HomeMy WebLinkAbout20110320.tiff RESOLUTION
RE: APPROVE STATEMENT OF GRANT AWARD FOR JUVENILE ACCOUNTABILITY
BLOCK GRANT AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with a Statement of Grant Award for the Juvenile
Accountability Block Grant between the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Sheriff's Office,and the Colorado
Division of Criminal Justice, commencing January 1, 2011, and ending December 31, 2011, with
further terms and conditions being as stated in said award, and
WHEREAS, after review, the Board deems it advisable to approve said 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 Juvenile Accountability Block Grant
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Sheriff's Office, and the Colorado Division of
Criminal Justice be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 31st day of January, A.D., 2011, nunc pro tunc January 1, 2011.
BOARD OF COUNTY COMMISSIONERS
WE • COUNTY, COL RADO
ATTEST: • " � ' . k
arbara Kirkmeyer Chair
Weld County Clerk to the(a (..,)
(v`� 4, , Seam Cor�w , Pro-Tem
BY:
Deputy Clerk to the B
it . Garcia
AP ED ORM: Cc>4
David . Long
ounty Attorney EXCUSED
Douglas Rademacher
Date of signature: `);i7
uvtic S k to KGA Q
, SJ
a _ _ 2011-0320
I i l SO0032
C d s Division of Criminal Justice
Jeanne Smith,Director
7 700 Criminal
Kipling St.
Suite 1000
Denver,CO 80215-5865
COLORADO (303)239-4442
DEPARTMENT FAX(303)239-4491
OF PUBLIC SAFETY
December 31, 2010
Commander Ken Poncelow
Weld County Sheriffs Office
1950 O Street
Greeley, CO 80631
Re: "Weld County Juvenile Accountability"
Grant #29-JB-L-19-13
Dear Commander Poncelow:
Congratulations on the approval of this grant. Enclosed are two copies of the Statement of
Grant Award (SOGA) for$28,281.00, which includes $25,453.00 in federal funds and
$2,828.00 in cash match.
Award Paperwork
Enclosed are two sets of the Statement of Grant Award (SOGA) for the above-named
project. Please do not unstaple them. Be sure to read all Special Conditions,
Instructions, and Standard Conditions listed in your Statement of Grant Award.
Compare the Approved Budget as shown on the Statement of Grant Award with the
budget pages of the application, and review the grant duration dates. Please ensure that
your financial officer or accounting office has only final, approved budget amounts.
Bill Ritter,Jr. Both sets of the Statement of Grant Award must be signed by your Authorized Official and
GOVERNOR returned as soon as possible. After the signatures of the Director of the Division of
P A.Weir
EXECUTIVE DIRECTOR Criminal Justice and the Controller of the Department of Public Safety are obtained, the
Colorado State white copy of the SOGA will be returned to you with the attached application. This
Patrol
complete document is the official grant contract.
Colorado Bureau
of Investigation
Division of The following bulleted issues must be resolved prior to the disbursement of funds.
Criminal Justice
Office of Preparedness, 0 Included in this packet is the DCJ Form 30, Certification of Compliance with Regulations,
Security,and Fire Safety
concerning Civil Rights Requirements and Equal Employment Opportunity Plans. This
form must be completed and returned with your signed SOGA.
®By January 31, 2011, submit the following documents:
a. Organizational chart for the Sheriffs Office
b. Copy of the most recent financial audit for Weld County
I. c. Completed Financial Management page from the application
d. A copy of your CCR Registration
e. A DCJ Form 16 - Professional Services/Consultant Certification, with a copy of the
DC contract or statement of work.
Home Page: wwa.state.co.uslgov_dirlcdpsldcj.htm
E-Mail: Jeannesmith@cdpsstaleco.us
2011-0320
Commander Poncelow
December 31, 2010
Page 2
Grant Reporting and Management
The DCJ reporting forms that you are required to use for this project are enclosed. Please
destroy any outdated forms. Submission of any outdated forms will delay any
requests made to DCJ. To obtain additional forms please make copies of these or you
can obtain them from our website at "http://dcj.state.co.us/oajja" and by clicking on "Grant
Reporting Forms" and then by clicking "Juvenile Accountability Block Grant (JABG)."
Quarterly financial and narrative reports are due fifteen (15) days after the end of each
calendar quarter- April 15, July 15, October 15, and January 15. Final financial and
narrative reports are due 45 days after the grant end date.
In addition to narrative reports, data forms specific to the purpose area in which services
are being provided are to be submitted quarterly. Blank forms have been included within
the forms packet. Electronic versions of the forms can be obtain from the website address
listed above as well.
Cash requests (draw downs of awarded funds) can be submitted monthly or quarter for
reimbursement of expenses.
Please reference grant#29-JB-L-19-13 on all forms and correspondence. If you have any
questions, please contact me at Michele.Lovejoy@cdps.state.co.us or (303)239-5712.
Si c<
Michele Lovejoy
Office of Adult and Juv le Justice Assistance
Enclosures
COL(' -"ADO DIVISION OF CR1' 'NAL JUSTICE
• • STATEMENT OF GRANT AWARD (SOGA)
•
FEDERAL PROGRAM INFORMATION
CFDA Title& Number: #16.523 `
Federal Agency: Office of Juvenile Justice and Delinquency Prevention, OJP, DOJ ; ,,
Federal Award Name&Number: #2009-JB-FX-0033
Juvenile Accountability Incentive Block Grant Program Aware '„
!
Subgrantee Name: Weld County Sheriffs Office
Project Director: Commander Kenneth Poncelow
Project Director Address: Weld County Sheriffs Office
1950 O Street
Greeley,CO 80631
Grant Number: 29-JB-L-19-13
Project Title: Weld County Juvenile Accountability
Grant Period: January 1, 2011 To December 31, 2011
Date Issued: January 7, 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 BUDGBY PURPOSE AREA
Purpose Area ft/Project Federal Award Cash Match Total
Administration 1.273.00 0.00 1,273.00
'12a-Establishing & Maintaining Programs to 24,180.00 2,828.00 27,008.00
Conduct Risk Assessments
TOTAL AWARD AMOUNT 25,453.00 2,828.00 28,281.00)
' The detailed budget(s)found in the attached, approved plan provide budget category amounts for each purpose area. Use
these approved detailed budget(s)for reporting expenditures by Purpose Area.
' Purchase of equipment requires prior completion and approval of DCJ Form 13.
' Professional services require prior completion and approval of DCJ Form 16.
Special Condition(s):
1 This project was supported by Grant No. 2006-JB-FX-0012 awarded by the Office of Juvenile Justice and Delinquency Prevention
through the Division of Criminal Justice,Colorado Department of Public Safety. The Office of Juvenile Justice and Delinquency
Prevention is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics,the National
Institute of Justice, the Bureau of Justice Assistance,and the Office of Victims of Crime. Points of view or opinions in this
document are those of the author and do not represent the official position or policies of the United States Department of Justice
or the Division of Criminal Justice, Colorado Department of Public Safety.
Version 4-4-05 Page 1 of 3
P:IOAJJAUAEGiJ6 5OGAS12010129 16- Soga. rpd
Statement of Grant Award (S A)
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 poor written
approval from DCJ if there is to be a change in any budget category(see DCJ Form 4-A).
2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary
financial reports.
3. The Subgrantee Agency affirms that the parties'agreement consists of a two-part document,the Statement of Grant
Award (SOGA), and Exhibit A, attached to the SOGA, which contains the Grant Application (including Project
Summary, Budget and other Documents), the Certifications,the State Special Provisions, the Grant Requirements,
the Federal Certified Assurances, and signatures of persons authorized to sign on behalf of the Subgrantee Agency
on each part of the two-part document.
4. Review carefully the "Administrative Guide for Federal Justice Grant Programs Administered by the Colorado Division of
Criminal Justice,"which includes procedures regarding this document,draw-down of grant funds, reporting requirements
and requesting grant modifications.
5. This grant award shall be effective upon the final approval by the State Controller or designee. No payment shall
be made pursuant to the grant prior to State Controller approval.
6. This grant award may be voided in whole without further cause if it is not signed by the subgrantee's Authorized Official and
returned to the Division of Criminal Justice within 45 days of the date of issuance.
7. The signature of the Authorized Official below should be the same as the one on the grant application.The subgrantee must
promptly notify the Division of Criminal Justice of any changes in the Authorized Official, Project Director, or Financial
Officer,by completing and submitting DCJ Form 4-B. (If changes have already occurred,submit completed DCJ Form 4-B
with this document).
ADDITIONAL DCJ REQUIREMENTS
(1) Commencement within 60 Days. If the Division concludes that the project has not commenced within 60 days of the
start date of the grant period, the subgrantee must report the following by letter to the Division of Criminal Justice:
a. the steps taken to initiate the project;
b. the reasons for delay; and,
c. the expected starting date.
(2) Operational Within 80 Days. If the Division concludes that the project is not operational within 80 days of the original
start date of the grant period, the Division of Criminal Justice may begin termination or reduction in grant award
proceedings as described in"Special Provisions& Certified Assurances", Section entitled "Termination or Reduction in
Grant Award."
