HomeMy WebLinkAbout20112945.tiff RESOLUTION
RE: APPROVE STATEMENT OF GRANT AWARD FOR DOMESTIC VIOLENCE FAST TRACK
AND FELONY DOMESTIC VIOLENCE PROGRAMS AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Statement of Grant Award for the
Domestic Violence Fast Track and Felony Domestic Violence Programs between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the 19th Judicial District Attorney's Office, and the Colorado Division of Criminal Justice,
commencing January 1, 2012, and ending December 31, 2012, with further terms and conditions
being as stated in said grant award, and
WHEREAS, after review, the Board deems it advisable to approve said grant award, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Statement of Grant Award for the Domestic Violence Fast Track and
Felony Domestic Violence Programs between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the 19th Judicial District
Attorney's Office, and the Colorado Division of Criminal Justice be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said grant award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 9th day of November, A.D., 2011.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLpRADO
ATTEST: " "7
bars Kirkmeyer, hair
Weld County Clerk to the Boar a
psi l� X USED
�;.; + n P. Co y, Pro-Tem
BY:_sp2
Deputy C k to the Board (� � • r
y, F. G as
APPROVE&AS TO FORM? l
David E. Long
htyAorney � �C, ta�v��
tglas'ademaclner
Date of signature: 1 I I`7 -I I
C �a, HE, RC , F 2011-2945
1- DA0023
DCJ FORM 30
CERTIFICATION OF COMPLIANCE WITH REGULATIONS
OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS
FOR SUBGRANTS ISSUED BY THE COLORADO DIVISION OF CRIMINAL JUSTICE
INSTRUCTIONS: Complete the identifying information, which is found on the Statement of Grant Award(SOGA), in the
table below. Read the form completely, identifying the person responsible for reporting civil rights findings;and checking
only the one certification under "II"that applies to your agency. Have your Authorized Official sign at the bottom of page
, 2,forward a copy to the person you identified as being responsible for reporting civil rights findings and return the original to
the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the grant award
beginning date.
Grant# 10—Yl1.1) —)C'3 Grant Project Title: born&YS C \n OQnCQ1 rtFJ4T(RSX-Wo ..r.fl 'Wm.)
Subgrantee Name(Funded Entity): (\'r{\& � :\o(11e> 3 OA" 1 1 Q1 TAC[i cxJ 73i�}frr&
Address: �� %0X 116) (J
GcteieM G') aOb5Z
Duration: Beginning date: 'p� ' p1.1)) End date: la 31102012 Award: S
p1.1))
Project Director's Name& Phone#:70NY ` \0\ en 910 3S LA-1010 X y141
Person responsible for reporting civil rights findings of d' crimination: (Name, address&phone)
'Pock 42uue-11
-p3 (3OX 156'
_1% CO 101.3q91O 33b- 122t)Gcee
AUTHORIZED OFFICIAL'S CERTIFICATION: As the Authorized Official for the above Subgrantee, I certify,by my
signature below,that I have read and am fully cognizant of our duties and responsibilities under this Certification.
I. REQUIREMENTS OF SUBGRANf RECIPIENTS: All subgrant recipients(regardless of the type of entity or the amount
awarded) are subject to prohibitions against discrimination in any program or activity, and must take reasonable steps to
provide meaningful access for persons with limited English proficiency.
♦I certify that this agency will maintain data(and submit when required)to ensure that: our services are delivered in an
equitable manner to all segments of the service population;our employment practices comply with Equal Opportunity
Requirements, 28 CFR 42.207 and 42.301 et seq.; our projects and activities provide meaningful access for people with
limited English proficiency as required by Title VI of the Civil Rights Act,(See also, 2000 Executive Order#13166).
♦I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of
discrimination will submit these findings, if any, to the Division of Criminal Justice within 45 days of the finding,and/or if
the finding occurred prior to the grant award beginning date, within 45 days of the grant award beginning date.
I. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATIONS: Check the box before ONLY THE ONE
APPROPRIATE CERTIFICATION(A, B, or C below)that applies to this subgrantee agency during the period of the grant
duration noted above.
O CERTIFICATION "A" [NO EEOP IS REQUIRED if(1), (2)or(3), below, apply.) This is the Certification that
most non-profits and small agencies will use. Check all that apply to your entity.
This funded entity:
(1) is an educational,medical or non-profit organization or an Indian Tribe;
(2) has less than 50 employees;
(3) was awarded through this grant from the Colorado Division of Criminal Justice less than$25,000 in federal
U.S. Department of Justice funds.
Therefore, I hereby certify that this funded entity is not required to maintain an EEOP,pursuant to 28 CFR 42.301, et seq.
(CONTINUED ON REVERSE SIDE)
LQc' ;. CU15
Colorado Division of Cnotinal Justice Page 1 oft Rev.92010
DCJ FORM 30:
CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS (Continued)
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP)CERTIFICATIONS: (Continued)
Y CERTIFICATION "B" (EEOP MUST BE ON FILE)
This funded entity, as a for-profit entity or a state or local government having 50 or more employees, is receiving, throng.
this grant from the Colorado Division of Criminal Justice, more than $25,000, but less than$500,000 in federal U.S.
Department of Justice funds.
Therefore, I hereby certify that the funded entity has formulated an Equal Employment Opportunity Plan in accordance
with 28 CFR 42.301, et seq., subpart E,that it has been signed into effect within the last two years by the proper authorit
and disseminated to all employees, and that it is on file for review or audit by officials of the Division of Criminal Justice
or the Office for Civil Rights, Office of Justice Programs as required by relevant laws and regulations.
O CERTIFICATION "C" (EEOP MUST BE SUBMITTED)This funded entity, as a for-profit entity or a state or local
government having 50 or more employees, is receiving, through this grant from the Colorado Division of Criminal
Justice, more than$500,000 in federal U.S. Department of Justice funds.
Therefore, I hereby certify that the funded entity will submit,within 60 days of the award, an EEOP or an EEOP Short
Form to the U.S. Department of Justice, Office for Justice Programs, Office for Civil Rights that will include a section
specifically analyzing the subgrantee(implementing) agency. (If you have already submitted an EEOP applicable to this
time period, send a copy of the letter received from the Office for Civil Rights showing that your EEOP is acceptable.)
As the Authorized Official for the above Subgrantee, I certify, by my signature below, that I have read and am fully cognizant of
our duties and responsibilities under this Certification. I,hereby, also certify that the content of this form, other than the data
entry required, has not been altered.
.Zial ;
/1 raV 0 0 2011
[Authy ized Official's signs el [Fiat(
Barbara Kirkmeyer Chair
[Typed Name] [Title]
* * * * * * * * * *
This original signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO
80215, within 45 days of the grant award beginning date. You must also forward a signed copy to the person identified in the
box above. DCJ will forward a copy to the Office for Civil Rights, Office ofJustice Programs, U.S. Department of Justice.
. // 2'15
Colorado Division ofCominalJustice Page 2 of 2 Rev.9/2010
* *I
COLORADO DIVISION OF CRIMINAL JUSTI
STATEMENT OF GRANT AWARD (SOGA) 40,1
(Second Year of Approved Funding) o „4,
FEDERAL PROGRAM INFORMATION
CFDA Number: 16.588
Federal Agency: U.S. Department of Justice, Office on Violence Against Women
Federal Award Name& Number: S.T.O.P.Violence Against Women Act Formula Grant
Program- 2010-WF-AX-0028, 2011-WF-AX-0006
Subgrantee Agency Name: District Attorney's Office, 19th Judicial District
Project Director: Ms.Jo Ann Holden
Project Director Address: P.O. Box 1167
Greeley, CO 80632
Grant Number: 10-VW-19-39
Project Title: Domestic Violence:Fast Track Program&Felony Domestic Violence
Grant Period: January 1, 2012-December 31, 2012
Date Issued: October 4, 2011
In accordance with provisions of the Colorado Revised Statutes§24-33.5-502,the Division of Criminal Justice hereby awards a grant to the
above-named subgrantee. The attached grant application(Exhibit A),including Special Provisions and Certified Assurances,is incorporated
herein as a part of this document.
APPROVED BUDGET
Budget Category Federal Cash Match In-Kind Match Total
Personnel $51,598.00 $17,200.00 $0.00 $68,798.00
Supplies and Operating $0.00 $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00 $0.00
*Equipment $0.00 $0.00 $0.00 $0.00
*Professional Services $0.00 $0.00 $0.00 $0.00
TOTAL AWARD AMOUNT $51,598.00 $17,200.00 $0.00 $68,798.00
*Purchase of equipment requires prior completion and approval of DCJ Form 13.
"Professional services require prior completion and approval of DCJ Form 16.
,IiiiYii113YaliY1WYllailliY1Yil11YiliiililinnaiiliWdililiYil4YialiYiiYWMIMiiiNIWi4Wiiii111iMi111YilililW11YY111i11M1IILIMMIUMM1iM11Y1L1YlYlY1W W/i11Y41i1
SPECIAL CONDITIONS:
1. Subgrantee shall notify the Office for Victims Programs(OVP)if the agency has obtained funding for a specific(OVP)grant
funded position which totals more than 100%of the total cost for that position.The agency must resolve the allocation of funds
to the satisfaction of the Division of Criminal Justice.
2. Subgrantees must notify the Office for Victims Programs(OVP)immediately in writing, via e-mail or regular mail, of:
> any OVP grant funded personnel changes;
> any OVP grant funded position that is vacant for 45 days;
> any change of an official and/or employee who is listed as a responsible signatory on this OVP grant funded
project.
aov/-a9fs
Version 10-3-11 Page 1 of 3
Statement of Grant Award(SOGA)
INSTRUCTIONS
1. Grant activities must be based on the approved budget shown on page one of this Statement of Grant Award, and the approved
detailed budget(s)within the attached application, which supersedes any earlier budget request submitted, and which may be
different from the budget originally submitted in your application. The subgrantee must secure prior written approval from DCJ if
there is to be a change in any budget category(see DCJ Form 4-A).
2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary financial
reports.
3. The Subgrantee Agency affirms that the parties' agreement consists of a two-part document, the Statement of Grant Award
(SOGA),and Exhibit A,attached to the SOGA,which contains the Grant Application(including Project Summary,Budget and other
Documents), the Certifications, the State Special Provisions, the Grant Requirements, the Federal Certified Assurances, and
signatures of persons authorized to sign on behalf of the Subgrantee Agency on each part of the two-part document.
4. Review carefully the current applicable Administrative Guide of the Division of Criminal Justice for this grant program,that includes
procedures regarding this document, draw-down of grant funds, reporting requirements and requesting grant modifications.
5. This grant award shall be effective upon the final approval by the State Controller or designee. No payment shall be made pursuant
to the grant prior to State Controller approval.
6. This grant award may be voided in whole without further cause if it is not signed by the subgrantee's Authorized Official and
returned to the Division of Criminal Justice within 45 days of the date of issuance.
7. The signature of the Authorized Official below should be the same as the one on the grant application. The subgrantee must
promptly notify the Division of Criminal Justice of any changes in the Authorized Official, Project Director,or Financial Officer,by
completing and submitting DCJ Form 4-B. (If changes have already occurred, submit completed DCJ Form 4-B with this
document).
ADDITIONAL DCJ REQUIREMENTS
(1) Commencement within 60 Days. If the Division concludes that the project has not commenced within 60 days of the start date of
the grant period,the subgrantee must report the following by letter to the Division of Criminal Justice:
a. the steps taken to initiate the project;
b. the reasons for delay;and,
c. the expected starting date.
(2) Operational Within 80 Days. If the Division concludes that the project is not operational within 80 days of the original start date of
the grant period,the Division of Criminal Justice may begin termination or reduction in grant award proceedings as described in
"Special Provisions&Certified Assurances", Section entitled"Termination or Reduction in Grant Award."
(3) All subgrants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on the DCJ
quarterly narrative and financial reporting forms, which are provided with this SOGA. Technical assistance is available upon
request.
(4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended funds remaining
at the end of the grant period must be returned to the Division of Criminal Justice.
RETURN:
ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of Victims
Programs, S.T.O.P. VAWA Program, 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are
obtained, the white SOGA copy with approved application will be returned to your Project Director.
Version 10-3-11
Page 2 of 3
. Y ♦ V i
Statement of Grant Award(S0GA)
CMS# M(I3
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
*Persons signing for Subgrantee hereby swear and affirm that they are authorized to act on Subgrantee's
behalf and acknowledge that the State is relying on their representation to that effect.
SUBGRANTEE: STATE OF COLORADO:
District Attorney's Office, 19th Judicial District John W. Hickenlooper, GOVERNOR
Legal Name of Subgrantee Agency
4s!GNATuRpof&izeLcrgyOfficOl eanne M. SmittR b
Colorado Division of Criminal Justice
Barbara Kirkmeyer, Chair
Print Name & Title of Authorized Official
Date Signed: f.'UV 0 u 201 Date Signed: //p2pZ—j/
STATE OF COLORADO LEGAL REVIEW:
See Contract Routing Waiver#46
(or, if not waived)
John W. Suthers, ATTORNEY GENERAL
By:
Signature—Assistant Attorney General
Date Signed:
ALL CONTRACTS & SUBGRANT AWARDS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This subgrant award is not valid
until signed and dated below by the State Controller or delegate. If performance begins prior to the date below,
the State of Colorado may not be obligated to pay for the goods and/or services provided.
STATE CONTROLLER:
David J. McDermott, CPA
BY
DATE i i / fit
Version 10-3-11 0?C/`- G?94/
Page 3 of 3
C]►1✓ • EXHIBIT A c.R ; ICE roR ViCTIMS PROt
1 ) APPLICANT AGENCY: DCJ USE ONLY •
•
Legal Agency Name:District Attorney's Office, 19th Judicial Dis I ! CY 2011 Funding
C.
I Doing Business As(dba):Weld County District Attorney's Office i i App#11 -VU- 6 1 - 3 Ti
Project Title:Domestic Violence: Fast Track Program&Fdk!ny DV , R • Grant# r4 i r'
Mailing Address:PO Box 1 167 � Award$ — j v /y
Mailing Address:PO ____--- --- 1/7 5-4? sf.
Street Address_915 Tenth Street _-Y��-- ^�- New Applicant Agency
City/Town:Greeley —` Zip Code:80ic32 Continuation Applicant Agency
County:Weld -Judicial District: 19 1 SOURCE 2011 2012
Phone#:970 356-4010 Fax#: 970 352-8023 • VA
Federal Employer Identification#(FEIN);846000813 T—�— VW V
Data Universal Numbering System#(DUNS):75757955 SV
1 Central Contractor Registration(CCR): ®Yes 0 No TOTAL:
I CCR Expiration Date(mm/dd/yyyy):5/4/2010 CY 2012 Funding
Grant# 10 2 ) PROJECT DIRECTOR: Award- �!_---593.
- ;-- '
� �
Project Director Name:JoAnn Holden L
Position/Title:Director of Victim Services,Weld County District Attorney Note:Because this document is protected,
}---'- you cannot run spellcheck.
