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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20090660.tiff
RESOLUTION RE: APPROVE YEAR FOUR CONTINUATION APPLICATION FOR BUILDING HEALTHY MARRIAGES PROGRAM DEMONSTRATION GRANT AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with the Year Four Continuation Application for the Building Healthy Marriages Program Demonstration Grant from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the United States Department of Health and Human Services, commencing October 1, 2008, and ending September 30, 2009, with further terms and conditions being as stated in said continuation application, and WHEREAS, after review, the Board deems it advisable to approve said continuation application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Year Four Continuation Application for the Building Healthy Marriages Program Demonstration Grant from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the United States Department of Health and Human Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said continuation application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of March, A.D., 2009, nunc pro tunc October 1, 2008. ATTEST: Weld County Clerk to the Bo BY- Depu APPRO)i BOARD OF COUNTY COMMISSIONERS ELD -OU Y, COLORADO 1 Douglas Rademac er, Pro-Tem ttorney Date of signature- �� (cc' Se; n P. Conway rbara Kirkmeyer ciAl Cr 0( David E. Long J 2009-0660 HR0080 MEMORANDUM DATE: March 16, 2009 TO: William F. Garcia, Chair, Board of County Commissioners O FROM: Judy A. Griego, Director, Human Services D • COLORADO RE: Continuation Application Letter between the el County Department of Human Services and the Department of Health and Human Services for Building Healthy Marriages Enclosed for Board Approval is the Building Healthy Marriages Continuation Application Letter between the Weld County Department of Human Services and the Department of Health and Human Services. This is the Building Healthy Marriages Continuation Application Letter with corresponding federal forms (424, 424B, and Certification Regarding Lobbying). Building Healthy Marriages is applying for the fourth year of funding through the OFA Healthy Marriage Demonstration Grant. Within the packet is a description of the activities that are currently taking place and how it will flow into year four. Per the budget narrative, $974,358.00 Federal Dollars are being requested with $110,190.00 cash match from the Weld County Colorado Works MOE Reduction Reserve for a total of $1,084,548.00 to appropriately fund the program to meet the target goals. The following table reflects the number of couples who have been served from the inception of the grant through to the end of February 2009. Allowable Activity Area Unit Number of units since Award date (Sept. 06) # Served Target Goals 3 (Non -married expectant couples) Couples 7 15 * 4 (Pre- Couples/ 11 c 11 c Marital Individuals 186 i 155 i Education) 5 (Marriage Couples/ 266 c 180 c Enhancement) Married individuals 31 i 7 (Marriage Mentoring) Couples 72 c 1 i 140 c** * This Allowable Activity Area was picked up in June of 2008. ** This has been a difficult target to reach; however, the re -design of this program was specifically done to address this issue. 2009-0660 Per the evaluation that is being conducted by UNC the positive impact of the program has been significant. Their most recent findings states "The most significant improvement in satisfaction was found in the area of problem solving, indicating that the couples who participated in the program are more satisfied with their problem solving skills than prior to entering the BHM program. In addition, improvements were found for both males and females for the following subscales: Global Distress and Time Together. Couples who took advantage of the BHM classes had less negative expectancies regarding the relationship's future and consideration of divorce, and were more satisfied with the time they spent with their partner than before they entered into the program." The term of this Agreement is from October 1, 2008 through September 30, 2009. If you have questions, please give me a call at extension 6510. Year Four Continuation Application OFA Healthy Marriage Demonstration Program Weld County Building Healthy Marriages Grant #90FE0134 PROGRAM NARRATIVE Organizational Profile 1. Grant Oversight: Weld County Department of Human Services a. Program Manager — Ann Bruce 1FTE. Duties/Responsibilities: Act as the point of contact for the Federal Project Office and liaison between the Federal Government (OFA) and the BHM partners. Develop and plan the delivery of BHM program and its activities in accordance with the mission and goals of the organization. Develop good working relationships and collaborative arrangements with the partners to help achieve the BHM goals. Conduct oversight of program activities to ensure they operate within the policies and procedures of the organization and the grant guidelines. Within the County Agency structure the Program Manager reports directly to the Director of Assistance Payments John Kruse. b. Intake- The Intake department currently consists of the Family Support Coordinator - Mary Jo Vasquez 1 FTE. Duties/Responsibilities: Oversees participant registration to classes and coordinates with the Education Manager to ensure classes are being filled. Maintains tracking forms to ensure target goals are being met. Manages the Community/Family Liaisons and provides oversight to their roles and responsibilities. Nurtures relationships with community agencies and coordinates with the Marriage Project Coordinator to assist with recruitment efforts. Develops and maintains protocols necessary for participant safety. Assists and backs up the Program Manager in all duties as needed. c. Community/Family Liaisons — 4 FTE and are: Candi De La Cruz, Nichole Fenster, Kim Ketchum, and Rebecca Tapia. Duties/Responsibilities: Provides support to assigned program, identifying strengths and needs, providing information and referral, assisting in practice of strategies learned, identifying and eliminating barriers to participation, co -facilitating workshops, meeting regularly with Intake Coordinator to assess progress toward goals. Assists in data management by ensuring the participants' data is entered and current in the program data management system. The Intake Staff report to the Program Manager. 