(3) All subgrants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on
the DCJ quarterly narrative and financial reporting forms, which are provided with this SOGA. Technical assistance is
available upon request.
(4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended
funds remaining at the end of the grant period must be returned to the Division of Criminal Justice.
RETURN:
ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of
Juvenile Justice, 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are obtained, the white
SOGA copy with approved application will be returned to your Project Director.
Statement of Grant Award (SOGA)
Version Page 2 of 3
P.OAJJA'UABGB SOGASIJAIBG SOGA pages2-3 august 2008.wpd
Statement of Grant Award(SOGA)
Grant Routing Number
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
Persons signing for Subgrantee hereby swear and affirm that they are authorized to act on Subgrantee's behalf and
acknowledge that the State is relying on their representations to that effect.
SUBGRANTEE: STATE OF COLORADO:
Weld County, Colorado BILL RITTER. JR.GOVERNOR
Legal Name of Subgrantee Agency
*SIGNATURE°, Authorize( Official IF"ECTOP Colo ado Division of Criminal Justice
JEANNE M. SMITH
Barbara Kirkmeyer, Chair, Board of Weld County t
Punt Name& Title of Authorized Officia/Commissioner Date Signed:
Date Signed: 1/31/2011
STATE OF COLORADO LEGAL REVIEW:
See Contract Routing Waiver# 127
(or,if not waivod)
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 Signed: F2,-1
( I j
Version Page 3 of 3
P:,,OAJJA\JABG1JB SOGASIJAIBG SOGA.pages2-3 august 2008.wpd .:-??0/1•
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# ,Z -se-z -/� -/3 Grant Project Title: /J1 'L& (1O!/,t) i L'7
Subgrantee Name (Funded Entity): 4,._/ p 6,-,:y62,-0
Address: /9 SieA
F' 1 Co >,--)c.>3 /
Duration: Beginning date: y.4) ) a, i End date: OE-" 2,P3/t ae'Award: $ 2 / 284 o
Project Director's Name & Phone#:
/lz'n /7oWci'' c °a/ ( 70 ) 4/2- /S ,Y ;26'0.2
Person responsible for reporting civil rights findings of discrimination: (Name, address & phone)
AUTHORIZED OFFICIAL'S CERTIFICATION: As the Authorized Official for the above Subgrantee, I certify, by my
signature below, that I have read and am fully cognizant of our duties and responsibilities under this Certification.
I. REQUIREMENTS OF SUBGRANT RECIPIENTS: All subgrant recipients (regardless of the type of entity or the amount
awarded) are subject to prohibitions against discrimination in any program or activity, and must take reasonable steps to
provide meaningful access for persons with limited English proficiency.
♦I certify that this agency will maintain data(and submit when required) to ensure that: our services are delivered in an
equitable manner to all segments of the service population; our employment practices comply with Equal Opportunity
Requirements, 28 CFR 42.207 and 42.301 et seq.; our projects and activities provide meaningful access for people with
limited English proficiency as required by Title VI of the Civil Rights Act, (See also, 2000 Executive Order#13166).
♦I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of
discrimination will submit these findings, if any, to the Division of Criminal Justice within 45 days of the finding, and/or if
the finding occurred prior to the grant award beginning date,within 45 days of the grant award beginning date.
if 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)
420//—D. D
Colorado Division of Criminal Justice Page 1 of 2 Rev.9/2010
DCJ FORM 30:
CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS (Continued)
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATIONS: (Continued)
O CERTIFICATION "B" (EEOP MUST BE ON FILE)
This funded entity, as a for-profit entity or a state or local government having 50 or more employees, is receiving,
through this grant from the Colorado Division of Criminal Justice, more than $25,000,but less than $500,000 in federal
U.S. Department of Justice funds.
Therefore, I hereby certify that the funded entity has formulated an Equal Employment Opportunity Plan in accordance
with 28 CFR 42.301, et seq., subpart E, that it has been signed into effect within the last two years by the proper
authority and disseminated to all employees, and that it is on file for review or audit by officials of the Division of
Criminal Justice or the Office for Civil Rights, Office of Justice Programs as required by relevant laws and regulations.
O CERTIFICATION "C" (EEOP MUST BE SUBMITTED)This funded entity, as a for-profit entity or a state or loca
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 thi
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 o:
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.
6 QA_, 1/31/2011
[Au t zed Official's signa ure] [Date
Barbara Kirkmeyer Chair. Board of Weld County Commisstonei
[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 of Justice Programs, U.S. Department ofJustice.
Colorado Division of Criminal Justice Page 2 of 2 Rev.9/2010
dr°mow�;
COLORADO DIVISION OF CRIMINAL JUSTICE JABG- D JUVENILE ACCOUNTABILITY BLOCK GRANT
�{;y. APPLICATION pY FOR
�PROGRAM
�pFUNDS
yg,, p) {�9((�
G-4N �{'+' b"U, F"rn m 0,1:P-11 k` �y �#J'P ��[ � Rtt .....I S.
1-1
STATE USE ONLY
App#: I Grant#: I Award: 0211--J(4-1_- fq— f.
APPLICANT AGENCY: Weld County
Address 1950 O Street City,ZIP Greeley,80631
Project Director Ken Poncelow E-mail kuoncelowco.weld.co.us
Telephone (970)356-4015 x 2802 FAX (970)304-6467
Federal Employer ID Number 8 4 6 0 0 0 8 1 3 Has applicant agency registered with the CENTRAL
CONTRACTOR REGISTRATION(CCR)
DUNS NUMBER 8 2 5 3 3 7 6 8 1 database? ❑Yes(CCR attached) ❑No
IMPLEMENTING AGENCY: NORTH RANGE BEHAVIORAL HEALTH
Contact KRISTEN JERNIGAN K
Email RISTEN.JERNIGAN&1 NORTHRA
NGE.ORG
Address 1260 H STREET City,ZIP GREELEY,80631
Telephone (970)313-1151 FAX (970)352-7457
FEDERAL FUNDS REQUESTED: $25,453.00 CASH MATCH: $2,828.00 TOTAL: $28,281.00
OF AGENCY: (check one) ['State ❑City/Town ZCounty ❑Indian Tribe ❑ Other
FUNCTION OF ❑ Law Enforcement ❑ Probation 0 Prosecution
AGENCY: ❑ Courts ❑ Social Services 0 Youth Services
❑ Public Defense ❑ Education Z Treatment/Mental Health
0 Treatment/Substance Abuse ❑ Other Describe:
TYPE OF APPLICATION:X JABG Local Allocation 9 State Program Funds ❑Other
New: Continuation:
9 Start a new project ® Continue a project currently receiving JABG funds
❑ Expand or enhance an existing project not previously ❑ Expand/enhance an existing project receiving JABG funds
JABG-funded For continuation applications,list up to three years of prior JABG
funding in the table below.
GRANT NUMBER FEDERAL FUNDS DURATION
27-JB-L-19-13 $15,248 12/01/08-9/30/09
26-JB-L-19-13 $15,327 10/01/07-9/30/08
r}r/air /4314,24
PROJECT TITLE: Weld County Juvenile Accountability PROJECT DURATION: From IAUI/201 I To 0/341/7011 ,
PROJECT DESCRIPTION(Limit to space provided): These funds support behavioral health services,which will be provided
to juveniles in Weld County through multiple agencies: North Range Behavioral Health will deliver a continuum of mental health and
substance use disorder services to both detained youth from Weld County at Platte Valley Youth Services Center and non-detained
youth involved in the juvenile justice system. Services to be provided will include risk and needs assessments of juvenile offenders,
crisis intervention,mental health and substance use disorder treatment, and referrals to ongoing behavioral health care services as
needed,Partners in this collaboration include North Range Behavioral Health(including partners formally identified as Island Grove
Regional Treatment Center), Senate Bill 94 of the 19th Judicial District,and Youth and Family Connections(formerly known as the
Juvenile Assessment Center).
PURPOSE AREA#1:Establishing and maintainingprograms to conduct risk and needs assessments I -_
PURPOSE AREA#2(if applicable): Accountability Based Program
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FY2009 JABG Application Direct Awards
PURPOSE AREA#3(if applicable):
SERVICE AREA: U. S. Congressional District(s): 01 02 03 ®4 05 06 07 ❑Statewide
Judicial District(s) (Identify by District Number): l9`h Judicial District
Cities an'd Counties to be served: All cities within Weld County
IS THE JURISDICTION(S)TO BE SERVED IN COMPLIANCE WITH THE =ID' t :` fir rn
JJDP ACT?Oyes O No O No,but working with DCJ Compliance Monitor. = , 13gy'° '
PROJECT WILL BE USING RESEARCH OR EVIDENCE-BASED PROGRAMS OR ACTIVITIES: ❑Yes ❑No
Provide the name of the Research or Evidence-based program.
SEC :Y�..s+�'3. a .•• .• ,aY>d'..:: .€ 0AR TO k�✓_S,l tF'.. .,.
Minimum required representation includes categories A-G: (If any category was impracticable,
explain on an attached page.)