Phone#:970 356-4010 X4747 LFax#:-9703528023
E-Mail:jholden@co.weld.cous —
3 ) TOTAL OVP FUNDS REQUESTED: $51,598
4A) TYPE OF AGENCY:
❑ Non-Profit Agency
® Government Agency
Check if applicable: f
0 Law Enforcement Agency ®DA's Office 0 Courts/Probation
❑ Other(please specify):
4B ) TYPE OF PROJECT(S):
❑ Child Advocacy Center
❑ Court Appointed Special Advocate Project(CASA)
® Domestic Violence Project
® Domestic Violence Fast Track Staff
o Domestic Violence/Sexual Assault Investigator/Officer
0 Domestic Violence/Sexual Assault Investigator/Prosecutor
1 ❑ Sexual Assault Project
❑ Sexual Assault Nurse Examiner(SANE)/Sexual Assault Response Team
(SART)Project
❑ Statewide Coalition
❑ Victim Services Project
❑ Victim/Witness Project
❑ Other(please specify):
1
Crime �Otit'n,,.secvvice4 Funds;'f 2010 Af►Pt_IC 1
090/v--G y5�/
CYV p t4 • ICE Fop VICTIMS PROGRAMS
5 ) AGENCY DESCRIPTION AND HISTORY:
The 19th Judicial District Attorney's Office is a government agency statutorily mandated to prosecute those charged with
committing crimes against the State of Colorado. The Victim Witness Assistance Unit is a department in the Weld County District 's
Attorney's Office and was established in 1980 to provide assistance to victims of crime as they become involved in the Criminal
Justice System. Presently,the Victim Witness Assistance Unit staff consists of 14 staff(13.25 FTE)working with victims of
felonies,misdemeanors,and traffic cases. Prior to 2006,the 19th JD Victim Witness Assistance Unit was understaffed resulting in
"reactive"support to victims,meaning that victims who contacted the Weld County District Attorney's Office or showed up to court
1 were assisted. There was little"proactive"outreach. The"reactive"response was not because of lack of dedication or diligence on
the part of the staff,but due to inadequate staff resources. The quality and quantity of Victim Witness Assistance Unit has
improved noticeably turning the past five years as the role of a Victim Witness Assistant has changed from providing reactive
service with no continuity to being with the victim from the initial filing of charges through trial and sentencing.The Victim Witness
( Unit has been able to provide this enhanced support and service due to added financial support of the Weld County Commissioners,
increased funding from the VALE grant and continued VOCA and VAWA Grants.
6 ) DESCRIPTION OF PROJECT(S) FOR WHICH FUNDS ARE BEING REQUESTED:
Grant dollars are being requested for District Attorney's Office Victim Witness Assistance Program to partially fund two Victim
Assistants who support and assist victims of domestic violence. The Criminal Justice System can be scary,confusing,and
frustrating. Victim Assistants help reduce the overwhelming feelings victims many times have by emotionally supporting victims,
educating victims about the court system,and providing the many referrals a victim needs when faced with becoming a victim of
domestic violence. Many times the Victim Assistants at the District Attorney's Office are the first victim assistance contact the
victim has had with a law enforcement agency.
The 19th Judicial District has had a dedicated misdemeanor domestic violence court since September 2001 to serve victims of
t misdemenaor domestic violence with immediate intial contact. In February 2005,the program was renamed to Misdemeanor
Domestic Violence Fast Track Program when the Victim Witness Unit added a step of"meaningful consultation"to confer with the
victim about possible resolution of the case prior to the court hearing, The"meaningful consultation"includes getting input from
the victim as to what they would like to see happen in the case in conjunction with explaining the possibly penalties and the plea
agreement which will be offered by the Prosecutor.During the initial victim contact,the victim is also asked their position of bond,
and given Victim's Compensation,restitution information,safety planning,community resources, counseling referrals,and their
rights as victims of a crime. Whether the victim comes to the initial court hearing or not,the Prosecution is able to make a plea offer
to the defendant to ideally reach a disposition in the case if the Victim Assistant has had intial contact with the victim. This process
makes the defendant accountable and ordered into domestic violence treatment more quickly curtailing continued violence. Since
the initial contact with victims is usually the day after the incident,questions regarding modifying the Protection Orders are
addressed early and less victims are requesting the Protection Order later be modified. The Domestic Violence Fast Track Program i
also support victims who appear in court for subsequent hearings(not just the initial hearing)and of course trials when the victim
must testify.The District Attorney's Office Victim Witness Assistance Program has 1.5 FTE Victim Asssitants working in County
Court to support all victims of misdemeanor and traffic cases. The.5 FTE is Spanish-bilingual. This grant application requests
funding for 65%of the full time Victim Assistant providing assistance to the misdemeanor domestic violence victims. VAWA
provided this percent of funding to the the Domestic Violence Fast Track Program in 2010..
In 2008,VOCA provided partial funding for a Victim Assistant to spend part of her time on the felony domestic violence cases
which at that time were all filed in one criminal court division. This enabled a proactive approach to victims of felony domestic
violence crimes,similar to the Domestic Violence Fast Track Program,rather than the minimal reactive interaction which had
{previously been the norm due to inadequate staff resources. The Victim Assistant acts as a liaison between the victim and the
criminal justice system providing Victim's Rights information and education,referral to community services,updates on the status of
the prosecution, and support throughout the court process. The felony domestic violence felony cases are now filed in four criminal
} court divisions and one Victim Assistant is assigned to each division.This grant application requests funding for 25%of one full
time Victim Assistant,who is Spanish bi-lingual, to provide assistance to felony domestic violence victims in the division she is
assigned to and to Spanish speaking victims of felony domestic violence in all four of the divisions VAWA provided this percent of
funding for a Victim Assistant handling cases with victims of felony domestic violence in 2010.
•
Crin'io Viotlert Servicira !Curds 2O1O AP'pt;ICA 2
t ' y
CIA/1P crr'FICE FOR VICTIMS PROGRAMS
7 ) PROJECT PURPOSE AREAS:
i
Victim Services:(If applicable,check only those that apply to your proposed project)
® Domestic Violence ❑ 72 Hour Response I
I ❑ Adult Sexual Assault `O,Law Enforcement Victim Assistants for Protection
!__ ~ r~
` i Order Enforcement
❑ � Emergency Services r Vi foctims&Their Families-- - —� �❑j Stalking— �'��""__..._—__..—._ _u_
� I
❑ i Child Physical and Sexual Abuse �� I O'Services for Senior Crime Victims V _
❑I Assistance for Victims with Immigration Matters 1 O Services for Disabled Women
❑ i Access for Underserved and/or Underrepresented Victims _ ❑ Services for Indian Tribes __ _ __ _
❑ Statutorily Mandated to Implement the Victims Rights Act StatewideT
- O Services for Children who Witness Domestic Violence
I ❑ I Specialized Advocacy
Training:(if applicable,check only those that apply to your proposed project) — ^
i ❑ Training for Officers, Prosecutors i ❑ Training of Sexual Assault Forensic Personnel
❑ z Judicial Education&Court Related Pr 'ects y--
of ❑. Training&Protocols to address Police-Perpetrated
-�____•_-__ __.— __- --I CII Specialized Training 1 1 Domestic Violence
Systems Improvement:(If applicable,check only those that apply to your proposed project)
I ❑ . Specialized Units C3Coordinated Response to Domestic Violence
I ❑ I Protection Order Enforcement ❑!Coordinated Response to Sexual Assault
❑ : Policies,Protocols,Orders ' —�_-1
�_.......___ -•._--__. i❑ Multidisciplinary Coordinated Response
I O r Collaborative,Community-based System Improvement I❑I Linked Data Collection&Communication Systems j
❑ 1 Model project that can demonstrate success and a plan for ;O i Statewide/Multi-jurisdictional Impact-- ~ —
statewide replication i
_.1.._—_-_.--.-----------_--._-_—_..____.----__
Crirtt&V.iCtim Serv,ceS' '''. de I iota APP.1.1:' , •" • * _ ' . 3._ ___
•
QVF `r sw .f 'jd '' L►•• lCE coa VICTIMS PROGRAMS
8 ) PROVIDE A STATEMENT OF NEED FOR THE PROPOSED ACTIVITIES IN YOUR COMMUNITY:
Weld County's population of 249,775 has grown 5%from 2006-2008 and 38% from 2000 to 2008. The estimated Hispanic or
Latino population is 27.4% (U.S. Census Bureau—2008). Weld County's projected population growth for the next 15 years ranks
as 17th fastest in the nation,according to an analysis by the Denver business Journal's parent company. The analysis shows the
Greeley metro area,which encompasses all of Weld County,will grow 60.61 percente by 2025.(Greeley Tribune 6-4-2009)
• Weld County Courts file an average of 840 misdemeanor domestic violence cases and 100 felony domestic violence cases per year.
Immediate contact with domestic violence victims is crucial to effectively prosecute the defendants in these cases whose victims
may later recant the seriousness of the violence. The Misdemeanor Domestic Violence Fast Track Program and having Victim
Witness Assistants handling victims of felony domestic violence is essential to having immediate contact with domestic violence
victims. Since 4%of the domestic violence victims only speak Spanish,three of the Victim Witness Assistants are Spanish-bilingual
so we are able to provide the same victim service whether the victim is English-speaking or Spanish-speaking.
Prior to 2005 when the Misdemeanor Domestic Violence Fast Track Program was instituted,Victim Assistants did not provide the
step of"meaningful consultation" with the victim. Only I5%of the cases reached a disposition at the first hearing,because the
Deputy District Attorneys were responsible for conferring with the victim and many times they did not have time to speak with
victims when there were a number of new cases, meaning the case had to be reset for another court hearing. Since implementing
I the Misdemeanor Domestic Violence Fast Track Program,our initial victim contact rate has increased which in turn has increased
the rate of resolution of cases at the first hearing to an average of 28%. Resolving the case at the defendant's first court appearance
promptly sends the defendants to Probation who place them into state approved domestic violence treatment programs. Regardless
of the disposition at the initial court hearing,victims have more immediate victim assistance contact which provides much needed
' resources and Criminal Justice System education to those most vulnerable because of the Victim Assistant's immediate contact.
Victims of felony domestic violence cases also come to court the day after the offense,but prior to 2008,we had no process in place
to know a new felony domestic violence case was being heard in court These victims would sit in crowded courtrooms with no one
i to answer their questions unless a Victim Assistant happened to be in the courtroom for another matter. In 2008, we received a
VOCA Grant to fund part of one Victim Assistant to be assigned to the victims of felony domestic violence. A process was created
to identify all new felony domestic violence cases on the docket each day. Prior to 2008,the Deputy District Attorneys were
primarily responsible for victim contact which was not normally occuring at the first court hearing since the attorneys were busy
with a full docket. Since 2008,the Victim Assistant goes to court to make an initial victim contact if the victim attends. If the
victim does not attend, the Victim Assistant makes an outreach phone call. Immediate contact is crucial in supporting domestic
violence victims through the court system,and providing needed information and resources to those most susceptible during this
devastating time..
The funding requsted in this grant will enable the Weld County District Attorney's Office to continue their proactive,immediate
contact with victims of domestic violence.
;1114'
.�"-.� `. i .+�`W � r �'` .:: is a. r •
. . I , ,
ON/ ttePICE FOR VICTIMS PROGRAMS
9 ) ANNUAL PROJECT DATA:
VICTIM SERVICES PROJECT DATA:Complete this section(Tables A&B)only if your project will provide DIRECT victim
services.Provide only the number of victims who will receive services from OVP grant funded personnel.
Table 9A:
NOTE: You must TAB through the numeric fields to activate the totaling function.
Est.# Type of Crime I j Est.# 'Type of Crime(Continued)
1 Victims ' I Victims
0 Child Physical Abuse 0 Survivors of Homicide Victims
I— 0 Child Sexual Abuse ^-- —----
_._-._ � Disabled Women
I 0 I Children Who Witness Domestic Violence 0 I Vehicular Assault or Homicide,DUI/DWI Crashes,
s--- — -—'---- �- I or Careless Driving Resulting in Death
I 571 , Domestic Violence I
f-__----------{-----_._-..- ---- _--__.._..- -
0 Dating Violence 0 Robbery `-r —�
0 I Stalking • 0 I Assault
1 O II—Adult Sexual Assault 0 Elder Abuse
j 0 Adults Molested as Children______
! 0 Other Violent Crimes(See instructions):
i
I i
, 1
, TOTAL UNDUPLICATED VICTIMS ESTIMATED TO BE SERVED DURING THE 12-MONTH PERIOD=571
Table 98:
I NOTE:No single entry/category in this table can exceed the TOTAL NUMBER OF VICTIMS in Table 9A. 1
i Est.# Type of Services ` ;Est.# Type of Services(Continued)
!Victims I I 'Victims
( 0 'Civil Legal Advocacy/Court Accompaniment 0 Individual Therapy
I 0 1CivIl Legal Attorney Assistance i 166 I Information&Referral(in person)
348 l Criminal Justice Support/Advocacy/Court I 466 lInformation
&Referral(by phone)
I Accompaniment
58 I Crisis/Counseling Intervention(in person) � 38 I Language Services(interpretation)
W
i 8 i Crisis/Counseling Intervention(by phone) ! 0 Sheiter/Safehouse
1• 0 I Emergency Financial Assistance i I 0 Transitional Housing
I 544 j Follow-up(in person,by phone, or written) I 0 Transportation
0 ff Forensic Exam 571 Victim Compensation Assistance
0 (Group Treatment/Support 30 'Victim/Survivor Advocacy
I-
1„,_ 0 L Hospital/Clinic Response 571 Victim Rights Act Services
Crirno Victim Services Funds 1 2010 APPLIC *' 5
r
O V F . ( 'M1 ICE son VICTIMS PROGRAMS
9 ) ANNUAL PROJECT DATA-CONTINUED:
Table 9C: -
LAW ENFORCEMENT PROJECT DATA:Complete this ,PROSECUTION PROJECT DATA:Complete this section only
section only if you are requesting funds for a Law if you are requesting funds for a Prosecutor or Investigator
i Enforcement Officer or Investigator who will be responding 1 who will be handling domestic violence,sexual assault,
to domestic violence,sexual assault,stalking,and dating ,stalking,and dating violence cases.A case should be
violence cases/incidents. Complete only those that apply: I counted according to the most serious offense.Complete only
I I those that apply:
Est.# --f Type of Services I (Est.# Type of Cases
Cases Ii Cases
Incidents
0 1 Calls for Assistance(911 &other) 0 I Misdemeanor Sexual Assault
L_. _1.—---- __.______
_-- 0 Incident Reports
^��_^y I 0 I Felony Sexual Assault
0 ,Cases/Incidents Investigated -_ -0 — Homicide Related to Sexual Assault,Domestic
Violence or Stalking
0 i Arrests I I ___Jr
1— I—._—._ �— 0� Domestic Violence/Dating Violence Ordinance
i_0 Dual Arrests i I 0 i Misdemeanor Domestic Violence/Dating Violence
0 Protection/Ex Parte/Temporary Restraining O Felony Domestic Violence/Dating Violence
I I Orders Served —�— —�----1
I
I 0 'Arrests for Violation of Bail Bond 0 'Stalking Ordinance
; 0 l Enforcement of Warrants 0 Misdemeanor Stalking
I
0 I Arrests for Violation of Protection Orders ' 0 'Felony Stalking
l...~_0,Y.Protection Orders Issued I 0 i Violation of Protection Order
i 0 I Referrals of Cases to Prosecutor ! i 0 ,Violation of Bail
0 'Referrals of Federal Firearms Charges I 0 I Violation of Probation or Parole
i to Federal Prosecutor , I
0 I Forensic Medical Evidence I 0 Violation of Other Court Order
Crime Vlctirn Services Funds 1 2010 APPLIC 6
ovr yo,.:-
' ' LICE FOR VICTIMS PROGRAMS
9 ) ANNUAL PROJECT DATA-CONTINUED: '.
