HomeMy WebLinkAbout20102484.tiff RESOLUTION
RE: APPROVE STATEMENT OF GRANT AWARD FOR DOMESTIC VIOLENCE FAST TRACK
AND FELONY DOMESTIC VIOLENCE PROGRAMS AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Statement of Grant Award for the
Domestic Violence Fast Track and Felony Domestic Violence Programs between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the 19th Judicial District Attorney's Office, and the Colorado Division of Criminal Justice,
commencing January 1, 2011, and ending December 31, 2011, with further terms and conditions
being as stated in said grant award, and
WHEREAS,after review,the Board deems it advisable to approve said grant award, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Statement of Grant Award for the Domestic Violence Fast Track and
Felony Domestic Violence Programs between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the 19th Judicial District
Attorney's Office, and the Colorado Division of Criminal Justice be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said grant award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 18th day of October, A.D., 2010.
BOARD OF COUNTY COMMISSIONERS
ELD COUNTY, COLORADO
ti'1 1,
ATTEST: • ;;*
IS 5; +� , ,'\ la Radema her, Chair
Wel County Clerk to the Bo r gv
65 USED
y tiara Kirkmeyer, Pro-Tem
Dep Clerk t t e Board , ti--_ CV-
-
( Sean P. y
APP VE FORM:z:9 � a
am F. Garcia
Cou y Attorney
David E. Long
Date of signature: b he
1 Ovid -o IN'
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I�I ��fIU 2010-2484
DA0022
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DCJ FORM 30
CERTIFICATION OF COMPLIANCE WITH REGULATIONS
• • OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS
FOR SUBGRANTS ISSUED BY THE COLORADO DIVISION OF CRIMINAL JUSTICE
INSTRUCTIONS: Complete the identifying information, which is found on the Statement of Grant Award(SOGA), in the
table below. Read the form completely, identifying the person responsible for reporting civil rights findings; and checking
only the one certification under "II"that applies to your agency. Have your Authorized Official sign at the bottom of page
2,forward a copy to the person you identified as being responsible for reporting civil rights findings and return the original to
the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the grant award
beginning date.
Grant# 3 i y tie •
Grant Project Title:e\ -DO t�a.I\C- y 13�1.-MQ I l-r Ti(}CtC Gl T-QIbC\6 DY
--1))SSubgrantee Name(Funded Entity): 1S K\i`� P*\oc O2,v6cAk\QR c\-)s S\'JUt1 ) i�8
Address: 1P0 \30X \lb� CJ
Gto4\e' 8063L Award: $ ("t q _�a
G
Duration: Beginning date: Di /al/i I End date: [ l j 1 ' [ [ I 16
Project Director's Name& Phone#:
Person responsible for reporting civil rights findings of discrimination: (Name, address & phone)
—N \ ) iZx-SSrztl
-it'p3 )? JX
GS-(LAZ3 n 8ub3 cno 3-3b--32-2DAUTHORIZED OFFICIAL'S CERTIFICATION: As the Authorized Official for the above Subgrantee, I certify,by my
signature below, that I have read and am fully cognizant of our duties and responsibilities under this Certification.
I. REQUIREMENTS OF SUBGRANT RECIPIENTS: All subgrant recipients (regardless of the type of entity or the amount
awarded) are subject to prohibitions against discrimination in any program or activity, and must take reasonable steps to
provide meaningful access for persons with limited English proficiency.
♦I certify that this agency will maintain data(and submit when required) to ensure that: our services are delivered in an
equitable manner to all segments of the service population; our employment practices comply with Equal Opportunity
Requirements, 28 CFR 42.207 and 42.301 et seg.; our projects and activities provide meaningful access for people with
limited English proficiency as required by Title VI of the Civil Rights Act,(See also, 2000 Executive Order#13166).
♦I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of
discrimination will submit these findings, if any, to the Division of Criminal Justice within 45 days of the finding, and/or if
the finding occurred prior to the grant award beginning date, within 45 days of the grant award beginning date.
H. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATIONS: Check the box before ONLY THE ONE
APPROPRIATE CERTIFICATION (A, B, or C below) that applies to this subgrantee agency during the period of the grant
duration noted above.
O CERTIFICATION "A" [NO EEOP IS REQUIRED if(1),(2)or(3), below, apply.] This is the Certification that
most non-profits and small agencies will use. Check all that apply to your entity.
This funded entity:
(1) is an educational, medical or non-profit organization or an Indian Tribe;
(2) has less than 50 employees;
(3) was awarded through this grant from the Colorado Division of Criminal Justice less than $25,000 in federal
U.S. Department of Justice funds.
Therefore, I hereby certify that this funded entity is not required to maintain an EEOP, pursuant to 28 CFR 42.301, et semc .
(CONTINUED ON REVERSE SIDE)
Colorado Division of Criminal ustice Page 1 of 2 Rev.92010
DCJ FORM 30:
CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS (Continued)
H. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATIONS: (Continued)
NJ CERTIFICATION "B" (EEOP MUST BE ON FILE)
This funded entity, as a for-profit entity or a state or local government having 50 or more employees, is receiving, through
this grant from the Colorado Division of Criminal Justice, more than $25,000,but less than $500,000 in federal U.S.
Department of Justice funds.
Therefore, I hereby certify that the funded entity has formulated an Equal Employment Opportunity Plan in accordance
with 28 CFR 42.301, et sue., subpart E, that it has been signed into effect within the last two years by the proper authority
and disseminated to all employees, and that it is on file for review or audit by officials of the Division of Criminal Justice
or the Office for Civil Rights, Office of Justice Programs as required by relevant laws and regulations.
O CERTIFICATION "C" (EEOP MUST BE SUBMITTED)This funded entity, as a for-profit entity or a state or local
government having 50 or more employees, is receiving, through this grant from the Colorado Division of Criminal
Justice,more than $500,000 in federal U.S. Department of Justice funds.
Therefore, I hereby certify that the funded entity will submit, within 60 days of the award, an EEOP or an EEOP Short
Form to the U.S. Department of Justice,Office for Justice Programs, Office for Civil Rights that will include a section
specifically analyzing the subgrantee(implementing) agency. (If you have already submitted an EEOP applicable to this
time period, send a copy of the letter received from the Office for Civil Rights showing that your EEOP is acceptable.)
As the Authorized Official for the above Subgrantee, I certify, by my signature below, that I have read and am fully cognizant of
pur duties and responsibilities under this Certification. I, hereby, also certify that the content of this form, other than the data
entry required,has not been altered.
C/� 11 /01 OCT 1 9 L
( yrCb Cl a���
[Authorized S ficial's si;nature] [Date]
Douglas Rademacher Chair, Board of Weld County Commissioners
[Typed Name] [Title]
* * * * * * * * * *
Thu original signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO
40215, within 45 days of the grant award beginning date. You must also forward a signed copy to the person identified in the
Sox above. DCJ will forward a copy to the Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice.
aoio -e v
Colorado Division of Criminal Justice Page 2 of 2 Rev.9/2 1
•
of•COIO\
n, *) COLORADO DIVISION OF CRIMINAL JUSTICE
x`18764" STATEMENT OF GRANT AWARD (SOGA)
FEDERAL PROGRAM INFORMATION
CFDA Number: 16.588
Federal Agency: U.S. Department of Justice, Office on Violence Against Women
Federal Award Name&Number: S.T.O.P.Violence Against Women Act Formula Grants.
2009-WF-AX-0010, 2010-WF-AX-0028
Subgrantee Agency Name: District Attorney's Office, 19th Judicial District
Project Director: Ms. Jo Ann Holden
Project Director Address: P.O. Box 1167
Greeley, CO 80632
Grant Number: 29-VW-19-48
Project Title: Domestic Violence: Fast Track Program& Felony Domestic Violence
Grant Period: January 1,2011 -December 31, 2011
Date Issued: October 6,2010
In accordance with provisions of the Colorado Revised Statutes§24-33.5-502,the Division of Criminal Justice hereby awards a grant to the
above-named subgrantee. The attached grant application(Exhibit A),including Special Provisions and Certified Assurances,is incorporated
herein as a part of this document.
APPROVED BUDGET
Budget Category Federal Cash Match In-Kind Match Total
$51,598.00 $17,200.00 $0.00 $68,798.00
Personnel
Supplies and Operating $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
Travel
$0.00 $0.00 $0.00 $0.00
Equipment
$0.00 $0.00 $0.00 $0.00
* Professional Services
$51,598.00 $17,200.00 $0.00 $68,798.00
TOTAL AWARD AMOUNT
Purchase of equipment requires prior completion and approval of DCJ Form 13.
Professional services require prior completion and approval of DCJ Form 16.
YYYIIrNYYTUYYl1�lyYNUrYNYYYiYY1YYYlUYYUYNUUUIUf UU1UiLf\iLiUUi UUi\UN W U UU\UUUIUi\UUiUUii\\f i\\UUf 8f\iUYUYU W U\W UUUUU W UiUY U\I iiYYiiiiU
SPECIAL CONDITIONS:
1) Subgrantees must maintain current registration in the Central Contractor Registration (CCR)database, http://www.ccr.gov/. Subgrantee must
demonstrate that their agency has an active registration in the CCR database. In addition,the subgrantee acknowledges that it must renew this
registration annually.Failure to provide documentation or to renew CCR registration may constitute a default and DCJ may initiate Termination for
Cause procedures as referenced in Section B,#6(c)of the Special Provisions and Certified Assurances.
2) When a single position is funded by more than one funding source,the subgrantee shall inform the Office for Victims Programs if the total combined
funding received is more than 100%of the cost of the position,and shall resolve the allocation of funds to the satisfaction of the Division of Criminal
Justice.
3) This Statement of Grant Award(SOGA)provides one year of funding for this project. Upon compliance with all the programmatic and financial
requirements during the first year of approved funding,the sub-grantee will be issued another S0GA for a second year. Funding is contingent upon
the availability of federal funds.
Version 9-15-10 Page 1 of 3
•
Statement of Grant Award(SOGA)
INSTRUCTIONS
1. Grant activities must be based on the approved budget shown on page one of this Statement of Grant Award,and the approved
detailed budget(s)within the attached application, which supersedes any earlier budget request submitted, and which may be
different from the budget originally submitted in your application. The subgrantee must secure prior written approval from DCJ if
there is to be a change in any budget category(see DCJ Form 4-A).
2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary financial
reports.
3. The Subgrantee Agency affirms that the parties' agreement consists of a two-part document, the Statement of Grant Award
(SOGA),and Exhibit A,attached to the SOGA,which contains the Grant Application(including Project Summary,Budget and other
Documents), the Certifications, the State Special Provisions, the Grant Requirements, the Federal Certified Assurances, and
signatures of persons authorized to sign on behalf of the Subgrantee Agency on each part of the two-part document.
4. Review carefully the current applicable Administrative Guide of the Division of Criminal Justice for this grant program,that includes
procedures regarding this document, draw-down of grant funds, reporting requirements and requesting grant modifications.
5. This grant award shall be effective upon the final approval by the State Controller or designee. No payment shall be made pursuant
to the grant prior to State Controller approval.
6. This grant award may be voided in whole without further cause if it is not signed by the subgrantee's Authorized Official and
returned to the Division of Criminal Justice within 45 days of the date of issuance.
7. The signature of the Authorized Official below should be the same as the one on the grant application. The subgrantee must
promptly notify the Division of Criminal Justice of any changes in the Authorized Official, Project Director,or Financial Officer, by
completing and submitting DCJ Form 4-B. (If changes have already occurred, submit completed DCJ Form 4-B with this
document).
ADDITIONAL DCJ REQUIREMENTS
(1) Commencement within 60 Days. If the Division concludes that the project has not commenced within 60 days of the start date of
the grant period,the subgrantee must report the following by letter to the Division of Criminal Justice:
a. the steps taken to initiate the project;
b. the reasons for delay; and,
c. the expected starting date.
(2) Operational Within 80 Days. If the Division concludes that the project is not operational within 80 days of the original start date of
the grant period,the Division of Criminal Justice may begin termination or reduction in grant award proceedings as described in
"Special Provisions&Certified Assurances", Section entitled "Termination or Reduction in Grant Award."