A. Police F. Schools: School district and/or local middle
B. Sheriffs and/or
C. Prosecutors: District, County and/or City High schools (Please include students.)
D. Probation Services G. Business
E. Juvenile Court: District and/or H. Prevention organizations
municipal jurisdiction I. Religious-affiliated, fraternal, nonprofit,
and/or social services
NAME AGENCY/ORG & ADDRESS CATEGORY
JCEC MEMBERSHIP AND INVOLVEMENT IN YOUR LOCAL JBAG PLAN (Limit ''A page)
-3 -
FY2009 JABG Application Direct Awards
r r # It `(, S' Fair f =1.4j''f�d
1. PROBLEM IDENTIFICATION (Limit 1 page)
Identify the problem or issue to be addressed with relevant existing data. Clearly describe the
nature and extent of the problem among the target population.
Weld County, extending from Denver to the south to Nebraska to the east and to Wyoming in the north,
covers an area of nearly 4,000 square miles.It contains 31 incorporated towns and 12 school districts. Greeley is
the only area within the county that is classified as "urban," and serves as the county seat.
The trends that have led the County to implement treatment courts argue for the establishment of the
continuation of this grant funded service line. These trends,including sharp increases in population for this rural
and frontier county, coupled with its geographic configuration and cultural diversity,have made it one of the
fastest growing counties in the U. S. Local justice and mental health/substance use disorder agencies are
adversely impacted by this growth, leading to unacceptable results, such as regularly exceeding the capacity of the
26-bed regional youth detention center; an increase in emergency releases; and the consideration of additional jail
facilities to accommodate juvenile offender growth.
The estimated population of Weld County was approximately 148,000 in 1995, and has grown to an
estimated 236,857 in 2006,according to the U.S. Census Bureau. Moreover,the County's Hispanic (Latino)
population is growing faster than other populations with 84.01% growth from 1990 to 2000, as compared to
59.58% for all non-Hispanic citizens. Hispanics now make up 28%of Weld County's population. The juvenile
population between the ages of 10-18 is now 29, 859. Further, according to the 2005 American Community
Survey, 12%of people living in Weld County were in poverty, and 12% of related children under 18 years of age
were below the poverty level. According to U.S. Census figures,in 1999, 80% of Weld County households
earned less than$75,000 per year. The use of the County's approved juvenile detention center bed capacity has
also continued to increase.
Based on Average Daily Population(ADP) figures provided through the SB 94 program(another state-
local collaborative program that serves youth on pretrial through diversion and other programs), the County
exceeded its bed capacity in 4 of the last 12 months 5 of the last 12 months(April 2009 to April 2010). This
information is exciting because it is a decrease in bed use from previous years(historically FY 2007-2008
exceeded capacity 11 of 12 months; FY 2008-2009 exceeded capacity 8 of 12 months).To accommodate the
excessive capacity, there have been approximately 39 emergency releases so far this fiscal year. Again, this
statistic represents a decrease in the need for emergency releases and the pace for the current fiscal year is 47
emergency releases. Because of the public safety and health issues raised by these emergency releases,the Board
of County Commissioners has had ongoing discussions about the possibility of building additional beds to house
juvenile offenders, as well as implementing more evidence based programs designed to treat at risk youth within
the community(i.e.,Multisystemic Therapy(MST).
We have identified youth struggling with symptoms of oppositional defiant and conduct disorder as
potential recipients of the grant funded services. These youth have been identified as target population because of
their struggle, and their sibling's struggles,to maintain behaviors that are not in conflict with our criminal justice
system. It is the intention of North Range Behavioral Health(NRBH)to utilize grant dollars to provide a
continuum of behavioral health(both mental health and substance use disorder)treatment in order to intervene
effectively with youth who are either at risk for criminal behavior(i.e.,prevention services provided at the
Juvenile Assessment Center)and/or intervention services (i.e., services provided at the detention center,Platte
Valley Youth Services Center).
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FY2009 IABG Application Direct Awards
2. CONTRIBUTING FACTORS (Limit '''A page)
Provide an analysis of contributing factors, such as risk and protective factors, identify
which contributing factors this project will address and indicate the desired change for each
of those factors.
Contributing Protective Factors Project Intervention Type Desired Change
Parental involvement Assessment of parent involvement, Increase involvement to include
assessment of ecological resources supervision
to help with supervision,education,
role play,and prosocial activities
Symmetrical parent-child relationship Educate parent on parenting types Balance between warmth and structure
dynamics and pros and cons of each,and
develop a plan to implement pros
of each strategy with family
Ability to follow rules and structure when Work with family and youth to Implement structure/rewards in home
detained identify rewards for compliance post release/treatment
with rules at home
Contributing Risk Factors Project Intervention Type Desired Change
Biological Influences Complete a medication evaluation Actively taking any medication
if indicated recommended by prescribing doctor
Negative Peer Associations Identify negative peers,encourage Develop new rules regarding contact
parent to contact peers and express with negative peers
concern for their child and their
wishes for contact to stop
Truancy Case management interventions Increased home-school link and a plan
designed to link parents with to monitor attendance and school
school behavior
Substance Abuse Substance use/abuse/dependence Increased awareness of the impact of
will be screened for upon first substance abuse on the body and on
contact. Referrals will be made for behavior. Increased motivation to
substance abuse education and continue with substance abuse
treatment as needed. Substance treatment once released from
abuse education groups will be detention. Increase in appropriate
provided while the youth is in referrals upon release.
detention.
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FY2009 JABG Application Direct Awards
3. INTENDED LONG-TERM OUTCOMES/CHANGES (Limit ''/3 page)
Describe the intended long-term change/outcome desired. Indicate their relation to the
proposed project's goals, objectives and contributing factors.
Identify risk and protective Provide initial risk and needs assessment Design interventions that will decrease criminal
factors and utilize each to within 48 hours of initial meeting. Utilize offending and/or criminal recidivism.
develop interventions that assessment to develop interventions
will support youth prior to designed to prevent criminal behavior
and post-detention and/or criminal recidivism.
Provide crisis intervention to youth and
families engaged in JABG supported
service/treatment.
Guardians will increase supervision of the Increased accountability among identified youth
Increase accountability youth in their care,increase structure in the and their caregivers/guardians will lead to
among identified youth and home,increase home-school link and sustainable change and a decrease in new
their caregivers/guardians support youth in prosocial behavior. criminal charges as well as in criminal
Increase sobriety upon discharge as recidivism.
evidenced by negative screens. Follow Decrease substance abuse among youth.
through on referrals made for behavioral Increase school attendance.
health services.
Link underserved youth to Identify youth who have a need for Increase number of youth served.
behavioral health services in behavioral health services but who have Increase community collaboration.
their community not had access to services. Provide youth
with resources and referrals to community
agencies/services in order to sustain
changes made during treatment.
-6-
FY2009 JABG Application Direct Awards
4. PROJECT DESCRIPTION (Limit 1 %2 pages)
Describe in detail the project that will be supported with these funds including the services
and activities to be provided and how they will not duplicate others offered in the
community. If this request is for part of a larger program, the project (and associated costs)
must be clearly defined.
These funds support behavioral health services, which will be provided to juveniles in Weld County
through multiple agencies: North Range Behavioral Health will deliver a continuum of mental health and
substance use disorder services to both detained youth from Weld County at Platte Valley Youth Services
Center and non-detained youth involved in the juvenile justice system. Services to be provided will include risk
and needs assessments of juvenile offenders, crisis intervention, mental health and substance use disorder
treatment (Behavioral Health Treatment) provided in both individual and group formats, and referrals to
ongoing behavioral health care services as needed. Partners in this collaboration include North Range
Behavioral Health, Senate Bill 94 of the 19'h Judicial District, Juvenile, and Youth and Family Connections
(formerly the Juvenile Assessment Center).
Through this proposal NRBH seeks to be able to continue to quickly and appropriately identify, assess,
evaluate, and treat detained youth who are in need of Behavioral Health services; to communicate effectively
with the juvenile court, probation officers, human service workers, detention facility staff, mental health and
substance abuse therapists, school personnel, caregivers/guardians, and pertinent others about each referred
youth; and to provide timely behavioral health services to those identified as needing such services. JABG
funds have helped accomplish many of these tasks in past years.
Because of restrictions on staff time and clearance requirements, youth served by grant funds would
have no other assessment and treatment options while being detained at PVYSC.
-7-
FY2009 JABG Application Direct Awards
5. POPULATION TO BE SERVED (Limit 'A page)
Complete the Table provided to define the proposed target population.
Number of Juveniles Targeted to be Served
White Black Hispanic Asian/Pacific Native Other/ Total
Islander American Unknown
Males 100 14 220 13 14 14 375
Females 25 5 80 5 5 5 125
Total 125 19 300 18 19 59,0
Percent of Total to be Served with Limited English Proficiency: <10 %
Provide a description of the target population including age, gender, ethnicity and other
characteristics of those the project is intending to serve. Describe how the proposed services
are culturally, gender and age appropriate to the proposed target population.
Monies awarded as a result of this proposal will be applied to NRBH services at Platte Valley Youth
Services Center. Youth served are juvenile offenders who have been detained as a result of criminal activity
or inability to maintain in the community solely with the support of probation services.