Table 9D:
TRAINING PROJECT DATA: This table should only be completed if you are requesting funds for a FORMAL training project for
professionals/volunteers,primarily outside your agency,who work directly with victims.There are only two eligible categories
1 of training activities: 1)Training on domestic violence,sexual assault,stalking,and dating violence or;2)Statewide or multi-
jurisdictional training pertaining to victim assistance.This DOES NOT include outreach trainings/presentations about your program,or
in-house staff/volunteer training. Refer to the Instructions for further details.
NOTE: You must TAB through the numeric fields to activate the totaling function.
I.
People Trained--- ��—
-
Est. Est.# People Trained(Continued)
Trained 1 . i Trained
0 I Advocacy Organization Staff j 0 Military Command Staff
(NAACP,AARP) i
0 'Attorneys/Law Students(Non Prosecutors) ' 1 0 Multidisciplinary Group
0 Batterer Intervention Program Staff 0 [Prosecutors
0 I Correction Personnel(probation,parole,and 0 Sex Offender Treatment Providers
correctional facilities) i
_.--._.._.-1--------•_.--_ -- - L __ __ _
0 I Court Personnel(judges,clerks) I 0 Sexual Assault Nurse/Forensic Examiners
0 i Disability Organization Staff(non-governmental) I 0 ;Social Service Organization Staff(food bank,
1 homeless shelter)
— 0 - Educators(teachers,administrators) : 0 ;Substance Abuse Organization Staff
0 I Elder Organization Staff(non-governmental) I i 0 Supervised Visitation and Exchange Center Staff
0 Faith-based Organization Staff
_ 9 I 0 i Translators/Interpreters
0 Government Agency Staff(vocational 0 " Tribal Government/Tribal Government Agency
I rehabilitation,food stamps,TANF)
i------_--i—..._---------.___,.__.—_ _.. __. _— __ ____ _,-,i
0 Health Professionals(doctors,nurses—not ! 0 Victim Advocates(non-governmental,includes
i including SANE or SAFE's) sexual assault,domestic violence and dual)
I 0 i Immigrant Organization Staff(non-governmental) • 0 Victim Assistants(governmental,includes victim-
1 i witness specialists/coordinators)
0 :Law Enforcement Officers 0 I Volunteers J
i 0 . Legal Services Staff(not including attorneys) i f 0 I Other(specify):
•
0 t Mental Health Professionals
TOTAL NUMBER OF PERSONS TO BE TRAINED=0
Crime V'rctir'n Serv;ces Funds I 2010 APPLICA . 7
ON/1PDs.
r, , •
"' 'fi1QE FOR VICTIMS PROGRAMS
10 ) UNDERSERVED/UNDERREPRESENTED POPULATIONS:
Please answer the following questions in the box below:
A. Describe the underserved/underrepresented population in the community you serve(e.g.the ethnicity of victims served,etc.).
How is the underserved population(s)determined?Cite your source(s).
B. State how you address the needs of the underserved/underrepresented populations in your community(e.g.the diversity of
staff,volunteers and/or board representation,etc.).
C. Is any portion of your project specifically designed to serve underserved and/or underrepresented populations?
® Yes ❑No
D. If you checked"Yes"above,what percentage of your grant request will be used to serve your underserved populations?
5%
A.Weld County's population is 249,775 with the estimated Hispanic or Latino population in of 27.4% (U.S.Census Bureau—
2008). In 2009,based on statistics keep by the Victim Assistants for grant reports,38%of the domestic violence cases filed in
Weld County Courts involved Hispanic or Latino victims and 4%of these victims were Spanish-speaking only.
B.Three of the Victim Assistants are Spanish-bilingual so we are able to provide the same victim service whether the victim is
IEnglish-speaking or Spanish-speaking.
C. &D. In 2009,the Victim Assistant handling the cases with victims of felony domestic violence had 5 Spanish-speaking only
victims.
< i
Crime Victim Servr(,'Ha Fonds 1 2010 APPLlC ., • 8
yg$^1^S1 Xt n.Sl'
f . t ^ r'2'.74472,4i 4 w't, ke '717,� r. , 4 'R° t-9" 11
M;, �s. ,° °'.v ,I'*, a4'!":4's"4+�aAt?,n , `�$,er' ,µ d 4+. t ..'4. ;° f,+.+ .. •' M^ Y. ,:'#470.•
11 ) GOALS AND OBJECTIVES-PROJECT SPECIFIC IMPACT:
When possible and appropriate,choose from the list of goals&objectives in the Instructions and the OVP Grant Guide. Goals should
be limited to three,with no more than three objectives for each goal.Your objectives must be measurable and related to the
personnel position(s)/professional services or consultant(s)requested in your Total 12-Month Budget(see page 12).
Enter agency name:District Attorney's Office, 19th Judicial Dis
Section 11A:
GOAL 1:The 19th Judicial District Attorney's Office will provide effective assistance to victims of misdemeanor domestic violence
through the Domestic Violence Fast Track Program.
Objective 1:The County Court Victim Assistant will provide services to 476 new primary victims(GRANT FUNDED PORTION)
from filing of charges through the prosecution of the criminal case during the 12 month grant cycle.
Position Title(s): County Court Victim Assistant Position#(s): 1
Objective 2:The Domestic Violence Fast Track Program will conduct"meaningful consultation"with 70%of the victims the next
working day after the offense to attempt to resolve 22%of the cases at the first court hearing,thereby getting the defendant in
i treatment and supervised quickly.
Position Title(s): County Court Victim Assistant Position#(s): 1
Objective 3:Achieve an 80%approval rating on returned victim surveys evaluating client satisfaction and uncover positive and
negative aspects of the programs and any need for change.
Position Title(s):County Court Victim Assistant Position#(s): 1
GOAL 2: The 19th JD DA's Office will provide effective assistance to victims of felony adult domestic violence victims including I
support throughout the court process
Objective 1: The District Court Victim Assistant will provide services to 39 new primary victims(10 of them Spanish speaking
only) (GRANT FUNDED PORTION)from filing of charges through the prosecution of the criminal case during the 12 month grant
cycle.
Position Title(s):District Court Victim Assistant Position#(s): 2
rObjective 2: Achieve an 80%approval rating on returned victim surveys evaluating client satisfaction and uncover positive and
negative aspects of the programs and any need for change.
Position Title(s): District Court Victim Assistant I Position#(s): 2
Objective 3:
Position Title(s): Position#(s):
P � k i,1gt %W 5$T'j� N �✓( .fthi kxb ".k � SM'Nl i 1 '� Vl J4
st x , a w'r F 9
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��'�t�"� .. 4t. >F�'^m'rtd'ba`? ., �rvtN,ri_ 4PW feua V.P? e4C,'�J"f? ax.
C F"' r:P10E FOR VICTIMS PROGRAMS
11 ) GOALS AND OBJECTIVES-PROJECT SPEC1F1C:.4MPACT -CONTINUED:
GOAL 3:
Objective1: ~-�------�•_._._�--- -_._..._'- .......----------------_._..__ _- __.____--__.._. •.�
Position Title(s): Position#(s):
Objective 2:
i Position Title(s): Position#(s):
Objective 3:
i
i Position Title(s): — __- Position#(s):
,4rimel��(y��/ ery es Hindi' .1 X2010 APPLi 1O
ON/FD ° �.a E , °'• t v;PICE FOR VICTIMS PROGRAMS
•
11 ) GOALS AND OBJECTIVES-PROJECT SPECIFIC IMPACT—CONTINUED:
Section 118:
Project specific impact: Refer to the Instructions for important information on how to complete this item.
1) Please state the intended impact of the project goals and objectives. i
The 19th Judicial District Attorney's Office will provide effective assistance to victims of domestic violence by providing Victim's
Rights information and education,referral to community services,updates on the status of the prosecution and support throughout
the court process.
Victims felt their contact with the court system was positive under the circumstances.
Victims felt their Victim Assistant was accessible by phone.
Victims felt that what would happen at court hearings was explained adequately to them and that they were aware of their victim
rights at each critical stage of the court process.
{
2) Please provide the impact data collection methods to be used.
Client Survey using a 5-point scale("Not at all helpful to Extremely helpful).
Client Survey giving victim opportunity to make additional comments or contact the Project Director by phone with comments.
Documentation by Victim Assistants of victim contacts(in person and on the phone)which indicate victims questions which were
answered and notification of the Criminal Justice Process.
Statistical information compiled by Victim Assistants indicating result of goal to have "meaningful consultation" with 70%of the
victims the next working day after the offense to attempt to resolve 28%of the cases thereby getting the defendant in treatment and
supervised quickly.
�Jir,@a F� •. •a• 1GA' • 11
C11/1P , ,3 (Jr ICE FOR VICTIMS PROGRAMS
12 ) TOTAL 12-MONTH BUDGET—Calendar year, Jartupry tto December 31
Enter agency name:District Attorney's Office, 19th Judicial Dis
I NOTE: You must TAB through the numeric fields to activafr .:v totaling function.
12A: Personnel Request:
Position 1: Title:County Court Victim Assistant DCJ Staff Use Only
Name:Laurie Hammer
Total#hours per week this position works for the agency(max=40 hrs):40
Annual Budget Amount requested Amount from all other
from OVP sources for this position
Salary $40,558 $26,363 List Sources:VALE Grant,VALE Admin
Fringe/Benefits $ 17,440 $ 11,336 dollars,VAWA Grant,VAWA Match
Totals: ♦ 998 $37,699 Total from all other sources:$20,299$57,
Position 2: i Title: District Court Victim Assistant DCJ Staff Use Only
l Name: Erma Fortino
i Total#hours per week this position works for the agency(max=40 hrs):40
Annual Budget Amount requested Amount from all other
from OVP sources for this position
Salary ;$41,800 $ 10,450 List Sources:County Funding,VAWA,
VAWA Match
Fringe/Benefits $ 13,794 $ 3,449 {
Totals: $55,594 $13,899 Total from all other sources:$41,695
Position 3: 'Title: i DCJ Staff Use Only
Name:
Total#hours per week this position works for the agency(max=40 hrs):
Annual Budget Amount requested Amount from ail other
from OVP sources for this position
Salary j$ $ List Sources:
Fringe/Benefits 1$ $
Totals: I$0 $0 Total from all other sources:$
Position 4: TTitle: DCJ Staff Use Only
Name:
Total#hours per week this position works for the agency(max=40 hrs):
Annual Budget Amount requested Amount from all other
from OVP sources for this position
Salary $ $ List Sources:
Fringe/Benefits $ $
Totals: ' $0 $0 Total from all other sources:$
TOTAL OVP Personnel Funds Requested: $51,598
Crime Victtr'n Serrr,aee Funds 2Q10 APPLIC 12
'' ;§•' ° 1p fi •E t' .;s3^ tt �a pt ` 11 4*3:1 •
i��
12)TOTAL 12-MONTH BUDGET—Calendar year, January 1 to December 31 — CONTINUED
12A: Personnel Request—Continued:
If you are requesting funding for PERSONNEL,you must fully explain and justify the need for the current request.
Position#1: County Court Victim Assistant is a continuation of a previously funded VAWA position to perform the daily duties of
the Domestic Violence Fast Track Program which includes direct victim contact,support in court,follow-up information with
victims,and trial support as referenced in Goal 1. This person works a total of 40 hours a week for this agency and this request is
for 70%of her 40 hour a week position in salary and benefits.
Salary$40,558 x.70 OW=$26,363. This includes an estimated 3%Cost of Living Adjustment increase of $592.00 X.70 OVP
request= $384.80
Benefits$11,336:
FICA($1505),Medicare($351), Health($6860), Life($172), Disability($86), Retirement $2362
$11,336 is.65%of total benefits of$17,440
Position#2: District Court Victim Assistant is a continuation of a previously funded VAWA position to perform the daily duties of
supporting domestic violence victims of felony crime in one courtroom and all Spanish-speaking bi-lingual victims of felony
domestic violence as referenced in Goal 2.The person in this position works a total of 40 hours a week for this agency and this
request is for 26%of the 40 hours a week in salary and benefits.
Salary$41,800 X.26 OVP= $10,450. This includes an estimated 3%Cost of Living Adjustment increase of
$330 X.26 OVP request=$82.50
Benefits$3,449:
FICA($629),Medicare($148), Health($1588), Life($68), Disability($35), Retirement $981
$3,449 is.25%of total benefits of$13,794
I i
I {
I I
01/1P 4:,,,,,-, . ' -4 of FOR vloTIMs PRSKIRAMS
12 )TOTAL 12-MONTH BUDGET- Calendar year. January i to December 31 -CONTINUED:
[NOTE: You must TAB through the numeric fields to acti atr :!•:•totaling function.
12B: Supplies& Operating Expenses: $t't
I List Requested Operating Expenses Annual Amount Amount Available/ ,
i Amount Requested Anticipated from
from OVP Other Sources 1
—._._.__._- _______...—__..____.__ __._......-.----._--- -----_.4-------.__.___.__ .._.---_-_---------- -----------_— -a
_ $ $ $ i
I I $ $ $ I
Total OVP Supplies&Operating Funds Requested: $0 $0 $0
IIt you are requesting funding for SUPPLIES&OPERATING,you must fully explain and justify the need for the current request. I
I I
I I
I
I
I
I
i
I
I {
I I
1
I
I
i
_I
_______________ ______________ ___ -
____________ ____ .............._
.__.... .. ......... _ .. _ ....... _
Oruro Victrril Services Funds ; 2O1O APPLUCA :•N 14
CI)V P CA-1F i c E FOR VICTIMS PROGRAMS
12 ) TOTAL 12-MONTH BUDGET-- Calendar year, January 1 to December 31 -CONTINUED:
I NOTE: You must TAB through the numeric fields to activave,he totaling function.
lr:21=III.MIIIIIIIIIM' ItemizeRequestllill.......I.A Amount Amount Available!
(Transportation,Per Diem,etc.) Amount Requested Anticipated from
from OVP Other Sources
$ $ $
�-__ ____— --_ .►
—_-----____ ---- --___ __. -
i
$ $ $
Total OVP In-State Travel Funds Requested: --J$0 —��- $0 $0
If you are requesting funding for IN-STATE TRAVEL you must tally explain and justify the need for the current request.
( See instructions)
i
I
I
i
12D: Equipment(durable,single item$5.000&over):
List Requested Equipment Expenses i Annual Amount Amount Available! {
Amount Requested Anticipated from I
from OVP Other Sources
$
I I
i Total OVP Equipment Funds Requested: —1$0 $0 $o
IIf you are requesting funding for EQUIPMENT,you must fully explain and justify the need for the current request.