(3) All subgrants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on the DCJ
quarterly narrative and financial reporting forms, which are provided with this SOGA. Technical assistance is available upon
request.
(4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended funds remaining
at the end of the grant period must be returned to the Division of Criminal Justice.
RETURN:
ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of Victims
Programs, S.T.O.P. VAWA Program, 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are
obtained, the white SOGA copy with approved application will be returned to your Project Director.
Version 9-15-10
Page 2 of 3
Statement of Grant Award(SOGA)
CMs# ai 1pit?
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
*Persons signing for Subgrantee hereby swear and affirm that they are authorized to act on Subgrantee's
behalf and acknowledge that the State is relying on their representation to that effect.
SUBGRANTEE: STATE OF COLORADO:
District Attorney's Office, 19th Judicial District BILL RITTER, JR. GOVERNOR
Legal Name of Subgrantee Agency
B oc d_ By:
*SI NATUR fAuthorized Official anne M. Smit/hgf� CT�
Colorado Division of Criminal Justice
ow-0 Kckaesivka.Q.c
LJ t Chu \c
Print Name & Title of Authorized Official
—1)0c-0 U-c \i‘MCA eov-tt cvrviv,“Anea
Date Signed: OCT 1 8 20101 U Date Signed: //—t3 "722
STATE OF COLORADO LEGAL REVIEW:
See Contract Routing Waiver#46
(or, if not waived)
John W. Suthers, ATTORNEY GENERAL
By:
Signature—Assistant Attorney General
Date Signed:
ALL CONTRACTS & SUBGRANT AWARDS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This subgrant award is not valid
until signed and dated below by the State Controller or delegate. If performance begins prior to the date below,
the State of Colorado may not be obligated to pay for the goods and/or services provided.
STATE CONTROLLER:
D
avid J. McDermott,
CPA
BY A A— \ 6
DATE L \ C
Version 9-15-10
Page 3 of 3
GeV& -a)vci)V
-.ON/1P EXHIBIT A OFFICE FOR VICTIMS PROGFI
1 ) APPLICANT AGENCY: DCJ USE ONLY
Legal Agency Name:District Attorney's Office, 19th Judicial Dts CY 2011 Funding
Doing Business As(dba): Weld County District Attorney's Office App# 11 -VU- l "i - 3 ..
Project Title: Domestic Violence: Fast Track Program&Ffitectihoej Grant* j;-1M - 1 1 _s vk
tf
Mailing Address:PO Box 1167 Award$ /1/7 S ?•�r� 51j---
-
__--_MAR 0 5 20100
Street Address: 915 Tenth Street New Applicant Agency
City/Town: Greeley Zip Code: 80632 Continuation Applicant Agency
County: Weld Judicial District: 19 SOURCE 2011 2012
Phone#:970 356-4010 Fax#:970 352-8023 VA
Federal Employer Identification#(FEIN): 846000813 VW
Data Universal Numbering System#(DUNS): 75757955 SV
Central Contractor Registration(CCR): ®Yes ❑ No TOTAL:
CCR Expiration Date(mm/dd/yyyy)_5/4/2010 CY 2012 Funding
2) PROJECT DIRECTOR: Grant*
Project Director Name:JoAnn Holden Award$
Position/Title:Director of Victim Services,Weld County District Attorney Note:Because this document is protectec
Phone#: 970 356-4010 X4747 Fax#:-9703528023 you cannot run spelicheck.
E-Mail:jholden@co.weld.co.us
3 ) TOTAL OVP FUNDS REQUESTED: $ 51,598
4A) TYPE OF AGENCY:
❑ Non-Profit Agency
® Government Agency
Check if applicable:
❑ Law Enforcement Agency ® DA's Office ❑Courts/Probation
❑ Other(please specify):
4B ) TYPE OF PROJECT(S): -
❑ Child Advocacy Center
❑ Court Appointed Special Advocate Project(CASA)
• Domestic Violence Project
® Domestic Violence Fast Track Staff
❑ Domestic Violence/Sexual Assault Investigator/Officer
❑ Domestic Violence/Sexual Assault Investigator/Prosecutor
❑ Sexual Assault Project
❑ Sexual Assault Nurse Examiner(SANE)/Sexual Assault Response Team
(SART) Project
❑ Statewide Coalition
❑ Victim Services Project
❑ Victim/Witness Project
❑ Other(please specify):
Crime Victim Services Funds I 2O1O APPLICA 1
OVp: °f;- ` . ' ,' „f. Qi�F10E-FaR Y#CTIM63f?72Q4RA`tS;4,,
5) AGENCY DESCRIPTION AND HISTORY:
The 19th Judicial District Attorney's Office is a government agency statutorily mandated to prosecute those charged with
committing crimes against the State of Colorado. The Victim Witness Assistance Unit is a department in the Weld County District
Attorney's Office and was established in 1980 to provide assistance to victims of crime as they become involved in the Criminal
Justice System. Presently,the Victim Witness Assistance Unit staff consists of 14 staff(13.25 FTE)working with victims of
felonies,misdemeanors, and traffic cases. Prior to 2006,the 19th JD Victim Witness Assistance Unit was understaffed resulting in
"reactive"support to victims,meaning that victims who contacted the Weld County District Attorney's Office or showed up to court
were assisted. There was little"proactive"outreach. The"reactive"response was not because of lack of dedication or diligence on
the part of the staff,but due to inadequate staff resources. The quality and quantity of Victim Witness Assistance Unit has
improved noticeably turning the past five years as the role of a Victim Witness Assistant has changed from providing reactive
service with no continuity to being with the victim from the initial filing of charges through trial and sentencing. The Victim Witness
Unit has been able to provide this enhanced support and service due to added financial support of the Weld County Commissioners,
increased funding from the VALE grant and continued VOCA and VAWA Grants.
• ) • - 9 "•
Grant dollars are being requested for District Attorney's Office Victim Witness Assistance Program to partially fund two Victim
Assistants who support and assist victims of domestic violence. The Criminal Justice System can be scary,confusing,and
frustrating. Victim Assistants help reduce the overwhelming feelings victims many times have by emotionally supporting victims,
educating victims about the court system,and providing the many referrals a victim needs when faced with becoming a victim of
domestic violence. Many times the Victim Assistants at the District Attorney's Office are the first victim assistance contact the
victim has had with a law enforcement agency.
The 19th Judicial District has had a dedicated misdemeanor domestic violence court since September 2001 to serve victims of
misdemenaor domestic violence with immediate intial contact. In February 2005,the program was renamed to Misdemeanor
Domestic Violence Fast Track Program when the Victim Witness Unit added a step of"meaningful consultation"to confer with the
victim about possible resolution of the case prior to the court hearing. The"meaningful consultation"includes getting input from
the victim as to what they would like to see happen in the case in conjunction with explaining the possibly penalties and the plea
agreement which will be offered by the Prosecutor.During the initial victim contact,the victim is also asked their position of bond,
and given Victim's Compensation,restitution information,safety planning,community resources, counseling referrals,and their
rights as victims of a crime. Whether the victim comes to the initial court hearing or not,the Prosecution is able to make a plea offer
to the defendant to ideally reach a disposition in the case if the Victim Assistant has had intial contact with the victim. This process
makes the defendant accountable and ordered into domestic violence treatment more quickly curtailing continued violence. Since
the initial contact with victims is usually the day after the incident,questions regarding modifying the Protection Orders are
addressed early and less victims are requesting the Protection Order later be modified. The Domestic Violence Fast Track Program
also support victims who appear in court for subsequent hearings(not just the initial hearing)and of course trials when the victim
must testify. The District Attorney's Office Victim Witness Assistance Program has 1.5 FTE Victim Asssitants working in County
Court to support all victims of misdemeanor and traffic cases. The .5 FTE is Spanish-bilingual. This grant application requests
funding for 65%of the full time Victim Assistant providing assistance to the misdemeanor domestic violence victims. VAWA
provided this percent of funding to the the Domestic Violence Fast Track Program in 2010..
In 2008,VOCA provided partial funding for a Victim Assistant to spend part of her time on the felony domestic violence cases
which at that time were all filed in one criminal court division. This enabled a proactive approach to victims of felony domestic
violence crimes, similar to the Domestic Violence Fast Track Program,rather than the minimal reactive interaction which had
previously been the norm due to inadequate staff resources. The Victim Assistant acts as a liaison between the victim and the
criminal justice system providing Victim's Rights information and education,referral to community services, updates on the status of
the prosecution, and support throughout the court process. The felony domestic violence felony cases are now filed in four criminal
court divisions and one Victim Assistant is assigned to each division.This grant application requests funding for 25%of one full
time Victim Assistant,who is Spanish bi-lingual ,to provide assistance to felony domestic violence victims in the division she is
assigned to and to Spanish speaking victims of felony domestic violence in all four of the divisions VAWA provided this percent of
funding for a Victim Assistant handling cases with victims of felony domestic violence in 2010.
Crime Victim Services Funds j 2010 APPLICAT4ON Q
ON/ ice ;` OFFICE Fon VICTIMS PROGRAMS
7) PROJECT PURPOSE AREAS:
{Victim Services: (If applicable,check only those that apply to your proposed project)
® Domestic Violence ❑ 72 Hour Response
❑ Adult Sexual Assault O Law Enforcement Victim Assistants for Protection
Order Enforcement
IL ❑ Emergency Services for Victims&Their Families ❑ Stalking
❑ Child Physical and Sexual Abuse O Services for Senior Crime Victims
❑ Assistance for Victims with Immigration Matters O Services for Disabled Women
❑ Access for Underserved and/or Underrepresented Victims O Services for Indian Tribes
❑ Statutorily Mandated to Implement the Victims Rights Act Statewide ❑ Services for Children who Witness Domestic Violence
❑ Specialized Advocacy
Training:(If applicable,check only those that apply to your proposed project)
❑ Training for Officers, Prosecutors O Training of Sexual Assault Forensic Personnel
❑ Judicial Education&Court Related Projects O Training& Protocols to address Police-Perpetrated
❑ Specialized Training Domestic Violence
I Systems Improvement:(If applicable,check only those that apply to your proposed project)
[❑ Specialized Units ❑ Coordinated Response to Domestic Violence
❑ Protection Order Enforcement ❑ Coordinated Response to Sexual Assault
❑ Policies, Protocols,Orders I D Multidisciplinary Coordinated Response
❑ Collaborative,Community-based System Improvement O Linked Data Collection &Communication Systems
^
❑ Model project that can demonstrate success and a plan for O Statewide/Multi-jurisdictional Impact
statewide replication
Crime Victim Services Funds 1 2010 ARM-IC*9V 3
Qv1P <t...� s F: ' +; ` a. OFFICE Faa VICTIMS.PROGRAMS
PR VI EASTATEMENT •FNEE9FIRTHEP- II P•SE ACTIVITIES INY•U.. C•MMUNITY.
Weld County's population of 249,775 has grown 5%from 2006-2008 and 38% from 2000 to 2008. The estimated Hispanic or
Latino population is 27.4% (U.S. Census Bureau—2008). Weld County's projected population growth for the next 15 years ranks
as 17th fastest in the nation, according to an analysis by the Denver business Journal's parent company. The analysis shows the
Greeley metro area,which encompasses all of Weld County,will grow 60.61 percente by 2025.(Greeley Tribune 6-4-2009)
Weld County Courts file an average of 840 misdemeanor domestic violence cases and 100 felony domestic violence cases per year.
Immediate contact with domestic violence victims is crucial to effectively prosecute the defendants in these cases whose victims
may later recant the seriousness of the violence. The Misdemeanor Domestic Violence Fast Track Program and having Victim
Witness Assistants handling victims of felony domestic violence is essential to having immediate contact with domestic violence
victims. Since 4%of the domestic violence victims only speak Spanish,three of the Victim Witness Assistants are Spanish-bilingual
so we are able to provide the same victim service whether the victim is English-speaking or Spanish-speaking.