NRBH is committed to providing culturally competent services to all consumers. In achieve this
goal all clinicians are required to participate in a minimum of three cultural competency trainings each
evaluation year. In addition,NRBH has committed to providing a bi-cultural bi-lingual counselor at PVYSC
and ensures that consumer preferences are met in any intervention provided. Gender sensitivity is achieved
by providing both a male and female counselor at PVYSC and offering youth the choice of whom they prefer
to work with. Services provided to youth who are emergency released are provided in-home so that family
culture may be adequately addressed.
-8-
FY2009 JABG Application Direct Awards
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7. PROJECT/PROGRAM IMPLEMENTATION OR ENHANCEMENT (Limit 1 page)
'Provide evidence that the proposed program or program enhancement will result in the
intended outcomes including delinquency prevention and maximizing community safety. Cite
the evidence or research utilized.
In July 2008,North Range Behavioral Health(NRBH)merged service lines with Island Grove
Regional Treatment Center(IGRTC). This service integration continues to enhance services supported
by JABG grant funds to include substance use disorder treatment and increased family involvement in all
interventions provided.
Research indicates that rates of comorbid mental health and substance use disorders are as high as
65%. It was this knowledge that informed our decision to combine service lines so that all youth served
via JABG grants will be assessed for both mental health and substance abuse risks and needs and will be
matched to the most appropriate service (i.e., education, support,intervention services; individual or group
modalities)in the spirit of providing comprehensive behavioral health services.
Finally, all services will be enhanced to include a family component. This change is supported by
Scott Henggeler's (Multisystemic Therapy (MST) Model Developer) research on correlates and causes of
youth behavior problems. Family involvement in case management, education, and treatment enhance youth
and family accountability and have proven to increase sustainable changes in behavior, which ultimately
decrease risk factors and increase community
safety.
- 11 -
FY2008 JABG Application Direct Awards
8. APPLICANT AGENCY CAPACITY, COMMUNITY COLLABORATION AND SUPPORT. (Limit
Y2 page)
Show that the applicant agency has the resources and necessary skill set to adequately manage
the project. Describe collaboration with other agencies and groups in the community.
As its mission, "North Range Behavioral Health provides professional,culturally competent behavioral
healthservices for Weld County." Known previously as the Weld Mental Health Center,Inc.,NRBH has served
the mental health needs of the people in this area for more than four decades. From 1995 to 1997,it functioned as
the Mental Health Assessment Service Agency(MHASA)for Weld County. In 1998,NRBH joined with the
Larimer Center for Mental Health and Centennial Mental Health Center to form Northeast Behavioral Health
Partnership,which is now the Behavioral Health Organization(BHO)for Weld County, Larimer County, and the
12 counties comprising the northeastern corner of Colorado.
NRBH has developed numerous collaborative efforts over the years. Most notably, it currently works with
Weld County School District Six(District Six)to provide day treatment and education services through the
Kathleen P. Littler Center in Greeley to children 12 years of age and under facing serious mental health problems.
NRBH has also worked with staff from District Six and other Weld County school districts to provide mental
health services to students attending alternative educational programming at Weld Opportunity School,
Trademark, and Colorado High. Staff members of NRBH also provide on-site services to the students of
Centennial,Dos Rios, and Cameron Elementary Schools and Northridge, Greeley Central, and Greeley West High
Schools. A positive working relationship between the Family Education Network of Weld County and NRBH
enables selected Head Start students to receive mental health care in their schools. Staff of NRBH also worked
collaboratively with staff of the Platte Valley Youth Services Center(PVYSC)and with the Juvenile Services
Planning Committee (Senate Bill 94 or SB 94) to provide basic mental health services to detained youth. In
addition,NRBH was again awarded a JABG grant for the current fiscal year that helped provide services to
juveniles while they are detained. NRBH is a regular participant in meetings of the local Juvenile Services
(SB94)Planning Committee, local JABG,the Greeley-Evans Prevention Council,the Weld County Community
Juvenile Review Board, and the Weld County Child Abuse Team. NRBH is a member of the Weld County
Interagency Oversight Group and works with A Kid's Place in the reviewing and updating of the Weld County
Child Abuse Protocol. An NRBH administrator is a member of the Board of Directors of A Kid's Place,which
operates the local children's advocacy center and the Court Appointed Special Advocate(CASA)program. A
related collaborative effort,Promises for Children, is now in place as well,necessitated by continuing needs in the
community.
An ongoing collaborative effort called the Multidisciplinary Youth Assessment Team(MYAT)is now in its
seventh year. Comprised of the Weld County Department of Human Services(WCDHS),Weld County
Probation, St. Vrain School District,Life Bridge Church and NRBH, this team has planned for and developed a
community-wide system to meet various needs of youth and families in conflict or in need of positive youth
development. NRBH has also joined in a community collaborative resulting in the formation of Youth and
Family Connections(formerly the Juvenile Assessment Center(JAC))an agency designed to assess,provide
crisis intervention and triage services to appropriate services for juveniles in the community.
- 12-
FY2008 JABG Application Direct Awards
' 4
.
., h :.. 4, as 1 {" L .. =o-.. .a .u. ....... r n.✓nxn.rw. a. ,,.. ... . . T..a3 .M a'.
1. Summarize the progress made in meeting your previous or current grant goals and
objectives and the specific services that have been provided. Describe any changes or
improvements made and/or problems encountered in implementing the project. (Limit '/2
page)
All goals and objectives for the current fiscal year will be met or exceeded, based on data gathered
through 5/1/2010.Timely evaluation, case management, and treatment services have been delivered to all
youth referred. Specifically, 24-hour responses were provided to youth referred as well as to relevant
stakeholders and referral sources occurred more than 90% of the time.
Fortunately we have seen a decrease in the number of emergency releases,however the current rate
of emergency releases at —4 per month continues to make the number of new referrals relatively high and
makes continuity of care a challenge for those being unexpectedly released into the community. To impact
this dynamic we have maintained the changes in staffing patterns to include the use of an intern and
increased hours at the beginning and end of the week and have increased staff in our Community Based
Child and Family Team.
Again this year we were saddened to find that Hispanic youth were disproportionately represented
among youth in detention at PVYSC. Of the 664 (up from 580 youth served in Fiscal Year 2008-2009)
youth served so far this Fiscal Year, 68%were Hispanic, 30% were Caucasian, 1%were African American,
and 1% were Native American. In addition, males made up 78% of the total number of youth served and
females accounted for the remaining 22%.
- 13 -
FY2008 JABG Application Direct Awards
2. Explain the project's effectiveness and impact on the intended outcomes to date. Include
specific data related to changes in contributing factors. (Limit V2 page)
Intended outcomes for JABG supported services included reducing overall recidivism rates of youth
enteringthe juvenile justice system and the negative impact of their behaviors on their families and the
community. Unfortunately we have seen a 22% (148 total youth)return rate for youth we have served out at
Platte Valley Youth Services Center. We believe our success in reaching this outcome has been limited for
various reasons including low family engagement, low follow-through with services post-detention, and
untreated substance abuse problems. In the coming year we intend to address these barriers in order make a
greater impact on the contributing factors identified throughout this proposal.
The current proposal includes a plan for increasing caregiver/guardian engagement by providing
them with more contact and resources while their child is in detention so that chances of developing
sustainable engagement in services are increased. In addition, NRBH will be receiving 100% of treatment
dollars awarded by this grant which will enable us to re-direct money from other sources which have
historically funded our PVYSC positions. Program enhancements include the provision of integrated
behavioral health treatment so that youth services are no longer limited to mental health treatment. NRBH
has provided a significant amount of Certified Addiction Counselor (CAC) training to staff working at
PVYSC so that this outcome may be reached effectively. Finally,NRBH has continued to expand home and
community based services so that barriers related to lack of resources can be addressed and overcome.
Specifically we will be requesting that excess Senate Bill 94 dollars be redirected to Multisystemic and
Functional Family therapy modalities so that youth who are emergency released will be more able to access
in home family therapy and monitoring services.
- 14-
FY2008 JABG Application Direct Awards
3. LESSONS LEARNED (Limit'/Z page)
Share any information learned that is not/was not part of the original evaluation design. For
instance, unintended results, lessons learned, and challenges overcome. This information is
not often part of the formal reporting process, but is very valuable in designing and
evaluating future projects. It is also beneficial to share this information with other agencies.
Because of the continued increase in emergency releases NRBH has had to refine the screening tool used
upon first contact so that time spent with clients has become more efficient. In addition, we have increased our
collaboration with the court and other community partners and begun staffing cases more frequently so that we
can provide the most appropriate services to youth more quickly. In order to address the needs of youth who are
emergency released from PVYSC NRBH has developed a proposal to submit to Senate Bill 94 requesting that
funds historically used to supplement JABG awards be re-directed to support evidenced based community based
services such as Functional Family Therapy(FFT)and Multisystemic Therapy(MST).
- 15 -
FY2008 JABG Application Direct Awards
4. PROJECT CHANGES (Limit %2 page)
Describe any significant project changes (programmatic or budgetary) in this proposal from
previously funded projects.
