the necessary budget information for your project. Performance Measures Documents ®Budget Section 1 Personnel Expenses Budget Section 2 Annual % Total CNCS Grantee Budget Section 3 uosition!Title Qty edit del Salary Time Amount Share Share Review Crew Leader 1 $34,790 100% 534,790 $25,448 $9,342 view Authorize and Submit Team I $40,318 60% $24,191 $14,999 $9,192 view Leader Grant Application Info Program 1 $51,632 10% $5,163 $3,098 $2,065 view Grant Application ID: Director 11AC129148 Grant.:06AFHC00010010 Subtotal 3 5126,740 $64,144 $43,545 $20,599 Prime Application info: 11AC126081(Governors Commission on Community Personnel Fringe Benefits Service) Total CNCS Grantee NOFA: Commission AmeriCorps Purpose Calculation edit del Amount Share Share State FY 2011 Fringe is Type:Continuation calculated Status:Submitted to Prime Crew i 30%of $10,437 $6,262 $4,175 view Submitted: 0E/09/7011 Leader salary attributed to grant Legal Applicant Info Fringe is Board of Weld County calculated Commissioners.Weld County Team @ 30%of $6,048 53,629 $2,419 view Division of Human Services Leader salary PO Box 1805 attributed 315 N. 11th Ave to grant Greeley,CO 80632 Fringe is $1,549 $929 $620 view calculated Program @ 30%of https://egrants.cns.gov/espan/gr app/budget l.j sp?sid=250d6e9790c48e943 b 19d 19a704826d... 8/9/2011 Budget Section 1 Page 2 of 4 Director salary attributed to grant Subtotal $18,034 $10,820 $7,214 Staff Travel Total CNCS Grantee Purpose Calculation edit del Amount Share Share Travel to CNCS- $2,000 $1,000 $1,000 view Sponsored Meetings N/A 50 $0 $0 view Subtotal $2,000 $1,000 $1,000 Member Travel + Total CNCS Grantee Purpose Calculation edit del Amount Share Share $1.80 per Transportation mile(cost of to project depreciation, sites,training, gas, $27,000 $0 $27,000 view all corps day, maintenance) etc x 15000 miles Gas vouchers/Bus $2,399 S2,399 $0 view Passes for Members Subtotal $29,399 $2,399 $27,000 Equipment Unit Total CNCS Grantee edit del item/Purpose Qty Cost Amount Share Share N/a 0 $5,000 $0 $0 $0 view Subtotal 0 $5,000 $0 $0 $0 Supplies Total CNCS Grantee Item Calculation edit del Amount Share Share Member 20 Uniforms/Member members $8,400 $2,000 $6,400 view equipment/saety x$300 https://egrants.cns.gov/espan/gr_app/budgetl.j sp?sid=250d6e9790c48e943b 19d 19a704826d... 8/9/2011 Budget Section 1 Page 3 of 4 equipment Subtotal $6,400 $2,000 $6,400 Contractual and Consultant Services Daily Total CNCS Grantee Purpose Calculation edit del Rate Amount Share Share N/A SO $0 $0 SO view Subtotal so $0 so So Staff Training Daily Total CNCS Grantee Purpose Calculation edit del Rate Amount Share Share State Commission Training project site No cost to training and SO S2,000 51,000 $1,000 view Program other professional development opportunities Subtotal $0 $2,000 $1,000 51,000 Member Training Purpose Calculation Daily Total CNCS Grantee edit del Rate Amount Share Share 4 Basic Skills/Ged members $10 $8,000 $2,000 $6,000 view ip 2,000 preparation ea Subtotal $10 $8,000 S2,000 $6,000 Evaluation Daily Total CNCS Grantee Purpose Calculation edit del Rate Amount Share Share Based on internal staff time Evaluation to compile $0 $800 SO $800 view by Board reports and data Subtotal SO $800 $0 $800 https://egrants.cns.gov/espan/gr_app/budget 1.j sp?sid=250d6e9790c48e943b 19d 19a704826d... 8/9/2011 Budget Section 1 Page 4 of 4 Other Program Operating Costs Total CNCS Grantee Purpose Calculation edit del Amount Share Share Subtotal Subtotal: Total Amount CNCS Share Grantee Share $132,777 $62,764 570,013 47% 53% 508 Approved I Contact Help Desk I disable the pictures <•• back next 4 https://egrants.cns.gov/espan/gr_app/budget l.jsp?sid=250d6e9790c48e943b 19d 19a704826d... 8/9/2011 ASSURANCES Page 1 of 4 ASSURANCES As the duly authorized representative of the applicant, I certify,to the best of my knowledge and belief,that the applicant: • Has the legal authority to apply for federal assistance,and the institutional, managerial,and financial capability(including funds sufficient to pay the non-federal share of project costs)to ensure proper planning,management,and completion of the project described in this application. • Will give the awarding agency,the Comptroller General of the United States,and if appropriate,the state,through any authorized representative, access to and the right to examine all records,books,papers,or documents related to the award;and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. • Will establish safeguards to prohibit employees from using their position for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest,or personal gain. • Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. • Will comply with the