1
I
i
II
t I
I
1
I
i i
Crime V ttrn SSrV{C,0is iiisnds `•f•""201O APPLIIC . • 15
s r 6iFLCE raft VICTIMBa:PROORAM
C)V F S
12 ) TOTAL 12-MONTH BUDGET-Calendar year, Jan'' . Y i to December 31 - CONTINUED:
NOTE: You must TAB through the numeric fields to activat• the totaling function. .
12E: Professional Services/Consultants:
Professional Services/Consultants l Total Hourly #of Hours Amount
Rate of Pay to be Worked Requested
on Thls Project from 0VP
$--— -- Hrs $
$ Hrs $
_ . _ _._ ___ __.�_,—__ _ ___�. _- _ $ I _Hrs $ `__----
I$ ` Hrs $
-- .______ .-I--
1$ — Hrs $
Total OVP Professional Services I Consultants Funds Requested: $0
If you filled out any of the boxes for PROFESSIONAL SERVICES!CONSULTANTS,you must fully explain and justify,both the need 1
and the rate of pay,for the current request. Please note that professional services expenditures require prior approval by DCJ(use
Form 16).
12F: OVP Grant Request Summary(This chart summarizes ail dollars by category):
NO TE: This table automatically fills from other tables.
I Budget Categories I 0VP Grant Request
Personnel $51,598 1
Supplies&Operating • $0
I In-State Travel $0
Equipment $0
Professional Services/Consultants $0
Total OVP Funds Requested: ; $51,598
Crime Vrcctlth Se ittcea:Funds :I ?410 APPu.0. *
ft ;h 16
Q x "� .,,4 lCF roil VICTIMS PROGRAMS
13) NECESSARY FUNDING INFORMATION:
NOTE:Section 13A OR 1313 must he completed.
Section 13A:
ICONTINUATION Applicants Only:Briefly summarize the reasons for the differences between this application and your current OVP
i grant award(VOCA,VAWA and/or State VALE)for each budget item requested.
Personnel 2010 VAWA 2011 requested VAWA DIFFERENCE
Grant Funding Grant Funding
County Victim Assistant—Hammer $36,566 $37,699 $1,133
District Victim Assistant—Portillo $13,824 $13,898 $ 74
TOTAL $50,390 $51,597 $1,207
I !
There is a slight difference$1,207 based on possible Cost of Living Adjustment. The Projects are the same as the 2010 VAWA
Grant with the same percentages for the costs of the Victim Assistants
Section 13B:
NEW Applicants Only: If not currently receiving OVP grant fun:'s(VOCA,VAWA and/or State VALE),you must describe how the
requested budget items are currently being funded.
}
Ii
Crini#Y1i�ICtm SaErec' uds 2O1O APPt_ICA. tv 17
t ..`. b4° t '.. s w e�jr k i ii ,� k+'• R '..at m ,.�arJ' "+L r t:a +Kt
yy q� 4
k]Ys I ,,p' ,, ?+.;,,,,,. ...,,y,,,hr� !wf -, S id f .. ) "44 i i.
ix�J �'�. �:. '�a�'�.a H�T• ,,>s' ` ��; :r�l•h i '{r, ,.�� �`�_ c4.,,.,.�.4_�''5'y�lx`.rY�i'>.�A;"y!i'h�'i,�,.,,.,,1� �•.��v5�=.
r; d11r':rz 5 r '''.1.-',17,`,1. 4.,-;‘;:g. --'00.: Y a,t�� ',.,_ :�.- 11.':... .l
',6� � • �
�;:� 44-'r.-. .., - z.q(..i .'tom A• 5F.` '��, �
r
For purposes of this application,demonstrate the ability to provide match to be used for project related activities.To calculate match,
divide your total OVP fund requested by 3. Remember,federal funds cannot be used for match. For additional information, refer to
l the instructions.
NOTE: You must TAB through the numeric fields to activate the totaling function.
I PERSONNEL MATCH(Employees/volunteers of the applicant agency) ;Cash In-Kind
Employee/Volunteer/Job Position(Full Time Equivalent) j i
I
Laurie Hammer-County Court Victim Assistant $12 566 ,$
•
Erma Portillo-District Court Victim Assistant I$4,634 I $
—_— _._..—____�—._.----------__—_____....-----------.._.._�.___.._....__—_._-- I$_.._.. . _ ._._ I $ -------_..�-_
i Fringe Benefits i $ $
Subtotal f$27,200 — ;$0 i
I Source of Match: '
SUPPLIES AND OPERATING MATCH :Cash ;In-Kind
(Copying,rent,phone,tuition, registration fees and other items under$5,000) i i
$ $ `
Subtotal $0 !$0
Source of Match:
•
OTHER Cash lIn-Kind
In-State Travel Match .$ $
Equipment Match ,$ $ •
• Professional Services/Consultants Match $ $
Source of Match:
-TOTAL MATCH: :,$ 17,200 '$0
r U;r v F"v4;::, a:44-0,7;• •• ql. y e :',T,7 4;;A:,' Y i"+ p,�,}'"^"K'-^'� :P ft*aA -
t.. +
7
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NOTE: This table automatically fills from other tables.
' Budget Categories ' OVP Funding , Cash Match In-Kind Match 'Totals
Request
Personnel I $51,598 $ 17,200 ., $0 $68,798 `
Supplies&Operating I $0 $0 $0 $0
l In-State Travel i $0 ' $0 -T$._0 $0 _...-.-•_--
Equipment ' $0 i $0 t$0 $0
Professional Serviced Consultants i$0 i $0 $0 $0
II.TOTALS , $51,598 I$17,200 $0 $68,798 I
'�,`' 0„ 4I •�i " 'F k 'SS? #Y.ii ic.:P`'7.:w A� °� u1?1'1. t i'^'�,G'F�:g �w1�7 4.01;,y� rid �� 1,4* 18
p•`-0- [. ..•f! E_-; ySl+. �'�:.. :.+. k .+,.-r,...�,A:„r�•ff.R-;�,,A:..2v,'��$:e-i-.4.,•,.i4, r �� ��r��3G�`�;Wt.�h•k', f.';3'�; ,..y�e4 rv�r.r1� ky,�
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16) TOTAL AGENCY REVENUES AND EXPENSEV ' .
NOTE:Section 16A AND 166 must be completed by non-pr-c.•i• non-governmental agencies only.
1 NOTE: You must TAB through the numeric fields to activ.ue the totaling function.
Section 16A: Total agency revenue and expenditures for the fast completed fiscal year:
Beginning date(mmicid/yyyy): Ending date(mm/dd/yyyy):
REVENUE Amount i____
-Amount
VOCA $0 Personnel Salaries $0
VAWA —__ $ Personnel Taxes $0
FVPSA/DAAP/TANF $0 Personnel Benefits $0
I City Government $0 Professional Services $0
i Local VALE: Accounting Services(i.e., Payroll) $0
I — —
JD# 19 , _ _ ~— $ Attorneys Fees I$0
_ _--
JD# __ $0 Translation/interpretation Services I$0
i__ JD# __.w.. $0 Equipment(copiers,fax machines,computers) $0
JD# $0 Rent/Mortgage $0
State VALE_ I$0 Utilities 1$0
County Funding $ Maintenance/Repair - �� —I—
; 0
United WayM '$0 - Telephone '$0
Corporate/Foundation Grants I$0 Answering Service $0
Local Fundraising Activities/Events $0 Insurance $0
r
Donations $0 Fundraising Expenses 110_
Client Fees $0 '
Audit/Financial Review $0
Investment Income $0 Staff Travel $0
State Government Funding- $0 `—� Staff,Board&Volunteer Training/Development $0
i Other Federal Funds- $0 Program Supplies&Materials $0
Specify:
�
Project Income $0 y Office Supplies $0
E (i.e., educational trainings/materials,etc.) i
i SA Prevention Funds $0 Advertising $0 w
I Other: $ Postage $0
_
Other: _W $ - Duplication/Printing — $0
il Other: $0 Books&Subscriptions $0
I_-_-_.._._.......__ _�_ _ .
Other: _ __ _ $0 Memberships $0
Other: -r �__._ � — -� '�_ - � $0 Computer Consultants ~$0 _
Other: — - --——— - _.--- ^ --- $Oww— Client Services(food,motel,transportation,etc.) $0 ...1
-
Other:
$0 Client Services $0
I-- __.. .__ _—_.. _.. .._.. .._. __ _._ _._. _ _._.. __. __....__. .___ _,._ . __-__-____-._.-.
Other: $0 Bank/Finance Fees $0
_____
Other: .--�—� — $0 Newsletter/Education $0
_Other: $0 Depreciation $0
Other: _ _ _ $0 _.__ Other: —..._._ _$ ______._
0
TOTAL:- __.__—_...�— -------$0 —__....�TOTAL: _ _,._.-- __—_ $0
h,.
Crime Victirn Service.,Fy'rids i 2O1O APPLIC ' 19
ovp
Uri 10E FOR VICTIMS PROGRAMS
16) TOTAL AGENCY REVENUES AND EXPENSES- i {WED:
Section 16B: (Non-profit agencies only)
Please explain the percentage of your agency's budget used for crime victim services.
17) DIVERSIFICATION OF FUNDING:
} Please list all sources of funding that you have solicited or plan to solicit(government,local VALE,foundations, etc) in CY 2010.
I, Include the time period in which these funds would be available. Indicate any funding reductions your agency experienced which will
j affect your revenues in CY 2010.
The DA's Office Victim Witness Assistance Unit is presently funded January 1,2010 through December 1,2010:
Weld County Commissioners=50%;
VALE Administration funds= 13.5%;
I COMP Administration funds=10.5%;
I VAWA Grant=8%
VALE Grant=18%
r The VALE and COMP Administration dollars have been decreasing over the past year and a half which has resulted in a request
! from the 19'''JD VALE Grant to increase their percentage to 20%starting July 1,2010.
i I
Crime ViCtiM SeCvices Funds 1 2010 APPI.IC 20
ON/1P Crs DICE FOR VICTIMS PROGRAMS
18) FINANCIAL MANAGEMENT:
To be eligible for federal/state funds,your agency must be able to demonstrate the ability to comply with financial requirements.
— ( A. What is the fiscal year covered by your most recent audit or financial review?
I i 1 Enter start and end dates(mm/dd/yyyy): 1/1/2008 to 12/31/2008
Include one copy of your most recent audit or financial review,including any management report or
I other auditor comments in the appendix. Also,if there were findings,please attach the audit
resolutions and/or corrective action plan.
®Yes I 0 No ' I B. Did your agency expend$500,000 or more from combined federal sources during the fiscal year of your
` I most recent audit? If"yes",be sure to include the A-133 Single Audit Report with your financial audit.
C. Please respond to the following questions about whether your accounting system meets the criteria for
managing federal/state grant funds, (These questions cover areas that will be monitored by DCJ staff.
, They are not intended to be all inclusive and do not substitute for the agency's responsibility to meet alt
federal and state requirements for these grant funds.)
®Yes 0 No j !Does
your accounting system separate ALL revenues and expenditures by funding source?
j ®Yes ❑No ,Does your system track revenues and expenditures for each grant award separately through a
I I sub-ledger system?
®Yes 0 No !, 'Does your system allow expenditures to be classified by the broad budget categories listed in the budget
in your application,i.e. Personnel,S'?plies and Operating,Travel, Equipment and Professional Services?
®Yes 1 0 No ' ' Do you reconcile sub-ledgers to your general ledger at least monthly?
®Yes-T0 No ` Do you mark your invoices with the grant number? 1
®Yes I 0 No ! ! Do you maintain time sheets, signed by the employee and supervisor for each employee paid by DCJ 7
+ 'grant funds?
®Yes ; ❑ No I ❑N/A i Does your accounting system have the ability to clearly identify the funds and amount used as a cash match?
❑Yes j 0 No ! ®N/A I If you will be using in-kind match such as volunteer hours, can you clearly document how you will keep
I I track of the match that you will be reporting on your quarterly financial report?
®Yes I ❑No j Do you have written financial policies and procedures in place?
® Yes 0 No ; Do you have accounting internal controls in place, such as separation of duties,two signatures on certain
I checks, reconciliations or other reviews?
i_.._._..._...._�......_ ...._., — — ._.._._...
0 Yes ; ❑No 0 N/A ,Are you able to ensure that you will not be using these grant funds to provide services that will be paid by
Victim Compensation?
t
❑Yes ; • ®N/A ;Will this grant funded project generate income?
-__._._..__...I_____-__ .a_..--.-_--.-- -•_-_ __...... --------_--_-.-----..----. _.___ ._--._ —.._.__.._ —_ ___—__ ___...._. ____-
i 0 Yes I 0 No Will you use your accounting system data to prepare your quarterly financial reports for DCJ?
®Yes , 0 No r I Will you reconcile your accounting system data with your quarterly financial reports for DCJ?
D. If you answered NO to any of the questions above, please provide an explanation.
' CrilmaVio'fm Services Funds I 2010 APPLIOA : :s N 21
01/p „ ttefiGE fICIR .ViCT1MS PROGRAMS
19) PROSECUTION. LAW ENFORCEMENT AND CQI , . AGENCIES ONLY:
I If you are NOT a prosecution, law enforcement or courts e7 t ,1-y.skip i o question#20.
j Prosecution,law enforcement and courts agencies must consult with victim services agencies in developing their grant applications to
ensure that the proposed activities are designed to promote safety,confidentiality,and economic independence of victims.This
includes victim services projects within prosecution,law enforcement,and courts agencies.Check,if appropriate.
® Prosecution Agency ❑Law Enforcement Agency O Courts Agency
If checked, indicate below which victim services agencies were consulted in developing this application:
Agency Name Agency Contact —Describe the Consultation Process
&Phone Number (See Instructions)
A Woman's Place (AWP) Fawn Harmon The DA Victim Assistants and Fawn Harmon meet every
970 351-0476 six weeks to update,network, and train on domestic
violence issues. We refer victims to A Woman's Place
1. Legal Advocacy Program which is located in the
courthouse to obtain civil protection orders._4:Colorado Legal Services I Debora Wagner �rt i The Project Director meets with staff from Colorado
970 353-7554 I Legal Services at the quarterly CCVC Meeting. We refer
'domestic victims to Colorado Legal Services for help with
divorces,child custody matters,eviction issues and anyL--- [ ;
other legal issue which is presented.
I
j
i
I_-....__—__...-.._�_�---_.._.. .»_...�_.—.i'..._._.___..._._.-.___.._- .. ..__.�......_.�__---...------.-.---- -._,
20) COMMUNITY COORDINATION:
List three agencies with which your project staff will be coordinating most frequently. DCJ reserves the right to contact the
}agencies listed.
__
Agency Name Agency Contact — — Describe Coordination of Activities —V
&Phone Number (See instructions)
A Woman's Place Fawn Harmon The Victim Witness Assistance Unit refers victims of
970 351-0476 domestic violence for shelter,couseling,Hopeline phones,
I i I and assistance in obtaining civil protection orders.