Prior to 2005 when the Misdemeanor Domestic Violence Fast Track Program was instituted, Victim Assistants did not provide the
step of"meaningful consultation" with the victim. Only 15%of the cases reached a disposition at the first hearing,because the
Deputy District Attorneys were responsible for conferring with the victim and many times they did not have time to speak with
victims when there were a number of new cases, meaning the case had to be reset for another court hearing. Since implementing
the Misdemeanor Domestic Violence Fast Track Program,our initial victim contact rate has increased which in turn has increased
the rate of resolution of cases at the first hearing to an average of 28%. Resolving the case at the defendant's first court appearance
promptly sends the defendants to Probation who place them into state approved domestic violence treatment programs. Regardless
of the disposition at the initial court hearing,victims have more immediate victim assistance contact which provides much needed
resources and Criminal Justice System education to those most vulnerable because of the Victim Assistant's immediate contact.
Victims of felony domestic violence cases also come to court the day after the offense,but prior to 2008,we had no process in place
to know a new felony domestic violence case was being heard in court These victims would sit in crowded courtrooms with no one
to answer their questions unless a Victim Assistant happened to be in the courtroom for another matter. In 2008,we received a
VOCA Grant to fund part of one Victim Assistant to be assigned to the victims of felony domestic violence. A process was created
to identify all new felony domestic violence cases on the docket each day. Prior to 2008,the Deputy District Attorneys were
primarily responsible for victim contact which was not normally occuring at the first court hearing since the attorneys were busy
with a full docket. Since 2008, the Victim Assistant goes to court to make an initial victim contact if the victim attends. If the
victim does not attend, the Victim Assistant makes an outreach phone call. Immediate contact is crucial in supporting domestic
violence victims through the court system,and providing needed information and resources to those most susceptible during this
devastating time..
The funding requsted in this grant will enable the Weld County District Attorney's Office to continue their proactive, immediate
contact with victims of domestic violence.
Crime Services Funds C 2010 APPLIOA N
4
CIA/1P ,,
t'=�-`�': d1osIGE FOR VICTIMS PROGRAMS
-------
9 ) ANNUAL PROJECT DATA:
VICTIM SERVICES PROJECT DATA: Complete this section(Tables A&B)only if your project will provide DIRECT victim
services. Provide only the number of victims who will receive services from OVP grant funded personnel.
Table 9A:
NOTE: You must TAB through the numeric fields to activate the totaling function.
Est.# Type of Crime I Est.# Type of Crime(Continued)
Victims _ Victims
0 Child Physical Abuse 0 Survivors of Homicide Victims
0 Child Sexual Abuse 0 Disabled Women
0 Children Who Witness Domestic Violence 0 Vehicular Assault or Homicide,DUI/DWI Crashes,
571 Domestic Violence or Careless Driving Resulting in Death
0 Dating Violence 0 Robbery
0 Stalking 0 Assault
0 Adult Sexual Assault 0 Elder Abuse
0 Adults Molested as Children 1 0 Other Violent Crimes(See instructions):
TOTAL UNDUPLICATED VICTIMS ESTIMATED TO BE SERVED DURING THE 12-MONTH PERIOD s 571 :,....
Table 9B:
NOTE:No single entry/category in this table can exceed the TOTAL NUMBER OF VICTIMS in Table 9A.
Est.# Type of Services I Est.# Type of Services(Continued)
Victims Victims
�0 Civil Legal Advocacy/Court Accompaniment 0 Individual Therapy
0 Civil Legal Attorney Assistance 166 Information& Referral(in person)
348 Criminal Justice Support/Advocacy/Court 466 Information&Referral(by phone)
Accompaniment
58 Crisis/Counseling Intervention(in person) 38 Language Services(interpretation)
8 Crisis/Counseling Intervention(by phone) . 0 Shelter/Safehouse
0 Emergency Financial Assistance 0 Transitional Housing
544 Follow-up(in person, by phone,or written) 0 Transportation
0 Forensic Exam 571 Victim Compensation Assistance
_._H
0 Group Treatment/Support 30 Victim/Survivor Advocacy
0 Hospital/Clinic Response i 571 Victim Rights Act Services
Crime Victim Services Funds I 2010 APPLICAT o,N 5
I
QA/ P' #:,:, OFFICE FOR VICTIMS PROGRAMS
9 ) ANNUAL PROJECT DATA-CONTINUED:
Table:BC:
1 LAW ENFORCEMENT PROJECT DATA: Complete this I PROSECUTION PROJECT DATA: Complete this section only
section only if you are requesting funds for a Law if you are requesting funds for a Prosecutor or Investigator
Enforcement Officer or Investigator who will be responding , I who will be handling domestic violence, sexual assault,
I to domestic violence, sexual assault, stalking,and dating I stalking, and dating violence cases.A case should be
I violence cases/incidents. Complete only those that apply: I counted according to the most serious offense. Complete only
those that apply:
Est.# I Type of Services I Est.# Type of Cases
Cases/ 1 I Cases
Incidents
0 Calls for Assistance(911 &other) 0 Misdemeanor Sexual Assault
0 Incident Reports 0 Felony Sexual Assault
0 Cases/Incidents Investigated 0 Homicide Related to Sexual Assault, Domestic
Violence or Stalking
0 Arrests J 0 Domestic Violence/Dating Violence Ordinance
0 Dual Arrests j 0 Misdemeanor Domestic Violence/Dating Violence
0 Protection/Ex Parte/Temporary Restraining 0 Felony Domestic Violence/Dating Violence
Orders Served I
0 Arrests for Violation of Bail Bond 0 Stalking Ordinance
a
0 Enforcement of Warrants 0 Misdemeanor Stalking
-- 0--- Arrests for Violation of Protection Orders 0 Felony Stalking
0 Protection Orders Issued 0 Violation of Protection Order
0 Referrals of Cases to Prosecutor 0 Violation of Bail
0 1 Referrals of Federal Firearms Charges 0 Violation of Probation or Parole
to Federal Prosecutor `
---
0 Forensic Medical Evidence 0 Violation of Other Court Order
Crime Victim Services Funds ' 2010 APPLIC iiz' ` 6
QV FP - OFFICE FOR VICTIMS PROGRAMS
9) ANNUAL PROJECT DATA—CONTINUED:
Table 9D:
TRAINING PROJECT DATA: This table should only be completed if you are requesting funds for a FORMAL training project for
professionals/volunteers,primarily outside your agency,who work directly with victims.There are only two eligible categories
of training activities: 1)Training on domestic violence,sexual assault,stalking,and dating violence or; 2)Statewide or multi-
jurisdictional training pertaining to victim assistance.This DOES NOT include outreach trainings/presentations about your program,or
in-house staff/volunteer training. Refer to the Instructions for further details.
NOTE: You must TAB through the numeric fields to activate the totaling function.
,
Est.# 1 People Trained ' Est.# People Trained(Continued)
Trained Trained
0 'Advocacy Organization Staff 0 Military Command Staff
(NAACP, AARP)
-I -
0 Attorneys/Law Students(Non Prosecutors) I 0 Multidisciplinary Group
0 ^ Batterer Intervention Program Staff --- 0 Prosecutors
—
0 Correction Personnel (probation, parole,and 0 Sex Offender Treatment Providers
correctional facilities)
0 Court Personnel(judges,clerks) I 0 Sexual Assault Nurse/Forensic Examiners
0 Disability Organization Staff(non-governmental) 0 Social Service Organization Staff(food bank,
homeless shelter)
0 j Educators(teachers,administrators) 0 Substance Abuse Organization Staff
0 Elder Organization Staff(non-governmental) 0 Supervised Visitation and Exchange Center Staff
0 Faith-based Organization Staff 0 Translators/Interpreters
0 Government Agency Staff(vocational 0 Tribal Government/Tribal Government Agency
rehabilitation,food stamps,TANF)
0 Health Professionals(doctors,nurses—not 1 0 Victim Advocates(non-governmental, includes
including SANE or SAFE's) sexual assault,domestic violence and dual)
0 Immigrant Organization Staff(non-governmental) 0 Victim Assistants(governmental,includes victim-
witness specialists/coordinators)
0 Law Enforcement Officers I 0 Volunteers
-j
0 Legal Services Staff(not including attorneys) ! 0 Other(specify):
0 Mental Health Professionals
TOTAL NUMBER OF PERSONS TO BE TRAINED=0
Crime Victim Services Funds f 2010 APPLICATION 7
U1�lF' a �; , flFFf{SEnoa vfc�lrasprxo��ia� '`
10) UNDERSERVED/UNDERREPRESENTED POPULATIONS:
Please answer the following questions in the box below:
A. Describe the underserved/underrepresented population in the community you serve(e.g.the ethnicity of victims served,etc.).
How is the underserved population(s)determined?Cite your source(s).
B. State how you address the needs of the underserved/underrepresented populations in your community(e.g.the diversity of
staff,volunteers and/or board representation, etc.).
C. Is any portion of your project specifically designed to serve underserved and/or underrepresented populations?
t: Yes ❑ No
D. If you checked"Yes"above,what percentage of your grant request will be used to serve your underserved populations?
5%
A.Weld County's population is 249,775 with the estimated Hispanic or Latino population in of 27.4% (U.S. Census Bureau—
2008). In 2009,based on statistics keep by the Victim Assistants for grant reports,38%of the domestic violence cases filed in
Weld County Courts involved Hispanic or Latino victims and 4%of these victims were Spanish-speaking only.
B.Three of the Victim Assistants are Spanish-bilingual so we are able to provide the same victim service whether the victim is
English-speaking or Spanish-speaking.
C. &D. In 2009,the Victim Assistant handling the cases with victims of felony domestic violence had 5 Spanish-speaking only
victims.
rim Vi itvi' =rvi F } ' O1r APP -1 /
QVeFT" • .'. x. OFFICE FOR VICTIMS PROGRAMS
11 ) GOALS AND OBJECTIVES-PROJECT SPECIFICIMPACT:
When possible and appropriate,choose from the list of goals& objectives in the Instructions and the OVP Grant Guide.Goals should
be limited to three,with no more than three objectives for each goal.Your objectives must be measurable and related to the
personnel positions)/professional services or consultant(s)requested in your Total 12-Month Budget(see page 12).
Enter agency name:District Attorney's Office, 19th Judicial Dis
Section 11A:
GOAL 1: The 19th Judicial District Attorney's Office will provide effective assistance to victims of misdemeanor domestic violence
through the Domestic Violence Fast Track Program.
Objective 1:The County Court Victim Assistant will provide services to 546 new primary victims(GRANT FUNDED PORTION)
from filing of charges through the prosecution of the criminal case during the 12 month grant cycle.
T
Position Title(s):County Court Victim Assistant I Position#(s): 1
Objective 2:The Domestic Violence Fast Track Program will conduct"meaningful consultation" with 70%of the victims the next
working day after the offense to attempt to resolve 28%of the cases at the first court hearing,thereby getting the defendant in
treatment and supervised quickly.
Position Title(s): County Court Victim Assistant I Position#(s): 1
Objective 3:Achieve an 80%approval rating on returned victim surveys evaluating client satisfaction and uncover positive and
negative aspects of the programs and any need for change.
Position Title(s): County Court Victim Assistant I Position#(s): 1
GOAL 2: The 19th JD DA's Office will provide effective assistance to victims of felony adult domestic violence victims including
support throughout the court process
Objective 1:The District Court Victim Assistant will provide services to 30 new primary victims(5 of them Spanish speaking only)
(GRANT FUNDED PORTION)from filing of charges through the prosecution of the criminal case during the 12 month grant cycle.
Position Title(s):District Court Victim Assistant Position#(s):2
Objective 2:Achieve an 80%approval rating on returned victim surveys evaluating client satisfaction and uncover positive and
negative aspects of the programs and any need for change.