Intergovernmental Personnel Act of 1970(42 U.S.C.4728-4763)relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration(5 CFR 900, Subpart F). • Will comply with all federal statutes relating to nondiscrimination.These include but are not limited to:Title VI of the Civil Rights Act of 1964(P.L. 88-352)which prohibits discrimination on the basis of race,color,or national origin;(b)Title IX of the Education Amendments of 1972,as amended(20 U.S.C. 1681-1683,and 1685-1686). which prohibits discrimination on the basis of sex;(c)Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C.794),which prohibits discrimination on the basis of disability(d)The Age Discrimination Act of 1975,as amended(42 U.S.C.6101-6107),which prohibits discrimination on the basis of age;(e)The Drug Abuse Office and Treatment Act of 1972(P.L. 92-255),as amended,relating to nondiscrimination on the basis of drug abuse;(f)The Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and Rehabilitation Act of 1970(P.L. 91-616),as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g)sections 523 and 527 of the Public Health Service Act of 1912(42 U.S.C.290dd-3 and 290ee-3),as amended,relating to confidentiality of alcohol and drug abuse patient records;(h)Title VIII of the Civil Rights Act of 1968(42 U.S.C.3601 et seq.), as amended,relating to nondiscrimination in the sale,rental or financing of housing;(i)any other nondiscrimination provisions in the National and Community Service Act of 1990,as amended;and(j)the requirements of any other nondiscrimination statute(s) which may apply to the application. • Will comply,or has already complied,with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970(P.L.91-646)which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or federally assisted programs.These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchases. • Will comply with the provisions of the Hatch Act(5 U.S.C. 1501-1508 and 7324-7328)which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. • Will comply,as applicable,with the provisions of the Davis-Bacon Act(40 U.S.C 276a and 276a-77),the Copeland Act(40 U.S.C 276c and 18 U.S.C. 874),and the Contract Work Hours and Safety Standards Act(40 U.S.C.327-333),regarding labor standards for Federally assisted construction sub-agreements. • Will comply,if applicable,with flood insurance purchase requirements of Section 102(a)of the Flood Disaster Protection Act of 1973 (P.L.93-234)which requires the recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. • Will comply with environmental standards which may be prescribed pursuant to the following:(a)institution of environmental quality control measures under the National Environmental Policy Act of 1969(P.L.91-190)and Executive Order(EO) 11514; (b)notification of violating facilities pursuant to EO 11738;(c)protection of wetlands pursuant to EO 11990;(d)evaluation of flood hazards in floodplains in accordance with EO 11988;(e)assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972(16 U.S.C 1451 et seq.);(f)conformity of federal actions to State(Clean Air)Implementation Plans under Section 176(c)of the Clean Air Act of 1955,as amended(42 U.S.C.7401 et seq.);(g)protection of underground sources of drinking water under the Safe Drinking Water Act of 1974,as amended(P.L.93-523); and(h)protection of endangered species under the Endangered Species Act of 1973,as amended(P.L. 93-205). • Will comply with the Wild and Scenic Rivers Act of 1968(16 U.S.C 1271 et seq.)related to protecting components or potential components of the national wild and scenic rivers system. • Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966,as amended(16 U.S.C. 470),EO 11593 (identification and protection of historic properties),and the Archaeological and Historic Preservation Act of 1974(16U.S.C.469a-1 et seq.). • Will comply with P.L.93-348 regarding the protection of human subjects involved in research,development,and related activities supported by this award of assistance. https://egrants.cns.gov/cnsmisc/eAssur.htm 8/9/2011 ASSURANCES Page 2 of 4 • Will comply with the Laboratory Animal Welfare Act of 1966(P.L.89-544,as amended, 7 U.S.C.2131 et seq.)pertaining to the care,handling,and treatment of warm blooded animals held for research,teaching,or other activities supported by this award of assistance. • Will comply with the Lead-Based Paint Poisoning Prevention Act(42 U.S.C. §§4801 et seq.)which prohibits the use of lead based paint in construction or rehabilitation of residence structures. • Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984,as amended,and OMB Circular A-133,Audits of States,Local Governments,and Non-Profit Organizations. • Will comply with all applicable requirements