Probation Victim Services Sheri Mann !t The Victim Witness Assistance Unit refers victims of
l 970 392-4589 X5846 ;domestic violence for continual victim notification while
the defendant is on Probation.
______________._.__.-.._._.._____-.-..___..._... -.-____._ _ .____. ._ _--.
Greeley Police Department Victim Dave Beckman The Victim Witness Assistance Unit coordinates with
Assistance M 970 350-9667 Greeley Police Department on new domestic violence
cases to promote a continuous support to the victim from
crime to the court system.
-----..-----1_
r
Crime Victim Services Funds i 2010 APPLIC ?+ ; 22
. CIV v .t 41,
, • ., a•- Y.!?CTI �•
21) MEMORANDUMS OF UNDERSTANDING OR AGREEMENT:
j If you have active memorandums of understanding or agreement that are relevant to this request, list the name of the agency and I
briefly describe the terms of the agreement. Do not attach the memorandums to the application,but have available upon request.
•
Agency Terms of Agreement
' Coordinating Committee for Victims of Crime agencies: Agencies in Weld County sign a Coordination Agreement yearly
to formalize their joint commitment to work with each other
Weld County Probation Victim Services,c.a.r.e.-Child seeking to achieve the most effective delivery of crime victim
Advocacy and Resource Educations,Area Agency on Aging, services
Colorado Legal Services,Weld County Law Enforcement Victim
Services Unit,Sexual Assault Survivor's Inc, 19th JD District
Administrator's Office, Greeley Police Department Victim
Assistance, A Woman's Place,Catholic Charities,
UNC Adult Survivors Advocacy Program,A Kid's Place,
Intervention,ICCS,Mentors and Friends„Weld County Legal
Services and the District Attorney's Office Victim Assistance
Program.
•
•
•
i I
22) VRA:
Please list the date of the last VRA training that was provided to your program staff(mm/dd/yyyy):
7/30/2009
Name and Title of the individual who provided the training?
Dan Griffin,COVA Trainer
23) VICTIM'S COMPENSATION:
Please list the date of the last Victim's Compensation training that was provided to your program staff(mm/dd/yyyy):
4/9/2008
Name and Title of the individual who provided the training?
1 Karol Patch,Victim Compensation Coordiantor for 19'x'JD J
{ • Jt • •
{ C
If ''
Special Provisions and Certified Assurances Page 1 of 15
Special Provisions&Certified Assurances must remain attached to the application
•
CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY: .
13( Inter-Governmental Grant
R______Grant to a Colorado State Agency (Section A does not apply)
Grant to a Unit of Local Government,Tribal Government,or Special District.
❑ Grant to a Non-Profit,Private Organization(Non-Governmental)
The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing
legislation as indicated below;that all information contained in the application is correct; that there has been appropriate coordination
with affected agencies;and,that the applicant will read,understand and comply with all provisions of the governing legislation and all
other applicable federal and state laws, rules and regulations that have been or may hereafter be established. The applicant further
understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the grant
conditions set forth in the Statement of Grant Award, and in the current applicable Administrative Guide of the Division of Criminal
Justice.
GOVERNING LEGISLATION FOR THIS RANTPROGRRAM:
Violence Against Women Act Funds (VAWA). From the United States Department of Justice, Office of Justice Programs, under
federal statutory authority 42 U.S.C., Chapter 46, Section 3711, et seq., as amended, and under applicable program rules and
regulations established by the federal program office.
A. STANDARD STATE SPECIAL PROVISIONS
Revised 1-1-09
1. CONTROLLER'S APPROVAL.CRS 24-30-202 (1)
This subgrant award shall not be valid until it has been approved by the Colorado State Controller or designee.
2. FUND AVAILABILITY.CRS 24-30-202(5.5)
Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being
appropriated,budgeted,and otherwise made available.
3. GOVERNMENTAL IMMUNITY.
No term or condition of this subgrant shall be construed or interpreted as a waiver, express or implied, of any of the
immunities, rights,benefits,protection, or other provisions, of the Colorado Governmental Immunity Act, CRS §24-10-101,
et seq.,or the Federal Tort Claims Act,28 U.S.C. §§1346(b)and 2671 ,et seq.as applicable now or hereafter amended.
4. INDEPENDENT CONTRACTOR.
(THIS PROVISION IS NOT APPLICABLE TO GRANTS TO COLORADO STATE AGENCIES):
THE SUBGRANTEE AGENCY SHALL PERFORM THE DUTIES FUNDED UNDER THIS GRANT AS AN
INDEPENDENT CONTRACTOR AND NOT AS AN EMPLOYEE OF THE STATE. NEITHER THE SUBGRANTEE
AGENCY NOR ANY AGENT, SUB-CONTRACTOR, OR EMPLOYEE OF THE SUBGRANTEE AGENCY SHALL BE
OR SHALL BE DEEMED TO BE AN AGENT OR EMPLOYEE OF THE STATE BY VIRTUE OF THIS SUBGRANT.
SUBGRANTEE AGENCY SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX
AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS GRANT. SUBGRANTEE AGENCY
ACKNOWLEDGES THAT THE SUBGRANTEE AGENCY AND ITS EMPLOYEES ARE NOT ENTITLED TO
UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE SUBGRANTEE AGENCY OR THIRD PARTY PROVIDES
SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE.
SUBGRANTEE AGENCY SHALL NOT HAVE AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE
TO ANY AGREEMENTS, LIABILITY, OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. IF
THIS GRANT PROVIDES FUNDS FOR ANY PERSONAL SERVICES, SUBGRANTEE AGENCY SHALL PROVIDE
AND KEEP IN FORCE WORKERS COMPENSATION (AND SHOW PROOF OF SUCH INSURANCE) AND
UNEMPLOYMENT COMPENSATION INSURANCE IN THE AMOUNTS REQUIRED BY LAW AND SHALL BE
SOLELY RESPONSIBLE FOR ITS ACTS OF ITS EMPLOYEES, INDEPENDENT SUB-CONTRACTORS AND
AGENTS.
Special Prdyisions and Certified Assurances Page 2 of 15
Special Provisions&Certified Assurances must remain attached to the application
5. COMPLIANCE WITH LAW.
The Subgrantee Agency shall strictly comply with all applicable federal and State laws,rules,and regulations in effect or
hereafter established, including,without limitation,laws applicable to discrimination and unfair employment practices.
6. CHOICE OF LAW.
Colorado law, and rules and regulations issued pursuant thereto, shall be applied in the interpretation, execution, and
enforcement of this subgrant. Any provision included or incorporated herein by reference, which conflicts with said laws,
rules,and regulations shall be null and void. Any provision incorporated herein by reference which purports to negate this or
any other Special Provision in whole or in part shall not be valid or enforceable or available in any action at law, whether by
way of complaint, defense, or otherwise. Any provision rendered null and void by the operation of this provision shall not
invalidate the remainder of this subgrant,to the extent capable of execution.
7. BINDING ARBITRATION PROHIBITED.
The State of Colorado does not agree to binding arbitration by any extra-judicial body or person. Any provision to the
contrary in this subgrant award or incorporated herein by reference shall be null and void.
8. SOFTWARE PIRACY PROHIBITION.(Governor's Executive Order D 002 00)
State or other public funds payable under this subgrant shall not be used for the acquisition, operation, or maintenance of
computer software in violation of federal copyright laws or applicable licensing restrictions. The Subgrantee Agency hereby
certifies and warrants that,during the term of this subgrant and any extensions,the Subgrantee Agency has and shall maintain
in place appropriate systems and controls to prevent such improper use of public funds. If the State determines that the
Subgrantee Agency is in violation of this provision, the State may exercise any remedy available at law or equity or under
this Subgrant, including, without limitation, immediate termination of the Subgrant and any remedy consistent with federal
copyright laws or applicable licensing restrictions.
9. EMPLOYEE FINANCIAL INTEREST/CONFLICT OF INTEREST CRS §§24-18-201 &CRS 24-50-507.
The signatories aver that to their knowledge, no employee of the State has any personal or beneficial interest whatsoever in
the service or property described in this subgrant award. The Subgrantee Agency has no interest and shall not acquire any
interest,direct or indirect,that would conflict in any manner or degree with the performance of Subgrantee Agency's services
and Subgrantee Agency shall not employ any person having such known interests.
10. VENDOR OFFSET.CRS§§24-30-202(1) &CRS 24-30-202.4 [Not applicable to intergovernmental grants]
Subject to CRS §24-30-202.4 (3.5), the State Controller may withhold payment under the State's vendor offset intercept
system for debts owed to State agencies for: (a)unpaid child support debts or child support arrearages;(b)unpaid balance of
tax, accrued interest, or other charges specified in CRS §39-21-101, et seq.; (c) unpaid loans due to the Student Loan
Division of the Department of Higher Education;(d)amounts required to be paid to the Unemployment Compensation Fund;
and(e)other unpaid debts owing to the State as a result of final agency determination or judicial action.
11. FEDERAL FUNDING.
This subgrant is subject to and contingent upon the continuing availability of federal funds for the purposes hereof.
12. PUBLIC CONTRACTS FOR SERVICES. CRS §8-17.5-101. [Not Applicable to agreements relating to the offer,
issuance, or sale of securities, investment advisory services or fund management services, sponsored projects,
intergovernmental agreements, or information technology services or products and services] The Subgrantee Agency
certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work
under this subgrant and will confirm the employment eligibility of all employees who are newly hired for employment in the
United States to perform work under this subgrant, through participation in the E-Verify Program or the Department program
established pursuant to CRS §8-17.5-102(5)(c), the Subgrantee Agency shall not knowingly employ or contract with an
illegal alien to perform work under this subgrant or enter into a contract with a subcontractor that fails to certify to the
Subgrantee Agency that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under
this subgrant. The Subgrantee Agency (a) shall not use E-Verify Program or Department program procedures to undertake
pre-employment screening of job applicants while this subgrant is being performed,(b)shall notify the subcontractor and the
contracting State agency within three days if the Subgrantee Agency has actual knowledge that a subcontractor is employing
or contracting with an illegal alien for work under this subgrant, (c) shall terminate the subgrant if a subcontractor does not
stop employing or contracting with the illegal alien within three days of receiving the notice, and (d) shall comply with
reasonable requests made in the course of an investigation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado
Department of Labor and Employment. If the Subgrantee Agency participates in the Department program, the Subgrantee
Agency shall deliver to the contracting State agency, Institution of Higher Education or political subdivision a written,
notarized affirmation, affirming that the Subgrantee Agency has examined the legal work status of such employee, and
September 2011
Special Provisions and Certified Assurances Page 3 of 15
Special Provisions&Certified Assurances must remain attached to the application
comply with all of the other requirements of the Department program. If the Subgrantee Agency fails to comply with any
requirement of this provision or CRS §8-17.5-101 et seq., the contracting State agency, Institution of Higher Education or
political subdivision may terminate this subgrant for breach and, if so terminated, the Subgrantee Agency shall be liable for
damages.
13. PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Subgrantee Agency, if a natural person
eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or
otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-
76.5-101 et seq.,and(c)has produced one form of identification required by CRS §24-76.5-103 prior to the effective date of
this subgrant.
B. GRANT REQUIREMENTS
1. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that fund accounting, auditing,monitoring, evaluation procedures and such records
as necessary will be maintained to assure adequate internal fiscal controls, proper financial management, efficient
disbursement of funds received, and maintenance of required source documentation for all costs incurred. These
principles must be applied for all costs incurred whether charged on a direct or indirect basis.
b. All expenditures must be supported by appropriate source documentation. Only actual, approved, allowable
expenditures will be permitted.
c. The Subgrantee Agency assures that it will comply with the provisions of the current applicable Administrative
Guide of the Division of Criminal Justice which is hereby incorporated by reference. However,such a guide cannot
cover every foreseeable contingency, and the Subgrantee Agency is ultimately responsible for compliance with
applicable state and federal laws,rules and regulations.
2. PAYMENT&REPORTING
a. The Division of Criminal Justice will pay the Subgrantee Agency the reasonable and allowable costs of
performance, in accordance with current Colorado State Fiscal Rules, not to exceed the amount specified herein as
the Total Award Amount,as identified in the Statement of Grant Award.
b. The Division's requirements for invoice cost reporting submissions are contained in the DCJ Form 3-Cash Request
Procedures,and DCJ Form 1-A -Subgrant Financial Report, which are hereby incorporated by reference.
c. The Subgrantee Agency assures that it shall maintain data and information to provide accurate quarterly program
narrative and financial reports to the Division. Said reports shall be provided in such form and contain such data and
information as the Division of Criminal Justice reasonably requires to administer the program.
d. The Subgrantee Agency assures that quarterly financial and narrative reports shall be submitted within 15 days of
the end of each calendar quarter and shall be current and actual.
e. The Subgrantee Agency further assures that final financial and narrative reports shall be submitted on the forms
provided by the Division of Criminal Justice within 45 days of the end date of the subgrant.
f. The Division reserves the right to make and authorize modifications, adjustments, and/or revisions to the Grant
Award for the purpose of making changes in budget categories, extensions of grant award dates, changes in goals
and objectives, and other modifications which do not change the total amount of the Grant Award. The Division's
requirements for such grant adjustments are contained in the procedures for DCJ Forms 4A,4B,4C,and 4D, which
are hereby incorporated by reference.
g. The Division may withhold payment in the event the Subgrantee Agency fails to comply with conditions, including
all financial reporting requirements and certifications contained in this grant award.
3. PROCUREMENT AND CONTRACTS
a. The Subgrantee Agency assures that open, competitive procurement procedures will be followed for all purchases
under the grant. All contracts for professional services, of any amount, and equipment purchases over five thousand
dollars (per item, with a useful life of at least one year) must receive prior approval by the Division of Criminal
Justice.
b. The Subgrantee Agency assures that no contract or agreement will be made for execution of project activities or
provisions of services (other than purchase of supplies or standard commercial or maintenance services) that is not
incorporated in the approved application or approved in advance by the Division of Criminal Justice.
c. The Subgrantee Agency assures that contractors/vendors who assist the Subgrantee Agency to develop
specifications, requirements, statements of work and/or Request For Proposal for a proposed procurement shall be
excluded from bidding or submitting a proposal to compete for the award of such procurement.
d. The Subgrantee Agency assures that where activities supported by this subgrant produce any discovery or invention,
original computer programs, writing, sound recordings, pictorial reproductions, drawing or other graphical
representation and works of any similar nature, the following requirements apply:
September 2011
Special Provisions and Certified Assurances Page 4 of 15
Special Provisions&Certified Assurances must remain attached to the application
i. The Division of Criminal Justice reserves a royalty-free, non-exclusive, and irrevocable license to
reproduce, publish, or otherwise use, and authorize others to use, for Federal government purposes: The
copyright in any work developed under an award or subaward; and 2) Any rights of copyright to which a
recipient or subrecipient purchases ownership with support.
ii. If any program produces patentable items, patent rights, processes or inventions, in the course of work
sponsored by the Federal award or subaward funds, such facts must be promptly and fully reported to the
awarding agency,Division of Criminal Justice. The awarding agency shall determine whether protection
on the invention or discovery shall be sought. The awarding agency will also determine how rights in the
invention or discovery (including rights under any patents issued thereon) shall be allocated and
administered in order to protect the public interest pursuant to published Presidential and government
memorandums and guidelines, and the regulations promulgated by the Department of Commerce in 37
CFR Part 401.
iii. When issuing statements, press releases, requests for proposals, bid solicitations, and other published
documents describing projects or programs funded in whole or in part with these grant funds, all
Subgrantee Agencies must clearly:
a) State the percentage of the total cost of the program or project, which will be financed with this
grant money;
b) State the dollar amount of state or federal funds for the project or program;
c) Use the phrase-"This project was supported by federal grant # , issued by the Colorado
Division of Criminal Justice."
e. The Subgrantee Agency may not assign its rights or duties under this grant without the prior written consent of the
Division of Criminal Justice.