Position Title(s):District Court Victim Assistant Position#(s): 2
Objective 3:
Position Title(s): I Position#(s):
Crime Victim Services Funds I 2010 APPLICA s -N 9
1
QA/p ;, OFFICE FOR VICTIMS PROGRAMS
11 ) GOALS AND OBJECTIVES- PROJECT SPECIFIC.(MPACT-CONTINUED:
GOAL 3:
Objective 1:
Position Title(s): iI Position#(s):
Objective 2:
Position Title(s): T Position#(s):
Objective 3:
Position Title(s): Position#(s):
Crime Victim Services Funds 2010 APPLICA'.°i'; K''' 10
• B OFFICE FOR VICTIMS PROGRAMS•
11 ) G•ALS AN' • -JECTIVES—P• •JECT SPECIFIC IM ACT—C•NTINUE•
Section 11B:
Project specific impact: Refer to the Instructions for important information on how to complete this item.
1) Please state the intended impact of the project goals and objectives.
The 19th Judicial District Attorney's Office will provide effective assistance to victims of domestic violence by providing Victim's
Rights information and education,referral to community services,updates on the status of the prosecution and support throughout
the court process.
Victims felt their contact with the court system was positive under the circumstances.
Victims felt their Victim Assistant was accessible by phone.
Victims felt that what would happen at court hearings was explained adequately to them and that they were aware of their victim
rights at each critical stage of the court process.
2) Please provide the impact data collection methods to be used.
Client Survey using a 5-point scale("Not at all helpful to Extremely helpful).
Client Survey giving victim opportunity to make additional comments or contact the Project Director by phone with comments.
Documentation by Victim Assistants of victim contacts(in person and on the phone)which indicate victims questions which were
answered and notification of the Criminal Justice Process.
Statistical information compiled by Victim Assistants indicating result of goal to have "meaningful consultation" with 70%of the
victims the next working day after the offense to attempt to resolve 28%of the cases thereby getting the defendant in treatment and
supervised quickly.
Ct`IrrJ$-`Victim $ervic.os Fun Os I 21110 IC.�s ..._ __ 11
ON/p` OFFICE FOR VICTIMS PROW:IAMB
12) TOTAL 12-MONTH BUDGET— Calendar year,January tto December 31
Enter agency name: District Attorney's Office, 19th Judicial Dis
NOTE: You must TAB through the numeric fields to activate tine totaling function.
12A: Personnel Request:
Position 1: Title:County Court Victim Assistant DC.,Staff.Use Only
Name: Laurie Hammer
t Total# hours per week this position works for the agency(max=40 hrs):40
IAnnual Budget Amount requested Amount from all other
from OVP sources for this position
Salary $40,558 $26,363 List Sources:VALE Grant,VALE Admin —�
Fringe/Benefits dollars,VAWA Grant,VAWA Match
g $ 17,440 $ 11,336
Totals: $57,998 $37,699 1 Total from all other sources:$20,299
Position 2: Title: District Court Victim Assistant DCJ Staff Use Only
Name: Erma Portillo
Total#hours per week this position works for the agency(max=40 hrs):40
Annual Budget Amount requested Amount from all other
from OVP sources for this position
Salary $41,800 — $ 10,450 List Sources:County Funding,VAWA,
`--- VAWA Match
Fringe/Benefits $ 13,794 $ 3,449
Totals: $55,594 $13,899 Total from all other sources:$41,695
Position 3: Title: DCJ Staff Use Only
Name:
Total#hours per week this position works for the agency(max=40 hrs):
Annual Budget Amount requested Amount from all other
from OVP sources for this position
Salary $ S List Sources: •
Fringe/Benefits $ $
Totals: $0 $0 Total from all other sources:$
Position 4: Title: DCJ Start Use Only
Name: _
Total#hours per week this position works for the agency(max=40 hrs):
Annual Budget Amount requested Amount from all other
from OVP sources for this position
Salary $ -'$ List Sources:
Fringe/Benefits $
6 {
Totals: $0 $0 Total from all other sources:$ �J
TOTAL OVP Personnel Funds Requested: $51,598
Crime Victim Services Funds .1 2010 APPLIt; a• •
12
ICYV p _. < :� ... ?OFFICE FOR VICTIMS PROGRAMS
12 )TOTAL 12-MONTH BUDGET—Calendar year, Ja ry 1 to December 31 —CONTINUED:
12A: Personnel Request—Continued:
If you are requesting funding for PERSONNEL, you must fully explain and justify the need for the current request.
Position#1: County Court Victim Assistant is a continuation of a previously funded VAWA position to perform the daily duties of
the Domestic Violence Fast Track Program which includes direct victim contact,support in court, follow-up information with
victims, and trial support as referenced in Goal 1. This person works a total of 40 hours a week for this agency and this request is
for 65%of her 40 hour a week position in salary and benefits.
Salary$40,558 x .65 OVP=$26,363. This includes an estimated 3%Cost of Living Adjustment increase of $592.00 X .65 OVP
request= $384.80
Benefits$11,336:
FICA($1505),Medicare($351), Health($6860), Life($172), Disability($86), Retirement $2362
$11,336 is .65%of total benefits of$17,440
Position#2: District Court Victim Assistant is a continuation of a previously funded VAWA position to perform the daily duties of
supporting domestic violence victims of felony crime in one courtroom and all Spanish-speaking bi-lingual victims of felony
domestic violence as referenced in Goal 2.The person in this position works a total of 40 hours a week for this agency and this
request is for 25%of the 40 hours a week in salary and benefits
Salary$41,800 X.25 OVP= $10,450. This includes an estimated 3%Cost of Living Adjustment increase of
$330 X.25 OVP request=$82.50
Benefits$3,449:
FICA($629),Medicare($148), Health($1588), Life($68), Disability($35), Retirement $981
$3,449 is.25%of total benefits of$13,794
x ,°rimeWC" Services FundS 2010 APPLICA' ` 13
OV7P ; OFFICE FOR VICTIMS PROGRAMS
12 )TOTAL 12-MONTH BUDGET-Calendar year,January 1 to December 31 -CONTINUED:
NOTE: You must TAB through the numeric fields to activate(!Te totaling function.
12B: Supplies & Operating Expenses: ;.
List Requested Operating Expenses Annual Amount Amount Available/
Amount Requested Anticipated from
from OVP Other Sources
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
Total OVP Supplies&Operating Funds Requested: $0 $0 $0
If you are requesting funding for SUPPLIES&OPERATING,you must fully explain and justify the need for the current request.
Crime Victim Services Funds j 2010 APPLICA ';.N 14
CIV1POFFICE FOR VICTIMS PROGRAMS
12)TOTAL 12-MONTH BUDGET-Calendar year,January 1 to December 31 -CONTINUED:
NOTE: You must TAB through the numeric fields to activate the totaling function.
12C:In-State Travel:*
Itemize Request Annual Amount Amount Available/
(Transportation, Per Diem,etc.) Amount Requested Anticlpatedfrom
from OVP Other Sources
Total OVP In-State Travel Funds Requested: $0 $0 $0
If you are requesting funding for IN-STATE TRAVEL*,you must fully explain and justify the need for the current request.
(*See instructions)
12D: Equipment(durable, single item $5,000 & over):
List Requested Equipment Expenses Annual Amount Amount Available/
Amount Requested Anticipated from
from OVP Other Sources
$ $ $
$ $ $
Total OVP Equipment Funds Requested: $0 $0 $0
If you are requesting funding for EQUIPMENT, you must fully explain and justify the need for the current request.
Ceime Victim Services Funds I 2010 APPLICA 15
,,•� r r r , sy* ,..
C3VF OFFICE FOR y1CT1fvis PROGRAMS
d2)T•TAt.12-M•NTH =U1GET—Calen• rye'r, Jans} f1t• Iecember3l -CsNTINUE�:
NOTE: You must TAB through the numeric fields to activats the totaling function.
12E Professional Services/Consultants:
Professional Services/Consultants Total Hourly *of Hours Amount
Rate of Pay to be Worked Requested
on This Project from OVP
_.... $ Hrs. . $ . .. ...
$ Hrs $
$ Hrs $
— $ Hrs $
$ Hrs $
Total OVP Professional Services/Consultants Funds Requested: $0
If you filled out any of the boxes for PROFESSIONAL SERVICES/CONSULTANTS,you must fully explain and justify, both the need
and the rate of pay,for the current request. Please note that professional services expenditures require prior approval by DCJ (use
Form 16).
12F: •V` GrantR uestSummary(Thisch.rtsummarizes =IId•ilar •yc•te• •ry):
NOTE: This table automatically fills from other tables.
Budget Categories OVP Grant Request
Personnel $51,598
Supplies&Operating $ 0
In-State Travel $0
Equipment $0
Professional Services/Consultants $0
I Total 0VP Funds Requested: ;$51,598
Crime,V tirr Services Funds I 2010 APPLIOA7a _-, 16
Q11 , . OFFICE FOR VICTIMS PROGRAMS,
13) NECESSARY FUNDING INFORMATION: t' `
NOTE:Section 13A OR 138 must be completed.
Section 13A:
CONTINUATION Applicants Only: Briefly summarize the reasons for the differences between this application and your current OVP
grant award(VOCA,VAWA and/or State VALE)for each budget item requested.
Personnel 2010 VAWA 2011 requested VAWA DIFFERENCE
Grant Funding Grant Funding
County Victim Assistant—Hammer $36,566 $37,699 $1,133
District Victim Assistant—Portillo $13,824 $13,898 $ 74
TOTAL $50,390 $51,597 $1,207
There is a slight difference$1,207 based on possible Cost of Living Adjustment. The Projects are the same as the 2010 VAWA
Grant with the same percentages for the costs of the Victim Assistants
Section 13B:
NEW Applicants Only: If not currently receiving OVP grant funds(VOCA, VAWA and/or State VALE),you must describe how the
requested budget items are currently being funded.
Crime Victim Services Funds I 2010 APPLICA ,•N 17
QV p OFFICE FOR VICTIMS PROGRAMS
14) MATCH
For purposes of this application, demonstrate the ability to provide match to be used for project related activities.To calculate match,
divide your total OVP fund requested by 3. Remember,federal funds cannot be used for match. For additional information, refer to
the instructions.
NOTE: You must TAB through the numeric fields to activate the totaling function.
PERSONNEL MATCH(Employees/volunteers of the applicant agency) r Cash In-Kind
Employee/Volunteer/Job Position(Full Time Equivalent)
Laurie Hammer-County Court Victim Assistant $ 12,566 $
Erma Portillo-District Court Victim Assistant $4,634 $
$ $
Fringe Benefits $ $
Subtotal $ 17,200 $0
Source of Match:
SUPPLIES AND OPERATING MATCH Cash In-Kind
(Copying,rent, phone,tuition, registration fees and other items under$5,000)
$ $
$ $
Subtotal $0 $0
Source of Match:
OTHER Cash In-Kind
In-State Travel Match $ $
Equipment Match
Professional Services/Consultants Match $ $
Source of Match:
TOTAL MATCH: $17,200 $0
15) OVP GRANT BUDGET SUMMARY:
NOTE: This table automatically fills from other tables.
Budget Categories OVP Funding Cash Match In-Kind Match Totals
Request
Personnel $51,598 $ 17,200 $0 $68,798
Supplies&Operating $0 $0 $0 $0
In-State Travel $0 $0 $0 $0
Equipment $0 $0 $0 $0
Professional Services/Consultants $0 $0 $0 $0
TOTALS $51,598 $17,200 $0 $68,798
Crime Victim Services Funds I 2010 APPLICATION 18
Q r r OFFICE FOR VICTIMS PROGRAMS
'
16) TOTAL AGENCY REVENUES AND EXPENSES' ' •
i NOTE:Section 16A AND 166 must be completed by non-prc rit non-governmental agencies only.
NOTE: You must TAB through the numeric fields to activate the totaling function.
