HomeMy WebLinkAbout20100733.tiff RESOLUTION
RE: APPROVE YEAR-END CLOSE-OUT REPORT FOR WORKFORCE INVESTMENT ACT
GRANT PROGRAMS AND AUTHORIZE CHAIR TO SIGN NECESSARY DOCUMENTS
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 Year-End Close-Out Report for Workforce
Investment Act Grant Programs from the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Department of Human Services,
Employment Services Division, to the Colorado Department of Labor and Employment,with terms
and conditions being as stated in said report, and
WHEREAS, after review, the Board deems it advisable to approve said report, 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 Year-End Close-Out Report for Workforce Investment Act Grant
Programs from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, Employment
Services Division, to the Colorado Department of Labor and Employment, be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said report and all necessary documents.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 12th day of April, A.D., 2010.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: y ' � �-.►•✓ v.a aaa19-✓
c aV ou•la- Rademac er, air
Weld County Clerk to the •�f 'C�`�
f p t rbara Kirkmeyer, ro-Tem
De u Clerk t the Board •
Sean/P wa
APP AS • Fc (1(
William F. Garcia
ountyA orney EXCUSED
David E. Long
Date of signature: b f0
I!I hist ,03//b 2010-0733
HR0081
MEMORANDUM
fttaing6
DATE: April 8, 2010
' TO: Douglas Rademacher, Chair, Board of County Co iss/�oners
77)
WI` C
FROM: Judy A. Griego, Director, Human Servi aftme :
COLORADO Year-End Close-Out Report for the Weld County Department
of Human Services' Employment Services' WIA Program to
the Colorado Department of Labor and Employment
Enclosed for Board approval is the Year-End Close-Out Report for the Department's Employment
Services' WIA Program to the Colorado Department of Labor and Employment. This Report was
presented at the Board's April 5, 2010, Work Session.
The Workforce Investment Act (WIA) Grant Closeout packet is required by the Year-End
Contract Closeout Procedures of the Colorado Department of Labor and in accordance with their
Policy Guidance Letter# 06-12-F1 for all programs that have Expenditure Authorizations ending
during the period July 1, 2008 to June 30, 2009. Revenues and expenses are reconciled and grant
obligations are released for those projects that are fully expended by the Division of Employment
Services.
If you have questions, please give me a call at extension 6510.
2010-0733
Attachment K
Colorado Department of Labor and Employment
Grant Closeout Signature Page
Workforce Region: Employment Services of Weld County
Address: PO Box 1805, Greeley, Co. 80632
Director: Linda Perez Phone Number: 970-352-1551 X6750
Fiscal Manager: Leonard Bottorff Phone Number: 970-352-1551 X6537
Master Grant/Contract Agreement Number: KAA 00008
CLOSEOUT SUMMARY
This closeout packet signature page includes the following contracts:
Program Year Funding Stream Amount Vax # Line Item
FSC123#
FY 07 WIA 10% Summer Job Hunt $ 21,695.74 1137 6YSJIP, 6PSXIP
PY 07, PY 08 WIA Adult $ 481,013.12 1186, 1351 7NAO1P,
7NAO1F, 7NO01P,
7NO01F, 7ND02F,
8NAO1P, 8NO01P
PY 07 WIA Youth $494,859.50 1187 7NAYIP, 7NY01
PY 07, PY 08 WIA Dislocated Worker $ 383,603.81 1188, 1353 7NADIP, 7ND01 P,
7NADIF, 7ND0IF,
8NADIP, 8ND0IP
PY 07, PY 08 Wagner Peyser $ 867,050.58 1189, 1354 7NW02, 8NW01
FY 08 DVOP Overhead $ 4,120.00 1209 7NV01
PY 07/FY08, 25% Enhanced Dislocated Worker $ 108,772.00 1225, 1356 7NFE1F, 8NFE1P
PY 08
PY 07, PY 08, WIA 10% Statewide Activity $ 14,566.91 1272, 7YSX1 P, 8OSC1 F,
FY 08 1236, 1372 7DSP7F
PY 07 Wagner Peyser 10% Summer Job Hunt $ 32,000.00 1271 7NJ0I
PY 08 Disability Program Navigator $ 44,915.00 1429 BPPWCI
TOTAL $2,452,596.66
Each Program Year(PY) and funding stream listed above will have the following forms completed:
Form Attachment I and Attachment H:
• Grant Recipient's Release(Attachment I: page 1 of 6)
• Contract Closeout Tax Certification (Attachment I: page 2 of 6)
• Schedule of Unclaimed Checks (Attachment I: page 3 of 6)
• Grant Recipient's Assignment of Refunds, Rebates, and Credits(Attachment I: page 4 of 6)
• Subrecipient Certification of Physical Inventory(Attachment I: page 5 of 6)
• Physical Inventory List(Attachment I: page 6 of 6)
• Grant Closeout Reconciliation Worksheet(Attachment H)
/certifii to the best of my knowledge and belief the following financial data reported in this
closeout packet is correctly stated.
�� Q- APR 1 2 2010
By:
ocal lected Clifircial Date
Chair, Board of County Commissioners
U2/2-27.33
(t)
Attachment I
Page 1 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT RECIPIENT'S RELEASE
Grant Recipient's Name: Employment Services of Weld County
Address: PO Box 1805, Greeley, Co. 80632
Release Date: 03/12/10
Pursuant to the terms of Contract/Grant Agreement Number KAA 00008 , including the Expenditure
Authorizations (EAs) awarded under said Contract/Grant Agreement, as VAX/FCS123 number(s): 1137/6YSJ1P
1137/6PSX1P , 1186/7NAO1P , 1186/7NAO1F , 1186/7NO01P , 1186/7NO01F , 1186/7ND02F , 1187/7NAY1P
1187/7NY01 , 1188/7NAD1P , 1188/7ND01P , 1188/7NAD1F , 1188/7ND01F , 1189/7NW02 , 1209/7NV01
1225/7NFE1F , 1236/8OSC1F , 1271/7NJ01 , 1272/7YSX1P , 1351/8NAO1P , 1351/8NO01P , 1353/8NAD1P
1353/8ND01P , 1354/8NW01 , 1356/8NFE1P , 1372/7DSP7F , 1429/BPPWC1 ,
and in consideration of the sum of Total amount paid of and payable of
none ($ of Unclaimed Checks Total) under the said Contract to
Employment Services of Weld County, PO Box 1805, Greeley, Co. 80632 (Contractor's Name and Address)
hereafter called the Grant Recipient or to its assignees, if any, the Grant Recipient, upon payment of the said sum by the
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT, hereinafter called CDLE, does remise, release, and
discharge CDLE, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands
whatsoever under or arising from said Contract/Grant Agreement except:
1. Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exac
statement by the Grant Recipient, as follows( if none, so state):
VAX/ Invoice Expected
FCS123 Date Invoice Line Cost Payment
Number (If Known) Vendor or P.O. # Item Category Amount Amount
2, Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the Grant
Recipient to third parties arising out of the performance of the said contract, which are not known to the
Grant Recipient on the date of the execution of this release and of which the Grant Recipient gives notice in
writing to the CDLE within the period specified in the said Contract/Grant Agreement.
