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Home My WebLink About20091623.tiffRESOLUTION RE: APPROVE TWO ONE-TIME FUNDING GRANT APPLICATIONS FOR REGIONAL AND MIGRANT/SEASONAL HEAD START 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 two One -Time Funding Grant Applications for the Regional and Migrant/Seasonal Head Start Programs from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, Family Educational Network of Weld County, to the U.S. Department of Health and Human Services, commencing January 1, 2009, and ending December 31, 2009, with further terms and conditions being as stated in said applications, and WHEREAS, after review, the Board deems it advisable to approve said applications, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the two One -Time Funding Grant Applications for the Regional and Migrant/Seasonal Head Start Programs from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, Family Educational Network of Weld County, to the U.S. 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 applications. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of July, A.D., 2009, nunc pro tunc January 1, 2009. ATTEST: Weld County Clerk to the Bo APP b the Board RM: o ty Attorney Date of signature 1 ai�D�l BOARD OF Cu ' ` Y COMMISSIONERS ORADO Sen P. Conway rbara Kirkmeyer E ceol David E. Long 2009-1623 HR0080 MEMORANDUM DATE: July 13, 2009 TO: William F. Garcia, Chair, Board of County Comm* iomrs CFROM: Judy A. Griego, Director, Human Sts es p riin COLORADO RE: One -Time Funding Grant Application for the Weld County Department of Human Services Regional Head Start and Migrant/Seasonal Head Start Programs Enclosed for Board approval are two (2) One-time Funding Grant Applications for the Regional Head Start and Migrant/Seasonal Head Start Programs. These Grant Applications were presented at the Board's July 13, 2009 and July 14, 2009, Work Sessions. FENWC intends to use the requested funding to improve program quality and safety in the delivery of services through the renovation and repair of older modular facilities and upgrading of children's outdoor play areas. The amounts of funding requested are $125,419.20 for the Regional Head Start Program and $74,388.52 for the Migrant/Seasonal Head Start Program. The terms of these Grants will be January 1, 2009 through December 31, 2009. If you have questions, please give me a call at extension 6510. 2009-1623 APPLICATION FOR FEDERAL ASSISTANCE 2. DATE SUBMITTED: Applicant Identifier 08CH0019 1. TYPE OF SUBMISSION Application Construction Preapplication ❑ Construction ❑ Non -Construction 3. DATE RECEIVED BY STATE: State Application Identifier 4. DATE RECEIVED BY FEDERAL AGENCY: Federal Identifier 08CH0019 - 000 © Non -Construction 5. APPLICANT INFORMATION Legal Name: WELD COUNTY DEPARTMENT OF HUMAN SERVICES Organizational Unit Department: HHS: Office of Head Start Organizational DUNS: 139136811 Division: HHS: Office of Head Start Address: Name and telephone number of the person to be contacted on matters involving this application (give area code) Street: 1551 North 17th Avenue P.O. Box 1805 Prefix: Dr. I Middle Name: City: Greeley First Name: Janet County: N/A Last Name: Flaugher State: CO Zip Code: 80632 Suffix: Country: N/A Email: jflaugher@co.weld.co.us 6. EMPLOYER IDENTIFICATION NUMBER (EIN) 846000813 Phone Number (give area code) (970)353-3800 Fax Number (give area code) (970)304-6453 8. TYPE OF APPLICATION 0 Continuation ❑ in box(es): ❑O Revision 7. TYPE OF APPLICANT (enter appropriate letter Other (specify) in box) B X New If Revision, enter appropriate letter(s) Other (specify) 9. NAME OF FEDERAL AGENCY: HHS I ACF / OHS 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 93.600 TITLE (Name of Program): Head Start / Early Head Start 11. DESCRIPTION TITLE OF APPLICANT'S PROJECT: One -Time Funding Grant Application for Renovation of Family Education Network of Weld County's Head Start centers. 