Section 16A: Total agency revenue and expenditures for the last completed fiscal year:
Beginning date(mm/ddlyyyy): Ending date(mm/dd/yyyy):
REVENUE Amount EXPENDITURES Amount
VOCA $0 Personnel Salaries $0
VAWA $ Personnel Taxes $0
FVPSA/DAAP/TANF $0 Personnel Benefits $0
City Government $0 Professional Services $0
Local VALE: Accounting Services(i.e., Payroll) $0
JD# 19 $ Attorneys Fees $0
JD#_ $0 Translation/Interpretation Services $0
JD# $0 Equipment(copiers,fax machines,computers) $0
JD# $0 Rent/Mortgage $0
State VALE $0 Utilities $0
County Funding $ Maintenance/Repair $0
United Way $0 Telephone $0
Corporate/Foundation Grants $0 Answering Service $0
Local Fundraising Activities/Events $0 Insurance $0
Donations $0 Fundraising Expenses $0
Client Fees $0 Audit/Financial Review $0
Investment Income $0 Staff Travel $0
State Government Funding _$0 Staff, Board&Volunteer Training/Development $0
Other Federal Funds— $0 Program Supplies&Materials $0
Specify:
Project Income $0 Office Supplies $0
(i.e.,educational trainings/materials,etc.)
SA Prevention Funds $0 _ Advertising $0
Other: $ — Postage $0
Other: $ Duplication/Printing $0
Other: T _ T $0 ~~ Books&Subscriptions $0
Other: $0 Memberships $0
Other: $0 Computer Consultants $0
Other: $0 Client Services(food,motel,transportation,etc.) $0
Other: $0 Client Services $0
Other: $0 Bank/Finance Fees $0
Other: $0 Newsletter/Education $0
Other: $0 Depreciation $0
Other: $0 Other: $0
TOTAL: $0 TOTAL: ' $0
Crime Victim Services Funds j 2010 APPLtCAtA• 19
QVp •.t u! OFFICE FOR VICTIMS PROGRAMS
16) T•TAL GENGY 'EVENUES AN s EX•ENSES— a}I�SII UE i
Section 16B: (Non-profit agencies only)
Please explain the percentage of your agency's budget used for crime victim services.
17) DIVERSIFICATION OF FUNDING:
Please list all sources of funding that you have solicited or plan to solicit(government, local VALE,foundations,etc)in CY 2010.
Include the time period in which these funds would be available. Indicate any funding reductions your agency experienced which will
affect your revenues in CY 2010.
The DA's Office Victim Witness Assistance Unit is presently funded January 1,2010 through December 1,2010:
Weld County Commissioners=50%;
VALE Administration funds= 13.5%;
COMP Administration funds=10.5%;
VAWA Grant=8%
VALE Grant=18%
The VALE and COMP Administration dollars have been decreasing over the past year and a half which has resulted in a request
from the 19th JD VALE Grant to increase their percentage to 20%starting July 1,2010.
Crime Victim SerVces Funds I 2010 APPLIC 44; 20
OVp d • OFFICE FOR VICTIMS PROGRAMS
18) FINANCIAL MANAGEMENT:
To be eligible for federal/state funds,your agency must be able to demonstrate the ability to comply with financial requirements.
A. What is the fiscal year covered by your most recent audit or financial review?
Enter start and end dates(mm/dd/yyyy): 1/1/2008 to 12/31/2008
Include one copy of your most recent audit or financial review, including any management report or
other auditor comments in the appendix. Also,if there were findings,please attach the audit
resolutions and/or corrective action plan.
®Yes O No B. Did your agency expend$500,000 or more from combined federal sources during the fiscal year of your
most recent audit? If"yes",be sure to include the A-133 Single Audit Report with your financial audit.
C. Please respond to the following questions about whether your accounting system meets the criteria for
managing federaVstate grant funds.(These questions cover areas that will be monitored by DCJ staff.
They are not intended to be all inclusive and do not substitute for the agency's responsibility to meet all
i ! federal and state requirements for these grant funds.)
®Yes ❑No Does your accounting system separate ALL revenues and expenditures by funding source?
Yes ❑No Does your system track revenues and expenditures for each grant award separately through a
sub-ledger system?
®Yes ❑ No Does your system allow expenditures to be classified by the broad budget categories listed in the budget
in your application,i.e. Personnel, Sicpplies and Operating,Travel, Equipment and Professional Services?
®Yes ❑ No Do you reconcile sub-ledgers to your general ledger at least monthly?
®Yes O No Do you mark your invoices with the grant number?
®Yes ❑ No Do you maintain time sheets,signed by the employee and supervisor for each employee paid by DCJ
grant funds?
®Yes O No ❑N/A Does your accounting system have the ability to clearly identify the funds and amount used as a cash match?
❑Yes O No ® N/A If you will be using in-kind match such as volunteer hours,can you clearly document how you will keep
track of the match that you will be reporting on your quarterly financial report?
®Yes O No Do you have written financial policies and procedures in place?
Yes O No Do you have accounting internal controls in place, such as separation of duties,two signatures on certain
checks, reconciliations or other reviews?
®Yes O No O N/A Are you able to ensure that you will not be using these grant funds to provide services that will be paid by
Victim Compensation?
❑Yes I I ®N/A Will this grant funded project generate income?
®Yes ❑No Will you use your accounting system data to prepare your quarterly financial reports for DCJ?
0 Yes O No Will you reconcile your accounting system data with your quarterly financial reports for DCJ?
•
D. If you answered NO to any of the questions above,please provide an explanation.
---------------
Crime Victim Services Funds 2010 APPLICAT •N 21
QV � ,<;< OFFICE FOR VICTIMS PROGRAMS
; • • ► • ; • -_ ' AGENCIES ONLY:
If you are NOT a prosecution, law enforcement or courts agency. skip to question#20.
Prosecution,law enforcement and courts agencies must consult with victim services agencies in developing their grant applications to '
ensure that the proposed activities are designed to promote safety, confidentiality, and economic independence of victims.This
includes victim services projects within prosecution,law enforcement,and courts agencies.Check,if appropriate.
® Prosecution Agency O Law Enforcement Agency ❑Courts Agency
If checked, indicate below which victim services agencies were consulted in developing this application:
Agency Name Agency Contact Describe the Consultation Process
&Phone Number (See instructions)
A Woman's Place (AWP) Fawn Harmon The DA Victim Assistants and Fawn Harmon meet every
970 351-0476 six weeks to update,network, and train on domestic
violence issues. We refer victims to A Woman's Place
Legal Advocacy Program which is located in the
courthouse to obtain civil protection orders.
Colorado Legal Services Debora Wagner The Project Director meets with staff from Colorado
970 353-7554 Legal Services at the quarterly CCVC Meeting. We refer
domestic victims to Colorado Legal Services for help with
divorces,child custody matters,eviction issues and any
other legal issue which is presented.
20) COMMUNITY COORDINATION:
List three agencies with which your project staff will be coordinating most frequently. DCJ reserves the right to contact the
agencies listed.
Agency Name Agency Contact Describe Coordinatioln,of Activities
&Phone Number (See instructions)..
A Woman's Place Fawn Harmon The Victim Witness Assistance Unit refers victims of
970 351-0476 domestic violence for shelter, couseling,Hopeline phones,
and assistance in obtaining civil protection orders.
_______
Probation Victim Services Sheri Mann The Victim Witness Assistance Unit refers victims of
970 392-4589 X5846 domestic violence for continual victim notification while
the defendant is on Probation.
Greeley Police Department Victim Dave Beckman The Victim Witness Assistance Unit coordinates with
Assistance 970 350-9667 Greeley Police Department on new domestic violence
cases to promote a continuous support to the victim from
crime to the court system.
Crime Victim $ervices Funds f 2010f APPIICA «Ni 22 •
QV OFFICE +`on VICTIM a,RAti
21) MEMORANDUMS OF UNDERSTANDING OR AGREEMENT:
If you have active memorandums of understanding or agreement that are relevant to this request, list the name of the agency and
Ibriefly describe the terms of the agreement. Do not attach the memorandums to the application,but have available upon request.
Agency Terms of Agreement
Coordinating Committee for Victims of Crime agencies: Agencies in Weld County sign a Coordination Agreement yearly
to formalize their joint commitment to work with each other
Weld County Probation Victim Services,c.a.r.e.-Child seeking to achieve the most effective delivery of crime victim
Advocacy and Resource Educations,Area Agency on Aging, !services
Colorado Legal Services,Weld County Law Enforcement Victim I
Services Unit,Sexual Assault Survivor's Inc, 19th JD District
Administrator's Office, Greeley Police Department Victim
Assistance,A Woman's Place,Catholic Charities,
UNC Adult Survivors Advocacy Program,A Kid's Place,
Intervention,ICCS,Mentors and Friends„Weld County Legal
Services and the District Attorney's Office Victim Assistance
i Program.
l
22) VRA:
Please list the date of the last VRA training that was provided to your program staff(mm/dd/yyyy):
I 7/30/2009
Name and Title of the individual who provided the training?
LDan Griffin,COVA Trainer —
23) VICTIM'S COMPENSATION:
Please list the date of the last Victim's Compensation training that was provided to your program staff(mm/dd/yyyy):
4/9/2008
Name and Title of the individual who provided the training?
Karol Patch,Victim Compensation Coordiantor for 19th JD
Crime Victim Services Funds I 2010 APPLICATION 23
Special Provisions and Certified Assurances Page 1 of 11
' Special Provisions&Certified Assurances must remain attached to the application
CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY:
1V( Inter-Governmental Grant
Grant to a Colorado State Agency (Section A does not apply)
Grant to a Unit of Local Government,Tribal Government,or Special District.
n Grant to a Non-Profit,Private Organization(Non-Governmental)
The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing
legislation as indicated below;that all information contained in the application is correct;that there has been appropriate coordination
with affected agencies; and,that the applicant will read,understand and comply with all provisions of the governing legislation and all
other applicable federal and state laws, rules and regulations that have been or may hereafter be established. The applicant further
understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the grant
conditions set forth in the Statement of Grant Award, and in the current applicable Administrative Guide of the Division of Criminal
Justice.
GOVERNING LEGISLATION FOR THIS GRANT PROGRAM-
Violence Against Women Act Funds (VAWA). From the United States Department of Justice, Office of Justice Programs, under
federal statutory authority 42 U.S.C., Chapter 46, Section 3711, et seq., as amended, and under applicable program rules and
regulations established by the federal program office.
A. STANDARD STATE SPECIAL PROVISIONS
Revised 1-1-09
1. CONTROLLER'S APPROVAL.CRS 24-30-202(1)
This subgrant award shall not be valid until it has been approved by the Colorado State Controller or designee.
2. FUND AVAILABILITY.CRS 24-30-202(5.5)
Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being
appropriated,budgeted, and otherwise made available.
3. GOVERNMENTAL IMMUNITY.
No term or condition of this subgrant shall be construed or interpreted as a waiver, express or implied, of any of the
immunities, rights,benefits, protection, or other provisions, of the Colorado Governmental Immunity Act, CRS §24-10-101,
et seq.,or the Federal Tort Claims Act,28 U.S.C. §§1346(b)and 2671 ,et seq. as applicable now or hereafter amended.
4. INDEPENDENT CONTRACTOR.
(THIS PROVISION IS NOT APPLICABLE TO GRANTS TO COLORADO STATE AGENCIES):
THE SUBGRANTEE AGENCY SHALL PERFORM THE DUTIES FUNDED UNDER THIS GRANT AS AN
INDEPENDENT CONTRACTOR AND NOT AS AN EMPLOYEE OF THE STATE. NEITHER THE SUBGRANTEE
AGENCY NOR ANY AGENT, SUB-CONTRACTOR, OR EMPLOYEE OF THE SUBGRANTEE AGENCY SHALL BE
OR SHALL BE DEEMED TO BE AN AGENT OR EMPLOYEE OF THE STATE BY VIRTUE OF THIS SUBGRANT.
SUBGRANTEE AGENCY SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX
AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS GRANT. SUBGRANTEE AGENCY
ACKNOWLEDGES THAT THE SUBGRANTEE AGENCY AND ITS EMPLOYEES ARE NOT ENTITLED TO
UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE SUBGRANTEE AGENCY OR THIRD PARTY PROVIDES
SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE.