3. Claims after closeout,for costs which results from the liability to pay Unemployment Insurance costs under
a reimbursement system or to settle Worker's Compensation claims.
This release has been executed this 12th day of April , 2010
B ..t a-
/ Lk-
A orized Signature
Douglas Rademacher
Title Chair, Weld County Board of Commissioners
Revised: 6/1/06 Attachment I-1 Grant Recipient's Release Form.xls
ac is-0733
(a)
Attachment I
Page 2 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
CONTRACT CLOSEOUT TAX CERTIFICATION
In the performance of Contract/Grant Agreement Number KAA 00008 , including the
Expenditure Authorizations (EAs) awarded under said Contract/Grant Agreement, identified
as VAX/FCS123 number(s) : 1137/6YSJ1P , 1137/6PSX1P , 1186/7NAO1P ,
1186/7NAO1F , 1186/7NO01 P , 1186/7NO01 F , 1186/7ND02F , 1187/7NAY1P ,
1187/7NY01 , 1188/7NAD1P , 1188/7ND01P , 1188/7NAD1F , 1188/7ND01F ,
1189/7NW02 , 1209/7NV01 , 1225/7NFE1F , 1236/8OSC1F , 1271/7NJ01 ,
1272/7YSX1P , 1351/8NAO1P , 1351/8NO01 P , 1353/8NAD1P , 1353/8ND01P ,
1354/8NW01 , 1356/8NFE1P , 1372/7DSP7F , 1429/8PPWC1 .
I certify that I have complied with the requirements of the law and the Colorado Department of
Labor and Employment, regarding the obtaining of employer identification/account numbers;
collection, payment, deposit, and reporting of federal, state, and local taxes; and the provision
of W-2 forms to employees/enrollees who are not now my employees. For present
employees/enrollees (formerly employed under the contract), W-2 forms will be furnished as
specified in Circular E. Employer's Tax Guide.
Grant Recipient Name: Employment Services of Weld County
Grant Recipient Address: PO Box 1805
Greeley, Co. 80632
Grant Recipient Employer: Weld County Department of Human Services
Employer's Identification Number: 84-6000813
This certification has been executed this 12th day of April , 2010
By.
Authorize Signature
Douglas Rademacher
Title Chair, Weld Cty Board of Commissioners
Revised: 6/1/06 Attachment 1-2 Contract Closeout Tax Certification.xls
070/0--D 73-
(3)
Attachment 1
Page 3 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SCHEDULE OF UNCLAIMED CHECKS
Grant Recipient Name: Employment Service of Weld County
Contract/Grant Agreement Number: KAA 00008
Release Date: 3/12/10
VAX/FSC123 Check Check Payee's Last Known
Number Number Payee Amount Address
NONE
Total Amount Unclaimed
This schedule has been executed this 12th day of April , 2010
Author d Signature
Douglas Ra emacher
Title Chair, Weld Co. Board of Co. Commissioners
Revised. 6/1/06 Attachment 1-3 Schedule of Unclaimed Checks.xls
a0iO—D73S
Attachment I
Page 4 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT RECIPIENT'S ASSIGNMENT OF REFUNDS, REBATES, AND CREDITS
Grant Recipient's Name: Emp Svcs of Weld County Contract/Grant Agreement
Street Address: PO Box 1805 No: KAA 00008
City and State: Greeley, Co. 80632
Pursuant to the terms of Contract/Grant Agreement Number KAA 00008 , including the
Expenditure Authorizations (EAs) awarded under said Contract/Grant Agreement, identified as
VAX/FCS123 number(s) : 1137/6YSJ1P , 1137/6PSX1P , 1186/7NAO1P
1186/7NAO1F , 1186/7NO01 P , 1186/7NO01 F , 1186/7ND02F , 1187/7NAY1 P
1187/7NY01 , 1188/7NAD1P , 1188/7ND01P , 1188/7NAD1F , 1188/7ND01F
1189/7NW02 , 1209/7NV01 , 1225/7NFE1F , 1236/8OSC1F , 1271/7NJ01
1272/7YSX1P , 1351/8NAO1P , 1351/8NO01P , 1353/8NAD1P , 1353/8ND01P
1354/8NW01 , 1356/8NFE1P , 1372/7DSP7F , 1429/8PPWC1
and in consideration of the reimbursement of costs and payment of fee, as provided in the sai
Contract/Grant Agreement and any assignment thereunder, the Grant Recipient's Name and Addres
(hereinafter called the Grant Recipient) does hereby:
1. Assign, transfer, set over and release to the Colorado Department of Labor
and Employment (hereinafter called CDLE), all right, title and interest to all
refunds, rebates credits or other amounts (including any interest thereon)
arising out of the performance of the said contract/grant agreement, together
with all the rights of action accrued on which may hereafter accrue thereunder.
2. Agree to take whatever action may be necessary to effect prompt collection of
as such refunds, rebates, credits or other amounts (including any interest
thereon due or which may become due, and to forward promptly to CDLE.
3. Agree to cooperate fully with CDLE as to any claim or suit in connection with
such refunds, rebates, credits or other amounts due (including an interest
thereon): execute any protest, pleading, application, power of attorney or other
papers in connection therewith; and to permit CDLE to represent it at an
hearing, trial or other proceeding arising out of such claim or suit.
This assignment has been executed this 029- day of /'Y27c -h— , 2010
By
Authorize ignature
Title Director of Employment Services
o,,,;....a. ail ma Attachment 1-4 Assignment of Refunds Rebates and Credits.xls
Attachment I
Page 5 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SUBRECIPIENT CERTIFICATION OF PHYSICAL INVENTORY
Subrecipient Name: Emp Svcs of Weld County Contact Person: Dennis Bogott
Address: PO Box 1805 Phone Number: 970-352-1551 ext 6662
Greeley, Co 80632
I hereby certify that all property/equipment previously purchased with or transferred from the
Comprehensive Employment and Training Act (CETA) or the Job Training Partnership Act (JTPA)
program to the Workforce Investment Act (WIA) programs or purchased under any Colorado
Department of Labor and Employment (CDLE) federally funded grant or transferred with the
CDLE's approval is included in the attached listing for the above-noted subrecipient.
The attached listing has been verified by a physical inventory. Changes/revisions are:
E Noted O Not Applicable
I certify that this property is being used for purposes that it was originally purchased for and will be
repaired or replaced by my insurance if damaged, lost, or stolen.
I certify that all property/equipment previously purchased with or transferred from the CETA or the
JTPA programs to WIA program or purchased under a CDLE federally funded grant or transferred
with the CDLE's approval with a fair market value (FMV), established by our existing local
procedures, of$5,000 or more, has been identified.
I further certify that the proceeds of all property/equipment previously purchased with or transferred
from the CETA or JTPA program to the WIA program, with a FMV of $5,000 or more, will be
returned to CDLE, in order to return the proceeds to the U.S. Department of Labor.