4. AUDIT,RECORD-KEEPING,AND MONITORING/INSPECTION
a. The Subgrantee Agency assures that it will procure an audit or financial review, incorporating this subgrant,by an
independent Certified Public Accountant(CPA), licensed to practice in Colorado. If the agency expends more than
$500,000 per year in combined federal funds, a Single Audit must be conducted in accordance with OMB Circular
A-133 (Audits of States, Local Governments, and non-profit organizations). If the agency expends less than
$500,000 per year in combined federal funds,the following policy applies: Agencies with total annual revenue from
all sources of$200,000 or more shall procure a financial audit; a financial review shall not be sufficient to meet this
requirement. Agencies with total annual revenue of less than $200,000 shall procure either a financial review or
financial audit.
i. At such time as the audit or financial review is completed, ONE COPY OF THE REPORT, INCLUDING
THE CORRESPONDING MANAGEMENT LETTER, MUST BE FORWARDED TO THE DIVISION
OF CRIMINAL JUSTICE for clearance. The audit or financial review incorporating this subgrant must be
completed and received within 12 months of the end of the fiscal years that includes the end date of the
grant.
ii. The Subgrantee Agency accepts responsibility for the costs of a financial program audit to be performed by
the Department of Public Safety in the event that the audit report or financial review:
a) does not meet the applicable A-133 or DCJ standards;
b) is not submitted in a timely manner;or,
c) does not provide an audit response plan with corresponding corrections made sufficient to satisfy
any audit findings.
b. The Subgrantee Agency assures that:
i. It will retain all project records,as will facilitate an effective audit,for seven years after the end of the state
fiscal year that includes the end date of the grant. (For example if the grant ended 9/30/2001,the state FY
would he July 1,2001-June 30, 2002. The files could be destroyed after 6/30/2009);except,
ii. If an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily,then
records must be retained beyond the seven-year period until such issues are resolved.
c. The Subgrantee Agency assures that it will keep copies of all documents, correspondence, and required receipts
related to this subgrant in a separate file bearing the project title and grant number.
d. The Division may periodically request submission of supporting financial and programmatic documentation,
subcontracts, general and sub-ledgers for the put-pose of monitoring compliance with the grant award via desk
review, or in preparation for an on-site monitoring visit. Routine or special on-site visits may be conducted at the
subgrant agency, and at the location of any collaborating entities, for the same purpose. Subgrantee Agencies will
be notified in advance of any on-site monitoring visit.
e. The Subgrantee Agency assures that the Division of Criminal Justice, Colorado Department of Public Safety, and
any representatives of the Office on Violence Against Women (OVW) and/or the Office of the Chief Financial
Officer (OCFO), shall have access for purposes of monitoring, audit and examinations to any bonds, documents,
papers and records of the Subgrantee Agency and to relevant books and records of subcontractors of the Subgrantee
September 2011
•
Special Provisions and Certified Assurances Page 5 of 15
Special Provisions&Certified Assurances must remain attached to the application
Agency. It is the responsibility of the Subgrantee Agency to notify any of its project collaborators and
subcontractors of these provisions.
f. The Subgrantee Agency assures that signatories of the application and subgrant award and personnel employed
through this subgrant will appear when requested at any administrative hearing, monitoring site visit,conference or
meeting conducted by the Division of Criminal Justice.
5. COLORADO VICTIM RIGHTS ACT(Applies to Government Agencies only)
The Subgrantee Agency assures that the application signatories, all staff and all volunteers assigned to the funded project
have read and understand the rights afforded to crime victims pursuant to § 24-4.1-302.5 C.R.S.,and the services delineated
pursuant to§§ 24-4.1-303 and 24-4.1-304 C.R.S.,commonly known as the Victim Rights Act,and enabling legislation.
6. TERMINATION or REDUCTION IN GRANT AWARD
The Division will monitor the performance of the Subgrantee Agency against goals and performance standards as found in
the application required herein. The Division will provide reasonable assistance to the Subgrantee Agency in the
development of project goals, performance standards and subgrant requirements. Any determination of substandard
performance on the part of the Subgrantee Agency shall be within the discretion of the Division,based upon the Division's
review of the terms and conditions of the Grant Award,the application and project summary,the grant terms and assurances,
and the requirements of applicable law. Substandard performance, as determined by the Agency, shall constitute non-
compliance,which may result in termination for cause,or reduction of the Grant Award for cause,as follows:
a. Reduction In Grant Award Amount for Cause
i. The Division may reduce the total Statement of Grant Award amount for cause, without compensation for
reduction costs.
ii. If the state reduces the grant amount for cause, it will first give ten (10) days written notice to the
Subgrantee Agency, stating the reasons for reduction, steps taken to correct the problems, and the date the
subgrant award amount will be reduced in the event problems have not been corrected to the satisfaction of
the Division.
iii. In the event this grant is reduced for cause, the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of reduction.
iv. In the event this grant is reduced for cause,fmal payment to the Subgrantee Agency may be withheld at the
discretion of the Division until completion of final Division review.
b. Termination for Convenience:
i. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate.
ii. If the grant is terminated for convenience by either the Subgrantee Agency or the state, the Subgrantee
Agency shall be paid the necessary and allowable costs incurred through the date of termination, but not
exceeding a prorated amount based on the number of days of project operation prior to the date of
termination.
c. Termination for Cause:
i. The Division may terminate the grant for cause without compensation for termination costs.
ii. If the state terminates the grant for cause, it will first give ten (10) days written notice to the Subgrantee
Agency, stating the reasons for termination, steps taken to correct the problems, and the date the subgrant
will be terminated in the event problems have not been corrected to the satisfaction of the Division.
iii. In the event this grant is terminated for cause,the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of termination.
iv. In the event this grant is terminated for cause, final payment to the Subgrantee Agency may be withheld at
the discretion of the Division until completion of final Division review.
d. Any equipment purchased under this grant would revert, at the option of the Division, to the Division of Criminal
Justice upon termination of the grant for any of the above reasons.
7. ORDER OF PRECEDENCE
Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Supplemental
Provisions for the Federal Funding Accountability and Transparency Act of 2006 (FFATA), (b) Special Provisions and
Certified Assurances,(c)Statement of Grant Award,and(d)the final approved Subgrant Application.
8. DISPUTE RESOLUTION(THIS PROVISION APPLIES ONLY TO INTERAGENCY AGREEMENTS):
Any failure of either party to perform in accordance with the terms of this agreement shall constitute a breach of the
agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall
be referred to superior departmental management staff designated by each department. Failing resolution at that level,
disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive
September 201 I
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directors,the dispute shall be submitted in writing by both parties to the State Controller, whose decision on the dispute will
be final.
C. FEDERAL CERTIFIED ASSURANCES
1. FEDERAL PUBLIC POLICY ASSURANCES
a. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the applicable
provisions of:
i. Title I of the Omnibus Crime Control and Safe Streets Act of 1968,as amended;
ii. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act,as appropriate;
iii. All other applicable Federal laws,orders,circulars,regulations or guidelines.
b. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the provisions
of 28 CFR applicable to grants and cooperative agreements including:
i. Part 18,Administrative Review Procedure;
ii. Part 22,Confidentiality of Identifiable Research and Statistical Information;
iii. Part 23,Criminal Intelligence Systems Operating Policies;
iv. Part 30 Intergovernmental Review of Department of Justice Programs and Activities;
v. Part 35,Nondiscrimination on the Basis of Disability in State and Local Government Services;
vi. Part,38,Equal Treatment for Faith Based Organizations;
vii. Part 42 Nondiscrimination/Equal Employment Opportunity Policies and Procedure;
viii. Part 61 Procedures of Implementing the National Environmental Policy Act;
ix. Part 63 Floodplain Management and Wetland Protection Procedures;and,
x. Federal Laws or regulations applicable to Federal Assistance Programs.
2. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that it will comply with appropriate federal cost principles and administrative
requirements applicable to grants as follows:
i. For state,local or Indian tribal government entities;
a) 2 CFR Part 225, Cost Principles for State, Local & Indian Tribal Governments (codified at 28
CFR Part 66, by reference and(formerly known as OMB Circular A-87)
b) OMB Circular A-102, Common Rule-Uniform Administrative Requirements for Grants and
Cooperative Agreements to State and Local Governments
c) 28 CFR 66, Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments
ii. For non-profit organizations;
a) 2 CFR Part 230, Cost Principles for Non-Profit Organizations(formerly known as OMB Circular
A-122)
b) 2 CFR Part 215, Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Nonprofit Organizations (codified at 28
CFR Part 70 and formerly known as OMB Circular A-110)
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with
Institutions of Higher Education, Hospitals, and other Non-Profit Organizations
iii. For colleges and universities;
a) 2 CFR Part 220, Cost Principles for Educational Institutions (codified at 28 CFR Part 66, by
reference and formerly known as OMB Circular A-21)
b) 2 CFR Part 215, Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Nonprofit Organizations(eodifed at 28
CFR Part 70 and formerly known as OMB Circular A-110)
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with
Institutions of Higher Education, Hospitals, and other Non-Profit Organizations
iv. For each agency spending more than$500,000 per year in federal funds from all sources;
a) OMB Circular A-133,Audits of States, Local Governments and Nonprofit Organizations
b. The Subgrantee assures that it will comply with the provisions of the U.S. Department of Justice,Office of the Chief
Financial Officer, Office of Justice Programs, Financial Guide for Grants, current edition. (For practical purposes,
the requirements pertinent to the management of these funds have been extracted from the above documents and are
contained in the current applicable Administrative Guide of the Division of Criminal Justice, which is hereby
incorporated by reference. However, such a guide cannot cover every foreseeable contingency, and the Subgrantee
is ultimately responsible for compliance with applicable state and federal laws,rules and regulations.)
September 2011
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3. NON-SUPPLANTING OF FUNDS
a. The Subgrantee Agency certifies that any required matching funds used to pay the non-federal portion of the cost of
this subgrant are in addition to funds that would have otherwise been made available for the purposes of this project.
b. The Subgrantee Agency certifies that federal funds made available under this grant:
i. Will not be used to supplant state or local funds;
ii. Where there is a reduced or unchanged local investment, then the Subgrantee Agency shall give a written
explanation demonstrating that the Subgrantee Agency's reduced or unchanged commitment would have
been necessitated even if federal financial support under this federal grant program had not been made
available.
4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS(Subgrantee Agencies receiving$100,000 or more in total
federal funds per year. See 28 CFR Part 69.)
The prospective Subgrantee Agency certifies,by submission of this proposal,that:
a. No federal funds received through this subgrant will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee
of a member of Congress in connection with the making of any federal grant, the entering into of any cooperative
agreement, and the extension,continuation,renewal,amendment,or modification of any federal grant or cooperative
agreement;and,
b. If any funds other than funds through this subgrant will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an
employee of a member of Congress in connection with this subgrant, the prospective Subgrantee Agency shall
complete and submit Standard Form-LLL,"Disclosure of Lobbying Activities."
5. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION(Subgrantee Agencies receiving$100,000 or more in total federal f Inds per year. See,28 CFR Part 67.)
The prospective Subgrantee Agency certifies,by submission of this proposal, that neither it nor its principals, subcontractors
or suppliers:
a. Are presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded from participation in this transaction by any Federal
department or agency;
b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of
records,making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal, State,or
local)with commission of any of the offenses enumerated in paragraph(5)(b)of this certification;and
d. Have not within a three-year period preceding this application had one or more public transactions(Federal, State,or
local)terminated for cause or default;and
e. Where the prospective Subgrantee Agency is unable to certify to any of the statements in this certification,he or she
shall attach an explanation to this application.
6. CERTIFICATION REGARDING DRUG FREE WORKPLACE(See, 28 CFR Part 67,Subpart F.)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with the Drug Free
Workplace Act of 1988,as implemented at 28 CFR Part 67,Subpart F.
7. CIVIL RIGHTS COMPLIANCE (See, 28 CFR Part 42.)
a. Upon award, each Subgrantee Agency will be provided DCJ's Form 30, entitled "Certification of Compliance with
Regulations Regarding Federal Civil Rights Requirements and Equal Employment Opportunity Plans (EEOP), and
will be required to do the following:
i. The Project Director must submit the form to the Subgrantee Agency's Authorized Official for this grant;
ii. The Authorized Official must review the form in conjunction with subgrant agency personnel responsible
for reporting civil rights findings of discrimination;
iii. The Authorized Official must accurately complete the required information and provide all information
requested;
iv. The Authorized Official must provide an original signature on the form as indicated;and,
v. The DCJ 30 Form with original signature must be returned to the Division with the Statement of Grant
Award(SOGA).
b. Any subgrant agency findings of discrimination must be reported to the Division of Criminal Justice within 45 days
of receipt of this grant award, and to the Office for Civil Rights, Office of Justice Programs, U.S. Department of
Justice.
September 2011
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8. NON-DISCRIMINATION
The following federal non-discrimination cites apply in particular: the nondiscrimination requirements of the Omnibus
Crime Control and Safe Streets Act of 1968, as amended; Title VI of the Civil Rights Act of 1964; Section 504 of the
Rehabilitation Act of 1973,as amended;Subtitle A,Title II of the Americans with Disabilities Act of 1990,42 U.S.C. 12101,
et. seq. and Department of Justice Regulations on Disability Discrimination, 28 CFR Part 35 and Part 39;Title IX of the
Education Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination
Regulations 28 CFR Part 42, Subparts C, D, E,and G; and Executive Order 11246, as amended by Executive Order 11375,
and their implementing regulations,41 CFR Part 60.1 et. seq.,as applicable to construction contracts.
9. NATIONAL ENVIRONMENTAL POLICY ACT(NEPA)AND NATIONAL HISTORIC PRESERVATION ACT
(NHPA)COMPLIANCE (42 USC§. 4321-4370 and 16 USC§470)
a. The Subgrantee Agency agrees to assist the Division of Criminal Justice and the Office of Justice Programs, U.S.
Department of Justice,in complying with the National Environmental Policy Act,the National Historic Preservation
Act(NHPA)and other related federal environmental impact analyses requirements in the use of these grant funds
either directly by the Subgrantee Agency or by a subcontractor. As long as the activity needs to be undertaken in
order to use these grant funds, this NEPA requirement first must be met whether or not the activities listed below are
being specifically funded with these grant funds.The activities covered by this special condition are:
b. New construction;
c. Minor renovation or remodeling of a property either listed on or eligible for listing on the National Register of
Historic Places,or located within a 100-year flood plain;
d. Renovation, lease or any other proposed use of a building or facility that will either result in a change in its basic
prior use,or significantly change its size.
e. Implementation of a new program involving the use of chemicals other than chemicals that are either purchased as
an incidental component of a funded activity and traditionally used, for example, in office, household,recreational
or educational environments.