SUBGRANTEE AGENCY SHALL NOT HAVE AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE
TO ANY AGREEMENTS,LIABILITY, OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. IF
THIS GRANT PROVIDES FUNDS FOR ANY PERSONAL SERVICES, SUBGRANTEE AGENCY SHALL PROVIDE
AND KEEP IN FORCE WORKERS COMPENSATION (AND SHOW PROOF OF SUCH INSURANCE) AND
UNEMPLOYMENT COMPENSATION INSURANCE IN THE AMOUNTS REQUIRED BY LAW AND SHALL BE
SOLELY RESPONSIBLE FOR ITS ACTS OF ITS EMPLOYEES, INDEPENDENT SUB-CONTRACTORS AND
AGENTS.
�l !C VS'7
•
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Special Provisions&Certified Assurances must remain attached to the application
5. COMPLIANCE WITH LAW.
The Subgrantee Agency shall strictly comply with all applicable federal and State laws,rules, and regulations in effect or
hereafter established,including,without limitation, laws applicable to discrimination and unfair employment practices.
6. CHOICE OF LAW.
Colorado law, and rules and regulations issued pursuant thereto, shall be applied in the interpretation, execution, and
enforcement of this subgrant. Any provision included or incorporated herein by reference, which conflicts with said laws,
rules, and regulations shall be null and void. Any provision incorporated herein by reference which purports to negate this or
any other Special Provision in whole or in part shall not be valid or enforceable or available in any action at law, whether by
way of complaint, defense, or otherwise. Any provision rendered null and void by the operation of this provision shall not
invalidate the remainder of this subgrant,to the extent capable of execution.
7. BINDING ARBITRATION PROHIBITED.
The State of Colorado does not agree to binding arbitration by any extra-judicial body or person. Any provision to the
contrary in this subgrant award or incorporated herein by reference shall be null and void.
8. SOFTWARE PIRACY PROHIBITION.(Governor's Executive Order D 002 00)
State or other public funds payable under this subgrant shall not be used for the acquisition, operation, or maintenance of
computer software in violation of federal copyright laws or applicable licensing restrictions. The Subgrantee Agency hereby
certifies and warrants that, during the term of this subgrant and any extensions, the Subgrantee Agency has and shall maintain
in place appropriate systems and controls to prevent such improper use of public funds. If the State determines that the
Subgrantee Agency is in violation of this provision, the State may exercise any remedy available at law or equity or under
this Subgrant, including, without limitation, immediate termination of the Subgrant and any remedy consistent with federal
copyright laws or applicable licensing restrictions.
9. EMPLOYEE FINANCIAL INTEREST/CONFLICT OF INTEREST CRS§§24-18-201 &CRS 24-50-507.
The signatories aver that to their knowledge, no employee of the State has any personal or beneficial interest whatsoever in
the service or property described in this subgrant award. The Subgrantee Agency has no interest and shall not acquire any
interest,direct or indirect, that would conflict in any manner or degree with the performance of Subgrantee Agency's services
and Subgrantee Agency shall not employ any person having such known interests.
10. VENDOR OFFSET.CRS §§24-30-202 (1)&CRS 24-30-202.4 [Not applicable to intergovernmental grants]
Subject to CRS §24-30-202.4 (3.5), the State Controller may withhold payment under the State's vendor offset intercept
system for debts owed to State agencies for: (a)unpaid child support debts or child support arrearages; (b)unpaid balance of
tax, accrued interest, or other charges specified in CRS §39-21-101, et seq.; (c) unpaid loans due to the Student Loan
Division of the Department of Higher Education; (d)amounts required to be paid to the Unemployment Compensation Fund;
and(e)other unpaid debts owing to the State as a result of final agency determination or judicial action.
11. FEDERAL FUNDING.
This subgrant is subject to and contingent upon the continuing availability of federal funds for the purposes hereof
12. PUBLIC CONTRACTS FOR SERVICES. CRS §8-17.5-101. [Not Applicable to agreements relating to the offer,
issuance, or sale of securities, investment advisory services or fund management services, sponsored projects,
intergovernmental agreements, or information technology services or products and services] The Subgrantee Agency
certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work
under this subgrant and will confirm the employment eligibility of all employees who are newly hired for employment in the
United States to perform work under this subgrant,through participation in the E-Verify Program or the Department program
established pursuant to CRS §8-17,5-102(5)(c), the Subgrantee Agency shall not knowingly employ or contract with an
illegal alien to perform work under this subgrant or enter into a contract with a subcontractor that fails to certify to the
Subgrantee Agency that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under
this subgrant. The Subgrantee Agency (a) shall not use E-Verify Program or Department program procedures to undertake
pre-employment screening of job applicants while this subgrant is being performed, (b) shall notify the subcontractor and the
contracting State agency within three days if the Subgrantee Agency has actual knowledge that a subcontractor is employing
or contracting with an illegal alien for work under this subgrant, (c) shall terminate the subgrant if a subcontractor does not
stop employing or contracting with the illegal alien within three days of receiving the notice, and (d) shall comply with
reasonable requests made in the course of an investigation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado
Department of Labor and Employment. If the Subgrantee Agency participates in the Department program, the Subgrantee
Agency shall deliver to the contracting State agency, Institution of Higher Education or political subdivision a written,
notarized affirmation, affirming that the Subgrantee Agency has examined the legal work status of such employee, and
September 2010
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Special Provisions&Certified Assurances must remain attached to the application
comply with all of the other requirements of the Department program. If the Subgrantee Agency fails to comply with any
requirement of this provision or CRS §8-17.5-101 et seq., the contracting State agency, Institution of Higher Education or
political subdivision may terminate this subgrant for breach and, if so terminated, the Subgrantee Agency shall be liable for
damages.
13. PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Subgrantee Agency, if a natural person
eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or
otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-
76.5-101 et seq., and(c)has produced one form of identification required by CRS§24-76.5-103 prior to the effective date of
this subgrant.
B. GRANT REQUIREMENTS
1. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that fund accounting, auditing,monitoring, evaluation procedures and such records
as necessary will be maintained to assure adequate internal fiscal controls, proper financial management, efficient
disbursement of funds received, and maintenance of required source documentation for all costs incurred. These
principles must be applied for all costs incurred whether charged on a direct or indirect basis.
b. All expenditures must be supported by appropriate source documentation. Only actual, approved, allowable
expenditures will be permitted.
c. The Subgrantee Agency assures that it will comply with the provisions of the current applicable Administrative
Guide of the Division of Criminal Justice which is hereby incorporated by reference. However,such a guide cannot
cover every foreseeable contingency, and the Subgrantee Agency is ultimately responsible for compliance with
applicable state and federal laws,rules and regulations.
2. PAYMENT&REPORTING
a. The Division of Criminal Justice will pay the Subgrantee Agency the reasonable and allowable costs of
performance, in accordance with current Colorado State Fiscal Rules,not to exceed the amount specified herein as
the Total Award Amount,as identified in the Statement of Grant Award.
b. The Division's requirements for invoice cost reporting submissions are contained in the DCJ Form 3 -Cash Request
Procedures, and DCJ Form 1-A-Subgrant Financial Report,which are hereby incorporated by reference.
c. The Subgrantee Agency assures that it shall maintain data and information to provide accurate quarterly program
narrative and financial reports to the Division. Said reports shall be provided in such form and contain such data and
information as the Division of Criminal Justice reasonably requires to administer the program.
d. The Subgrantee Agency assures that quarterly financial and narrative reports shall be submitted within 15 days of
the end of each calendar quarter and shall be current and actual.
e. The Subgrantee Agency further assures that final financial and narrative reports shall be submitted on the forms
provided by the Division of Criminal Justice within 45 days of the end date of the subgrant.
f. The Division reserves the right to make and authorize modifications, adjustments, and/or revisions to the Grant
Award for the purpose of making changes in budget categories, extensions of grant award dates, changes in goals
and objectives, and other modifications which do not change the total amount of the Grant Award. The Division's
requirements for such grant adjustments are contained in the procedures for DCJ Forms 4A, 4B,4C,and 4D,which
are hereby incorporated by reference.
g. The Division may withhold payment in the event the Subgrantee Agency fails to comply with conditions, including
all financial reporting requirements and certifications contained in this grant award.
3. PROCUREMENT AND CONTRACTS
a. The Subgrantee Agency assures that open, competitive procurement procedures will be followed for all purchases
under the grant. All contracts for professional services,of any amount,and equipment purchases over five thousand
dollars (per item, with a useful life of at least one year) must receive prior approval by the Division of Criminal
Justice.
b. The Subgrantee Agency assures that no contract or agreement will be made for execution of project activities or
provisions of services(other than purchase of supplies or standard commercial or maintenance services) that is not
incorporated in the approved application or approved in advance by the Division of Criminal Justice.
c. The Subgrantee Agency assures that contractors/vendors who assist the Subgrantee Agency to develop
specifications, requirements, statements of work and/or Request For Proposal for a proposed procurement shall be
excluded from bidding or submitting a proposal to compete for the award of such procurement.
d. The Subgrantee Agency assures that where activities supported by this subgrant produce any discovery or invention,
original computer programs, writing, sound recordings, pictorial reproductions, drawing or other graphical
representation and works of any similar nature,the following requirements apply:
September 2010
Special Provisions and Certified Assurances Page 4 of 11
• Special Provisions&Certified Assurances must remain attached to the application
•
i. The Division of Criminal Justice reserves a royalty-free, non-exclusive, and irrevocable license to
reproduce, publish, or otherwise use, and authorize others to use, for Federal government purposes: The
copyright in any work developed under an award or subaward; and 2) Any rights of copyright to which a
recipient or subrecipient purchases ownership with support.
ii. If any program produces patentable items, patent rights, processes or inventions, in the course of work
sponsored by the Federal award or subaward funds, such facts must be promptly and fully reported to the
awarding agency,Division of Criminal Justice. The awarding agency shall determine whether protection
on the invention or discovery shall be sought. The awarding agency will also determine how rights in the
invention or discovery (including rights under any patents issued thereon) shall be allocated and
administered in order to protect the public interest pursuant to published Presidential and government
memorandums and guidelines, and the regulations promulgated by the Department of Commerce in 37
CFR Part 401.
iii. When issuing statements, press releases, requests for proposals, bid solicitations, and other published
documents describing projects or programs funded in whole or in part with these grant funds, all
Subgrantee Agencies must clearly:
a) State the percentage of the total cost of the program or project, which will be financed with this
grant money;
b) State the dollar amount of state or federal funds for the project or program;
c) Use the phrase-"This project was supported by federal grant # , issued by the Colorado
Division of Criminal Justice."
e. The Subgrantee Agency may not assign its rights or duties under this grant without the prior written consent of the
Division of Criminal Justice.