of all other Federal laws,executive orders,regulations,application guidelines,and policies governing this program. For AmeriCorps State and National Applicants ONLY If you are not applying for a grant through AmeriCorps*State and National,you may ignore this section. • Will comply with all rules regarding prohibited activities, including those stated in applicable Notice,grant provisions,and program regulations,and will ensure that no assistance made available by the Corporation will be used to support any such prohibited activities. • Will comply with the nondiscrimination provisions in the national service laws,which provide that an individual with responsibility for the operation of a project or program that receives assistance under the national service laws shall not discriminate against a participant in,or member of the staff of, such project or program on the basis of race,color,national origin,sex,age,political affiliation,disability,or on the basis of religion. (NOTE:the prohibition on religious discrimination does not apply to the employment of any staff member paid with non-Corporation funds or paid with Corporation funds but employed with the organization operating the project prior to or on the date the grant was awarded. If your organization is a faith-based organization that makes hiring decisions on the basis of religious belief,your organization may be entitled,under the Religious Freedom Restoration Act,42 U.S.C.§2000bb,to receive federal funds and yet maintain that hiring practice,even though the national service legislation includes a restriction on religious discrimination in employment of staff hired to work on a Corporation-funded project and paid with Corporation grant funds. (42 U.S.C. §§5057(c)and 12635(c)). For the circumstances under which this may occur,please see the document"Effect of the Religious Freedom Restoration Act on Faith-Based Applicants for Grants"on the Corporation's website at: http://www.gsdoj.gov/archivdtUei/effect-rfra.pdf. • Will comply with all other federal statutes relating to nondiscrimination, including any self-evaluation requirements. These include but are not limited to: (a)Title VI of the Civil Rights Act of 1964(P.L. 88-352)which prohibits discrimination on the basis of race,color,or national origin;(b)Title IX of the Education Amendments of 1972,as amended(20 U.S.C. 1681-1683, and 1685-1686).which prohibits discrimination on the basis of sex;(c)Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C. 794),which prohibits discrimination on the basis of handicaps(d)The Age Discrimination Act of 1975,as amended(42 U.S.C. 6101-6107),which prohibits discrimination on the basis of age;(e)The Drug Abuse Office and Treatment Act of 1972(P.L.92-255),as amended,relating to nondiscrimination on the basis of drug abuse;(f)The Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and Rehabilitation Act of 1970(P.L.91-616),as amended,relating to nondiscrimination on the basis of alcohol abuse or alcoholism;(g)sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C.290 dd-3 and 290 ee-3),as amended,relating to confidentiality of alcohol and drug abuse patient records;(h)Title VIII of the Civil Rights Act of 1968(42 U.S.C.3601 et seq.),as amended,relating to nondiscrimination in the sale,rental or financing of housing;and(i)the requirements of any other nondiscrimination statute(s)which may apply to the application. • Will provide,in the design,recruitment,and operation of any AmeriCorps program,for broad-based input from—(1)the community served, the municipality and government of the county(if appropriate)in which the community is located,and potential participants in the program;and(2)community-based agencies with a demonstrated record of experience in providing services and local labor organizations representing employees of service sponsors, if these entities exist in the area to be served by the program; • Will,prior to the placement of participants,consult with the appropriate local labor organization,if any,representing employees in the area who are engaged in the same or similar work as that proposed to be carried out by an AmeriCorps program,to ensure compliance with the nondisplacement requirements specified in section 177 of the NCSA; • Will,in the case of an AmeriCorps program that is not funded through a State,consult with and coordinate activities with the State Commission for the state in which the program operates. • Will ensure that any national service program carried out by the applicant using assistance provided under section 121 of the National and Community Service Act of 1990 and any national service program supported by a grant made by the applicant using such assistance