10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (This provision applies only to entities that
provide medical care and treatment)
The Subgrantee Agency acknowledges that it is a covered health care provider under the Health Insurance Portability and
Accountability Act, 42 U.S.C. 1320d-1320d-8, and its implementing regulations and agrees to comply with the requirements
of HIPAA concerning any uses and disclosures of protected health information.
11. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (Government Entities Only)
The prospective Subgrantee Agency certifies,by submission of this proposal,that it will comply with the requirements of the
Uniform Relocation Assistance and Real Property Acquisitions Act of I970,which govern the treatment of persons displaced
as a result of federal and federally-assisted programs.
12. Political Activity of Certain State and Local Employees (5 U.S.C. §§ 1501-08 and §§ 7324-28 — applies to Government
Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with requirements of 5
U.S.C. §§ 1501-08 and§§ 7324-28, which limit certain political activities of State and local government employees whose
principal employment is in connection with an activity financed in whole or part by federal assistance.
13. REPORTING FRAUD,WASTE,ERROR AND ABUSE
Each Subgrantee Agency must promptly refer to the Department of Justice, Office of the Inspector General any credible
evidence that a principal, employee, agent, contractor, subgrantee, subcontractor, or other person has either 1) submitted a
false claim for grant funds under the False Claims Act; or 2) committed a criminal or civil violation of laws pertaining to
fraud, conflict of interest, bribery, gratuity, or similar misconduct involving grant funds. Potential fraud, waste, abuse, or
misconduct should be reported to the U.S.Department of Justice, Office of the Inspector General(OIG)by:
a) mail: Office of the Inspector General U.S. Department of Justice Investigations Division 950 Pennsylvania
Avenue,N.W.Room 4706 Washington,DC 20530;
b) email: oig.hotline@usdoj.ggy;
c) hotline: (contact information in English and Spanish): (800)869-4499;or
d) hotline fax: (202)616-9881.
September 2011
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D. PROGRAM SPECIFIC REQUIREMENTS
The following program specific requirements are imposed by the Federal or State sponsoring agency concerning special
requirements of law,program requirements,and other administrative requirements which must be passed on to subgrant award
recipients. These requirements are more likely to change from year to year than the special provisions and federal certified
assurances shown above, and usually vary across offices within the Division.
1. The capacity for VAWA funds to provide future continuation dollars for projects is undetermined at this time.
Subgrantee Agencies are advised to seek other funding sources,especially for personnel dollars.
2. The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VAWA-funded
project have read state laws and applicable rules of professional conduct related to issues of confidentiality and
privilege, particularly with respect to releasing identifying information about victims of crime, including but not
limited to,those found in.Section 13-90-107,C.R.S.
3. The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VAWA-funded
project understand that disclosure of personally identifying information about victims served with VAWA funds is
prohibited without a written release,court order or statutory requirement.
4. The following activities cannot be conducted under the OVW federal action: Research and technology whose
anticipated and future application could be expected to have an effect on the environment.
5. Under the S.T.O.P. Violence Against Women Act Reauthorization (42 U.S.C. 3799gg — (d)(4), prosecution, law
enforcement and courts applicants must consult with local,nonprofit,non-governmental victim services programs in
developing their application to ensure that the proposed activities are designed to promote safety, confidentiality,
and economic independence of victims of domestic violence,sexual assault,stalking and dating violence.
6. All materials and publications (written, visual or sound) resulting from subgrant award activities shall contain the
following statements: "This project was supported by subgrant no. ,awarded by the Colorado Department of
Public Safety, Division of Criminal Justice — administering office for the STOP Formula Grant Program. The
opinions, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of
the author(s) and do not necessarily reflect the views of the state or the U.S. Department of Justice, Office on
Violence Against Women".
7. The subgrantee understands that approval of this award does not indicate approval of any consultant rate in excess of
$650 per day. A detailed justification must be submitted to the Division of Criminal Justice, Office for Victims
Programs, prior to obligation or expenditure of such funds. The detailed justification will then be submitted to the
Office on Violence Against Women for review,if required.
8. Pursuant to 28 CFR §§ 66.34, the Office on Violence Against Women reserves a reyalty-free, nonexclusive, and
irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, in whole or in part
(including in the creation of derivative works),for Federal Government purposes:
(a) any work that is subject to copyright and was developed under this award, subaward, contract or
subcontract pursuant to this award; and
(b) any work that is subject to copyright for which ownership was purchased by a recipient, subrecipient
or a contractor with support under this award.
In addition, the recipient (or subrecipient, contractor or subcontractor) must obtain advance written approval from
the Office on Violence Against Women program manager assigned to this award, and must comply with all
conditions specified by the program manager in connection with that approval before: 1) using award funds to
purchase ownership of, or a license to use,a copyrighted work; or 2)incorporating any copyrighted work, or portion
thereof, into a new work developed under this award.
September 2011
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E. GENERAL PROVISIONS
1. INDEMNIFICATION.
a. To the extent authorized by law, the Subgrantee Agency shalt indemnify, save,and hold harmless the State,its employees
and agents,against any and all claims, damages, liability and court awards including costs,expenses,and attorney fees and
related costs, incurred as a result of any act or omission by the Subgrantee Agency, or its employees,agents,subcontractors,
or assignees pursuant to the terms of this subgrant award.
FOR GRANTS TO STATE AGENCIES AND HIGHER EDUCATION ONLY:
b. A self-insured,Subgrantee state Agency agrees that its Self-Insurance Program shall BE RESPONSIBLE FOR any and all
claims,damages, liability and court awards,including costs,expenses, and attorney fees and related costs,incurred as a result
of any act or omission by the Subgrantee Agency,or its employees,agents, subcontractors,or assignees pursuant to the terms
of this subgrant award.
2. STATEWIDE CONTRACT MANAGEMENT SYSTEM
[This section shall apply when the Effective Date is on or after July 1, 2009 and the maximum amount payable to Subgrantee
hereunder is$100,000 or higher)
By entering into this subgrant, Subgrantee agrees to be governed,and to abide,by the provisions of CRS §24-102-205, §24-
102-206, §24-103-601, §24-103.5-101 and §24-105-102 concerning the monitoring of vendor performance on state contracts
and inclusion of contract performance information in a statewide contract management system.
Subgrantee performance shall be evaluated in accordance with the terms and conditions of this subgrant, State law, including
CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance.Evaluation of Subgrantee's performance shall be part of
the normal contract administration process and Subgrantee's performance will be systematically recorded in the statewide
Contract Management System. Areas of review shall include, but shall not be limited to quality, cost and timeliness.
Collection of information relevant to the performance of Subgrantee's obligations under this subgrant shall be determined by
the specific requirements of such obligations and shall include factors tailored to match the requirements of the Project Plan
of this subgrant. Such performance information shall be entered into the statewide Contract Management System at intervals
established in the Project Plan and a final review and rating shall be rendered within 30 days of the end of the Subgrant term.
Subgrantee shall be notified following each performance and shall address or correct any identified problem in a timely
manner and maintain work progress.
Should the final performance evaluation determine that the Subgrantee demonstrated a gross failure to meet the performance
measures established under the Project Plan,the Executive Director of the Colorado Department of Personnel and
Administration(Executive Director),upon request by the Colorado Division.of Criminal Justice,and showing of good cause,
may debar Subgrantee and prohibit Subgrantee from bidding on future contracts. Subgrantee may contest the final evaluation
and result by: (i)filing rebuttal statements, which may result in either removal or correction of the evaluation(CRS §24-105-
102(6)), or (ii) under CRS §24-105-102(6), exercising the debarment protest and appeal rights provided in CRS §§24-109-
106, 107, 201 or 202, which may result in the reversal of the debarment and reinstatement of Subgrantee, by the Executive
Director,upon showing of good cause.
3. The Subgrantee Agency shall comply with all applicable revisions or additional requirements that may be imposed by law
and any future state and federal guidance including clarifications of requirements. Any revisions to such provisions or
regulations shall automatically become a part of these Special Provisions and Certified Assurances, without the necessity of
either party executing any further instrument. The State of Colorado may provide written notification to the Subgrantee
Agency of such revisions,but such notice shall not be a condition precedent to the effectiveness of such revisions.
4. CORA Disclosure
To the extent not prohibited by federal law,this subgrant and the performance measures and standards under CRS §24-103.5-
101,if any,are subject to public release through the Colorado Open Records Act,CRS §24-72-101,et seq.
September 2011
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State of Colorado
Supplemental Provisions for
Federally Funded Contracts,Grants, and Purchase Orders
Subject to
The Federal Funding Accountability and Transparency Act of 2006(FFATA),As
Amended
As of 10-15-10
The contract,grant,or purchase order to which these Supplemental Provisions are attached has been
funded, in whole or in part, with an Award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions,the Special Provisions,the contract or any attachments or
exhibits incorporated into and made a part of the contract,the provisions of these Supplemental
Provisions shall control.
1.Definitions.For the purposes of these Supplemental Provisions,the following terms shall have the
meanings ascribed to them below.
1.1."Award"means an award of Federal financial assistance that a non-Federal Entity receives or
administers in the form of:
1.1.1.Grants;
1.1.2.Contracts;
1.1.3.Cooperative agreements,which do not include cooperative research and
development agreements(CRDA)pursuant to the Federal Technology Transfer Act
of 1986,as amended(15 U.S.C.3710);
1.1.4.Loans;
1.1.5.Loan Guarantees;
1.1.6.Subsidies;
1.1.7.Insurance;
1.1.8.Food commodities;
1.1.9.Direct appropriations;
1.1.10.Assessed and voluntary contributions;and
1.1.11.Other financial assistance transactions that authorize the expenditure of Federal
funds by non-Federal Entities.
Award does not include:
1.1.12.Technical assistance,which provides services in lieu of money;
1.1.13.A transfer of title to Federally-owned property provided in lieu of money;even if the
award is called a grant; •
1.1.14.Any award classified for security purposes;or
1.1.15.Any award funded in whole or in part with Recovery funds,as defined in section
1512 of the American Recovery and Reinvestment Act(ARRA) of 2009(Public Law
111-5).
1.2. "Central Contractor Registration(CCR)"means the Federal repository into which an Entity
must enter the information required under the Transparency Act,which may be found at
http://www.bpn.gov/ccr.
1.3."Contract"means the contract to which these Supplemental Provisions are attached and
includes all Award types in§1.1.1 through 1.1.11 above.
1.4. "Contractor"means the party or parties to a Contract funded, in whole or in part,with Federal
financial assistance,other than the Prime Recipient,and includes grantees,subgrantees,
Subrecipients, and borrowers. For purposes of Transparency Act reporting,Contractor does
not include Vendors.
1.5."Data Universal Numbering System(DUNS) Number"means the nine-digit number
established and assigned by Dun and Bradstreet,Inc.to uniquely identify a business entity.
Dun and Bradstreet's website may be found at: http://fedgov.dnb.com/webform.
1.6."Entity"means all of the following as defined at 2 CFR part 25,subpart C;
1.6.1.A governmental organization, which is a State,local government, or Indian Tribe;
1.6.2.A foreign public entity;
1.6.3.A domestic or foreign non-profit organization;
1.6.4.A domestic or foreign for-profit organization;and
1.6.5.A Federal agency,but only a Subrecipient under an Award or Suhaward to a non-
Federal entity.
1.7."Executive"means an officer,managing partner or any other employee in a management
September 2011
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position.
1.8."Federal Award Identification Number(FAIN)"means an Award number assigned by a
Federal agency to a Prime Recipient.
1.9."FFATA"means the Federal Funding Accountability and Transparency Act of 2006(Public
Law 109-282),as amended by§6202 of Public Law 110-252. FFATA,as amended, also is
referred to as the"Transparency Act."
1.10."Prime Recipient"means a Colorado State agency or institution of higher education that
receives an Award.
1.11."Subaward"means a legal instrument pursuant to which a Prime Recipient of Award funds
awards all or a portion of such funds to a Subrecipient,in exchange for the Subrecipient's
support in the performance of all or any portion of the substantive project or program for which
the Award was granted.
1.12."Subrecipient"means a non-Federal Entity(or a Federal agency under an Award or
Subaward to a non-Federal Entity)receiving Federal funds through a Prime Recipient to
support the performance of the Federal project or program for which the Federal funds were
awarded.A Subrecipient is subject to the terms and conditions of the Federal Award to the
Prime Recipient,including program compliance requirements.The term"Subrecipient"includes
and may be referred to as Subgrantee.
1.13."Subrecipient Parent DUNS Number"means the subrecipient parent organization's 9-digit
Data Universal Numbering System(DUNS)number that appears in the subrecipient's Central
Contractor Registration(CCR)profile,if applicable.
1.14."Supplemental Provisions"means these Supplemental Provisions for Federally Funded
Contracts, Grants,and Purchase Orders subject to the Federal Funding Accountability and
Transparency Act of 2006, As Amended, as maybe revised pursuant to ongoing guidance from
the relevant Federal or State of Colorado agency or institution of higher education.
1.15."Total Compensation"means the cash and noncash dollar value earned by an Executive
during the Prime Recipient's or Subrecipient's preceding fiscal year and includes the following:
1.15.1.Salary and bonus;
1.15.2.Awards of stock,stock options,and stock appreciation rights,using the dollar
amount recognized for financial statement reporting purposes with respect to the
fiscal year in accordance with the Statement of Financial Accounting Standards No.
123 (Revised 2005)(FAS 123R),Shared Based Payments;
1.15.3.Earnings for services under non-equity incentive plans,not including group life,
health,hospitalization or medical reimbursement plans that do not discriminate in
favor of Executives and are available generally to all salaried employees;
1.15.4.Change in present value of defined benefit and actuarial pension plans;
1.15.5.Above-market earnings on deferred compensation which is not tax-qualified;
1.15.6.Other compensation,if the aggregate value of all such other compensation(e.g.
severance,termination payments,value of life insurance paid on behalf of the
employee,perquisites or property) for the Executive exceeds$10,000.
1.16."Transparency Act"means the Federal Funding Accountability and Transparency Act of 2006
(Public Law 109-282),as amended by§6202 of Public Law 110-252.The Transparency Act
also is referred to as FFATA.
1.17"Vendor"means a dealer,distributor,merchant or other seller providing property or services
required for a project or program funded by an Award.A Vendor is not a Prime Recipient or a
Subrecipient and is not subject to the terms and conditions of the Federal award. Program
compliance requirements do not pass through to a Vendor.
2.Compliance.Contractor shall comply with all applicable provisions of the Transparency Act and the
regulations issued pursuant thereto, including but not limited to these Supplemental Provisions, Any
revisions to such provisions or regulations shall automatically become a part of these Supplemental
Provisions,without the necessity of either party executing any further instrument.The State of
Colorado may provide written notification to Contractor of such revisions,but such notice shall not be
a condition precedent to the effectiveness of such revisions.