4. AUDIT,RECORD-KEEPING,AND MONITORING/INSPECTION
a. The Subgrantee Agency assures that it will procure an audit or financial review, incorporating this subgrant,by an
independent Certified Public Accountant(CPA), licensed to practice in Colorado. If the agency expends more than
$500,000 per year in combined federal funds, a Single Audit must be conducted in accordance with OMB Circular
A-133 (Audits of States, Local Governments, and non-profit organizations). If the agency expends less than
$500,000 per year in combined federal funds,the following policy applies: Agencies with total annual revenue from
all sources of$200,000 or more shall procure a financial audit; a financial review shall not be sufficient to meet this
requirement. Agencies with total annual revenue of less than $200,000 shall procure either a financial review or
financial audit.
i. At such time as the audit or financial review is completed, ONE COPY OF THE REPORT,INCLUDING
THE CORRESPONDING MANAGEMENT LETTER, MUST BE FORWARDED TO THE DIVISION
OF CRIMINAL JUSTICE for clearance. The audit or financial review incorporating this subgrant must be
completed and received within 12 months of the end of the fiscal years that includes the end date of the
grant.
ii. The Subgrantee Agency accepts responsibility for the costs of a financial program audit to be performed by
the Department of Public Safety in the event that the audit report or financial review:
a) does not meet the applicable A-133 or DCJ standards;
b) is not submitted in a timely manner;or,
c) does not provide an audit response plan with corresponding corrections made sufficient to satisfy
any audit findings.
b. The Subgrantee Agency assures that:
i. It will retain all project records,as will facilitate an effective audit,for seven years after the end of the state
fiscal year that includes the end date of the grant. (For example if the grant ended 9/30/2001,the state FY
would be July 1,2001-June 30,2002. The files could be destroyed after 6/30/2009);except,
ii. If an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily,then
records must be retained beyond the seven-year period until such issues are resolved.
c. The Subgrantee Agency assures that it will keep copies of all documents, correspondence, and required receipts
related to this subgrant in a separate file bearing the project title and grant number.
d. The Division may periodically request submission of supporting financial and programmatic documentation,
subcontracts, general and sub-ledgers for the purpose of monitoring compliance with the grant award via desk
review, or in preparation for an on-site monitoring visit. Routine or special on-site visits may be conducted at the
subgrant agency, and at the location of any collaborating entities, for the same purpose. Subgrantee Agencies will
be notified in advance of any on-site monitoring visit.
e. The Subgrantee Agency assures that the Division of Criminal Justice, Colorado Department of Public Safety, and
any representatives of the Office on Violence Against Women (OVW) and/or the Office of the Chief Financial
Officer (OCFO), shall have access for purposes of monitoring, audit and examinations to any bonds, documents,
papers and records of the Subgrantee Agency and to relevant books and records of subcontractors of the Subgrantee
September 2010
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Special Provisions&Certified Assurances must remain attached to the application
Agency. It is the responsibility of the Subgrantee Agency to notify any of its project collaborators and
subcontractors of these provisions.
f. The Subgrantee Agency assures that signatories of the application and subgrant award and personnel employed
through this subgrant will appear when requested at any administrative hearing,monitoring site visit,conference or
meeting conducted by the Division of Criminal Justice.
5. COLORADO VICTIM RIGHTS ACT(Applies to Government Agencies only)
The Subgrantee Agency assures that the application signatories, all staff and all volunteers assigned to the funded project
have read and understand the rights afforded to crime victims pursuant to § 24-4.1-302.5 C.R.S., and the services delineated
pursuant to§§ 24-4.1-303 and 24-4.1-304 C.R.S., commonly known as the Victim Rights Act,and enabling legislation.
6. TERMINATION or REDUCTION IN GRANT AWARD
The Division will monitor the performance of the Subgrantee Agency against goals and performance standards as found in
the application required herein. The Division will provide reasonable assistance to the Subgrantee Agency in the
development of project goals, performance standards and subgrant requirements. Any determination of substandard
performance on the part of the Subgrantee Agency shall be within the discretion of the Division,based upon the Division's
review of the terms and conditions of the Grant Award, the application and project summary,the grant terms and assurances,
and the requirements of applicable law. Substandard performance, as determined by the Agency, shall constitute non-
compliance,which may result in termination for cause,or reduction of the Grant Award for cause,as follows:
a. Reduction In Grant Award Amount for Cause
i. The Division may reduce the total Statement of Grant Award amount for cause, without compensation for
reduction costs.
ii. If the state reduces the grant amount for cause, it will first give ten (10) days written notice to the
Subgrantee Agency, stating the reasons for reduction, steps taken to correct the problems,and the date the
subgrant award amount will be reduced in the event problems have not been corrected to the satisfaction of
the Division.
iii. In the event this grant is reduced for cause, the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of reduction.
iv. In the event this grant is reduced for cause, final payment to the Subgrantee Agency may be withheld at the
discretion of the Division until completion of final Division review.
b. Termination for Convenience:
i. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate.
ii. If the grant is terminated for convenience by either the Subgrantee Agency or the state, the Subgrantee
Agency shall be paid the necessary and allowable costs incurred through the date of termination, but not
exceeding a prorated amount based on the number of days of project operation prior to the date of
termination.
c. Termination for Cause:
i. The Division may terminate the grant for cause without compensation for termination costs.
ii. If the state terminates the grant for cause, it will first give ten (10) days written notice to the Subgrantee
Agency, stating the reasons for termination, steps taken to correct the problems, and the date the subgrant
will be terminated in the event problems have not been corrected to the satisfaction of the Division.
iii. In the event this grant is terminated for cause, the Division will only reimburse the Subgrantee Agency for
• acceptable work or deliverables received up to the date of termination.
iv. In the event this grant is terminated for cause, final payment to the Subgrantee Agency may be withheld at
the discretion of the Division until completion of final Division review.
d. Any equipment purchased under this grant would revert, at the option of the Division, to the Division of Criminal
Justice upon termination of the grant for any of the above reasons.
7. ORDER OF PRECEDENCE
Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Special
Provisions and Certified Assurances, (b)Statement of Grant Award;and,(c)the final approved Subgrant Application.
8. DISPUTE RESOLUTION(THIS PROVISION APPLIES ONLY TO INTERAGENCY AGREEMENTS):
Any failure of either party to perform in accordance with the terms of this agreement shall constitute a breach of the
agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall
be referred to superior departmental management staff designated by each department. Failing resolution at that level,
disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive
directors, the dispute shall be submitted in writing by both parties to the State Controller, whose decision on the dispute will
be final.
•
September 2010
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Special Provisions&Certified Assurances must remain attached to the application
C. FEDERAL CERTIFIED ASSURANCES
1. FEDERAL PUBLIC POLICY ASSURANCES
a. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the applicable
provisions of:
i. Title I of the Omnibus Crime Control and Safe Streets Act of 1968,as amended;
ii. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act,as appropriate;
iii. All other applicable Federal laws, orders,circulars,regulations or guidelines.
b. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the provisions
of 28 CFR applicable to grants and cooperative agreements including:
i. Part 18,Administrative Review Procedure;
ii. Part 22,Confidentiality of Identifiable Research and Statistical Information;
iii. Part 23, Criminal Intelligence Systems Operating Policies;
iv. Part 30 Intergovernmental Review of Department of Justice Programs and Activities;
v. Part 35,Nondiscrimination on the Basis of Disability in State and Local Government Services;
vi. Part, 38, Equal Treatment for Faith Based Organizations;
vii. Part 42 Nondiscrimination/Equal Employment Opportunity Policies and Procedure;
viii. Part 61 Procedures of Implementing the National Environmental Policy Act;
ix. Part 63 Floodplain Management and Wetland Protection Procedures; and,
x. Federal Laws or regulations applicable to Federal Assistance Programs.
2. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that it will comply with appropriate federal cost principles and administrative
requirements applicable to grants as follows:
i. For state,local or Indian tribal government entities;
a) 2 CFR Part 225, Cost Principles for State, Local & Indian Tribal Governments (codified at 28
CFR Part 66, by reference and(formerly known as OMB Circular A-87)
b) OMB Circular A-102, Common Rule-Uniform Administrative Requirements for Grants and
Cooperative Agreements to State and Local Governments
c) 28 CFR 66, Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments
ii. For non-profit organizations;
a) 2 CFR Part 230, Cost Principles for Non-Profit Organizations(formerly known as OMB Circular
A-I22)
b) 2 CFR Part 215, Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Nonprofit Organizations (codified at 28
CFR Part 70 and formerly known as OMB Circular A-110)
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with
Institutions of Higher Education, Hospitals, and other Non-Profit Organizations
iii. For colleges and universities;
a) 2 CFR Part 220, Cost Principles for Educational Institutions (codified at 28 CFR Part 66, by
reference and formerly known as OMB Circular A-21)
b) 2 CFR Part 215, Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Nonprofit Organizations(codified at 28
CFR Part 70 and formerly known as OMB Circular A-110)
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with
Institutions of Higher Education, Hospitals, and other Non-Profit Organizations
iv. For each agency spending more than$500,000 per year in federal funds from all sources;
a) OMB Circular A-133,Audits of States, Local Governments and Nonprofit Organizations
b. The Subgrantee assures that it will comply with the provisions of the U.S. Department of Justice, Office of the Chief
Financial Officer, Office of Justice Programs, Financial Guide for Grants, current edition. (For practical purposes,
the requirements pertinent to the management of these funds have been extracted from the above documents and are
contained in the current applicable Administrative Guide of the Division of Criminal Justice, which is hereby
incorporated by reference. However, such a guide cannot cover every foreseeable contingency, and the Subgrantee
is ultimately responsible for compliance with applicable state and federal laws, rules and regulations.)
3. NON-SUPPLANTING OF FUNDS
a. The Subgrantee Agency certifies that any required matching funds used to pay the non-federal portion of the cost of
this subgrant are in addition to funds that would have otherwise been made available for the purposes of this project.
September 2010
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Special Provisions&Certified Assurances must remain attached to the application
b. The Subgrantee Agency certifies that federal funds made available under this grant:
i. Will not be used to supplant state or local funds;
ii. Where there is a reduced or unchanged local investment, then the Subgrantee Agency shall give a written
explanation demonstrating that the Subgrantee Agency's reduced or unchanged commitment would have
been necessitated even if federal financial support under this federal grant program had not been made
available.
4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS(Subgrantee Agencies receiving$100,000 or more in total
federal funds per year. See 28 CFR Part 69.)
The prospective Subgrantee Agency certifies,by submission of this proposal,that:
a. No federal funds received through this subgrant will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee
of a member of Congress in connection with the making of any federal grant, the entering into of any cooperative
agreement,and the extension, continuation,renewal,amendment,or modification of any federal grant or cooperative
agreement; and,
b. If any funds other than funds through this subgrant will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an
employee of a member of Congress in connection with this subgrant, the prospective Subgrantee Agency shall
complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities."
5. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION(Subgrantee Agencies receiving$100,000 or more in total federal funds per year. See, 28 CFR Part 67.)
The prospective Subgrantee Agency certifies,by submission of this proposal, that neither it nor its principals, subcontractors
or suppliers:
a. Are presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded from participation in this transaction by any Federal
department or agency;
b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal,State, or local)transaction or contract under a public transaction;violation of Federal
or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of
records,making false statements,or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal, State,or
local)with commission of any of the offenses enumerated in paragraph(5)(b)of this certification;and
d. Have not within a three-year period preceding this application had one or more public transactions(Federal, State,or
local)terminated for cause or default; and
e. Where the prospective Subgrantee Agency is unable to certify to any of the statements in this certification,he or she
shall attach an explanation to this application.
6. CERTIFICATION REGARDING DRUG FREE WORKPLACE (See, 28 CFR Part 67, Subpart F.)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with the Drug Free
Workplace Act of 1988,as implemented at 28 CFR Part 67,Subpart F.
7. CIVIL RIGHTS COMPLIANCE (See, 28 CFR Part 42.)
a. Upon award, each Subgrantee Agency will be provided DCJ's Form 30, entitled"Certification of Compliance with
Regulations Regarding Federal Civil Rights Requirements and Equal Employment Opportunity Plans(EEOP), and
will be required to do the following:
i. The Project Director must submit the form to the Subgrantee Agency's Authorized Official for this grant;
ii. The Authorized Official must review the form in conjunction with subgrant agency personnel responsible
for reporting civil rights findings of discrimination;
iii. The Authorized Official must accurately complete the required information and provide all information
requested;
iv. The Authorized Official must provide an original signature on the form as indicated; and,
v. The DCJ 30 Form with original signature must be returned to the Division with the Statement of Grant
Award(SOGA).
b. Any subgrant agency findings of discrimination must be reported to the Division of Criminal Justice within 45 days
of receipt of this grant award, and to the Office for Civil Rights, Office of Justice Programs, U.S. Department of
Justice.
8. NON-DISCRIMINATION
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The.following federal non-discrimination cites apply in particular: the nondiscrimination requirements of the Omnibus
Crime Control and Safe Streets Act of 1968, as amended; Title VI of the Civil Rights Act of 1964; Section 504 of the
Rehabilitation Act of 1973,as amended;Subtitle A,Title II of the Americans with Disabilities Act of 1990,42 U.S.C. 12101,
et. seq. and Department of Justice Regulations on Disability Discrimination, 28 CFR Part 35 and Part 39;Title IX of the
Education Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination
Regulations 28 CFR Part 42, Subparts C, D, E, and G; and Executive Order 11246, as amended by Executive Order 11375,
and their implementing regulations, 41 CFR Part 60.1 et.seq.,as applicable to construction contracts.