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States etc.): Weld County 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date: 01/01/2009 Ending Date: 12/31/2009 a. Applicant: 4 b. Project: 15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS' a. Federal $125,419 a. YES THIS STATE EXECUTIVE b. NO PREAPPLICATION/APPLICATION ORDER 12372 Date: ❑ PROGRAM IS NOT WAS MADE AVAILABLE TO THE PROCESS FOR REVIEW ON COVERED BY E.O. 12372 HAS NOT BEEN SELECTED BY STATE FOR REVIEW b. Applicant $0 c. State $0 d. Local $0 e. Other $0 X OR PROGRAM f. Program Income $0 17. IS THE APPLICANT DELINQUENT ON ANY If "Yes," attach an explanation. FEDERAL DEBT? g. Total $125,419 ❑ Yes X No 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a. Authorized Representative Prefix: Mr. I First Name: William Middle Name: Last Name: Garcia Suffix: b. Title: Authorizing Official c. Telephone number: (970)353-3800 d. Signature of Authorized Representative: 7?..r. e. Date Signed: JUL 15 LUU9 Standard Form 424 (Rev.9-2003) Prescribed by OMB circular A- Applicant delinquent explanation of federal debt for line 17: N/A GABI - SF424A Report 01/01/2009 to 12/31/2009 Budget Period: O1 O O N L C N O V A u W N 3LL 4- O O Y V O Nra Y Z n m 0 m4 N u V -O E w T E a N J LL N E m L 2. d C O v C C O U C O z O LL O LL Z C 3 m SECTION A - BUDGET SUMMARY ro 1 Program Operation 93.600 $0 $0 $125,419 $0 $125,419 2 93.600 $0 $0 $0 $0 $0 3 $0 $0 $0 $0 $0 4 $0 $0 $0 $0 $0 5 Total (Sum of lines 1-4) $0 $0 $125,419 $0 $125,419 SECTION B - FEDERAL RESOURCES GRANT PROGRAM, FUNCTION, OR ACTIVITY 6. Object Budget Categories (1) Program Operation (2) (3) (4) Total a. Personnel $0 $0 $0 $0 $0 b. Fringe Benefits $0 $0 $0 $0 $0 c. Travel $0 $0 $0 $0 $0 d. Equipment $63,326 $0 $0 $0 $63,326 e. Supplies $0 $0 $0 $0 $0 f. Contractual $0 $0 $0 $0 $0 g. Construction $0 $0 $0 $0 $0 h. Other $62,093 $0 $0 $0 $62,093 i. Total Direct Charges (sum of 6a - 6h) $125,419 $0 $0 $0 $125,419 j. Indirect Costs $0 $0 $0 $0 $0 k. Totals (sum of 6a - 6j) $125,419 $0 $0 $0 $125,419 7. Program Income $0 $0 $0 $0 $0 O H New or Revised Budget Non -Federal (f) Co al ^y 'O ... 61 Estimated Unboligated Funds CI V CU LL C v O Z Federal (c) u_ w on O � _ Co v v ' c .0 a, ja, E 21 E .N N V LL O = O < Z Grant Program, Function, or Activity (a) 0 O V V O O. C) u O -J O O a) NJ O Q cn O N M T J GABI - SF424A Report 01/01/2009 to 12/31/2009 Budget Period: m 0 0 L c 0 J UJ O ›- l-) 'O V N j LL o O U fa 41 Z v, 0 n Li E' v LLJ E >, E a ro z LL N O 0 0 rn C ro o U N O _ m 2 O • • U C 0 U c 0 Z 0 i 0 LL Z 0 D m - - - SECTION C - NON-FEDERAL RESOURCES a 0 H 8 NFS $0 $0 $0 $0 9 $0 $0 $0 $0 10 $0 $0 $0 $0 11 $0 $0 $0 $0 12 Total (Sum of lines 8-11) $0 $0 $0 $0 SECTION D - FORECASTED CASH NEEDS I4th Quarter 13 Federal $125,419 $0 $0 $125,419 $0 14 Non -Federal $0 $0 $0 $0 $0 15 Total (Sum of lines 13-14) $125,419 $0 $0 $125,419 $0 SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT v in First (b) I Second (c) I Third (d) Fourth (e) 16 Program Operation $0 $0 $125,419 $0 17 $0 $0 $0 $0 18 $0 $0 $0 $0 19 $0 $0 $0 $0 20 Total (Sum of lines 16-19) $0 $0 $125,419 $0 SECTION F - OTHER BUDGET INFORMATION 21. Direct Charges: 122. Indirect Charges: 23. Remarks: Other (d) 3rd Quarter 0 0 O w 0- L.7 State (c) 2nd Quarter Z 0 Z U- LL LLJ CC F- H U- LL Applicant (b) 1st Quarter Grant Program (a) Current Year Budget 1 Grant Program (a) Budget Category Standard Form Authorized for Local Reproduction Prescribed by OM 0) i(5 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES SF 4248 ASSURANCES - NON -CONSTRUCTION PROGRAMS 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 costs) 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. 4278-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM=s Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F). 6. Will comply with all Federal statutes relating to non-discrimination. 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 bases 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 Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of /975, 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 non-discrimination on the basis of drug abuse; (t) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to non-discrimination on the bases 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 the alcohol and drug abuse patient records; (h) Title VII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (I) any other non- discrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other non-discrimination statute(s) which may apply to the application. 7. Will comply, or has already complies, with the requirements of Titles II and Ill 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 with the 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. 