3.Central Contractor Registration(CCR)and Data Universal Numbering System(DUNS)
Requirements.
3.1.CCR.Contractor shall maintain the currency of its information in the CCR until the Contractor
submits the final financial report required under the Award or receives final payment,whichever
is later.Contractor shall review and update the CCR information at least annually after the
initial registration,and more frequently if required by changes in its information.
September 2011
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3.2.DUNS.Contractor shall provide its DUNS number to its Prime Recipient,and shall update
Contractor's information in Dun&Bradstreet,Inc. at least annually after the initial registration,
and more frequently if required by changes in Contractor's information.
4.Total Compensation.Contractor shall include Total Compensation in CCR for each of its five most
highly compensated Executives for the preceding fiscal year if:
4.1.The total Federal funding authorized to date under the Award is$25,000 or more;and
4.2.In the preceding fiscal year,Contractor received:
4.2.1.80%or more of its annual gross revenues from Federal procurement contracts and
subcontracts and/or Federal financial assistance Awards or Subawards subject to
the Transparency Act;and
4.2.2.$25,000,000 or more in annual gross revenues from Federal procurement
contracts and subcontracts and/or Federal financial assistance Awards or
Subawards subject to the Transparency Act;and
4.3.The public does not have access to information about the compensation of such Executives
through periodic reports filed under section 13(a)or 15(d)of the Securities Exchange Act of
1934(15 U.S.C.78m(a),78o(d)or§ 6104 of the Internal Revenue Code of 1986.
5.Reporting.Contractor shall report data elements to CCR and to the Prime Recipient as required in
§7 below if Contractor is a Subrecipient for the Award pursuant to the Transparency Act.No direct
payment shall be made to Contractor for providing any reports required under these Supplemental
Provisions and the cost of producing such reports shall be included in the Contract price.The
reporting requirements in§7 below are based on guidance from the US Office of Management and
Budget(OMB),and as such are subject to change at any time by OMB.Any such changes shall be
automatically incorporated into this Contract and shall become part of Contractor's obligations under
this Contract,as provided in§2 above.The Colorado Office of the State Controller will provide
summaries of revised OMB reporting requirements at http://www.colorado.gov/dpa/dfp/sco/FFATA.htm.
6.Effective Date and Dollar Threshold for Reporting.The effective date of these supplemental
provisions apply to new Awards as of October 1,2010.Reporting requirements in§7 below apply to
new Awards as of October 1,2010, if the initial award is$25,000 or more. If the initial Award is below
$25,000 but subsequent Award modifications result in a total Award of$25,000 or more,the Award is
subject to the reporting requirements as of the date the Award exceeds$25,000.If the initial Award
is$25,000 or more,but funding is subsequently de-obligated such that the total award amount falls
below$25,000,the Award shall continue to be subject to the reporting requirements.
7.Subrecipient Reporting Requirements.If Contractor is a Subrecipient,Contractor shall report as
set forth below.
7.1 To CCR.A Subrecipient shall register in CCR and report the following data elements in CCR
for each Federal Award Identification Number no later than the end of the month following the
month in which the Subaward was made:
7.1.1 Subrecipient DUNS Number;
7.1.2 Subrecipient DUNS Number+4 if more than one electronic funds transfer(EFT)
account;
7.13 Subrecipient Parent DUNS Number;
7.1.4 Subrecipient's address, including: Street Address,City,State,Country,Zip+4,and
Congressional District;
7.1.5 Subrecipient's top 5 most highly compensated Executives if the criteria in§4 above
are met;and
7.1.6 Subrecipient's Total Compensation of top 5 most highly compensated Executives if
criteria in §4 above met.
7.2 To Prime Recipient.A Subrecipient shall report to its Prime Recipient,upon the effective date
of the Contract, the following data elements:
7.2.1 Subrecipient's DUNS Number as registered in CCR.
7.2.2 Primary Place of Performance Information, including: Street Address,City,State,
Country, Zip code+4,and Congressional District.
September 2011
•
Special Provisions,and Certified Assurances Page 14 of 15
Special Provisions&Certified Assurances must remain attached to the application
8.Exemptions.
8.1.These Supplemental Provisions do not apply to an individual who receives an Award as a
natural person,unrelated to any business or non-profit organization he or she may own or
operate in his or her name.
8.2 A Contractor with gross income from all sources of less than$300,000 in the previous tax year
is exempt from the requirements to report Subawards and the Total Compensation of its most
highly compensated Executives.
8.3 Effective October 1,2010,"Award"currently means a grant,cooperative agreement,or other
arrangement as defined in Section 1.1 of these Special Provisions.On future dates"Award"
may include other items to be specified by OMB in policy memoranda available at the OMB
Web site;Award also will include other types of Awards subject to the Transparency Act.
8.4 There are no Transparency Act reporting requirements for Vendors.
9.Event of Default.Failure to comply with these Supplemental Provisions shall constitute an event of
default under the Contract and the State of Colorado may terminate the Contract upon 30 days prior
written notice if the default remains uncured five calendar days following the termination of the 30 day
notice period.This remedy will be in addition to any other remedy available to the State of Colorado
under the Contract,at law or in equity.
September 2011
Special Provisions ;.rid Certified Assurances Page 15 of 15
Special Provisions&Certified Assurances must remain attached to the application
SIGNATURE PAGE->->->TO BE COMPLETED BY ALL APPLICANTS
(ORIGINAL SIGNATURES REQUIRED-Please sign in BLUE ink. See instructions for description of proper signatories.)
The Subgrantee Agency and responsible signatories certify by signing that they have read the Application including the Special Provisions and
Certified Assurances,and are fully cognizant of their duties and responsibilities for this project.The Subgrantee Agency understands and agrees that
any subgrant award received as a result of this application shall incorporate by reference the information contained herein. Responsibility for
narrative and fiscal reporting requirements are delegated to the designated Project Director, who will sign all such reports. This delegation is for
purposes of reporting to the Division and for operational ease, and in no way limits the authority and responsibility of the Authorized Official. In
accordance with the Colorado Revised Statutes 24-72-202.6,information supplied in this application is considered a public record.
AUTHORIZED OFFICIAL
Name Barbara Kirkmeyer
Position Chair,Board of County Commissioners
Agency Board of County Commissioners,Weld County
Mailing Address P.O. Box 758
City,State,Zip Greeley,CO 80632
Telephone# 970-336-7204
Fax# 970-352-0242
E-mail Address bkirkmeyer@co.weld.co.us
Signature Date
,t! ti" / f ITV 0 9 2011
FINANCIAL OFFICER
Name Barbara Connolly
Position Financial Officer
Agency Weld County Government
Mailing Address PO Box 758
City,State,Zip Greeley,CO 80632
Telephone# 970-356-4000 Ext 4445
Fax# 970-352-0242
E-mail Address bonnolly@co.weld.co.us
Signature Date
•
t.0v 00 2011
PROD T DIRECTOR
Name JoAnn Holden
Position Director of Victim Services
Agency 19`h Judicial District Attorney's Office Vic/Wit Assistance Unit
Mailing Address P.O. Box 1167
City,State,Zip Greeley,CO 80632
Telephone# 970-356-4010
Fax# 970-352-8023
E-mail Address jhotden@co.weld.co.us
Signature 1 t Date
L._ j�(:'.... L Et0V 0 9 2011
September 2011
Ds /' � �t Division of Criminal Justice
C L/ � Jeannf M.Smith,Director
Office for f Criminal
Pmg[am
`J� 700 Kipliug Si,Suite 1000
De O 80215-5865
COLORADO
DEPARTMENT
OF PUBLIC SAFETY 1\)\(
October 6, 2011 1V
Ms. Jo Ann Holden
P-Sr
District Attorney's Office, 19th Judicial District
P.O. Box 1167
Greeley,CO 80632
Dear Ms.Holden:
RE: Recontracting For Second Year of Funding
VAWA Grant#10-VW-19-39
RECONTRACTING SOGA INSTRUCTION LETTER
IMPORTANT DCJ PROCEDURES - READ CAREFULLY,RESPOND PROMPTLY
A fully executed Statement of Grant Award complete with all required signatures is the legal contract
between your agency and DCJ for your VAWA grant award that is being extended at the CY 2011
funding level for an additional 12-month grant period 1/1/2012—12/31/2012.
RETURN ALL DOCUMENTS IN THIS PACKET TO DCJ WITH PROPER SIGNATURES BY NO
LATER THAN NOVEMBER 78th. USE THE RETURN ADDRESSED MAILING ENVELOPE
ENCLOSED.
Your VAWA Grant Contract will not be complete... until your Statement of Grant Award(SOGA)
-is signed by your authorized official,
-is signed by authorized DCJ and State Controller officials.
John W.Hickenlooper You may NOT begin spending or drawing down grant funds for CY 2012...until you receive a SOGA that
GOVERNOR has been signed by your Authorized Official,by DCJ,and by the State Controller's representative. Any
James H.Davis adjustments that were made to your budget and/or goals and objectives for the 2012 grant contract during this
EXECUTIVE DIRECTOR recontracting process will go into effect January 1, 2012.
Colorado State
Patrol Remember,your Central Contractor Registration(CCR)must be current and active in order for us to
Colorado Bureau sign your contract.
of Investigation
Division of To avoid possible delays in the start date of your 2012 grant or delays in your ability to spend or draw
Criminal Justice
down grant funds,please follow these instructions carefully.
Office of Preparedness,
Security,and Fire Safety
1. PROCESSING THE TWO SETS OF THE STATEMENT OF GRANT AWARD(SOGA)
Enclosed are two sets of UNSIGNED SOGAs for your CY 2012 VAWA project. One is blue and has a
copy of your application and new Special Provisions and Certified Assurances(SPCAs)attached; the
other is white and is just 3 pages. Read all of the SPCAs and any special conditions carefully.
I.J • BOTH SETS OF YOUR SOGA(BLUE AND WHITE)MUST BE SIGNED BY YOUR
AUTHORIZED OFFICIAL AND RETURNED TO DCJ.
D C J • PLEASE REMEMBER TO RETURN: 1)THE BLUE SOGA,PROPERLY SIGNED,WITH
THE COPY OF YOUR APPLICATION ATTACHED. 2)THE WHITE SOGA PROPERLY
SIGNED WITH THE FULL SET OF ATTACHED SPCA'S PROPERLY SIGNED.
(\)NV r\J t After DCJ signatures are completed,we will retum a fully executed SOGA along with attachments for your
VAWA grant file.
2011-2945
SOGA PACKET CHECKLIST
ALL MATERIALS DUE BY NOVEMBER 18, 2011
Use this checklist to be sure you have prepared your SOGA documents correctly and to be sure
you are returning all the necessary documents. RETURN ALL DOCUMENTS TO THE OFFICE
FOR VICTIMS PROGRAMS USING THE ENCLOSED RETURN-ADDRESSED ENVELOPE.
REMEMBER TO PUT POSTAGE ON THE RETURN ENVELOPE.
HAVE YOU PREPARED YOUR DOCUMENTS CORRECTLY?
v INSTRUCTIONS. You have reviewed all the SOGA documents and have read and
followed the instructions listed on the Recontracting SOGA Instruction Letter.
r2. NO WHITEOUT. YOU HAVE NOT USED WHITEOUT TO MAKE CORRECTIONS.
To make a correction, strike out the incorrect item or signature by drawing a single line
through it, initial beside the strike out, and then write in the correct item or signature
above or below the incorrect item.
HAVE YOU ENCLOSED ALL THE NECESSARY DOCUMENTS?
3. TWO SETS OF SOGA DOCUMENTS. You are returning BOTH the white SOGA
and blue SOGA with all application pages attached and proper signatures by the
Authorized Official (page 3). Signatures should be in BLUE INK. (You will receive a
signed copy of the SOGA & all attached documents once they are signed by DCJ
officials).
4. SPECIAL PROVISIONS AND CERTIFIED ASSURANCES (SPCA'S). You are
returning all pages of the SPCA's. The signature page (last page) is fully completed and
signed by the appropriate signing authorities. All signatures should be in BLUE INK.
5. DCJ FORM 30-CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS FOR SUBGRANTS
ISSUED BY THE COLORADO DIVISION OF CRIMINAL JUSTICE. (Grey Form) Front
and back of the form is fully completed and signed by the Authorized Official in BLUE
INK.
P://victims/consolidated grant process/SOGA Process Forms/SOGA packet checklist-subgrantees
2.DCJ FORM 30
Fill out BOTH BOXES on the enclosed gray form entitled"Certification of Compliance with Regulations,
Office for Civil Rights". Have your AUTHORIZED OFFICIAL sign the form,and return it to DCJ with your
SOGAs.
3. NEW SPECIAL PROVISIONS and CERTIFIED ASSURANCES (SPCAs) and SIGNATURE PAGE
Please be sure to carefully read the new SPCAs that are attached to your white SOGA. In addition to the
signature pages attached to the SOGAs,you must complete and submit the new SPCA signature page with
original,blue ink signatures by all 3 signing authorities-Authorized Official,Financial Officer,and Project
Director(3 different individuals). For your convenience,this signature page may be downloaded from our
website at http://dcj.state.co.us/ovp and completed electronically,then printed for completion of the blue ink
signatures. Remember to return the entire 15-page SPCAs document with your SOGA's.
4. FINAL APPROVED BUDGET
Please examine page 1 of the SOGAs and pages 12 through 16,and pagel8 of the application's Project
Budget. This is your final approved budget,which includes both the federal and local match portions.
Either destroy or mark"void"all previous budgets. Make certain that your financial officer,
bookkeeper,or accounting office has only the final,approved budget figures in your SOGA. You must
adhere to this budget unless you receive approval for a budget revision AFTER COMPLETING AND
SUBMITTING DCJ FORM 4-A during your grant award period.
5. AUDIT REQUIREMENT
If you have not already done so,please provide a copy of your 2010 audit report and/or financial review,
including any management letter.NOTE: As stated in your Special Provisions and Certified Assurances
(SPCAs)associated with this award,all agencies with revenues of$200,000 or more will have to provide DCJ
with an AUDIT.
Please provide appropriate signature(s)wherever you see"Sign and Date"flags. DO NOT USE
WHITE-OUT IF YOUMAKEA MISTAKE! To make corrections,strike out the incorrect item or
signature by drawing a single line through it. Initial the strike out. Then put the correct item or
signature above,below,or next to it.
AGAIN—REMEMBER TO USE THE ENCLOSED PRE ADDRESSED ENVELOPE TO RETURN ALL
DOCUMENTS IN THIS PACKET TO DCJ WITH PROPER SIGNATURES BY NO LATER THAN
NOVEMBER 18th. Please refer to Grant#10-VW-19-39 in all correspondence and reports that you send to
this office. Feel free to contact us with any questions. We look forward to working with you!
Sincerely,
4/eve leehriak.
Betsy Anderson Stephanie Piechowski
Regional VOCA/VAWA Grant Manager VAWA Grant Financial Manager
TEL: 303.239.4440 TEL: 303.239.4662
betsy.anderson(i4cdps.state.co.us stephanie.piechowski(&,cdps.state.co.us
Hello