This year the 19th Judicial Probation Department has decided to discontinue services associated
with the JABG monies previously awarded. Because the Probation Office will no longer be a partner in this
grant more money will be available to fund Behavioral Health Services. This increase in money will allow
NRBH to re-direct Senate Bill 94 dollars that have been historically used to subsidize the services associate
with the JABG Grant. In the 2010-2011 Grant Year NRBH will use excess Senate Bill 94 money to provide
Multisystemic Therapy and Functional Family Therapy services to youth currently on probation with the 19"'
Judicial Probation department.
- 16-
FY2008 JABG Application Direct Awards
• Ni
..t dy}}.. t *%7 r.. ' �!F' •,{ ..4„ 4, r.. r... r r � .. r� !x#&414.j'E rc �Ie�1 a r }3t E�i.g`e: sr t.4 P
1. Specifically define the outcomes, impacts, or products you intend to achieve (within the
proposed grant period) and how you will measure the degree to which your grant-funded
activities are achieving them. Explain how you will document progress toward your
objectives. (Limit ''A pages)
NRBH seeks to continue its capacity to provide services to youth detained at the PVYSC. This project has
served, and will continue to serve, as a model for how initial triage and evaluation,treatment, and case
management services can be provided to this target population in a manner best suited to reducing recidivism and
the severity of repeat offenses for those who do re-offend. Ideally, a full array of mental health and substance use
disorder treatment services should be available to detained juveniles and their families. This project, as proposed,
when linked with the other services to youth provided by the NRBH Community Based Child and Family
program,will serve as a larger step toward achieving that ideal.
The treatment and case management services to be delivered are part of a service plan developed with and for
each youth admitted to NRBH services. Some of the youth served by this project will not complete their
behavioral health services during the fiscal year, even some of those who are referred early on in the year. NRBH
will continue to track them once they do finish and add their data to that of the others. Those who do finish will
immediately help prove the value of services such as these and demonstrate the need for continuing this work.
Over the time this project has been funded,the benefit of such services to the children and their families has been
clearly shown,demonstrating that NRBH does provide cost savings to the community and the State as the mental
health treatment costs are much less than those involved in detaining them and immensely less than serving them
as committed youth.
This project will continue to allow NRBH access to juveniles who otherwise would not have accessed
behavioral health care either because they would have refused it or never would have been referred to it. Access
is also gained to their siblings and other family members of the referred youth, again expanding NRBH's ability
to help others make positive changes in their lives.
Measurement of the achievement of the goals set forth herein will be ongoing with reports made at required or
requested intervals. Both positive and negative results will be used to modify plans as the year progresses to
realize maximum goal attainment and to ensure attainment of the desired impact on the needs the therapists are
striving to meet. NRBH will continue to regularly evaluate how best to serve the target population over the
course of the new grant period. The efficacy of various evaluation and treatment approaches will be studied to
show what, if any,revamping of services is indicated. Strong efforts will be made to improve communications
with all others involved in this project and the overall grant.
- 17_
FY2008 JABG Application Direct Awards
2. Will research be conducted as part of this project? (Limit %2 page)
NO ❑YES If yes, check the type of research proposed:
Z The planned research/evaluation activities do not involve the collection of information
identifiable to private persons.
O The planned research/evaluation activities involve the collection of information
identifiable to private persons.
If the second box is checked, describe the procedures that will be put in place to ensure
administrative and physical security of identifiable data and to preserve anonymity of
private persons to whom information relates.
�...#J..� Vilib
: is a, 'M, . �'•l`"� } �r�. .. r:��� ,. i y ry��,� rOridtt i 3� �`
1. Describe the plan for reducing reliance on federal funding in the future. Describe the steps
you have taken to diversify your funding sources, and/or incorporate this project into local
funding sources, e.g. state or local government funding, and/or broad-based community
support. ( Limit %2 page)
NRBH has made a commitment to work as a collaborative partner in the Weld County Juvenile Treatment
Court,to begin operating in July 2010. In addition,the Division of Youth Corrections has partnered with NRBH
through a contract to provide services to youth and families post-commitment,to ensure successful reintegration
into the community. NBRH has also begun implementing the Transitions for Independence program which
provides case management services designed to support youth who are on track to emancipate or live
independently without the support of a family. These services will include case management to qualifying youth
and families as well as services designed to link youth and families to community supports designed to increase
accountability. Finally,prevention services have been developed,i.e.,The Day Reporting Center,in the spirit of
decreasing the need for detention center services. Unfortunately, funding sources are limited for many of the
youth whose services are provided by JABG funds so NRBH continues to rely on the grant to fund services
otherwise unfunded.
- 18 -
FY2008 JABG Application Direct Awards
SECTION VII-BUDGET
Copy this Budget Table and complete the Table and Narrative for each purpose area as well as the applicant
agency's administrative portion of the funds. For continuation applicants: Identify and justify all new
budget items and increases in each budget category from previous year funding. ROUND ALL
AMOUNTS TO THE NEAREST WHOLE DOLLAR.
Project Title: Weld County Juvenile Accountability
Purpose Area: Administrative
(1) (2) (3) (4) Source
Annual Full- Annual Sub-Total % of time TOTAL Fed$ Cash Mate
time Salary Fringe for This
1. PERSONNEL Benefit Cost Project
+ = X % $
= X % $
+ = X % $
TOTAL PERSONNEL COST $
TOTAL Source
2. SUPPLIES AND OPERATING Fed$ Cash Matcl
Administrative $ 1,273 1,273
TOTAL SUPPLIES AND OPERATING COSTS $ 1,273 1,273
TOTAL Source
3.TRAVEL(Designate specifically in-state and out-of-state travel.) Fed$ Cash Matc
TOTAL TRAVEL COST $
TOTAL Source
4. EQUIPMENT Fed$ Cash Matc
TOTAL EQUIPMENT COST $
5. CONTRACTED CONSULTANT AND PROFESSIONAL SERVICES TOTAL Source
Attach a copy of each contract with a detailed budget. Fed$ Cash Mat4
TOTAL CONTRACTED COST $
6. TOTAL OF ALL PROJECT Source
COSTS TOTAL Fed$ % of Total Cash Match$ % of Tota
(1 through 5)
TOTAL COST $ 1,273 $1,273 5%
-19-
FV7009 TARC; Annliratinn Tlirect Awarric
2. BUDGET NARRATIVE: (Limit 3 pages)
Refer to instructions. Follow the same categories and line items as in the Budget Table. Complete
a Budget Narrative for each purpose area/project as well as the applicant agency's administrative
portion of the funds. For continuation applicants: Identify and justify all new budget items and
increases in each budget category from previous year funding.
Project Title: Weld County Juvenile Accountability
Purpose Area: Administrative
Funds to be utilized by Weld County Sheriff's office to assist in the administrative functions of this
grant.
-20-
FV9009 IARG Annliratinn firers Awarris
SECTION VII BUDGET
Copy this Budget Table and complete the Table and Narrative for each purpose area as well as the applicant
agency's administrative portion of the finds. For continuation applicants: Identify and justify all new
budget items and increases in each budget category from previous year funding. ROUND ALL
AMOUNTS TO THE NEAREST WHOLE DOLLAR.
Project Title: Weld County Juvenile Accountability
Purpose Area: #12—Establishing and maintaining programs to conduct risk assessments
(1) (2) (3) (4) Source
Annual Full- Annual Sub-Total % of time TOTAL Fed$ Cash Matc
time Salary Fringe for This
1. PERSONNEL Benefit Cost Project
+ = X % $
+ = X % $
TOTAL PERSONNEL COST $
TOTAL Source
2. SUPPLIES AND OPERATING Fed $ Cash Matcl
TOTAL SUPPLIES AND OPERATING COSTS $
TOTAL Source
3.TRAVEL(Designate specifically in-state and out-of-state travel.) Fed$ Cash Matcl
TOTAL TRAVEL COST $
TOTAL Source
4. EQUIPMENT Fed$ Cash Matcl
TOTAL EQUIPMENT COST $
5. CONTRACTED CONSULTANT AND PROFESSIONAL SERVICES TOTAL Source
Attach a copy of each contract with a detailed budget. Fed$ Cash Matcl
NRBH PVYSC Services(Assessment,Case Management,Crisis Intervention $ 27,008 $24,180 $2,828
TOTAL CONTRACTED COST $ 27,008 $24,180 $2,828
6. TOTAL OF ALL PROJECT Source
COSTS TOTAL Fed$ %of Total Cash Match$ % of Total
(1 through 5)
TOTAL COST $ 27,008 $24,180 95% $2,828 10%
-21-
FV7009 1ARC; Annliratinn Ilirert Awarric
2. BUDGET NARRATIVE: (Limit 3 pages)
Refer to instructions. Follow the same categories and line items as in the Budget Table. Complete
a Budget Narrative for each purpose area/project as well as the applicant agency's administrative
portion of the funds. For continuation applicants: Identify and justify all new budget items and
increases in each budget category from previous year funding.
Project Title: Weld County Juvenile Accountability
Purpose Area: #12—Establishing and maintaining programs to conduct risk assessments
-22-
FVM009 TART Annliratinn Direct Award
3. TOTAL PROJECT FUNDING:
A. In the box below, provide ALL sources of funding you are CURRENTLY RECEIVING
for this project. List the other sources of funding for this project by the type of funds and
amount.