3 _ , , -aoi l)
Subrecipient Director's S' ature Date
Revised: 6/1/06 Attachment 1-5 Certification of Physical Inventory.xls
Attachment E
Page 1 of 4
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
PROGRAM INCOME EXPENSE REPORT FROM (PIERF)
SUBRECIPIENT: Employment Services of Weld County Calendar Qrtr End Date: 06/30/09
CDLE PIER VAX#: NA
1. CUMULATIVE PROGRAM INCOME CASH REPORTED ON CASH REQUEST THRU QUARTER END DATE:
FCS123 AMOUNT
NET (Undisbursed) LINE ITEM NONE
2. BUDGET ALLOCATION:
COST CATEGORY/BUDGET Total Disbursed Prog Income Net(Undisbu
LINE ITEM(S)-FCSI23# Program Income (Expended) Program Incm
VAX# FCS#: NONE
VAX# FCS#:
VAX# FCS#:
VAX# FCS#:
VAX# FCS#:
VAX# FCS#:
Total(total net must equal amount on Pa'. 0.00 0.00
CERTIFICATION:
I certify to the best of my knowledge and belief the above reported information is accurate and
complete for the period re d.
ayv
' Au rued Signatur Date
See instructions for completing this form on the next page.
Revised: 6/1/01 Attachment E-Program Income Expense Repon2009.xls
Attachment F
Page 1 of 3
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM (SICRF)
AND LEVERAGED RESOURCES REPORT FORM
Subrecipient Employ Svcs of Weld County For Period from 07/01/08 to 06/30/09
CDLE Assigned VAX SICRF#: NONE
Program COST CATEGORY(IES)/BUDGET LINE ITEM(S)
Year Stand-In Stand-In Leveraged Leveraged Other Federal
GRANTS of Funds Administration Program Cash Match In-Kind unds Expender Total
GRANT NAME: WIA Adult
PY or FY Current 09 0.00
Prior 08 0.00
Year Before Prior 07 0.00
GRANT NAME: WIA Dislocated Workers
PY or FY Current 09 0.00
Prior 08 0.00
Year Before Prior 07 0.00
GRANT NAME: WIA Youth
PY or FY Current 09 0.00
Prior 08 0.00
Year Before Prior 07 0.00
GRANT NAME: WIA 10%Statewide Acty.
PY or FY Current 09 DO NOT ENTER 0.00
Prior 08 DO NOT ENTER. 0.00
Year Before Prior 07 DO NOT ENTER 0.00
GRANT NAME: WIA 25%Enh. DW
PY or FY Current 09 0.00
Prior 08 0.00
Year Before Prior 07 0.00
GRANT NAME: WIA 25%Innovatv Prof.
PY or FY Current 09 DO NOT ENTER 0.00
Prior 08 DO NOT ENTER 0.00
Year Before Prior 07 DO NOT ENTER 0.00
GRANT NAME: WIA NER Grant
DO NOT ENTER 0.00
DO NOT ENTER 0.00
DO NOT ENTER 0.00
GRANT NAME:DPN Grant
09 0.00
08 0.00
07 0.00
CERTIFICATION:
I certify to e best of my k I ge and belief the above reported information is accurate and complete of the period reported.
L
uthorized Signature Date
Revised: 2/28/10 Attachment F-Stand In Cost Report2009.xls
Attachment F
Page 2 of 3
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM (SICRF)
AND LEVERAGED RESOURCES REPORT FORM
Subrecipient Employ Svcs of Weld County From 07/01/08 to 06/30/09
CDLE Assigned SICR II: NONE
Program COST CATEGORY(IES)/BUDGET LINE ITEM(S)
'fiscal Ye Stand-In Stand_in Leveraged Leveraged Other Federa
l
GRANTS of Funds dministratior Program Cash Match In-Kind unds Expend Total
GRAN I'NAME: Wagner Peyser
DO NOT ENTER 0.00
DO NOT ENTER 0.00
DO NOT ENTER 0.00
GRAM NAME: WIRED GRANT
07 0.00
06 0.00
05 0.00
GRAN f NAME: WP 10%S'JH
DO Nor EN TER: 0.00
DO NOT ENTER 0.00
DO NOT ENTER 0.00
GRANT NAME: Vets DVOP
DO NOT ENTER 0.00
DO NOT ENTER 0.00
DO NOT ENTER 0.00
GRANT NAME: Vets LVER
DO NOT ENTER. 0.00
DO NOT ENTER 0.00
DO NOT ENTER 0.00
GRANT NAME: U/Reemployme
DO NOT ENTER
DO NOT ENTER 0.00
DO NOT ENTER 0.00
GRANT NAME:U. I.
DO NOT ENTER 0.00
DO NOT ENTER 0.00
DO NOT ENTER 0.00
CERTIFICATION:
I certify the best of knowledge and belief the above reported information is accurate and complete of the
3 � av
- A orized Signature Date
See instructions for completing this form on the next page.
Revked• 2/7R/I0 Attachment F-Stand In Cost Report2009.xts
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA 10%SJH
Greeley, CO 80632 VAX ERF(VERF)# 1137
CONTRACT/EA START DATE 02/01/07 END DATE 12/31/08
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #6YSJI P ? )
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 14,000.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 14,000.00
H. PROGRAM EXPENSE REPORT(ER)
I. Total Expenses+Accruals Previously Reported(Through Last Month) 14,000.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I+11.2.=11.3.) 14,000.00
ADMINISTRATIVE EXPENSE(ER) Vax 111.1 .
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5:IL6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT Vax# t".q"g'g , „
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract MIAL+111.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) ''
I. FINAL CR Contract to Date(1.3.) 14,000.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 14,000.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLI
V. CASH REQUEST PROGRAM INCOME CASH REPORTED NSF'
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI RECONCILIATION P/Curlr Request=P/Expen.scs) ,;*
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI 3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax# z k3
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+I16.+111.3.) 14,000.00-
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(V II.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOLJ
*The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding/period.
Preparer's Signature C 0. Date Q�ng/rI�O
Authorized Si atur ��i� Date v '8a0
See instructions for completing this lorm on the next page.
o........w- u,me Attach H-Grant Close ftecon WS1131A xls
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA 10% SJH
Greeley, CO 80632 VAX ERF(VERF)# 1137
CONTRACT/EA START DATE 02/01/07 END DATE 12/31/08
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#6PSX/P
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 4,290.67
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3.) 4,290.67
H PROGRAM EXPENSE REPORT(ER) Vax# 1137 k a f';; ..;1
I. Total Expenses+Accruals Previously Reported(Through Last Month) 7,695.74
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(IL I.+11.2:II.3.) 7,695.74
ADMINISTRATIVE EXPENSE(ER) Vax# 1.1Wilreillii"WiltiN,
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS723#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(1I.4.+11.5.=l1.6.) 0.00
IIL PROGRAM INCOME(PI) EXPENSE REPORT Vax# 1: ,h
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2.=III.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) x , v '
I. FINAL CR Contract to Date(1.3.) * 4,290.67
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 7,695.74
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED t i5 ate
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION pifill:i1:74
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(VI.I -VI 2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax# V
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116+111.3.) 7,695.74
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x V11.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOU
Please note$3,405.07 was reimbursed by DOLA prior to the Cash Request reimbursement oI$4,290.67. ,��
Preparer's Signature c. �" Date . //��
Authorized Si natGr ///f �� �/ Date 3'a7,`ao��
g (�o�l�'f
L.---
,,_
Sec instructions for completing this form on the next page.