2. Program Administration: a. Educational Administration: Community Mediation Project Community Mediation Project has a staff of three. Marriage Education Manager, 1 FTE: Craig Conrad. Duties/Responsibilities: Oversees the Healthy Marriage Educational program --secures and supervises contracted BHM staff, marriage educators and coaches. Establishes the CMP/BHM budget, expenditures 1 ;fie -cal and provides financial reports. Responsible for building the faith -based Healthy Marriage Educational Partnership throughout Weld County b. Hispanic Marriage Education Manager, at .75 FTE: Juvenal Cervantes, Duties/Responsibilities: Markets BHM throughout the Weld County Hispanic community and builds the Hispanic faith -based network for the Community Educational Partnership. Recruits and refers Hispanic couples to participate in the program or serve as educators, and coaches. Facilitates monolingual Spanish BHM education events c. Marriage Education Coordinator, 1 FIE Allison Conrad, Duties/Responsibilities: Schedules and coordinates marriage education events, establishes and maintains the database to track educators, coaches, mentors and program participants, establishes and maintains the infrastructure for effective marriage education programs. d. Educators and Coaches: There are 31 active Educators and coaches, 27 of whom are qualified educators who educate and coach, 4 of whom only coach but will soon have the necessary experience to also be qualified educators. 3. Public Education/Marketing: a. United Way of Weld County United Way dedicates 1FTE for the purpose of Marriage Project Coordinator, Ron Anderson. Duties/Responsibilities: Work with DHS and United Way of Weld County to assist in coordinating support services to clients participating in the Building Healthy Marriage Project of Weld County. The Marriage Project Coordinator also provides assistance with developing and distributing marketing materials as well as collaborating with project partners to facilitate Building Healthy Marriage special events and outreach activities. And a Prorata share of Resource Investment Director, Elizabeth Barber Duties/Responsibilities: responsible for supervising the Marriage Project Coordinator and working collaboratively with the entire project partners to oversee the overall program components. This entails attending various Building Healthy Marriage meetings and events as well working with the Marriage Project Coordinator to develop and review budgets, and review materials and event plans. 4. Evaluation: University of Northern Colorado Evaluation services are provided by the University of Northern Colorado to include bi-annual project reports. The lead researcher is Mary Sean O'Halloran, PhD, Professor and Director, Psychological Services Clinic, School of Professional Psychology & Counselor Education. Dr. O'Halloran's Research Associate is Dr. Sonja Lentzen-Rizzolo also of the University of Northern Colorado. Service Delivery Weld County Building Healthy Marriages entered into its third year with the program having been re -defined into three structures in order to encompass and come in line with the proposed allowable activity areas. This re -definition of the program 2 structure came from the following changes that took place during the second half of year two. The first change came with the merger of County Social Services and County Human Services into what is now referred to as Weld County Department of Human Services (WCDHS). This impacted our program as the original organizational chart began with Social Services as the grantee and the Head Start department of Human Services as the lead agency, contracted to provide the program services. Human Services held the contracts for the marketing (United Way of Weld County) and educational management (Community Mediation Project). Therefore all of those contracts were transferred to the grantee, Social Services. Savings were incurred due to the elimination of three high level administrative and the Administrative Assistant positions. Those savings were invested directly into the educational management and marketing of the program. In addition to the changes in the infrastructure, Building Healthy Marriages (BHM) was required to make programmatic changes in order to re -align ourselves with the directives of the grant. Primarily, the focus was shifted to the target populations outlined in the grant description and our target numbers were increased significantly. The program now contains three service structures, Relationship Seminars (community saturation for allowable activity area #4 & 5), Next Step Coaching (intensive relationship education w/ both group and individual mentoring for those couples who qualify for AAA#7), and Building a Family (intensive relationship education services for non -married expectant couples #3). This included adding approved curriculum for those target populations and re -designing the roles and responsibilities of the intake staff. As the Community/Family Liaisons became empowered to take ownership of their perspective program structures, this freed the Intake Coordinator to work on developing and nurturing relationships with community organizations that caters to the non -married expectant population within the Greeley community. With the re -design of the intake staff responsibilities, it was determined that four staff were needed rather than six, thus staffing was again reduced. The changes to the program structure and the staffing was also driven by recommendations of both the Federal Project Officer and the Technical Assistance we received from PSI to decrease the cost/participant ration and better utilize the program resources. All staff whose positions were eliminated have been transferred to other departments within the newly merged county agency. Furthermore, the reduction in staff did not impact the services provided and any money saved by the reductions were invested back into programming. The final programmatic change also came from our effort to follow recommendations of the FPO and PSI to improve the policy regarding Domestic Violence. A service agreement is currently being worked out with the local Domestic Violence program, A Woman's Place. This service agreement will facilitate a collaborative effort between AWP and BHM for training staff in current DV issues and consultation with the BHM DV protocol to assure that DV issues for couples who receive services are safely, routinely, and consistently identified and appropriately