List the type and amount of other funding that will be provided to this project.
Fund Type/Describe Amount
Federal:
State:
County Government:
Municipal Government:
Private:
Other—specify:
TOTAL PROJECT COSTS
B. What percentage of the total project costs will be supported by the federal funds you are
requesting in this proposal? 100 %
-23-
FV,M19 !ARC; Annliratinn Direct Awardc
4. FINANCIAL MANAGEMENT: Please complete the items below.
„A. •Has a copy of your last independent audit or financial review been previously submitted to DCJ?
YES/ NO. If YES,to which program?
If audit last provided to DCJ is older than one year, include one copy of the most recent audit or
financial review, including any management report or other auditor comments in the appendix. Also,
if there were findings, please attach the audit resolutions and/or corrective action plan.
B. Does your agency expend over $500,000 from combined federal sources in a year? YES /
NO
If YES, attach a copy of the A-133 audit, including audit resolutions and/or corrective action plan.
C. Please respond to the following questions about whether your accounting system meets the criteria for
managing federal grant funds. (These questions cover areas that will be monitored by DCJ staff during
site visits or through other reporting mechanisms. They are not intended to be all inclusive and do not
substitute for the agency's responsibility to meet all federal and state requirements for these grant
funds.)
OYES ONO Does your accounting system separate ALL revenues and expenditures by funding
source?
OYES ONO Does your system track revenues and expenditures for each grant award separately
through a sub-ledger system?
OYES ONO Does your system allow expenditures to be classified by the broad budget categories
listed in the approved budget in your grant, i.e. Personnel, Supplies and Operating,
Travel, Equipment and Professional Services?
OYES ONO Do you reconcile sub-ledgers to your general ledger at least monthly?
EYES ONO Do you mark your invoices with the grant number?
OYES ONO Do you maintain time sheets, signed by the employee and supervisor for each
employee paid by DCJ grant funds?
OYES ONO Do you have written financial policies and procedures in place?
OYES ONO Do you have accounting internal controls in place, such as separation of duties, two
signatures on certain checks, reconciliations or other reviews?
For Continuation Applicants only
OYES ONO Do you use your accounting system data to prepare your quarterly financial reports
for DCJ?
OYES ONO Do you reconcile your accounting system data with your quarterly financial reports
for DCJ?
If you answered "No" to any of the questions above, please provide an explanation on an inserted
page referencing Section V Item#4.
-24-
cv70f19 TARn Annliratinn T)irrrt Awardc
'` q�7 �l[�R , f �.�,.{�(�t 4���0r il'IK` 04 skip ,
This Certification of Appropriation of Match form should be completed by all agencies
providing match.
Certification of Appropriation of Match
Date: June 30,2010
Colorado Division of Criminal Justice
Office of Adult and Juvenile Justice Assistance
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
Please be advised that North Range Behavioral Health has committed support in the form of form of cash
match in the amount of$2.828.00 to match the State of Colorado funds for the Juvenile
Accountability Block Grant for the Weld County Juvenile Accountability program
Execution of this document represents a certification that said funds have been earmarked within the appropriation of
budget process for use as matching funds for this grant application.
Sincerely,
��f < y47/22,47( tce,/I G 3O -0)-o(0
Signature/Date
Wayne A. Maxwell,Ph.D. Executive Director
5
FY2008 JABG Application Direct Awards
SECTION IX - CERTIFICATIONS/SIGNATURES`'
These pages contain the required federal and state certified assurances and certifications (updated) necessary for
the applicant to qualify for federal funding. Read these carefully. If you have any questions regarding these
assurances, call OAJJA. These pages must accompany the completed application.
X- ATTACHMENTS
Attach the following applicable items behind the Signature page (Page 11 of the Special Provision and Certified
Assurances pages) and label with the appropriate title:
A. Organizational Chart—Highlight any positions included in the budget personnel category.
B. Job Descriptions for the positions included in the budget personnel category.
C. Memoranda of Understanding/Agreement or Letters of Commitment—Refer to the Application
Instructions and the specific program area to which this application is responding to determine if these are
required. If so, attach and label.
D. Copy of CCR Registration.
E. Copy of last audit or formal financial review—Supply only one copy of the last audit or formal financial
review. However, if there were any management reports or other auditor comments, attach them to each
copy of the application. It is not necessary to provide copies with each copy of the application.
NOTE: Applicants for federal funding are required to undergo an annual A-133 audit if$500,000 or more is
spent annually from any federal source. Applicants that spend less than $500,000 in federal assistance must
maintain records and internal controls sufficient for audit. DCJ requires all subgrantees, regardless of amount
received, to submit a current formal financial review or audit report every year.
-26-
FV2009 TAR(; Annliratinn Direct Awardc
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
August 20W SPCA t�- Page 1 of 11 RFC t CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY:'VC� oY Dcj
Inter-Governmental Grant JAN 05 2011
Grant to a Colorado State Agency(Section A does not apply)
1/ Grant to a Unit of Local Government, Tribal Government, or Special District.
Grant to a Non-Profit, Private Organization(Non-Governmental)
The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing
legislation as indicated below; that all information contained in the application is correct; that there has been appropriate coordination
with affected agencies;and,that the applicant will read, understand and comply with all provisions of the governing legislation and all
other applicable federal and state laws, rules and regulations that have been or may hereafter be established. The applicant further
understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the grant
conditions set forth in the Statement of Grant Award, and in the current applicable Administrative Guide of the Division of Criminal
Justice.
GOVERNING LEGISLATION FOR THIS GRANT PROGRAM•
Juvenile Accountability Block Grant Program. From the United States Department of Justice, Office of Justice Programs, Office of
Juvenile Justice and Delinquency Prevention, under federal statutory authority, PL107-273, November 2002, Making Appropriations
for the Departments of Commerce, Justice and State, the Judiciary, and related Agencies and for other Purposes (Appropriations Act)
and under applicable program guidelines established by said federal program office.
•
A. STANDARD STATE SPECIAL PROVISIONS
Revised 1-1-09
1. CONTROLLER'S APPROVAL. CRS 24-30-202(1)
This subgrant award shall not be valid until it has been approved by the Colorado State Controller or designee.
2. FUND AVAILABILITY. CRS 24-30-202(5.5)
Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being
appropriated,budgeted, and otherwise made available.
3. GOVERNMENTAL IMMUNITY.
No term or condition of this subgrant shall be construed or interpreted as a waiver, express or implied, of any of the
immunities, rights, benefits, protection, or other provisions, of the Colorado Governmental Immunity Act, CRS §24-10-101,
et seq., or the Federal Tort Claims Act,28 U.S.C. §§1346(b)and 2671 , et seq. as applicable now or hereafter amended.
4. INDEPENDENT CONTRACTOR.
(THIS PROVISION IS NOT APPLICABLE TO GRANTS TO COLORADO STATE AGENCIES):
THE SUBGRANTEE AGENCY SHALL PERFORM THE DUTIES FUNDED UNDER THIS GRANT AS AN
INDEPENDENT CONTRACTOR AND NOT AS AN EMPLOYEE OF THE STATE. NEITHER THE SUBGRANTEE
AGENCY NOR ANY AGENT, SUB-CONTRACTOR, OR EMPLOYEE OF THE SUBGRANTEE AGENCY SHALL BE
OR SHALL BE DEEMED TO BE AN AGENT OR EMPLOYEE OF THE STATE BY VIRTUE OF THIS SUBGRANT.
SUBGRANTEE AGENCY SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX
AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS GRANT. SUBGRANTEE AGENCY
ACKNOWLEDGES THAT THE SUBGRANTEE AGENCY AND ITS EMPLOYEES ARE NOT ENTITLED TO
UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE SUBGRANTEE AGENCY OR THIRD PARTY PROVIDES
SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE.
SUBGRANTEE AGENCY SHALL NOT HAVE AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE
TO ANY AGREEMENTS, LIABILITY, OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. IF
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 2 of 11
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.
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
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
`' Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 3 of 11
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
comply with all of the other requirements of the Department program. If the Subgrantee Agency fails to comply with any
requirement of this provision or CRS §8-17.5-101 et seq., the contracting State agency, Institution of Higher Education or
political subdivision may terminate this subgrant for breach and, if so terminated, the Subgrantee Agency shall be liable for
damages.
13. PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Subgrantee Agency, if a natural person
eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or
otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-
76.5-101 et seq., and (c) has produced one form of identification required by CRS §24-76.5-103 prior to the effective date of
this subgrant.
B. GRANT REQUIREMENTS
1. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that fund accounting, auditing, monitoring, evaluation procedures and such records
as necessary will be maintained to assure adequate internal fiscal controls, proper financial management, efficient
disbursement of funds received, and maintenance of required source documentation for all costs incurred. These
principles must be applied for all costs incurred whether charged on a direct or indirect basis.
b. All expenditures must be supported by appropriate source documentation. Only actual, approved, allowable
expenditures will be permitted.
c. The Subgrantee Agency assures that it will comply with the provisions of the current applicable Administrative
Guide of the Division of Criminal Justice which is hereby incorporated by reference. However, such a guide cannot
cover every foreseeable contingency, and the Subgrantee Agency is ultimately responsible for compliance with
applicable state and federal laws,rules and regulations.