.,,,_ Attach H'Grant Close Recon WS113]B.xls
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Adult
Greeley, CO 80632 VAX ERF(VERF)# 1186
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item # 7NAOI P ';; : -
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 2,006.10
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2.1.3.) 2,006,10
II. PROGRAM EXPENSE REPORT(ER) Vox# 1186
1. Total Expenses +Accruals Previously Reported(Through Last Month) 2,006.10
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+II.2.11.3.) 2,006.10
ADMINISTRATIVE EXPENSE(ER) Vax
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+I1.5.11.6.) 0.00
III. PROGRAM INCOME(PI)EXPENSE REPORT Vax# ,
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+ 111.2.=111.3.) 0.00
IV. RECONCILIATION (Cash Reyuest=Expense) s` i, 5 ". .t
I. FINAL CR Contract to Date(1.3.) 2,006.10
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 2,006.10
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION P1 cath Rert,te.,t=P1 R penre.,1
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -V1.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+II1.3.) 2,006.10
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VI1.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V11.4.)?(Check Box) YESH/NOLI
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Preparer's Signature !g/ Date �
Z
Authorized S}' natur y�j�'/ Date IJ -79; 62O
See insrrudions foor cr completing this form on the next page.
._ ..,,,.... mtarnw_lmnt rIncc Rpcnn WS 11AAA vlc
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Adult
Greeley, CO 80632 VAX ERF(VERF)# 1186
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#7NAOIF ,,,
I. Total Program and Admin Cash Needs Previously Reported (Last CR 4 ) 21,724.02
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.I.+1.2:1.3.) 21,724.02
II. PROGRAM EXPENSE REPORT(ER) Vax# 1186 'Sk"„i'
1. Total Expenses+Accruals Previously Reported(Through Last Month) 21,724.02
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I+1I.2=11.3.) 21,724.02
ADMINISTRATIVE EXPENSE(ER) Vax# keT .. +g =s M,
4. Total Expenses+Accruals Previously Reported(Through Last Month) ECS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+II.5.I I.6.) 0.00
HL PROGRAM INCOME(PI) EXPENSE REPORT Vex# ,
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL P1 Expenses Through End Date of Contract(I II.I.1 II1.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request "Expense) `„ "
I. FINAL CR Contract to Date(1.3.) 21,724.02
2. FINAL Expenses Through End of Contract(11.3.+II 6.+II1.3.) 21,724.02
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED ; , sM .
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column C)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION P1 Cash Request=Pt£penses) ,. 'fS '
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI.2.=VI.3.) (Refund * Extend 1 0.00
VII. MATCH RECONCILIATION Vax# p. .
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 21,724.02
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOLJ
The Program Income Expelnse Report and Ca jsshh/Request can only be extended through the availability of the Award and/or Federal funding'peerriiod.
Preparer's Signature `se ` pt/ - Date 3 (2/ / '1
Authorized Si natur � Date �1 U
t Z s 27
See instructions for completing this form on the nenl page.
_...__ nnam r-Grant Close Recon WS 11868.xta
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Adult
Greeley, CO 80632 VAX ERF(VERF)# 1186
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#7NO0I P ")f-'11h ,.
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 60,187.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3) 60,187.00
vq (°
H. PROGRAM EXPENSE REPORT(ER) Vax# 1 186 �1
I. Total Expenses+Accruals Previously Reported(Through Last Month) 60,187.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1+11.2.=II.3.) 60,187.00
ADMINISTRATIVE EXPENSE(ER) Vax# _
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11.6.) 0.00
HI. PROGRAM INCOME(PI) EXPENSE REPORT Vax# av gy
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(I II.1.+IlI.2.=111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) 7.7)„.11:1'.
I. FINAL CR Contract to Date(1.3.) 60,187.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 60,187.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L/NOH
V. CASH REQUEST PROGRAM INCOME CASH REPORTED a
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION PI Cash Regnen=Pl Expenses) ,
1. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI -VI.2.=VI 3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(II 3.+116.+111.3.) 60,187.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(V 11.1.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLI/NOLI
The Program Income Expens/e R^eport and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Preparer's Signature 1/zJ Date �Q�4 r�
Authorized Sign "-' Date 3-� geye
Sec instructions for completing this form on the next page.
,.,.,,,� Attach H-Grant Close Recon WS t t BGC xla
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Adult
Greeley, CO 80632 VAX ERF(VERF)# 1186
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #7NO0/F ¢y P* 1 tzit
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 281,556.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 281,556.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 1186 t s„tom )
I. Total Expenses+Accruals Previously Reported(Through Last Month) 281,556.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I.+I1.2.11.3.) 281,556.00
ADMINISTRATIVE EXPENSE(ER) Vax 4
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.11.6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT Vax# a1aa '
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+II1.2.=111.3.) 0.00
. ......................
IV. RECONCILIATION (Cash Request=Expense) a. 41 1
I. FINAL CR Contract to Date(1.3.) 281,551,55 6.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 281,556.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION PI Cash Requc.n=PI Expense,)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(V I.1 -VI 2.=V1.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax# ^
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+II6.+111.3.) 281,556.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLJ/NOLJ
The Program Income Expense Report
and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature (,x7(X Date 91O.
Authorized Signa r Date 3 wg zircitV
See instructions for coinpletinit this loan on the next page. /
Revise R/1/06, Attach H-Grant Close Recon WS 1186D xls
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Adult
Greeley, CO 80632 VAX ERE(VERF)# 1186
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #7ND02F
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 40,000.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+12.=1.3.) 40,000.00
IL PROGRAM EXPENSE REPORT(ER)
I. Total Expenses+Accruals Previously Reported(Through Last Month) 40,000.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I.+II.2.=11.3.) 40,000.00
ADMINISTRATIVE EXPENSE(ER) Vex#
4. Total Expenses+Accruals Previously Reported('Through Last Month) ECS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(I1.4.+II.5:I1.6.) 0.00
IlL PROGRAM INCOME(PI)EXPENSE REPORT Vax# t �
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.I.+111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) T}gsn
I. FINAL CR Contract to Date(1.3.) 40,000.00
2. FINAL Expenses Through End of Contract(II.3.+II 6.+111.3.) 40,000.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOLJ
V CASH REQUEST PROGRAM INCOME CASH REPORTED )a A
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column C)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION Rl Cash Request=PI Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(II1.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax#
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(II.3.+I16.+III.3.) 40,000.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOD
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period.