addressed. Plan of Action to take BHM into Year 4: Since many of the changes have been implemented in year 2, year three has been and continues to be a year of re -focusing our efforts to increase efficiency and impact of the program on our community. For AA#1— public advertising campaign on 3 the value of marriage... has been enhanced to include radio, television, and newspaper ads that have promoted the upcoming events and classes. A special Valentines event that distributed free Love Vouchers throughout the county began the effort to begin the shift from promotional material to educational type campaign. An interactive kiosk was developed and is now stationed in the lobby of the Human Service building that encourages the participant to test their "relationship IQ" and then leave contact information for more information on how to build a healthy relationship. This shift will continue into year 4 as the radio and television ads will begin to be more factual on the benefits of stable relationships. The Intake Coordinator's duties were changed to include nurturing relationships with community agencies and coordinates with the Marriage Project Coordinator to assist with recruitment efforts. Specifically, she will be working with those agencies that work with the non -married expectant couples/individuals in our communities. In order to best serve these couples the program's third structure was designed to meet the unique needs of these participants with a Community/Family Liaison assigned to assist these couples. To further the cause to bring fathers back into the picture and the lives of these children, a partnership with the County's Fatherhood Initiative is being cultivated with the Fatherhood representative starting to meet with men coming out of the courthouse from child support hearings in our new facility (located across the street from the courthouse). Joint events have also been planned with the Fatherhood Initiative that included a Fatherhood Forum in which the BHM Education Manager, Craig Conrad presented a workshop on "Supporting Fathers in Building Healthy Relationships". These efforts will not only enhance the participation of those qualified for AA# 3 but also AA# 4 and 5. WCBHM has also brought on some new curriculum in an effort to reach those couples and individuals who are not married. This has opened doors to other programs being offered within Weld County. For example, the local school district is developing a program called "Strengthening the Family". They have asked to come along side to teach relationship skills to both the parents and the students. The current plan is to offer PREP to the parents and LoveU2 to the students and then bring the families together to discuss the skills taught in their perspective classes. With the struggling economy, companies have approached us to teach communication and conflict resolution between co-workers through "Winning the Workplace Challenge". This has enhanced our recruitment efforts into our other programs. Finally, due to having a large University within the county and several community colleges "Within My Reach" classes have been scheduled to include those individuals interested in healthier marriages/relationships. These programs have been very successful and will continue into the fourth year. To continue to be as inclusive as possible the Marriage Project Coordinator and the Hispanic Outreach Coordinator is also working with key members of the Hispanic community to ensure appropriate recruitment. They have scheduled focus groups in order to determine how to deliver culturally appropriate advertisement and class structures. The information will be processed and implemented when feasible into the program structures. The new structure "Next Step Coaching" was developed to deliver mentoring to our participants in both a group setting as well as individual mentoring. This includes Marriage Enrichment Weekends and the Relationship Inventories. As the Marriage 4 Enrichment Weekends (MEW) tends to be costly, the BHM team is researching ways to continue the MEW and also promote the relationship inventories. As noted, there have been many changes in the program in an effort to increase the efficiency and impact of the program; to increase the bang for the buck so to speak. In year three, these new pieces will be evaluated not only for their impact on the community now, but also with an eye for the future and the sustainability of the program. Weld County is committed to continuing a program to teach healthy relationship skills beyond the life of the grant. In years 4 and 5, the focus of our efforts will be to continue to assess and evaluate the impact of the programs on the community and the cost/participant ratio in order to determine the legacy program. Oversight and Management of Program Activities As noted above the organization of the grant has been modified significantly in order to become more efficient in the management and oversight of the grant. Much of the Administrative overhead has been reduced in an effort to increase communication and streamline processes. Thus the following has been made policy. The Program Manager will be accountable to the Federal Project Officer for the oversight of the program, budgeting and partners. This will include the maintenance of contracts and budgets. All documents used by BHM for service delivery as well as contracts (MOUs) will be reviewed by the Program Manager to ensure compliance with the Faith - based guidelines and other federal regulations. All forms of marketing/promotional material will be sent to the Federal Project Officer for Federal approval before initiating the campaign. The partners will meet a minimum of every three weeks to report on their activities. In addition to this the Program Manager will conduct regular technical assistance meetings on a one-on-one basis as situations require. Annual training will be conducted for all Partners and staff and will include but are not limited to: Faith -based Initiative, Domestic Violence, Cultural Competence, and Substance Abuse Indicators. BHM Partners will also make every effort to attend the monthly webinar sessions that are provided by National Healthy Marriage Resource Center. Documentation of the training and the participants will be maintained by the appropriate manager (i.e. Program Manager — the Partners. And Marriage Education Manager - Educators and Facilitators) Sight visits of all events