will address unmet human,educational,environmental,or public safety needs through services that provide a direct benefit to the community in which the service is performed; • Will comply with the nonduplication and nondisplacement requirements set out in section 177 of the National and Community https://egrants.cns.gov/cnsmisc/eAssur.htm 8/9/2011 ASSURANCES Page 3 of 4 Service Act of 1990,and in the Corporation's regulations at§ 2540.100; • Will comply with the grievance procedure requirements as set out in section 176(t)of the National and Community Service Act of 1990 and in the Corporation's regulations at 45 CFR§2540.230; • Will provide participants in the national service program with the training,skills, and knowledge necessary for the projects that participants are called upon to perform; • Will provide support services to participants, such as information regarding G.E.D.attainment and post-service employment, and,if appropriate,opportunities for participants to reflect on their service experiences; • Will arrange for an independent evaluation of any national service program carried out using assistance provided to the applicant under section 121 of the National and Community Service Act of 1990 or,with the approval of the Corporation.conduct an internal evaluation of the program; • Will apply measurable performance goals and evaluation methods,which are to be used as part of such evaluation to determine the program's impact on communities and persons served by the program,on participants who take part in the projects,and in other such areas as required by the Corporation; • Will ensure the provision of a living allowance and other benefits to participants as required by the Corporation; • Has not violated a Federal criminal statute; • If a state applicant,will ensure that the State subgrants will be used to support national service programs selected by the State on a competitive basis; • If a state applicant,will seek to ensure an equitable allocation within the State of assistance and approved national service positions,taking into consideration such factors as the locations of the programs,population density,and economic distress; • If a state applicant,will ensure that not less than 60%of the assistance will be used to make grants to support national service programs other than those carried out by a State agency,unless the Corporation approves otherwise. For Learn and Serve America Applicants ONLY If you are not applying for a grant through Learn and Serve America,you may disregard this section. • Will keep such records and provide such information to the Corporation with respect to the programs as may be required for fiscal audits and program evaluation. • Will comply with the nonduplication,nondisplacement,and grievance procedure requirements of 45 CFR Part 2540. • Will,prior to the placement of a participant,consult with the appropriate local labor organization,if any,representing employees in the area who are engaged in the same or similar work as that proposed to be carried out by the program,to prevent the displacement and protect the rights of those employees. • Will comply with the 45 CFR 2540.200-207 criminal history check requirements for all individuals receiving a living allowance, stipend,national service educational award,or salary through a program receiving assistance under the national service laws— regardless of the type of service the individual is performing or the individual's access to vulnerable populations. • Will comply with the parental involvement requirements 45 CFR 2540.330. • Will,for school-based grants,make efforts to: 1. ensure that students of different ages,races,sexes,ethnic groups,disabilities,and economic backgrounds have opportunities to serve together; 2. include any opportunities for students,enrolled in schools or programs of education providing elementary or secondary education,to participate in service-learning programs and ensure that such service-learning programs include opportunities for such students to serve together; 3. involve participants in the design and operation of the programs; 4. promote service-learning in areas of greatest need, including low-income or rural areas;and 5. otherwise integrate service opportunities into the academic program of the participants. For Social Innovation Fund Applicants ONLY https://egrants.cns.gov/ensmisc/eAssur.htm 8/9/2011 ASSURANCES Page 4 of 4 If you are not applying for a Social Innovation Fund grant,you may disregard this section. • Will use the funds received through the award in order to make subgrants to community organizations that will use the funds to replicate or expand proven initiatives,or support new initiatives, in