Preparer's Signature 0? Date 7/
Authorized Sign r
Datea ���
See instructions for completing this than on the next page.
oe,..en nn ma Attach H-Grant Close Recon WS 1166E.xls
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Youth
Greeley, CO 80632 VAX ERF(VERF)# 1187
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#7NAYIP � ( `
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 49,314.50
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2:1.3.) 49,314.50
IL PROGRAM EXPENSE REPORT(ER) Vax# 1187 s. k�ea
I. Total Expenses+Accruals Previously Reported(Through Last Month) 49,314.50
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I+11.2:II.3.) 49,314.50
ADMINISTRATIVE EXPENSE(ER) Vax#
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+I I.5.11.6.) 0.00
HI. PROGRAM INCOME(PI) EXPENSE REPORT Vex#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+III.2.111.3.) 0.00
IV. RECONCILIATION e.b.t * _ .'. '
I. FINAL CR Contract to Date(1.3.) 49,314.50
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 49,314.50
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTEDt"
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION (P1 Cosh Reynesf=P1 Expenses) �"x" . +us + ''a�'eN--§I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. l'otal PI Cash Balance(VI.1 -VI 2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax# •, t
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+II6.+II I.3.) 49,314.50
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V II.4.)?(Check Box) YESH/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.nd.
Preparer's Signature ( a Date 2��U
Authorized Sig ur Date `J -aa
See instructions for completing this form on the next page.
_....._ AnarM1 H.pant rinse Recon WS 118IA.xls
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Youth
Greeley, CO 80632 VAX ERF(VERF)# 1187
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME.START DATE END DATE
L CASH REQUEST(CR) CR Line Item # 7NY01 r1S. ,
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 445,545.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2.1.3.) 445,545.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 1187 . ka
1. Total Expenses+Accruals Previously Reported(Through Last Month) 445,545.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I+11.2.=11.3.) 445,545.00
ADMINISTRATIVE EXPENSE(ER) Vax 4 r,w' ;k
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+11.5.11.6.) 0.00
IIL PROGRAM INCOME(PI) EXPENSE REPORT Vax# s
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111,1.+III.2.111.3.) 0.00
/V. RECONCILIATION (Cash Request=Expense) nhi&
I. FINAL CR Contract to Date(1.3.) 445,545.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 445,545.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOLI
V. CASH REQUEST PROGRAM INCOME CASH REPORTED „,
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION (PI Cash Request=PI Expenses) ,_.
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI 2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vnx#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.4-111.3.) 445,545.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V11.2 x VI1.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLJ/NOIJ
The Program Income Expense Report and Cash R(egqu�/est can 000nllly be extended through the availability of the Award and/or Federal tendinggypeenod.
Preparer's Signature ""' - '!;/ Date 412/9
�1 '
Authorized Signa r t� Date 3-dg - 4=1/61
See intim e!ons for completing this form on the next page.
_,.__ mrach N-r:,ant Anse Reran ws 11a]B xls
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Dis Worker
Greeley, CO 80632 VAX ERF(VERF)# 1188
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item # 7NAD lP
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 9,922.88
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 9,922.88
H PROGRAM EXPENSE REPORT(ER) Vax# 1188 „x �•
I. Total Expenses+Accruals Previously Reported(Through Last Month) 9,922.88
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.II.3.) 9,922.88
ADMINISTRATIVE EXPENSE(ER) Vex# r
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.H-11.5.-11.6.) 0.00
III. PROGRAM INCOME(PI)EXPENSE REPORT Vax
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.1.+ 111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense)
I. FINAL CR Contract to Date(1.3.) 9,922.88
2. FINAL Expenses Through End of Contract(II.3.+11 6.+II1.3.) 9,922.88
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES Li/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED ` t
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VI. RECONCILIATION PI Cash Regnest=PI F_spensee)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+1II.3.) 9,922.88
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VI1.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESL1/NOLI
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Preparer's Signature '&1 Date 3��ie0
Authorized Signatu -&/(--r Date as gexe
See instructions for completing this tone on the next page.
.. - .......,. Auacb H.Grant Close Recon WS ii StA.xls
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Dis Worker
Greeley, CO 80632 VAX ERF(VERF)# 1188
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #7ND0IP IfiS
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 91,208.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2:1.3.) 91,208.00
II. PROGRAM EXPENSE REPORT(ER) Vax# 1188 t, , ,_ .�,
I. Total Expenses+Accruals Previously Reported(Through Last Month) 91,208.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1+11.2:11.3.) 91,208.00
ADMINISTRATIVE EXPENSE(ER) Vax 47.4.!i;
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4+11.5=11.6.) 0.00
III. PROGRAM INCOME(PI)EXPENSE REPORT Vax# . .
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.1+111.2:II1.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) p . j
1. FINAL CR Contract to Date(1.3.) 91,208.00
2. FINAL Expenses Through End of Contract(11.3.+116+111.3.) 91,208.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES IJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V I.+V.2=V.3.) 0.00
VI. RECONCILIATION Pr cash Request=P1 expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+ 116.+III.3.) 91,208.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature - Date �0q/d
Date 3-.tea aCYo
Authorized Si> atur /f _
Sec insired lolls tar completing this(orm on the next page.
,._...__.. �,.,,,� Altach H.Grans Close Recon WS Ii 88B.xls
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Dis Worker
Greeley, CO 80632 VAX ERF(VERF)# 1188
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item # 7NADIF a,_ #f
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 15,742.93
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2.=1.3.) 15,742.93
IL PROGRAM EXPENSE REPORT(ER) Fax# 1188 3 4%rtr l a`
I. Total Expenses+Accruals Previously Reported(Through Last Month) 15,742.93
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1.+11.2.11.3.) 15,742.93
ADMINISTRATIVE EXPENSE(ER) Fax 4
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5:II.6.) 0.00
177. PROGRAM INCOME(PI)EXPENSE REPORT Far# � x
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.I.+ 111.2.=111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) ,_
I. FINAL CR Contract to Date(1.3.) 15,742.93
2. FINAL Expenses Through End of Contract(11.3. +116+111.3.) 15,742.93
3. CR to Date= Expense reported Through End Date of Contract?(Check Appropriate Box) YES L I/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR 4
2. Current Program Income Cash(Through End Date of Contract) (CR 4 ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION PI Cash Request=P/Expenses) ,
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI 3.) (Refund * Extend ) 0.00
..................... .............
VII. MATCH RECONCILIATION Fax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116+111.3.) 15,742.93
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V11.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YES LJ/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Vn � ""
Preparer's Signature /'y n....w Date / '/
„ft, Date St9c90/(3
Authorized Sigrtatur 7 See instructions for completing ibis form on the next page.