will be conducted by at least one of the following: the Program Manager and/or a member of the Educational Administration Team. Oversight of the open outreach will still be maintained by a single point of contact; however, there is now two ways to access the program. The first means of access continues to be by phone and the Intake Coordinator is charged with assessing the potential participants and scheduling them for a seminar or an assessment if appropriate. The Potential couple may also register for a seminar on line at BuildingHealthyMarriages.org. The web sight is set up so that it will automatically enter the data into the data management data base and notify the Intake Coordinator of the new registration so she can process it. Targets for Year Four 5 Allowable Activity Area(s) Planned Activities/Approa ch (If applicable, identify curriculum to be used and # of classroom hours) Schedule of Activities/Events Goals Proposed completion date Date of completion/ status Target' Responsible Staff/Partners I(Public Advertising) Running the New Crossroad Puzzle ad New ad are being developed to incorporate more information on the benefits of healthy relationships Part of the 2008 - 09 television effort on special cable stations Sept.09 Ads will run through Sept. 30, 2009. To run in the 4th year County Wide Marriage Project Coordinator w/ input from the team. 1(Public Advertising)) Radio Advertising New ad are being developed to incorporate more information on the benefits of healthy relationships We are continuing to utilize the radio ads we developed last year, and they are generating great interest. October 2008 through September 2009. Our radio ads are done in Spanish and English. County Wide Marriage Project Coordinator w/ input from the team 1(Public Advertising) Developed radio ads for Valentines promotion. Just special ads in Eng/Spanish for event promotion. We developed special radio ads for the "Lover Vouchers" with volunteer talent. We ran the special ads from mid January through February 13 in English and Spanish. Will be an annual event. County Wide Marriage Project Coordinator w/ input from the team I (Public Advertising) Newspaper ads New ad are being developed to incorporate more information on the benefits of healthy relationships Running ads to promote the education seminar also run the ads in the Spanish version. Will run through September 30, 2009 To continue in year 4. County Wide Marriage Project Coordinator w/ input from the team 1(Public Advertising) Developed all new printed material Due to the change in the project, we have developed, printed and implemented new brochures, inserts, Capable of utilizing through the end of grant. Currently 2000 brochures in English and 1000 in Spanish. Marriage Project Coordinator w/ input from the team 6 posters. We also developed presentation folders to use in special presentations. 1(Public Advertising) Outdoor Media Developed billboards, indoor posters and taxi toppers. These were within our design concepts and in English and Spanish. Initiated the campaign in January, will run for about 3 months. Will evaluate the effectiveness to determine if this will continue. Marriage Project Coordinator w/ input from the team I (Public Advertising) Electronic Media Our Kiosk has been placed in the Dept of Human Services offices and is receiving quite a bit of attention. The Website is reporting about 350 - 500 visits per week. These activities are ongoing. Marriage Project Coordinator w/ input from the team 3 Annual Fun Run Sept. 7, 2009, the 3rd annual. Sept. 7, 2009. Annual Event 350 participants Marriage Project Coordinator w/ input from the team County Wide Valentines promotion. We developed a "Love Voucher" booklet for free distribution in the county. January 2009 February 14, 2009 Annual event Marriage Project Coordinator w/ input from the team Special Newspaper Promotion We ran a special newspaper promotion for the Valentines day booklets. Had the respondents contact our 2- 1-1 number at partner member Mid January through February 14. Marriage Project Coordinator w/ input from the team 7 United Way. County wide promotion of the FREE coupons/vouchers without the Valentines Day effort. January 2009 Sept. 2009 1250 vouchures were distributed Marriage Project Coordinator w/ input from the team Public Presentations and Community Booth Presentations State Farm Insurance Northern Colorado Medical Center Envision Kiosk to Dept. of Human Services Kiwanis meeting, Greeley Student Nursing group KFKA Radio Resource Fair United Way Board of Directors Children's Festival County Benefits Fair Cinco de Mayo Fun Run Oct. 6, 2008 Oct 8, 2007 Oct. 24, 2008 Jan. 14, 2009 Jan. 15, 2009 Jan. 27, 2009 Feb. 6, 2009 Mar. 5, 2009 Mar. 12, 2009 Mar. 28, 2009 April, 2009 May 2, 2009 Sept. 7, 2009 Oct. 6, 2008 Oct. 8, 2008 Oct. 24, 2008 Jan. 14, 2009 Jan. 15, 2009 Jan. 27, 2009 Feb. 6, 2009 Mar. 5, 2009 Mar. 12, 2009 Mar. 28, 2009 April, 2009 May 2, 2009 Sept. 7, 2009 Marriage Project Coordinator w/ input from the team Allowable Activity Area(s) Activity/Event Locations Frequencies Target Responsible Staff/Partners 3 (Non- married expectant couples) Delivered 8— 14 hours of PREP to non- married expectant couples Waypoints Greeley Trinity Plaza Greeley Monthly Si monthly classes 8 Rodgers, Loveland Kersey Community Church, Kersey First United Methodist Church, Pierce Greeley Mennonite Church, Greeley First Methodist Church, Greeley Christ Community Church, Greeley University of Northern Colorado, Greeley Eaton Methodist Church, Eaton 3 (Non- Delivered 8 - 14 hrs of 2 classes married monolingual Spanish Trinity Plaza expectant PREP or to married Greeley couples) couples Templo Bautista Greeley 9 AA 3 TOTALS 32 English/bilingual classes 3 Monolingual Spanish dasses Year 3-10 couples Year 4 — 20 couples Marriage Education Manager w/ input from the team 4 (Pre -marital) Delivered 8 — 14 hours of PREP, Marriage Garden, Within My Reach, Love U 2 or Winning the Workplace Challenge to for engaged couples and for couples or persons interested in marriage. Waypoints Greeley Trinity Plaza Greeley Rodgers, Loveland Kersey Community Church, Kersey First United Methodist Church, Pierce Greeley Mennonite Church, Greeley First Methodist Church, Greeley Christ Community Church, Greeley University of Northern Colorado, Greeley Eaton Methodist Church, Eaton Greeley Recreation 10 Center, Greeley Weld County Training Center, Greeley Greeley City Hall, Greeley