2. PAYMENT& REPORTING
a. The Division of Criminal Justice will pay the Subgrantee Agency the reasonable and allowable costs of
performance, in accordance with current Colorado State Fiscal Rules, not to exceed the amount specified herein as
the Total Award Amount,as identified in the Statement of Grant Award.
b. The Division's requirements for invoice and cost reporting submissions are contained in the DCJ Form 3 - Cash
Request Procedures,and DCJ Form 1-A-Subgrant Financial Report,which are hereby incorporated by reference.
c. The Subgrantee Agency assures that it shall maintain data and information to provide accurate quarterly program
narrative and financial reports to the Division. Said reports shall be provided in such form and contain such data and
information as the Division of Criminal Justice reasonably requires to administer the program.
d. The Subgrantee Agency assures that quarterly financial and narrative reports shall be submitted within 15 days of
the end of each calendar quarter and shall be current and actual.
e. The Subgrantee Agency further assures that final financial and narrative reports shall be submitted on the forms
provided by the Division of Criminal Justice within 45 days of the end date of the subgrant.
I 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
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
' - 4 Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 4 of 11
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:
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.
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.
H. The Subgrantee Agency accepts responsibility for the costs of a financial program audit to be performed by
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
.1
Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 5 of 11
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 be July I, 2001-June 30,2002. The files could be destroyed after 6/30/2009);except,
ii. If an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily,then
records must be retained beyond the seven-year period until such issues are resolved.
c. The Subgrantee Agency assures that it will keep copies of all documents, correspondence, and required receipts
related to this subgrant in a separate file bearing the project title and grant number.
d. The Division may periodically request submission of supporting financial and programmatic documentation,
subcontracts, general and sub-ledgers for the purpose of monitoring compliance with the grant award via desk
review, or in preparation for an on-site monitoring visit. Routine or special on-site visits may be conducted at the
subgrant agency, and at the location of any collaborating entities, for the same purpose. Subgrantee Agencies will
be notified in advance of any on-site monitoring visit.
e. The Subgrantee Agency assures that the Division of Criminal Justice, Colorado Department of Public Safety, shall
have access for purposes of monitoring, audit and examinations to any bonds, documents, papers and records of the
Subgrantee Agency and to relevant books and records of subcontractors of the Subgrantee Agency. It is the
responsibility of the Subgrantee Agency to notify any of its project collaborators and subcontractors of these
provisions.
f The Subgrantee Agency assures that signatories of the application and subgrant award and personnel employed
through this subgrant will appear when requested at any administrative hearing, monitoring site visit, conference or
meeting conducted by the Division of Criminal Justice.
5. TERMINATION or REDUCTION IN GRANT AWARD
The Division will monitor the performance of the Subgrantee Agency against goals and performance standards as found in
the application, Section VI required herein. The Division will provide reasonable assistance to the Subgrantee Agency
concerning project goals, performance standards and subgrant requirements. Any determination of substandard performance
on the part of the Subgrantee Agency shall be within the discretion of the Division, based upon the Division's review of the
terms and conditions of the Grant Award, the application and project summary, the grant terms and assurances, and the
requirements of applicable law. Substandard performance, as determined by the Division, shall constitute non-compliance,
which may result in termination for cause, or reduction of the Grant Award for cause, as follows:
a. Reduction In Grant Award Amount for Cause
i. The Division may reduce the total Statement of Grant Award amount for cause, without compensation for
reduction costs.
ii. If the state reduces the grant amount for cause, it will first give ten (10) days written notice to the
Subgrantee Agency, stating the reasons for reduction, steps taken to correct the problems, and the date the
subgrant award amount will be reduced in the event problems have not been corrected to the satisfaction of
the Division.
iii. In the event this grant is reduced for cause, the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of reduction.
iv. In the event this grant is reduced for cause, final payment to the Subgrantee Agency may be withheld at the
discretion of the Division until completion of final Division review.
b. Termination for Convenience:
i. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate.
ii. If the grant is terminated for convenience by either the Subgrantee Agency or the state, the Subgrantee
Agency shall be paid the necessary and allowable costs incurred through the date of termination, but not
exceeding a prorated amount based on the number of days of project operation prior to the date of
termination.
c. Termination for Cause:
i. The Division may terminate the grant for cause without compensation for termination costs.
ii. If the state terminates the grant for cause, it will first give ten (10) days written notice to the Subgrantee
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
•
Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 6 of 11
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.
6. ORDER OF PRECEDENCE
Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Special
Provisions and Certified Assurances,(b) Statement of Grant Award; and, (c)the final approved Subgrant Application.
7. DISPUTE RESOLUTION(THIS PROVISION APPLIES ONLY TO INTERAGENCY AGREEMENTS):
Any failure of either party to perform in accordance with the terms of this agreement shall constitute a breach of the
agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall
be referred to superior departmental management staff designated by each department. Failing resolution at that level,
disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive
directors,the dispute shall be submitted in writing by both parties to the State Controller, whose decision on the dispute will
be 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. 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)
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
e „ SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
• Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 7 of 11
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 Organ izations(codfed at 28
CFR Part 70 and formerly known as OMB Circular A-110)
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with
Institutions of Higher Education, Hospitals, and other Non-Profit Organizations
iv. For each agency spending more than$500,000 per year in federal funds from all sources;
a) OMB Circular A-133,Audits of States, Local Governments and Nonprofit Organizations
b. The Subgrantee assures that it will comply with the provisions of the U.S. Department of Justice, Office of the Chief
Financial Officer, Office of Justice Programs, Financial Guide for Grants, current edition. (For practical purposes,
the requirements pertinent to the management of these funds have been extracted from the above documents and are
contained in the current applicable Administrative Guide of the Division of Criminal Justice, which is hereby
incorporated by reference. However, such a guide cannot cover every foreseeable contingency, and the Subgrantee
is ultimately responsible for compliance with applicable state and federal laws,rules and regulations.)
3. NON-SUPPLANTING OF FUNDS (Governmental Agencies Only)
a. The Subgrantee Agency certifies that any required matching funds used to pay the non-federal portion of the cost of
this subgrant are in addition to funds that would have otherwise been made available for the purposes of this project.
b. The Subgrantee Agency certifies that federal funds made available under this grant:
i. Will not be used to supplant state or local funds;
ii. Where there is a reduced or unchanged local investment,then the Subgrantee Agency shall give a written
explanation demonstrating that the Subgrantee Agency's reduced or unchanged commitment would have
been necessitated even if federal financial support under this federal grant program had not been made
available.
4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS (Subgrantee Agencies receiving$100,000 or more in total
federal funds per year. See 28 CFR Part 69.)
The prospective Subgrantee Agency certifies,by submission of this proposal,that:
a. No federal funds received through this subgrant will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee
of a member of Congress in connection with the making of any federal grant, the entering into of any cooperative
agreement, and the extension, continuation,renewal, amendment, or modification of any federal grant or cooperative
agreement;and,
b. If any funds other than funds through this subgrant will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an
employee of a member of Congress in connection with this 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 funds per year. See, 28 CFR Part 67.)
The prospective Subgrantee Agency certifies,by submission of this proposal,that neither it nor its principals, subcontractors
or suppliers:
a. Are presently debarred,suspended,proposed for debarment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded from participation in this transaction by any Federal
department or agency;
b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public(Federal, State, or local)transaction or contract under a public transaction;violation of Federal
or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen property;
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
SJ
Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 8 of 11
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.
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 at 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
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions&Certified Assurances must remain attached to the application
August 2010 SPCA Page 9 of II
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 1970,which govern the treatment of persons displaced
as a result of federal and federally-assisted programs.
12. Political Activity of Certain State and Local Employees (5 U.S.C. §§ 1501-08 and §§ 7324-28 — applies to Government
Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with requirements of 5
U.S.C. §§ 1501-08 and §§ 7324-28, which limit certain political activities of State and local government employees whose
principal employment is in connection with an activity financed in whole or part by federal assistance.
D. PROGRAM SPECIFIC REQUIREMENTS
The following program specific requirements are imposed by the Federal or State sponsoring agency concerning special
requirements of law, program requirements, and other administrative requirements which must be passed on to subgrant
award recipients.
1. Right if Privacy for Recipients of Service and Sharing of information.
The prospective Subgrantee Agency certifies,by submission of this proposal, that:
a. Pursuant to Section 223(a)(I 8)of the Juvenile Justice and Delinquency Prevention Act,procedures have been
established to ensure that this program will not disclose program records containing the identity of individual
juveniles. Exceptions to this requirement are authorization by law; consent of either the juvenile or his/her legal
authorized representative;or justification that otherwise the functions of this title cannot be performed. Under
no circumstances may public project reports or findings contain names of actual juvenile service recipients.
b. Necessary information will be shared appropriately among schools, law enforcement,courts and juvenile-
serving agencies pursuant to the Family Educational Rights and Privacy Act(FERPA)(20 U.S.C. §1232g),as
amended by Improving America's School Act of 1994(IASA). FERPA allows schools to play a vital role in a
community's effort to identify children who are at risk of delinquency and provide services prior to a child's
becoming involved in the juvenile justice system.
c. Necessary information will be shared in accordance with the"Children's Code Records and Information Act,"
19-1-301 et seq.,Colorado Revised Statutes,to balance the best interests of children and the privacy interests of
children and their families with the need to share information among service agencies and the need to protect
the public safety.