low-income communities. • Will consult with a diverse cross section of community representatives in making decisions about subgrants for communities (including individuals from the public,nonprofit private,and for-profit private sectors). • Will make subgrants of a sufficient size and scope to enable the community organizations to build their capacity to manage initiatives,and sustain replication or expansion of the initiatives; • Will not make any subgrants to-- • the parent organizations of the applicant, • a subsidiary organization of the parent organization of the applicant,or, • if the applicant applied for a SW award as a partnership,any member of the partnership. • Commits to meeting the matching fund requirements of section 198k(i)of the National and Community Service Act of 1990(42 U.S.C. §12653k(i)). • Commits to use data and evaluations to improve the applicant's own model and to improve the initiatives funded by the applicant. • Commits cooperate with any evaluation activities undertaken by the Corporation. https://egrants.cns.gov/cnsmisc/eAssur.htm 8/9/2011 CERTIFICATIONS Page 1 of 2 CERTIFICATIONS Certification—Debarment,Suspension,and Other Responsibility Matters This certification is required by the government-wide regulations implementing Executive Order 12549, Debarment and Suspension, 2 CFR Part 180, Section 180.335, What information must/provide before entering into a covered transaction with a Federal agency? As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief,that neither the applicant nor its principals: • Is presently excluded or disqualified; • Has been convicted within the preceding three years of any of the offenses listed in § 180.800(a)or had a civil judgment rendered against it for one of those offenses within that time period; • Is presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local)with commission or any of the offenses listed in § 180.800(a); or • Has had one or more public transactions(Federal, State, or local)terminated within the preceding three years for cause or default. Certification—Drug Free Workplace This certification is required by the Corporation's regulations implementing sections 5150-5160 of the Drug-Free Workplace Act of 1988(P.L. 100-690),45 CFR Part 2545, Subpart B. The regulations require certification by grantees,prior to award,that they will make a good faith effort,on a continuing basis,to maintain a drug-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when the agency determines to award the grant. False certification or violation of the certification may be grounds for suspension of payments, suspension or termination of grants,or government-wide suspension or debarment(see 2 CFR Part 180,Subparts C and Ii). As the duly authorized representative of the grantee, I certify,to the best of my knowledge and belief,that the grantee will provide a drug-free workplace by: A. Publishing a drug-free workplace statement that: a. Notifies employees that the unlawful manufacture,distribution,dispensing,possession,or use of a controlled substance is prohibited in the grantee's workplace; b. Specifies the actions that the grantee will take against employees for violating that prohibition;and c. Informs employees that,as a condition of employment under any award,each employee will abide by the terms of the statement and notify the grantee in writing if the employee is convicted for a violation of a criminal drug statute occurring in the workplace within five days of the conviction; B. Requiring that a copy of the statement described in paragraph(A)be given to each employee who will be engaged in the performance of any Federal award; C. Establishing a drug-free awareness program to inform employees about: a. The dangers of drug abuse in the workplace; b. The grantee's policy of maintaining a drug-free workplace; c. Any available drug counseling,rehabilitation, and employee assistance programs;and d. The penalties that the grantee may impose upon them for drug abuse violations occurring in the workplace; D. Providing us,as well as any other Federal agency on whose award the convicted employee was working,with written notification within 10 calendar days of learning that an employee has been convicted of a drug violation in the workplace; E. Taking one of the following actions within 30 calendar days of learning that an employee has been convicted of a drug violation in the workplace: a. Taking appropriate personnel action against the employee,up to and including termination;or b. Requiring that the employee participate satisfactorily in a drug abuse assistance or rehabilitation program approved for these purposes by a Federal, State,or local health, law enforcement,or other appropriate agency; F. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs(A)through(E). Certification-Lobbying Activities As required by Section 1352,Title 31 of the U.S. Code,as the duly authorized representative of the applicant, I certify,to the best of my knowledge and belief,that: https://egrants.cns.gov/cnsmisc/eCerts.htm 8/9/2011 CERTIFICATIONS Page 2 of 2 • No federal appropriated funds have been paid or will be paid,by or on behalf of the applicant,to any person for intluencing or attempting to influence an officer or employee of any agency,a member of Congress,an officer of Congress in connection with the awarding of any federal contract,the making of any federal loan,the entering into of any cooperative agreement,or modification of any federal contract,grant, loan,or cooperative agreement; • If any funds other than federal appropriated funds have been paid or 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 federal contract,grant, loan,or cooperative agreement,the applicant will submit Standard Form-LLL,"Disclosure Form to Report Lobbying," in accordance with its instructions; • The applicant will require that the language of this certification be included in the award documents for all subcontracts at all tiers(including subcontracts,subgrants,and contracts under grants,loans and cooperative agreements)and that all subrecipients will certify and disclose accordingly. Certification-Grant Review Process(State Commissions Only) I certify that in conducting our review process,we have ensured compliance with the National and Community Service Act of 1990,the Corporation's peer review requirements,and all state laws and conflict of interest rules. For AmeriCorps State and National Applicants ONLY If you are not applying for a grant through AmeriCorps*State and National,you may ignore this section. Erroneous certification or assurance The assurances and certifications are material representations of fact upon which we rely in determining whether to enter into this transaction. If we later determine that you knowingly submitted an erroneous certification or assurance,in addition to other remedies available to the federal government,we may terminate this transaction for cause or default. Notice of error in certification or assurance You must provide immediate written notice to us if at any time you learn that a certification or assurance was erroneous when submitted or has become erroneous because of changed circumstances. Definitions The terms"debarment","suspension","excluded","disqualified","ineligible","participant","person","principal","proposal", and "voluntarily excluded"as used in this document have the meanings set out in 2 CFR Part 180,subpart I,"Definitions." A transaction shall be considered a"covered transaction"if it meets the definition in 2 CFR part 180 subpart B,"Covered Transactions." Assurance requirement for subgrant agreements You agree by submitting this proposal that if we approve your application you shall not knowingly enter into any lower tier covered transaction with a person who is debarred,suspended,declared ineligible,or voluntarily excluded from participation in this covered transaction, unless authorized by us. Assurance inclusion in subgrant agreements You agree by submitting this proposal that you will obtain an assurance from prospective participants in all lower tier covered transactions and in all solicitations for lower tier covered transactions that the participants are not debarred,suspended,ineligible,or voluntarily excluded from the covered transaction. Assurance of subgrant principals You may rely upon an assurance of a prospective participant in a lower-tier covered transaction that is not debarred,suspended,ineligible, or voluntarily excluded from the covered transaction,unless you know that the assurance is erroneous. You may decide the method and frequency by which you determine the eligibility of your principals. You may,but are not required to,check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs. Non-assurance in subgrant agreements If you knowingly enter into a lower tier covered transaction with a person who is suspended,debarred,ineligible,or voluntarily excluded from participation in this transaction,in addition to other remedies available to the federal government,we may terminate this transaction for cause or default. Prudent person standard Nothing contained in the aforementioned may be construed to require establishment of a system of records in order to render in good faith the assurances and certifications required. Your knowledge and information is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. https://egrants.cns.gov/cnsmisc/eCerts.htm 8/9/2011 Hello