Lincoln Fire Annex, Greeley Frontier Academy, Greeley Tower 21, Greeley 4 (Pre -marital) Delivered 8 — 14 hrs of monolingual Spanish PREP Trinity Plaza Greeley Ternplo Bautista Greeley AA 4 35 English PREP classes 3 Monolingual Spanish PREP classes 10 Winning the Workplace Challenge 4 Love U2 2 Within My Reach Year 3 — 150 cples/ind Year 4 — 250 cples/ind. Marriage Education Manager w/ input from the team 5 (Marriage Enhancement) Delivered 8 — 14 hours of PREP or Marriage Garden to married couples Waypoints Greeley Trinity Plaza Greeley Rodgers, Love/and Kersey Community Church, Kersey 11 First United Methodist Church, Pierce Greeley Mennonite Church, Greeley First Methodist Church, Greeley Christ Community Church, Greeley University of Northern Colorado, Greeley Eaton Methodist Church, Eaton Greeley 5 (Marriage Enhancement) Delivered 8 - 14 hrs of monolingual Spanish PREP to married couples Trinity Plaza Greeley Templo Bautista Greeley AA 5 35 English PREP classes 3 Monolingual Spanish PREP classes Year 3 - 200 couples Year 4- 300 couples Marriage Education Team 7 (Marriage Mentoring) Delivered - 16 hrs of WOR to married couples with 1:1 coaching Hampton Inn 12 7 (Marriage Mentoring) Delivered - 16 hrs of monolingual Spanish WOR to married couples with 1:1 coaching Hampton Inn AA 7 5 English Weekends 1 Monolingual Spanish weekends Year 3 — 70 couples Year 4 — 100 couples Marriage Education Team SUMMARIES OF CURRICULA USED IN BUILDING HEALTHY MARRIAGES The PREPARE Program, which we use in the Relationship seminar structure of Building Healthy Marriages, is for premarital education. We also use it in the Mentoring phase along with the ENRICH Program, which is for marriage education. Both programs include a comprehensive couple assessment followed by six 90 -minute follow-up sessions that include six skill building exercises designed to achieve the following goals: • To explore Relationship Strengths and Growth Areas • To learn Assertiveness and Active Listening Skills • To learn how to resolve conflict using the Ten Step Model • To help the couple discuss their Family -of -Origin • To help the couple with financial planning and budgeting • To focus on personal, couple and family goals An 8 -hour version of the PREP (Prevention and Relationship Enhancement Program) curriculum is used in our Marriage Education Seminars in the Public Education phase of Building Healthy Marriages. It is a marriage education program based on up-to-date research in the areas of communication, conflict management, affect regulation, commitment, expectations, intimacy enhancement, and gender differences. PREP attempts to help couples reduce or limit risk factors and raise protective factors, with the overarching focus being to help couples develop and maintain security and commitment. It includes the following topics: • Communication danger signs of future problems • Gender differences • Using structure to promote safety • The Speaker/Listener Technique • Problem solving • Ground Rules for handling conflict • Strategies for dealing with issues and events • Clarifying expectations and core beliefs • Forgiveness and commitment • How to preserve and enhance fun, friendship, and sensuality Also used in the Relationship Seminars are Within My Reach and Love U2 curriculums that utilize exercises and lesson to teach relationship skills to singles and young adults. In addition to units that teach communication and conflict resolution these courses teach 13 good decision making and consequences of decisions. The last curriculum utilized in this structure is Winning the Workplace Challenge. This specifically teaches the skills needed in workplace relationships including communication and conflict resolution among co-workers. A compilation of custom exercises as well as lessons and exercises from the WOR (Within Our Reach) curriculum is used for the Marriage Enrichment Weekends (16 — 20 hours) in the Mentoring phase of Building Healthy Marriages. WOR is similar to PREP, but with several new emphases. It is a strengths -based approach with a central aim to help couples identify and overcome barriers to meeting the goals that they have by drawing on the positive qualities they share. Further, there is a primary focus on helping participants discover new way to cope with the on -going stress that is common among low-income families. Personal responsibility and self-knowledge are encouraged. Further emphasis is on commitment, expectations, and the maintenance of a strong relationship. Core themes of WOR are: • Models of healthy relationships and marriages • Productive ways to manage disagreements and conflicts • Encouragement for developing a strong network of healthy relationships as well as establishing boundaries around less healthy ones • The effects of family -of -origin development on the individual and the couple relationship • Moving couples in proactive directions in developing decision -making practices Evaluation The research team from the University of Northern Colorado has several goals. These include: 1) evaluating the knowledge and satisfaction with each program the couples participated in. Knowledge and Satisfaction Surveys (KSS) were developed to gather this information; 2) assessing marital satisfaction prior to beginning the education programs and through the post-test given on the one year anniversary of the couples joining the Building Healthy Marriages program; 3) Examining several factors, including the relationships between demographic variables, the number and types of services couples participated in, the level of knowledge and satisfaction, and what, if any, changes can be reflected in marital satisfaction. 