2. In addition to the"Termination for Cause" item, F.3 under Grant Requirements above,the subgrant may be
suspended or terminated by the Division of Criminal Justice if the Subgrantee Agency fails to comply with the core
requirements of the Juvenile Justice and Delinquency Prevention Act, 1974, as amended: Deinstitutionalization of
Stats Offenders, Section 223 (a)(12)(A); Separation of Juveniles from Incarcerated Adults, Section 223(a)(13);
Removal of Juveniles from Adult Jails and Lockups, Section 223 (a)(14); Disproportionate Minority Confinement,
Section(a)(23).
E. GENERAL PROVISIONS
1. INDEMNIFICATION.
a. To the extent authorized by law, the Subgrantee Agency shall indemnify, save, and hold harmless the State, its employees
and agents, against any and all claims, damages, liability and court awards including costs, expenses, and attorney fees and
related costs, incurred as a result of any act or omission by the Subgrantee Agency, or its employees, agents, subcontractors,
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP) ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
r
Special Provisions& Certified Assurances must remain attached to the application
August 2010 SPCA Page 10 of 11
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.
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions& Certified Assurances must remain attached to the application
August 2010 SPCA Page 11 of 11
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 Pro—Tem
Agency Board of Weld County Commissioners
Mailing Address 915 10th Street (P.O. Box 758)
City,State,Zip Greeley, Colorado 80631
Telephone# 970-356-4000 Ext 4200
Fax# 970-352-0242
E-mail Address bkirkmeyer@co.weld.co.us
Signature {/ Date
12/28/2010
FINANC AL OFFICER
Name Ili i
Position • f
� i 1� r 1llti 1AC� ' , r I
II
Agency O.; tJ C1 �„ r., IV')
" . C`-i)i C
Mailing Address i ,
City,State,Zip ( 1 \� ( �.-� (t t { v ti
Telephone# (.'� --� _ , b r
Fax# ` 1 -I D — 11'.) 9 .- & H i
E-mail Address
R R j f- t �"_ �-'_ C D ,t� if fr , l_ G - V- S
Signature Date
z,� � ��� ��' ti� -�-� __ 12/28/2010
PROJECT DIRECTOR
Name /(&,/n/(5-1:-/z/ /_- , /90/LiCyCc J
Position co iripi a:/c.
Agency LGO Codn/7-Y ..S//e/etl'/ S d/—"ALLGt
Mailing Address /2 -5—° v -5-7—A'Sr-"T
City,State,Zip Cie �. �) CO gods/
Telephone# ( 9?a )
Fax# /570 ) ,30- -�≤ YC'7
E-mail Address /1C'OAc_e/° Ctj do . c.6/c/e ` ec ‘,/.J
Signature r Date
C �� 12/28/2010
Donna Bechler
From: Barbara Kirkmeyer
Sent: Tuesday, March 15, 2011 10:52 PM
To: Bruce Barker; Esther Gesick; Donna Bechler
Subject: Fw: Certified Assurances
Attachments: image001.jpg; image002.gif; JABG revised CASP updated august 2010.doc
Seen this???
Original Message
From: Ken Poncelow
To: Barbara Kirkmeyer
Sent: Tue Mar 15 07:31:36 2011
Subject: FW: Certified Assurances
Commissioner, could you please sign this and I will come and get it. It is part of the JAIBG
packet that you signed on December 28, 2010. 2011-0320 If you have any questions, call me
at 590-6825. Thanks
6eefiofe Snua 4 a a� b
��/� �/_D�� ) /eQ�
on r
Original Message Was S 4ed oil 77a�G/a&/ K20 iedd)
From: Deb Ristow fmailto:Deb.Ristow0cdps.state.co.us1 skile m, /lleeu
Sent: Monday, March 14, 2011 10:34 AM <
To: Ken Poncelow 6:0;* IOtis (,&pied 0/1J / /ate//r,
Subject: Certified Assurances v
Ken,
I need the attached Certified Assurances filled out and signed by Barbara Kirkmeyer. The
ones we have are signed by Douglas Rademacher. Let me know if you have any questions. I
need these right away.
Thanks! Deb
Deb Beckham-Ristow
Financial Grant Officer
(303) 239-4471 Office
(303) 239-4491 FAX
Under Colorado's Open Records Act (CORA), all e-mails sent by or to me on this state-owned e-
mail account may be subject to public disclosure.
1
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION(JJDP)ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
• +• 4 Special Provisions& Certified Assurances must remain attached to the application
August 2010 SPCA Page 11 of 11
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 in.
rs M2 !ICES
Name Douglas Rademacher Ov`�`r
Position Chair l)/avep7
Agency :����7<are "
g y Board of Weld County Commissioners ,. /7ECI �� ClYQNCt
Mailing Address 915 10th Street (P.O. Box 758)
,rkmeyer- Per
City,State,Zip Greeley, Colorado 80631 revues+ by 6fafe.
Telephone# 970-356-4000 Ext 4200
Fax# 970-352-0242
E-mail Address drademacher@co.weld.co.us
Date
Signature •c J �r -, lI f1 Yna 12/28/10
j /FII(NAACN.CIALOFFICER
Name ✓ 1 ii\ IV1jLtE✓
Position O CI:i ice C/ (�C, 11e2, n e ✓
Agency to e-Ia vcti1-.17 h S e vr.'Cr. ' ot'n
(icc
Mailing Address ' 9s D C Si- r a- t
City,State,Zip rC3r= Ia/ (lc RO(>a /
Telephone# q it: • ? Sit - Li U i-S —
Fax# q -7D -- 3bLI ` (oL4 47
E-mail Address i,< }11 J we_ -4 0 c O • wC Ed - C O * Li S Signature Iii. ` Date I a I lO
PROJECT DIRECTOR
Name /edNadere C . /°aNC6' L6v
Position C 0 e t ... p N o d de
Agency UL•' LO Coutvrr flh ,l'_r.f er ,: L• Gd
Mailing Address ( 5 s o 0 S T R el J
City,State,Zip coGsil e L en- co to( 3 /
Telephone# ( 770 ) 3 $-h - go / s-
Fax ( 970 I 3o `( - Gro7 a'
E-mail Address N gyaeel. 4, Co • A/C ( Cs .
0 Date
Signature /�� ea Wr1A it
LIL II} 4"c7
COLORADO DIVISION OF CRIMINAL JUSTICE
DCJ Form 4-B: CHANGE IN SIGNING AUTHORITY
SUBGRANTEE: &)C J) Liu,y £Qrk-I rt.-1O�frc=c GRANT NUMBER: 2 5 - fl-(-Jf- 1 3
PROJECT TITLE: / PROJECT DURATION
(VELD Gi,..e) J4VI Vitt AL"'»Ou7FROM: / 1)120)Z- TO: Op I/20X
PREPARED BY: %. crtaS6F1 PHONE: ('z)354-go/5 DATE: 07/061/1
A GRANT MODIFICATION IS NOT AUTHORIZED UNTIL IT IS APPROVED IN WRITING BY THE DIVISION OF CRIMINAL JUSTICE.
For change, submit two forms with original signatures. One approved copy will be returned for your records. See reverse side for full
instructions.
All other terms and conditions of the original grant with any approved modifications thereto remain in full force and effect. I,
hereby certify that the content of this form,other t the data entry required,has not been altered.Change requested l '1LJ /. -� —� -771112t it
SUBGRANTE PROJECT DIXECTOR Signature DATE
PROJECT DIRECTOR'S MAILING ADDRESS:
THE PURPOSE OF THIS REQUEST IS TO: NV CHANGE THE PROJECT DIRECTOR
CHANGE THE FINANCIAL OFFICER
_CHANGE THE AUTHORIZED OFFICIAL
Date Change Effective: 0 S I 01 I (
From: OS. Icfi t To: %bb —Ocu-('SGt-k �UYvr/)'rr.1'tU�fi�
PRINT OR TYPE FULL NAME/TITLE
6-5 CU) Covool 5-ncoctiff i5FCtcc Oat) (w. r 37-elyrrS 4`l/cC
Agency Name Agency Name
(cl So "O" St a_61 G� 6063 14$a O" S7 Ga=E Cu Soc3 r
Mailing Address 11 Mailing Address
(G7(1 3S6-yo/S ( )
Telephone Fax
Email
Tit ctmm,N c r. we-th.Co. L. s
Original Signature of new Official(required)
Reason for change: ken-, fo,t) Ce{ULA.I K.En
•••Division of Criminal Justice Use Only'••
THIS REQUEST IS _Approved _Denied,see attached
By:
PROGRAM SPECIALIST,DCJ DATE
Rev.8-04 dcjf4bvl.pdf
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