9. NATIONAL ENVIRONMENTAL POLICY ACT(NEPA)AND NATIONAL HISTORIC PRESERVATION ACT
(NHPA)COMPLIANCE (42 USC§§4321-4370 and 16 USC§470)
a. The Subgrantee Agency agrees to assist the Division of Criminal Justice and the Office of Justice Programs, U.S.
Depaitutent of Justice, in complying with the National Environmental Policy Act,the National Historic Preservation
Act(NHPA)and other related federal environmental impact analyses requirements in the use of these grant funds
either directly by the Subgrantee Agency or by a subcontractor. As long as the activity needs to be undertaken in
order to use these grant funds,this NEPA requirement first must be met whether or not the activities listed below are
being specifically funded with these grant funds.The activities covered by this special condition are:
b. New construction;
c. Minor renovation or remodeling of a property either listed on or eligible for listing on the National Register of
Historic Places,or located within a 100-year flood plain;
d. Renovation, lease or any other proposed use of a building or facility that will either result in a change in its basic
prior use,or significantly change its size.
e. Implementation of a new program involving the use of chemicals other than chemicals that are either purchased as
an incidental component of a funded activity and traditionally used, for example, in office, household, recreational
or educational environments.
10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (This provision applies only to entities that
provide medical care and treatment)
The Subgrantee Agency acknowledges that it is a covered health care provider under the Health Insurance Portability and
Accountability Act, 42 U.S.C. 1320d-1320d-8, and its implementing regulations and agrees to comply with the requirements
of HIPAA concerning any uses and disclosures of protected health information.
11. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970(Government Entities Only)
The prospective Subgrantee Agency certifies,by submission of this proposal,that it will comply with the requirements of the
Uniform Relocation Assistance and Real Property Acquisitions Act of 1970,which govern the treatment of persons displaced
as a result of federal and federally-assisted programs.
12. Political Activity of Certain State and Local Employees (5 U.S.C. §§ 1501-08 and §§ 7324-28 — applies to Government
Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with requirements of 5
U.S.C. §§ 1501-08 and §§ 7324-28, which limit certain political activities of State and local government employees whose
principal employment is in connection with an activity financed in whole or part by federal assistance.
13. REPORTING FRAUD,WASTE,ERROR AND ABUSE
Each Subgrantee Agency must promptly refer to the Department of Justice, Office of the Inspector General any credible
evidence that a principal, employee, agent, contractor, subgrantee, subcontractor, or other person has either 1) submitted a
false claim for grant funds under the False Claims Act; or 2) committed a criminal or civil violation of laws pertaining to
fraud, conflict of interest, bribery, gratuity, or similar misconduct involving grant funds. Potential fraud, waste, abuse, or
misconduct should be reported to the U.S.Department of Justice, Office of the Inspector General(OIG)by:
a) mail: Office of the Inspector General U.S. Department of Justice Investigations Division 950 Pennsylvania
Avenue,N.W. Room 4706 Washington,DC 20530;
b) email: oig.hotline@usdoj.gov;
c) hotline: (contact information in English and Spanish): (800)869-4499; or
d) hotline fax: (202)616-9881.
D. PROGRAM SPECIFIC REQUIREMENTS
The following program specific requirements are imposed by the Federal or State sponsoring agency concerning special
September 2C I D
Special Provisions and Certified Assurances Page 9 of 11
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requirements of law,program requirements, and other administrative requirements which must be passed on to subgrant award
recipients. These requirements are more likely to change from year to year than the special provisions and federal certified
assurances shown above, and usually vary across offices within the Division.
1. The capacity for VAWA funds to provide future continuation dollars for projects is undetermined at this time.
Subgrantee Agencies are advised to seek other funding sources,especially for personnel dollars.
2. The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VAWA-funded
project have read state laws and applicable rules of professional conduct related to issues of confidentiality and
privilege, particularly with respect to releasing identifying information about victims of crime, including but not
limited to,those found in. Section 13-90-107, C.R.S.
3. The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VAWA-funded
project understand that disclosure of personally identifying information about victims served with VAWA funds is
prohibited without a written release, court order or statutory requirement.
4. The following activities cannot be conducted under the OVW federal action: Research and technology whose
anticipated and future application could be expected to have an effect on the environment.
5. Under the S.T.O.P. Violence Against Women Act Reauthorization (42 U.S.C. 3799gg — (d)(4), prosecution, law
enforcement and courts applicants must consult with local, non-profit, non-governmental victim services programs
in developing their application to ensure that the proposed activities are designed to promote safety, confidentiality,
and economic independence of victims of domestic violence, sexual assault, stalking and dating violence.
6, All materials and publications (written, visual or sound) resulting from subgrant award activities shall contain the
following statements: "This project was supported by subgrant No. , awarded by the Colorado Department
of Public Safety, Division of Criminal Justice — administering office for the STOP Formula Grant Program. The
opinion, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of
the author(s) and do not necessarily reflect the views of the state or the U.S. Department of Justice, Office on
Violence Against Women".
7. The subgrantee agrees to submit to DCJ one copy of all reports and proposed publications funded under this project
not less than thirty days prior to public release for Office on Violence Against Women review. Prior review and
approval of a report or publication is required if project funds are to be used to publish or distribute reports and
publications developed under this grant.
8. The subgrantee understands that approval of this award does not indicate approval of any consultant rate in excess of
$450 per day. A detailed justification must be submitted to the Division of Criminal Justice, Office for Victims
Programs, prior to obligation or expenditure of such funds. The detailed justification will then be submitted to the
Office on Violence Against Women for review, if required.
9. Pursuant to 28 CFR § 66.34, the Office on Violence Against Women reserves a royalty-free, nonexclusive, and
irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, in whole or in part
(including in the creation of derivative works), for Federal Government purposes:
(a) any work that is subject to copyright and was developed under this award, subaward, contract or subcontract
pursuant to this award;and
(b) any work that is subject to copyright for which ownership was purchased by a recipient, subrecipient or a
contractor with support under this award.
In addition, the recipient (or subrecipient, contractor or subcontractor) must obtain advance written approval from
the Office on Violence Against Women program manager assigned to this award, and must comply with all
conditions specified by the program manager in connection with that approval before: I) using award funds to
purchase ownership of, or a license to use, a copyrighted work; or 2)incorporating any copyrighted work, or portion
thereof,into a new work developed under this award.
September 2010
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Special Provisions&Certified Assurances must remain attached to the application
E. GENERAL PROVISIONS
1. INDEMNIFICATION.
a. To the extent authorized by law, the Subgrantee Agency shall indemnify, save, and hold harmless the State,its employees
and agents, against any and all claims, damages, liability and court awards including costs, expenses, and attorney fees and
related costs, incurred as a result of any act or omission by the Subgrantee Agency, or its employees, agents, subcontractors,
or assignees pursuant to the terms of this subgrant award.
FOR GRANTS TO STATE AGENCIES AND HIGHER EDUCATION ONLY:
b. A self-insured,Subgrantee state Agency agrees that its Self-Insurance Program shall BE RESPONSIBLE FOR any and all
claims,damages, liability and court awards,including costs,expenses,and attorney fees and related costs,incurred as a result
of any act or omission by the Subgrantee Agency,or its employees, agents,subcontractors,or assignees pursuant to the terms
of this subgrant award.
2. STATEWIDE CONTRACT MANAGEMENT SYSTEM
[This section shall apply when the Effective Date is on or after July 1, 2009 and the maximum amount payable to Subgrantee
hereunder is$100,000 or higher]
By entering into this subgrant, Subgrantee agrees to be governed, and to abide,by the provisions of CRS §24-102-205, §24-
102-206, §24-103-60I, §24-103.5-101 and §24-105-102 concerning the monitoring of vendor performance on state contracts
and inclusion of contract performance information in a statewide contract management system.
Subgrantee performance shall be evaluated in accordance with the terms and conditions of this subgrant, State law, including
CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance. Evaluation of Subgrantee's performance shall be part of
the normal contract administration process and Subgrantee's performance will be systematically recorded in the statewide
Contract Management System. Areas of review shall include, but shall not be limited to quality, cost and timeliness.
Collection of information relevant to the performance of Subgrantee's obligations under this subgrant shall be determined by
the specific requirements of such obligations and shall include factors tailored to match the requirements of the Project Plan
of this subgrant. Such performance information shall be entered into the statewide Contract Management System at intervals
established in the Project Plan and a final review and rating shall be rendered within 30 days of the end of the Subgrant term.
Subgrantee shall be notified following each performance and shall address or correct any identified problem in a timely
manner and maintain work progress.
Should the final performance evaluation determine that the Subgrantee demonstrated a gross failure to meet the performance
measures established under the Project Plan, the Executive Director of the Colorado Department of Personnel and
Administration(Executive Director),upon request by the Colorado Division of Criminal Justice,and showing of good cause,
may debar Subgrantee and prohibit Subgrantee from bidding on future contracts. Subgrantee may contest the final evaluation
and result by: (i) filing rebuttal statements, which may result in either removal or correction of the evaluation(CRS §24-105-
102(6)), or (ii) under CRS §24-105-102(6), exercising the debarment protest and appeal rights provided in CRS §§24-109-
106, 107, 201 or 202, which may result in the reversal of the debarment and reinstatement of Subgrantee, by the Executive
Director,upon showing of good cause.
3. The Subgrantee Agency shall comply with all applicable revisions or additional requirements that may be imposed by law
and any future state and federal guidance including clarifications of requirements. Any revisions to such provisions or
regulations shall automatically become a part of these Special Provisions and Certified Assurances, without the necessity of
either party executing any further instrument. The State of Colorado may provide written notification to the Subgrantee
Agency of such revisions,but such notice shall not be a condition precedent to the effectiveness of such revisions.
September 2010
Special Provisions and Certified Assurances Page 11 of 11
Special Provisions&Certified Assurances must remain attached to the application
1. , r
SIGNATURE PAGE ->->->TO BE COMPLETED BY ALL APPLICANTS
(ORIGINAL SIGNATURES REQUIRED-Please sign in BLUE ink. See instructions for description of proper signatories.)
The Subgrantee Agency and responsible signatories certify by signing that they have read the Application including the Special Provisions and
Certified Assurances,and are fully cognizant of their duties and responsibilities for this project.The Subgrantee Agency understands and agrees that
any subgrant award received as a result of this application shall incorporate by reference the information contained herein. Responsibility for
narrative and fiscal reporting requirements are delegated to the designated Project Director,who will sign all such reports. This delegation is for
purposes of reporting to the Division and for operational ease,and in no way limits the authority and responsibility of the Authorized Official. In
accordance with the Colorado Revised Statutes 24-72-202.6,information supplied in this application is considered a public record.
AUTHORIZED OFFICIAL
Name
Douglas Rademacher
Position Chair, Board of County Commissioners, Weld County
Agency
Weld County GnvPrnmPa.t
Mailing Address
PO Box 758
City,State,Zip Greeley, CO 80632
Telephone#
970-336-7204
Fax#
970-352-0242
E-mail Address
drademacher@co.weld.co.us
Signature
ec6_%cir-7 (1,1 kr- Date
OCT 1 0 2010
FINANCIAL OFFICER
Name
Barbara Connolly
Position
Financial Officer
Agency
Weld County Government
Mailing Address
PO Box 758
City,State,Zip
al-pp-ley, CO 80632
Telephone#
970-356-4000
Fax#
970-152-0247
E-mail Address
hconnolly0co.weld.co.us
Signature Date
OCT R 7011::
PROJECT DIRECTOR
Name
JoAnn Holden
Position
Director of Victim Services
Agency
Weld County District Attorney's Office
Mailing Address
PO Box 1167
City,State,Zip
Greeley, CO 80632
Telephone#
970-356-4010 x 4747
Fax#
970-352-0242
E-mail Address
iholden co.wel:'.go.us
Signature f 1 r" Date
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September 2010
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