.,_...__.. �,.�� Attach H-Grant close Recon W5 ii 88c xis
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Dis Worker
Greeley, CO 80632 VAX ERF(VERF)# 1188
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item 4 7ND0IF
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 186,278.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3.) 186,278.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 1188r yam(
I. Total Expenses+Accruals Previously Reported(Through Last Month) 186,278.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1.+11.2.=11.3.) 186,278.00
ADMINISTRATIVE EXPENSE(ER) Vax 4 `i
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+II.5.=11.6.) 0.00
HL PROGRAM INCOME(P1) EXPENSE REPORT Vax# }
1. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2.111.3.) 0.00
IV. RECONCILIATION Cash Request=Expense) a
I. FINAL CR Contract to Date(1.3.) 186,278.00
2. FINAL Expenses Through End of Contract(11.3.+11 6.+III.3.) 186,278.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L'I/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR 4 ,column G)
3. FINAL Program Income Cash Contract to Date(V I.+V.2=V.3.) 0.00
VL RECONCILIATION Pt Cash Request=P/Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax# . Fe .
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116+111.3.) 186,278.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)9(Check Box) YESH/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature An Date
Authorized Sinatur / Date �-alind
See instructions for completing this form on the next page.
.,_...__.. z—n. Attach H-Grant Close Recon WS I I880.xls
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Wagner Peyser
Greeley, CO 80632 VAX ERF(VERF)/I 1189
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#7NW02
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 74,016.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1+1.2=I.3.) 74,016.00
H PROGRAM EXPENSE REPORT(ER) Vax# 1189 I 3 "r eis
I. Total Expenses+Accruals Previously Reported(Through Last Month) 74,016.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+II.2.=11.3.) 74,016.00
ADMINISTRATIVE EXPENSE(ER)
Vax#
4. Total Expenses+Accruals Previously Reported(Through Last Month) FC5123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+11.5:11.6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(1111+ 111.2.=111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense)
I. FINAL CR Contract to Date(1.3.) 74,016.00
2. FINAL Expenses Through End of Contract(11.3.+116+II1.3.) 74,016.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLI
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION Pl Cash Request=P/Expense.+9 a' C
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -V1.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax# +w1
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+II6.+II1.3.) 74,016.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x V11.3.) 0.00
5. Total Match Reported(V II.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESL/NOLJ
*The Program Income Expense Report and Cash Cr
can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature �f M Date �y�0
Authorized Si.-atur Date .4C/6
See instructions for completing this tbnn on the next page.
�,,,,.� Attach H-Grant Close Recon WS i i StA.sis
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT DVOP
Greeley, CO 80632 VAX ERF(VERF)# 1209
CONTRACT/EA START DATE 10/01/2007 END DATE 09/30/2008
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item# 7NV0/
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 4,120.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3.) 4,120.00
IL PROGRAM EXPENSE REPORT(ER) Vac# 1209 #tit P{e
I. Total Expenses+Accruals Previously Reported(Through Last Month) 4,120.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.=11.3.) 4,120.00
ADMINISTRATIVE EXPENSE(ER) Vax# xlaaw
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(I I.4+I I.5:I I.6.) 0.00
!IL PROGRAM INCOME(PI) EXPENSE REPORT Vax# `
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III I.+111.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) ),1# ,,, , ` Z
I. FINAL CR Contract to Date(1.3.) 4,120.00
2. FINAL Expenses Through End of Contract(11.3.+II 6+III.3.) 4,120.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED "`
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION 94.14 .
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=3/1.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vex# ,7 -
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116+111.3.) 4,120.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.1.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESIJ/NOLJ
The Program Income Expense�Repod and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature (h p)a Date PO
Authorized SignatuL
Date -a�
See instructions for completing this term on the next page.
ao„,*oa. RHrnfi Attach H-Grant Close Recen WS 1209.xls
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07/FY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT 25% Enh Dis Work
Greeley, CO 80632 VAX ERF(VERF)# 1225
CONTRACT/EA START DATE 07/01/2007 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #7NFEI F
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 80,197.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3.) 80,197.00
IL PROGRAM EXPENSE REPORT(ER) vox# 1225
I. Total Expenses+Accruals Previously Reported(Through Last Month) 80,197.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I.+11.2:II.3.) 80,197.00
ADMINISTRATIVE EXPENSE(ER) vox#
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=II.6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT Vax# 's ,?fit
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(II I.I+lII.2= I II.3.) 0.00
IV. RECONCILIATION Cash Request=Expense)
I. FINAL CR Contract to Date(1.3.) 80,197.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 80,197.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L/NOU
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR 4
2. Current Program Income Cash(Through End Date of Contract) (CR it ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION PI Cash Requeer=PI Expen.ve,f t.
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(II1.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vex#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(I I.3.+116.+111.3.) 80,197.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII. .)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOH
The Program Income Expense Report and Cash Requeestt scan only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature X1 0 Date 3/(0) //
Authorized Signatq� / DateS O7 C94VO
Sec instructions f r completing this torn,on,he next page.
Revised 8/1106 Attach H-Grant Close Recon WS 1225.x15
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT 10% Statewide Act
Greeley, CO 80632 VAX ERF(VERF)# 1236
CONTRACT/EA START DATE 11/01/2008 END DATE 06/30/2010
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #8OSCI F
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 11,620.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.I.+l.2. 1.3.) 11,620.00
II. PROGRAM EXPENSE REPORT(ER)
I. Total Expenses+Accruals Previously Reported(Through Last Month) 11,620.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2:II.3.) 11,620.00
ADMINISTRATIVE EXPENSE(ER) Fax# as '
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.11.6.) 0.00
III. PROGRAM INCOME(PI) EXPENSE REPORT Fax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III I.+ 111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) 441:t
I. FINAL CR Contract to Date(1.3.) 11,620.00
2. FINAL Expenses Through End of Contract(11.3.+116+111.3.) 11,620.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION PI Cush Requcer=P/Expeneea) 'x
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116-4-111.3.) 11,620.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V11.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VI1.4.)?(Check Box) YESLJ/NOLJ
The Program Income Expense Report and Cash Requ(est ccaan only be extended through the availability o/the Award and/or Federal funding period.
Preparer's Signature iM1/�` Date 3�w�M
Authorized Signat Date "r's� ?'
Sec instructions for comp this form on the nest page.
oe.,�en Rona Attach H-Grant Close Recon WS 12S6A xls
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WP 10%SJH
Greeley, CO 80632 VAX ERF(VERF)# 1271
CONTRACT/EA START DATE 01/04/2008 END DATE 08/31/2008
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #7N✓0/
I. Total Program and Admin Cash Needs Previously Reported (Last CR tf ) 32,000.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3.) 32,000.00
a PROGRAM EXPENSE REPORT(ER) Vax# 1271 0 `
I. Total Expenses+Accruals Previously Reported(Through Last Month) 32,000.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+IL2.=IL3.) 32,000.00
ADMINISTRATIVE EXPENSE(ER) `$''
Vax>E t,^ .r.