14 BUDGET JUSTIFICATION YEAR 4 3/2/09 Item Year 4 Budget Cash Match GRANT ADMINISTRATION - WELD COUNTY DEPARTMENT OF SOCIAL SERVICES PERSONNEL, OVERHEAD, SUPPLIES, AND EQUIPMENT Program Manager- 1 FTE $51,906 Name: Ann M. Bruce Duties/Responsibilities: Develop and plan the delivery of BHM program and its activities in accordance with the mission and goals of the organization. Develop good working relationships and collaborative arrangements with the lead agencies and its constituents to help achieve the BHM goals. Ensure that program activities operate within the policies and procedures of the organization. $ 8,989 FICA; Salary ($4326/mo.) X 0.0765 = $330.94 Health Ins = $0 Dental = $0 FUTA = $4.67 Life Ins.; Salary ($4326/mo.) X 0.003914 = $16.93 Long-term Disability; Salary ($4326/mo.) X 0.00166 = $7.18 Retirement; Salary ($4326/mo.) X 0.09= $389.34 Total Fringe: $749.06 per month. Family Support Coordinator $ 38,399 Name: Mary Jo Vasquez Duties/Responsibilities: Trains, supervises and evaluates the performance of the Community/Family Liaison and Intake/Assessment staff. Develops relationships with referral organizations and manages operations to meet the needs of the program. Reviews case files, intake files and completes referral and enrollment reports. FICA; Salary ($3,199.90/mo.) x 0.0765 = $244.80 Health Ins = $433.00 $1,096 $ 10,896 Dental = $11.00 FUTA = $4.67 Life Ins.; Salary ($3,199.90/mo.) x 0.003914 = $12.53 Long-term Disability; Salary ($3,199.90/mo.) x 0.00166 = $5.31 Retirement; salary ($3,199.90/mo.) x 0.09 = $287.99 Total Fringe: $999.30 per month. Family/Community Liaisons Names: Nichole Fenster, Kim Ketchum, Candi De La Cruz, Rebecca Tapia. Duties/Responsibilities: Conducts intakes and assessment on potential participants in the BHM program. Assists with recruitment and awareness raising community events. Initiates file maintenance on new participants. Provides support to program, identifying strengths and needs, providing information and referral, assisting in practice of strategies learned, identifying and eliminating barriers to participation, co - facilitating workshops. FICA; Salary ($2,908.58/mo.) X 0.0765 = $222.51 X 4 = $890.03 Health Ins = $722 X 1 + $433 X 3 = $ 2,021 Dental = $11 X 4 = $ 44 FUTA = $4.67 X 4 = $ 18.68 Life Ins.; Salary ($2,908.58/mo.) X 0.003914 = $11.39 X 4 = $45.54 Long-term Disability; Salary ($2,908.58/mo.) X 0.00166 = $4.83 X 4 = $19.32 Retirement; Salary ($2,908.58/mo.) X 0.09= $261.78 X 4 = $1,048 Total Fringe: $4086.57 per month. Supplies and Administrative Overhead — $31,990 Rent $1,577.62/mo. = $18,932/year $ 139,612 $ 49,039 $50,922 PERSONNEL, OVERHEAD, SUPPLIES, AND EQUIPMENT TOTAL $ 240,669 $110,190 TRAVEL OFA Travel: Air @ $550/2 persons = $1,100 Hotel @ $200.00/day/2 persons for 3 days = $1,200.00 Per diem @ $64/day/2 persons for 3 days = $384. $2,684 Mileage includes staff mileage, Department of Human Services - $5,000 $ 5,000 TRAVEL TOTAL $ 7,684 PROGRAM SUPPORT MEETINGS AND TRAINING Cultural Competency Training cost is based on current rate for half -day training. Group size limited to 20, because learning on this topic is more likely to take place in smaller groups. This includes but is not limited to Substance Abuse Awareness, Domestic Violence Indicator, Faith Based Guidelines, and technical assistance training as offered by the Federal Program. The rates are based on current market rate in Weld County. Food or all education classes is included. $5,000 EDUCATIONAL SUPPORT Educational Support Materials to include but not limited to materials written in Braille or translated into any language other than English. Educational Support Services to include but not limited to sign language interpreter or translation services for any language other than English. $5,000 Participant Stipends Stipends serve the purpose of attracting couples to the program, encouraging honest disclosure, confirming the value of working toward a healthier family, and recognizing worthy contributions. 20 non -married expectant couples @ $100/couple for successful completion of 4 -8 hours of additional services received after completing 8 hours of relationship education. $2,000 TOTAL PROGRAM SUPPORT $ 12,000 TOTAL - WELD COUNTY DEPARTMENT OF SOCIAL SERVICES $260,353 $110,190 CONTRACTUAL SOFTWARE DEVELOPMENT The IT Technician Name: 3T Duties/Responsibilities: will be responsible for the development of data management through the Tapestry system. Software development is based on current market rate. $5,000 TOTAL SOFTWARE DEVELOPMENT $5,000 PARTNER - UNIVERSITY OF NORTHERN COLORADO Evaluation services provided by the University of Northern Colorado to include a project report as a 60 -page bound report with color cover. $ 70,000 TOTAL UNIVERSITY OF NORTHERN COLORADO $ 70,000 PARTNER — A Woman's Place Domestic Violence Protocol A Woman's Place (AWP) will assist in assuring that domestic violence issues for couples who receive services from Weld County Building Healthy Marriages Project (BHM) are safely, routinely, and consistently identified and appropriately addressed. - AWP will provide annual training for BHM staff (to include coaching and education staff) = $200.000 - Assistance in developing a comprehensive DV protocol = $250.00 - Quarterly review of protocol to ensure that it is current and meets minimum requirements = $250.00 $ 700 TOTAL — A Woman's Place $ 700 PARTNER - COMMUNITY MEDIATION PROJECT Marriage Education Seminars (MES) 8 -hour, 4 -session PREP Seminars, 300 couples @ $380/couple = $114,000 Facility, $50/couple = $15,000 Couple's Material, $50/couple = $15,000 Seminar Materials, $10/seminar = $3,000 Educators, $100/couple = $30,000 Coaches, $50/couple = $15,000 Meals/Snacks, $120/couple = $36,000 8 -hour, 2 -session PREP Seminars, 20 couples @ $290/couple = $5,800 Facility, $50/couple = $1,000 Couple's Material, $50/couple = $1,000 Seminar Materials, $10/seminar = $200 Educators, $100/couple = $2,000 Coaches, $50/couple = $1,000 Meals/Snacks, $30/couple = $600 8 -hour, 1 -session PREP Seminars, 70 couples @ $320/couple = $22,400 Facility, $50/couple = $3,500 Couple's Material, $50/couple = $3,500 Seminar Materials, $10/seminar = $700 Educators, $100/couple = $7,000 Coaches, $50/couple = $3,500 Meals/Snacks, $60/couple = $4,200 219,600 8 -hour, 4 -session PREP Seminars less facility, 120 couples @ $330/couple = $39,600 Couple's Material, $50/couple = $6,000 Seminar Materials, $10/seminar = $1,200 Educators, $100/couple = $12,000 Coaches, $50/couple = $6,000 Meals/Snacks, $120/couple = $14,400 8 -hour, 1 -session PREP Seminars less facility, 140 couples @ $270/couple = $37,800 Couple's Material, $50/couple = $7,000 Seminar Materials, $10/seminar = $1,400 Educators, $100/couple = $14,000 Coaches, $50/couple = $7,000 Meals/Snacks, $60/couple = $8,400 Conflict Resolution Coaching (CRC) Coaching sessions, 10 couples @ $200/couple@ 4 hours of coaching @ $50/hour/couple = $200/couple. $ 2,000 Financial Management Education (FME) Coaching or Workshops, 10 couples @ $200/couple, 4 hours of coaching/workshop, $50/hour/couple = $200/couple. $ 2,000 Relationship Inventories (RI) Prepare/Enrich Inventories, 20 couples @ $200/couple, Couple's materials, $20/couple = $400, Scoring Fees, $30/couple = $600. Leader Fees, $150/completion = #3,000 $ 4,000 Marriage Education Staff Training (MET) Staff Training and updates in various marriage curricula, Marriage Education Updates in PREP, WOR, and Prepare/Enrich curricula, 10 @ $500/each = $5,000, Smart Marriage Conference, 2 @ $2,000 = $3,000 $ 8,000 Healthy Marriage Education Administration (HMEA) Costs to do educational administration in Weld County, Marriage Education Manager, 1 FEE = $38,160 Name: Craig Conrad Duties/Responsibilities: Oversees the Healthy Marriage Educational program. Recruits, trains, qualify, employs, evaluates and supervises contracted BHM staff, marriage educators,roaches and vendors. Stays informed of current marriage education research and training, maintains marriage education and training credentials. Oversees information management, establishes and maintains the database to track educators, coaches, mentors and program participants. Establishes the CMP BHM budget, expenditures and provides financial reports. Plans, strategizes, coordinates and attends all required meetings with partner agencies. Ensures the updating of and compliance with BHM policies, procedures and protocols. Responsible for building the faith -based Healthy Marriage Educational Partnership, representing BHM to diverse groups and agencies, and recruiting participant couples throughout Weld County. Serves as a volunteer educator and coach as needed. $ 117,705 Hispanic Marriage Education Manager, .5 FTE = $14,000 Name: Juvenal Cervantes Duties/Responsibilities: Recruits, trains, qualifies, employs, evaluates and supervises contracted Hispanic BHM staff, marriage educators, and coaches. Stays informed of current marriage education research and training, maintains marriage education and training credentials. Coordinates and attends all required meetings with partner agencies. Responsible for building the faith -based Healthy Marriage Educational Partnership, representing BHM to diverse groups and agencies, and recruiting participant couples in the Hispanic community throughout Weld County. Serves as a volunteer educator and coach as needed. Facilitates all monolingual Spanish speaking seminars, workshops and events. Marriage Education Coordinator, .75 FTE = $27,720 Name: Alison Conrad Duties/Responsibilities: Schedules and coordinates all marriage education, coaching and training events, establishes and maintains the infrastructure for effective marriage education programs throughout Weld County. Responsible for office operations; answers phones, greets the public, orders supplies, makes copies, manages office equipment, mailings, manages vendor relationships. Maintains marriage education and training credentials. Coordinates and attends all required meetings with partner agencies. Serves as volunteer educator and coach as needed. Mileage, $500/ month = $ 6,000 Administrative Overhead, $1,500/month = $18,000, Office Occupancy, $850/month = $10,200, Office Supplies, $75/month /FTE = $2,025, Quarterly Educational Partnership Meeting Handouts and Materials, $100/ meeting = $400, Quarterly Educational Partnership Meeting Lunches, $10/each for 30/meeting = $1,200 TOTAL COMMUNITY MEDIATION PROJECT $353,305 PARTNER - UNITED WAY OF WELD COUNTY PUBLIC EDUCATION/MARKETING Staff: $56,567 Marriage Project Coordinator, 1 FTE, salary = $34,640 benefits = $9,465. Name: Ron Anderson Duties/Responsibilities: Work with Department of Human Services and United Way of Weld County to assist in coordinating support services to clients participating in the Building Healthy Marriage Project of Weld County. The Marriage Project Coordinator also provides assistance with developing and distributing marketing materials as well as collaborating with project partners to facilitate Building Healthy Marriage special events and outreach activities. Prorata share of Finance Office Costs, $4,491. Prorata share of Resource Investment Director, = $7,740. Name: Elizabeth Barber Duties/Responsibilities: responsible for supervising the Marriage Project Coordinator and working collaboratively with all of the project partners to oversee the overall program components. This entails attending various Building Healthy Marriage meetings and events as well working with the Marriage Project Coordinator to develop and review budgets, and review materials and event plans. Office Costs & Mileage: $13,948 Supplies $2,500, Replace equipment = $1,300 Insurance = $705 Occupancy/ communication/ Equipment maintenance = $8,043. Mileage: United Way of Weld County - $1,400 Technology $ 8,500 Text Website Hosting = $250 Website Administrative = $1,250 Cost of Information Services technical support @ $2,500 Kiosk Project — work with developer on changes $4,500 Business and Organizational Outreach: $ 2,050 Major events for promotion, media awareness, and public education for the Building Healthy Marriages Program in the County including: Mailings to civic orgs to present program $50 Presentation materials $2,000 County Wide February Event $ 12,300 Love Vouchers - $6,000 Promotion Newspaper - $1,500 Radio - $2,000 Meeting Supplies - $300 Project Supplies - $2,000 BHM Fun Run Event $ 15,700 Location rental $ 1,200 Planning meetings $ 500 Promotions $ 1,800 -Ads in Sports Publications -Newspaper -Radio Event Supplies $ 3,800 Shirts and give a ways $ 2,500 10 Public Media Campaign: $ 161,050 Newspaper Longmont $2,500 Metro West $2,500 Greeley Tribune $15,200 UNC Mirror $1,000 Total Newspaper $21,200 Radio KFKA (90 spots a mo. @ $12) $13,150 KGRE (90 spots a mo. @ $50) $40,500 Regent $50,400 Total Radio $104,050 Cable Television 18 Weeks Greeley Only $20,800 (ave. about $16 per spot total of 306 spots from June to Sept.) Total Television $20,800 Billboards $5,000 Prep for advertisement $4,000 Give away items $3,000 Update Video $3,000 Total Miscellaneous $15,000 11 Community Events: $ 1,500 An informational booth set up in strategic locations during community events that will advertise the program and the benefits of marriage and the skills needed to increase marriage and relationship stability and health. Events Children's Fair $300 Cinco de Mayo $400 FENWC Event $100 DHS Lobby $50 County Celebration $400 Event Supplies $250 Recruitment Materials: $ 13,385 Brochures and printed material $12,000 Brochure Holders $1,385 TOTAL — UNITED WAY OF WELD COUNTY $ 285,000 TOTAL - CONTRACTUAL $712,231 TOTAL PROGRAM COSTS $ $ 110,190 974,358 12 OMB Number 4040-0004 Expiration Date 01/31/2009 Application