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+II.5.11.6.) 0.00
III. PROGRAM INCOME(PI)EXPENSE REPORT Vax N Y r
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(II1.1,+ 111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request =Expense)
I. FINAL CR Contract to Date(1.3.) 32,000.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 32,000.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L-0/NOLJ
V CASH REQUEST PROGRAM INCOME CASH REPORTED 5.5
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR if ,column G)
3. FINAL Program Income Cash Contract to Date(V I.+V.2=V.3.) 0.00
VL RECONCILIATION PI cosh Request=Pl Fa pensee) !'
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(II1.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+ 116+111.3.) 32,000.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.)I.3.) 0,00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VI1.4.)?(Check Box) YESL']/NOLI
The Program Income 0::
—41)and Cash Request can only be extended through the availability of the Award and/or Federal
fufunndiinng period.
Preparer's Signature �h Date %/ l�1� �j1
Authorized Signatur //i`j� 0 � Date -�Ur �� "
See instruct inns for completing this torm on the next page.
o,,......e cnmc Attach H-Grant Close Recon WS 1271.ais
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 07
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT 10%Statewide Act
Greeley, CO 80632 VAX ERF(VERF)# 1272
CONTRACT/EA START DATE 01/04/2008 END DATE 06/30/10
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #7YSXIP $ $gl
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 1,372.19
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1+1.2:1.3.) 1,372.19
IL PROGRAM EXPENSE REPORT(ER)
1. Total Expenses+Accruals Previously Reported(Through Last Month) 1,372.19
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.=11.3 ) 1,372.19
ADMINISTRATIVE EXPENSE(ER) vox# J
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5=11.6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT Vax# � '
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+ III 2.=111.3.) 0.00
IV. RECONCILIATION Cash Reyuest=Expense) ie „`ts
I. FINAL CR Contract to Date(1.3.) 1,372.19
2. FINAL Expenses Through End of Contract(11.3.+II 6.+II1.3.) 1,372.19
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES Ld/NOLJ`�
V. CASH REQUEST PROGRAM INCOME CASH REPORTED YI'3, t�
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION Pl Cash Pcgut it=P1 E penses9 o„'ri
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax# fir„2 -E!�ti,
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(II.3.+ 116.+111.3.) 1,372.19
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOL1
The Program Income Expense Report and Cash Request can only be extended 6‘211
ugh the availability of the Award and/or Federal funding period
Preparer's Signature Date fAl
Authorized Sign ( Date as g d
See instructions for complat ing this form on the next page.
o,,,„,. „inc Attach H-Grant Close ftecon WS 12]2.xis
Attachment II
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Adult
Greeley, CO 80632 VAX ERF(VERF)# 1351
CONTRACT/EA START DATE 07/01/2008 END DATE 06/30/2010
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#8NAO]P
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 7,554.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3, FINAL Program and Admin Cash Needs Contract to Date(I.I+1.2.=1.3.) 7,554.00
IL PROGRAM EXPENSE REPORT(ER) Fax# 1351 <.. :',...'2'...-'1,'.. : :
I. Total Expenses+Accruals Previously Reported(Through Last Month) 7,554.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.=I1.3 ) 7,554.00
ADMINISTRATIVE EXPENSE(ER)
Far# b x, tx+a:."X
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.-11 6.) 0.00
Vax# '!`'`s
III. PROGRAM INCOME(P/) EXPENSE REPORT ��� � .
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+111.2.111.3.) 0.00
IV RECONCILIATION Cash Request=Expense) �..,, q({ tE
I. FINAL CR Contract to Date(1.3.) 7,554.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+II1.3.) 7,554.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED (.7f:;:.;!
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINA1.Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION P/Cash Reque.vr=P1 Expenses) is i._
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI 2.=V I.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Fax# a
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+III.3.) 7,554.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I )>or=to Match Expenditure Requirement(VI1.4.)?(Check Box) YESLJ/NOU
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period.
Preparer's Signature e Vr Date 77 /,
Authorized Signat Date 4���1U
See instructions for completing this tone on the next page.
o_ ,,,,,,,, „,,nom Attach H-Grant Close Recon WS 1351 Asia
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA Adult
Greeley, CO 80632 VAX ERF(VERF)# 1351
CONTRACT/EA START DATE 07/01/2008 END DATE 06/30/2010
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #8NO01P "g?'-+
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 67,986.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 67,986.00
H. PROGRAM EXPENSE REPORT(ER) Fax# 1351
I. Total Expenses+Accruals Previously Reported(Through Last Month) 67,986.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II L+11.2.=11.3.) 67,986.00
ADMINISTRATIVE EXPENSE(ER) Fax
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+II.5.=11.6.) 0.00
IIL PROGRAM INCOME(PI) EXPENSE REPORT Fax# 1,
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) „ e
I. FINAL CR Contract to Date(I.3.) 67,986.00
2. FINAL Expenses Through End of Contract(11.3.+116+111.3.) 67,986.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES k/NOIL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VL RECONCILIATION (P/Cash Request =Pl Expen.ce.t) ' ,, e`tS`n ro':"s,
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI -VI.2.=VI 3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Fax# x !:
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+ 116+111.3.) 67,986.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLI/NOD
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding pperiod�A
Preparer's Signature Date
Authorized Signatur Date C? aa-aI/≥
See instructions for completing Ihls form on the next page.
o...,..ve srvna Attach H-Grant Close Recon WS 1351 B.xls
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Dislocated Worker
Greeley, CO 80632 VAX ERF(VERF)# 1353
CONTRACT/EA START DATE 07/01/2008 END DATE 06/30/2010
PROGRAM INCOME START DATE END DATE
CASH REQUEST(CR) CR Line Item 4 8NADIP P ';',%);* H'
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 8,045.00
2. Current Program and Admin Cash Needs (CR 4 ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.I.+1.2.=1.3.) 8,045.00
H. PROGRAM EXPENSE REPORT(ER) Fax# 1353 ' .
I. Total Expenses+Accruals Previously Reported(Through Last Month) 8,045.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1.+11.2.=11.3.) 8,045.00
ADMINISTRATIVE EXPENSE(ER) Vax# ,'P
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.-11.6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT Vax
1. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) Y
I. FINAL CR Contract to Date(1.3.) 8,045.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+II1.3.) 8,045.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L/NOLL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR 4
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION P1 Cash Request=Pt Expen.cex) Uit#.7911ktWtnitli
1. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(II1.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund • Extend ) 0.00
VIL MATCH RECONCILIATION Vax# °"1t#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 8,045.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VI1.3.) 0.00
5. Total Match Reported(V II.1.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLi/NOU
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal landing peenod.
Preparer's Signature Date 37( (�O
Authorized Signatur Date 67a /i)
See Instructions for completing this loon on the next page.
Revised 6/1/06 Attach H-Grant Close Recon WS I353A.ata
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Dislocated Worker
Greeley, CO 80632 VAX ERF(VERF)# 1353
CONTRACT/EA START DATE 07/01/2008 END DATE 06/30/2010
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#8ND0IP
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 72,407.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.1.3.) 72,407.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 1353 7 `¢ f
I. Total Expenses+Accruals Previously Reported(Through Last Month) 72,407.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+II.2.11.3.) 72,407.00
ADMINISTRATIVE EXPENSE(ER)
Vax# tom^'
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4+11.5:11.6.) 0.00
III. PROGRAM INCOME(PI) EXPENSE REPORT Vax# 4::.: :)
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) •8!3,.,43:):;))),.,*4 .
1. FINAL CR Contract to Date(I.3.) 72,407.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 72,407.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES Ld/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED 0. ,
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1 +V.2=V.3.) 0.00
VI. RECONCILIATION Cash aequr.�r=Pr E.xpen.�e.$) ;
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax#
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+ 116+111.3.) 72,407.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V I1.2 x VII 3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VI1.4.)?(Check Box) YESH/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature n ixwuo �- Date {� 3/`R�O
Authorized Signatur e���f=%E 7/ Date `-' -zgg , e,v
Sec instructions far completing this Inrm on the next page.
ae,nced 011105 Attach H-Grant Close Recon WS 1353B.xls
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Wagner Peyser
Greeley, CO 80632 VAX ERF(VERF)# 1354
CONTRACT/EA START DATE 07/01/2008 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item # 8NW0I e"
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 793,034.58
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.-1.3.) 793,034.58
IL PROGRAM EXPENSE REPORT(ER) Vax 0 1354 1 6.': .>
I. Total Expenses+Accruals Previously Reported(Through Last Month) 793,034.58
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1.+11.2.=11.3.) 793,034.58
ADMINISTRATIVE EXPENSE(ER) Vax 0 ) :.;,741:,A;;. :!;;: ,..1
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11 6.) 0.00
III. PROGRAM INCOME(PI) EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.1.+III.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) .
I. FINAL CR Contract to Date(1.3.) 793,034.58
2. FINAL Expenses Through End of Contract(II.3.+116+111.3.) 793,034.58
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L-0/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED Ns ,
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI RECONCILIATION P/Cash Request=PI Expenses) ‘.I%
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII MATCH RECONCILIATION vax 0 (
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+III.3.) 793,034.58
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLJ/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal fundingg peenod.
Preparer's Signature ugovicj
f c Date %//A f�
Authorized Signatur.� Date 3 67,g--6?c-/"
See instructions for completing this form on the next page.
o...,...e. 0„ma Attach H-Grant Close Recon WS 1354.tls
Attachment H
Page 1 of'2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT 25% Enh DW
Greeley, CO 80632 VAX ERF(VERF)# 1356
CONTRACT/EA START DATE 07/01/2008 END DATE 06/30/2010
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item #8NFEIP
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 28,575.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.I+1.2.=1.3.) 28,575.00
a PROGRAM EXPENSE REPORT(ER) Vax# 1356 ( x .
I. Total Expenses+Accruals Previously Reported(Through Last Month) 28,575.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2:I1.3.) 28,575.00
ADMINISTRATIVE EXPENSE(ER) Vax# ' '„R ':1
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.-11.6.) 0 00
HI. PROGRAM INCOME(PI) EXPENSE REPORT Vax#
1. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(IIL I+ 111.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) `'" e -t
I. FINAL CR Contract to Date(1.3.) 28,575.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 28,575.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LI/NOLI
V. CASH REQUEST PROGRAM INCOME CASH REPORTED .:4'11-2;:i r
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION Pl Cash Request=P/Expenses) *'.
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=V1.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vnx# a
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+II6.+111.3.) 28,575.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESL/NOL
The Program Income Expense Report and Cash Request can only he extended through the availability o/the Award and/or Federal funding period.
Preparer's Signature r �'�j/ly . ](y;�/ Date ?JJO �j
'2 file--t C1Y' ---2", Date l� �� ��V
Authorized Signahv
See instructions ror completing this loan on the next page.
Attach H-Grant Close Recon WS 1356.xls
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT 10%Statewide Act
Greeley, CO 80632 VAX ERF(VERF)# 1372
CONTRACT/EA START DATE 07/01/2008 END DATE 12/31/2008
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item# 7DSP7F .t 4 •'ri' 7,`
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 1,574 4.72 72
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.I.+I.2.=1.3.) 1,574 72
IL PROGRAM EXPENSE REPORT(ER) Vax# 1372IxS
I. Total Expenses+Accruals Previously Reported(Through Last Month) 1,574.72
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+1I.2.=II.3.) 1,574.72
ADMINISTRATIVE EXPENSE(ER) Vax# 1::::A 4,1 , #
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.--11.6.) 0.00
Ill PROGRAM INCOME(PI) EXPENSE REPORT Fax# " {
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(I II.I.+111.2.= 111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) "°
I. FINAL CR Contract to Date(1.3.) 1.574.72
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 1,574.72
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOD
V. CASH REQUEST PROGRAM INCOME CASH REPORTED ..I.
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(l'hrough End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VI. RECONCILIATION P/Cash Request —PI Expenses) ti :1;4•';
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI.2.=VI.3.) (Refund • Extend ) 0.00
VIL MATCH RECONCILIATION Fax# p*",=.'• "d s
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 1,574.72
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI12 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOLI
•The Program Income Expense Report and Cash RRegquest can only be extended through the availability o/the Award and/or Federal funding✓�pee�rniod.
Preparer's SignaturePil N• Date / '�����/
�j� ' r� Date p��. G���
Authorized Signatur/ N"'(
Sec instructions for completing this form on rile next page.
„___-„ .,,,,—
Attach H-Grant Close ftecon WS 13]2.x15
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 08
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT DPN
Greeley, CO 80632 VAX ERF(VERF)# 1429
CONTRACT/EA START DATE 07/01/2008 END DATE 06/30/2009
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) CR Line Item#BPPWCI
I. Total Program and Admin Cash Needs Previously Reported (Last CR# ) 44,915.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 44,915.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 1429 J
I. Total Expenses+Accruals Previously Reported(Through Last Month) 44,915.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.11.3.) 44,915.00
ADMINISTRATIVE EXPENSE(ER) Vax# dti= Ptt
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4+11.5.11.6.) 0.00
III. PROGRAM INCOME(PI) EXPENSE REPORT Vax# '
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2.=111.3.) 0.00
IV. RECONCILIATION Cash Request=Expense) % ) 9
I. FINAL CR Contract to Date(1.3.) 44,915.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 44,915.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOH
V. CASH REQUEST PROGRAM INCOME CASH REPORTED '*SS.'' : ' ice'
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION Pl Cash Request=Pl Expenses) ):
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI 3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116H-111 3.) 44,915.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V11.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOIJ
The Program Income Expense Report and Cash Request can only be extended throuuugghh the availability o/the Award and/or Federal funding pperiod.
Preparer's Signature W / _C o2-p� em Date 3/, /0
Authorized Signa3ur �/ c2 Date 3 --57,oV- 0,/,o
See instructions I'or completing this form on the nest page.
-...__ Attach H-Grant Close Recon WS 1429.xls
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