for Federal Assistance SF -424 Version 02 *1. Type of Submission: Preapplication © Application [] Changed/Corrected Application ' 2. Type of Application: © New t Continuation El Revision If Revision, select appropnate letter(s). r • Other (Specify) 3 Date Received 4. Applicant Identifier I90FE0134/03 5a. Federal Entity Identifier: 7 • 5b. Federal Award Identifier: I State Use Only: 6. Date Received by State: 8. APPLICANT INFORMATION: 7. State Application Identifier: -I • a Legal Name' Feld County Department of Human Services • b. Employer/Taxpayer Identification Number (EIN/TIN): 84-6000813 c. Organizational DUNS: 1075757955 d. Address: 1 "Street!: 315B North 11th Ave. Street2: r J • City: 'Greeley I County: [Weld " State. [Colorado Province: "Country. I USA: UNITED STATES • Zip / Postal Code 8O631 l 1 e. Organizational Unit: Department Name !Department Of Human Services Division Name: P I f. Name and contact information of person to be contacted on matters involving this application: Prefix. Middle Name: • Last Name - Suffix. [Mrs. I • Firs: Name !Ann Marie [Bruce LT J Title: LAssistance Pa rLments Community Liaison Organizational Affiliation: • Telephone Number: Li(970) 304-6578 ext. 7905 Fax Number: I (97O) 304-6581 • Email: I brucexam@co.weld.co.us OMB Number 4040-0004 Expiration Date 01/31/2009 Application for Federal Assistance SF -424 Version 02 9. Type of Applicant 1: Select Applicant Type: County Government Type of Applicant 2 Select Applicant Type L I Type of Applicant 3: Select Applicant Type __ I I ' Other (specify) I r - • 10. Name of Federal Agency: USDHHS.'ACF/Healthy Marriage Initiative 11. Catalog of Federal Domestic Assistance Number: 193.086 CFDA Title Healthy Marriage Demonstration Grant • 12. Funding Opportunity Number: 1H H S-2006-ACF-OFA-FE-0033 • Title Healthy Marriage Demonstration Grant 13. Competition Identification Number: 1 Title 14. Areas Affected by Project (Cities, Counties, States, etc.): • 15. Descriptive Title of Applicant's Project: Weld County Building Healthy Marriages Attach supporting documents as specified in agency instructions OMB Number: 4040-0004 Expiration Dale: 01/31/2009 Application for Federal Assistance SF -424 Version 02 16. Congressional Districts Of: ' a Applicant ' b Program/Project Attach an additional list of Program/Project Congressional Districts if needed I 17. Proposed Project: ' a Start Date (seaiemeer 30.2606 "b. End Date: sepiember 29.2011 18. Estimated Funding (8): * a Federal $974,358 'b Applicant $110,190 *0 State ' d Local ' e Other • f Program Income ' g. TOTAL $1,084,548 * 19.1s Application Subject to Review By State Under Executive Order 12372 Process? O a. This application was made available to the State under the Executive Order 12372 Process for review on Ei b Program is subject to E O 12372 but has not been selected by the State for review. O c. Program is net covered by E.O. 12372. ' 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) ®Yes I No 21. *By signing this application, I certify (1) to the statements contained in the list of certifications" and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. 1 am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) Q ** I AGREE " The list of certifications and assurances. or an internet site where you may obtain this list. is contained in the announcement or agency specific instructions Authorized Representative: Prefix. 'Commissioner ' First Name. William r Middle Name ' Last Name LGarcla Suffix L * Title [Chair. Weld County Board of Commissioners * Telephone Number. [(970)- 356-4000 ext 4209 J Fax Number: (970) 352-0242 ' Email I WGarcial co.weld.co. us • Signature of Authorized Representative * Date Signed: [ MAR 1 8 7009 Authorized for Local Reproduction Standard Form 424 (Revised 10/2005) Prescribed by OMB Circular A-102 c'h'9-C16eZ OMB Approval No. 0348-0041 ASSURANCES - NON -CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: 1 Has the legal authority to apply for Federal assistance and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project cost) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, through any authorized representative, access to and the right to examine all records, books. papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3_ Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will cornply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Previous Edition Usable Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. Standard Form 4248 (Rev. 7.97) Authorized for Local Reproduction Prescribed by OMB Circular A-102 &e)(59-06‘."° 9. Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874). and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 333), regarding labor standards for federally -assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990: (d) evaluation of flood hazards in floodplains in accordance with EO 11988: (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.): (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973. as amended (P.L. 93- 205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. SIGNATURE OF A1}ZHORI D CERTIFYING OFFICIAL William F. Garcia TITLE Chair, Board of Weld County Commissioners APPLICANT ORGANIZATION Weld County, Colorado DATE SUBMITTED March 10, 2009 Standard Form 4248 (Rev. 7-97) Back Lobbying Certification Page 1 of 1 I 11.5. Depminten( of Beakh & Human Serrice.c Administration for Children: ` Families Home Services , working with ACF Policy/Planning I About ACF I ACF News CERTIFICATION REGARDING LOBBYING Certificat!on for Contracts, Grants. Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (I) No Federal appropriated funds have been paid or will he paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract. grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL. "Disclosure Form to Report Lobbying," in accordance with its instructions. (31 The undersigned shall require that the language of this certification be included in the award documents for all suhawards at all tiers (including subcontracts. subgrants. and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency. a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL. 'Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than SI00.000 for each such failure. Signature Title William F. Garcia, Chair, Board of County Commissioners Organization Weld County, Colorado MAR 1 8 2009 http://www.acfhhs.gov/programs/ofs/grants/Iobby.htm 3/10/2009
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