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 (ED) 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.); (t) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear 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 Presentation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Presentation 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 the 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 of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. DRUG -FREE WORKPLACE REQUIREMENTS GRANTEES OTHER THAN INDIVIDUALS By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. This certification is required by regulations implementing the Drug -Free Workplace Act of 1988, 45 CFR, Part 76, Subpart F. The regulations published in the January 31, 1989 Federal Register, require certification by grantees that they will maintain a drug -free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when HHS determines to award the grant. False certification or violation of the certification shall be grounds for suspension of payments, suspension or termination of grants, or government -wide suspension or debarment. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug -free workplace requirements. Workplace identifications must include the actual address of buildings (or parts of building) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g. all vehicles of a mass transit authority of State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio studios). If the workplace identified to HHS changes during the performance of the grant, the grantee shall inform the agency of the change(s), it previously identified the workplaces in question (see above). Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug -Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: "Controlled substance" means a controlled substance in Schedules I through V of the Controlled Substances Act (21 USC 812) and as further defined by regulations (21 CFR, 1308.11 through 1308.15). "Conviction" means a finding of guilt (including a plea of nob contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal of State criminal drug statutes; "Criminal drug statute" means a Federal or non -Federal criminal statute involving the manufacture, distribution, dispensing use, or possession of any controlled substance; "Employee" means the employee of a grantee directly engaged in the performance of work under a grant including: (i) All "direct charge" employees; (ii) all "indirect charge" employees unless their impact of involvement is insignificant to the performance of the grant; and (iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces). The grantee certifies that it will provide a drug -free workplace by: a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; b) Establishing a drug -free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of be statement required by paragraph (a); d) Notifying the employee in the statement required by paragraph (a) that as a condition of employment under the grant, the employee will: (1) (2) Abide by the terms of the statement; and Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; e) Notifying the agency in writing within ten days after receiving notice under subparagraph (d)(2), from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; f) Taking one of the following actions within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted: g) (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency. Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (a) through (t). CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE Public Law 103-227, also known as the Pro -Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal program either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children's services provided in private residences; portions of facilities used for inpatient drug or alcohol treatment; service providers whose sole source of applicable Federal funds in medicare of medicaid; or facilities where WIC coupons are redeemed. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. By signing this certification, the offeror/contractor (for acquisitions) or applicant/grantee (for grants) certifies that the submitting organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act. The submitting organization agrees that it will require that the language of this certification be included in any subawards which subrecipients shall certify accordingly. CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45 CFR Part 76 certifies to the best of his or her knowledge and believe that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transaction by any Federal Department or agency; (b) have not within a 3year period preceding this proposal been convicted or had a civil judgement 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 statement, or receiving stolen property; (c) are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and (d) have not within a 3 -year period preceding this application/proposal had one or more public transaction (Federal, State or local) terminated for cause or default. The inability of a person to provide the certification required above will not necessarily result in denial of participation in this covered transaction. If necessary, the prospective participant shall submit an explanation of why it cannot provide the certification. The Department of Health and Human Services' (HHS) determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," provided below without modification in all lower tier covered transactions. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS (TO BE SUPPLIED TO LOWER TIER PARTICIPANTS) By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR, Part 76, certifies to the best of its knowledge and belief that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible, cr voluntarily excluded from participation in this transaction by any Federal department or agency. (b) where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. CERTIFICATION REGARDING LOBBYING FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The undersigned certifies to the best of his or her knowledge and belief, that: (1) No Federal appropriate funds have been paid or will be paid, by or on behalf of the undersigned, 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 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 influencing or attempting to influence an officer or employee or an 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. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, sub grants, 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 or not less than $10,000 and not more than $100,000 for each such failure. I hereby 1v U`ie auDve certifications and assurances. Sigrrature of Certifying Official William F. Garcia, Chair Title Weld County, Colorado Applicant Organization 07/15/2009 Date GABI - Grant Application Report 01/01/2009 to 12/31/2009 -e O a`i d r a! V AO C R 01 O >' U N131 o O' - U O Z m O •4 cO Li 4-, V , 7 v w w T 41 E n RI 7 LL N 08CH0019 / 000 O Z RI hi bo C ~ CcuE pp ` O l7 a O U U tom - v U V -C U T E 0 L} .L: Sze 4 1.. a, c N O O I.) L 4J v p N L v C rsi .p E v, .N V T O O y L 41 a0 t a a Q x Z o a _ C O O L- a E v, .CIJ N •-13 E J O 2 = O -7.._ O Z N L tv N aJ i O— 7 L o. O v. O +_ C Z o L > L L ,� co CO T E o L > d V Zr., T o z 0. E O. O .> -C L L E a, v 7 O O > a C aJ z a 4 U 4 O \ L) CU LL O. N L.O a, v \ ' a Eto -0 15 CV O -o r.; y u zv. g U O L a O a" LL O V \ N ui >, , „c2 3 V u o v, 'v v aq o V, al L v, 0 v, O MI L V 7 ro Z v E Program Option GABI - Grant Application Report 01/01/2009 to 12/31/2009 m C N L C (U O • >- U m N j O O Y U O ,; OJ Y Z ra O Co u c • v a E w T Co a u- 0. E A J;j O O 0 • o O 4' O N 2 v v O 2 O z v N CO N CC E C Co OD O d 7 a W Number of Employees 0 0 O 0 O O Ia 0 va w CO a a v c u Co C a C C C .N • Q I- H m u w C -C 0 U ai Co I- 0 O 0 . O Co ,Q a o U Line Item Descrip 0 0 Vi H 1 LD N N M rn roc Ow H Please enter a description EQUIPMENT Total CO I - Number of Employees O co 0 co co 0 O O O - 7 0 0 0 0.1 w w L- L c Y N C `v a C C CU CO LL L C @ a ! N 0 W 0 N C u N C • Yi C _ C H u o E i a L 'di! O V I N E m 0 0 t V ▪ t0 ED C VY 4, W Line Item Description V C O a V U 0 41 L 0 a Co a Lv s I C C C H ( C_ 2 W I m ILC' Incidental Alterations / Renovations OTHER Total N tutu 0 O a E w 4- 0 v n E z' C U @ C an y C n CO Q H A L.0 u • C L U 1- ra N_ pq C O O l N CL Co ` v O O O V DIRECT COSTS O 0 N M T W C d 0 0 N T = GABI - Grant Application Report O1 O N M T = GABI - Grant Application Report V N bD to a GABI - Detail Report O 0 N N cn 0 0 N O O L O a V d 0 0 0 N CC r 0 - O V u'o v N_ LL Q • O Y 3 Y • N ra CO C 0 N J W tu w T E n L J LL N d n H• T Z O 27, u �¢ 0 0 0 m o o x o V Y to 0 C z m Y 61 m Na d T w L 00 0 O Q i Line Item Budget Total Key Features Total O w Funding Category Cost for Program Operations Cost for Training and Technical Assistance Non-federal Share (Cash and in -kind) O H FEDERAL FUNDING STATE FUNDING LOCAL FUNDING OTHER FUNDING IU Y 0 H GABI - Detail Report co co NI M o O 0, O N O O 0 01 ea 0 CO IP O N C C0.1 ILO 0 >- L1 -0 U LL 0 O Y u O - ;; w Z it) ro 0 N co U J w E T E rn J LL (n d F N C Z O 61 C3 C d0. O 0 mro co O N I 'O u 'a N O O Z w Y t o E A 4-1 C L C o O IJ Q a` O O O C N O O u = y -0 Ni S] E . O N c L N - U J L L u n 0 • w a T N >. 0 a = c y O N O U T 0 a a) v N N O r. in r It 0 • J O ru is to m J O L O O. _ Z L O N ... in vi m _ d D y = p E 0 y E T J L a t _ O Z 9O N N a E a E o O 4N+ v V n'UU W I y Y 06 EL 0.0'57 J L Z O • a) 6- ID t11 n E 0 0 a L J L > U O! Z a u O o ▪ LL a N N O v„i a ‘.6E eL m v i. N J O U O E U m ,e- u W LL a • a 0 ° in ' , m Ealn a C J V U0 ., I Z to N v a cu p , LL a 01 N 0.1 \ ✓ L J N 0. C E 0 a J Z z L Li O a en v' -00 a) 0. U 01 to 4- N 0. T U c M E O in 0 n v J to N Z U np . u Program Option GABI - Detail Report 01/01/2009 to 12/31/2009 Budget Period: \ C c 7 CU O>- -Og 45 E k / Z k ra w E E E 2 L/1 08CH0019 / 000 \ / a 2 2 b 0. C coE § k tIC o a- § I ) •- . j Personnel $0 $0 $0 Fringe Benefits $0 $0 $0 Travel $0 $0 $0 Equipment $63.326 $0 $0 Supplies $0 $0 $0 Contractual $0 $0 $0 Construction $0 $0 $0 Other $62,093 $0 $0 Total Direct Costs $125,419 $0 $0 Indirect Costs $0 $0 $0 SUMMARY OF BUDGET CATEGORIES TOTAL $125,419 $0 $0 VI z �� < : } a. /K) a . 1. . R2 L2 LW } .. Budget Category E 2 ` ) " I s• I. j . 1 . � \ GABI - Detail Report 01/01/2009 to 12/31/2009 'O O O. v m CO CO m O O N u L q W O O ua u 3 LL o O Y U O 3 w v Z A co fa O C w a E T ?� E n N J LL In o. EIT m C! Z o u C= 0.1 Q QI O O O m m N O = O V m d CO 0 N m T b a GABI - Detail Report et Period: 01/01/2009 to 12/31/2009 V CO 01 O O N • u C q J 61 O >- V 6 u o • O - V , 3 d • v, Z N co C 0 47, co A V J w E T E N J - N L.0 a) m R 2 O a) OD O Co ` a d 4S<x,.. Co v b 0 GABI - Detail Report 01 o v t C N Co T a) C N a J } C O U N O "O N y. -o V ? LL "aL? - > Co CU O O Y V v OO O Y 1k� 'ry V) Oi d N v d' V Z Vf 4y -0 O W Co 1 ^ .r. C O VS to N LL Cora V v = cD a a w E T Co J 6 rv� O LL ) v H G1 O G yE 5 FTa Ln E c z •� , 41 U O V v a v CO M>y V C E 0 08CH0019 / 000 0 z Y bit O C L O L.9 a Cl N J r0 VI .45 T V v _ a) v Co o V E E H X C_ E E < f - Total Admin Costs: J CO Co 4- V - O 0 -O Co J � •C Co E Q urn of 20% of the total budget must be non-federal sha Co a) OD Co Q 6 N Co o O C O O a) O O a) a) a) 0 J O O N N C c N O O C v on Co v 0 QI a) C a) Co Co 0 O v O O O Vi be. 0 ro E a) Q1 v ae 0 0 0 0 O o N 0 0 j O O O Ci - 0 0 Vi O to U4 to 1R O O Co v 0 4- 4- O _C W 0 O cc N ro a ,— v 4- CD C V 0 0, Clo ae N C O 3 J v a) d O y rC o -00 ad V 0 .0 v o8 -o LW E a) C _ OVI C 'O . Co v 111 0 m ED O O V1 Y -0 0 ?E .. Cy 'p �O 0 J V O r+ a) .0 D C = V y m Co O J H J O U C a ra 'O C V U vCLI O v+ O LL a) o c v S v C VOl O O 0 a) L VI C Vl 1] O C v vi O LL N 0 0 J Z 0 u r0 +' F- To N v A 'O .. 0 Co N _0 =? 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Co0 0l .vi en bvD en 0., N "O v M D] 4-I 0 U 0 U a a LL 'O a LL N Co C` C O�J O Z o a) CoOA Co L a) 31 v a O f0 Co Co Co CO LL La Co C CC, LL a LL 4 E @8 -8 Y O > > N N l) O L > ate+0 > -v0a) 'Ov -v0 Y -v0 "v0 OD C .rny `° Y :° Z LL H H Z Q Q a Liu < V F- OH O LL LL LL I- LL LL IT LL 4' F- H H N M a L t0 co' CO 0 r `0 7. fringe Benefits: GABI - Detail Report 0 0 N N rn T O 0 N O 0 O 0- 00 0 J m 0, O N T L C co O >- U N -0 N Tv it o O y U O y v Z of c O Li n U C J v w E T N a E a N J LL V 0 0 0 m en L- col o VI o 'n _ -o U n 00 c v = O Y J U v L 'O O V J n of 0 >, L N O Y E en co 26) ..-++ L�C a Y N a V a T tn L T N U C a v a-% v by O n L n L to v,'O L L C C N n M CO 4L.+ C v V O N L C C 3 m CCO w r n Q a v '^ 0 t0 Y T T 7 u T C> 0 0 0 0 2 0 0 a c o ae 0 0 0 0 0 0 > 0 0 v o 0 0 0 be o o Y o o c o 0 0 0 0 0 0 0 o m 0 w o ;; Z Z n va w 6 w w 0 v. t/.a ZZZZZ v o o n 0 a. Li _° n un 0 Y N 10 C y n n a w w - C 0 0 G 4-, Y v v o = O n .• E V L U U o U GI V c L T .L+ N O O a ` a a O T LO O > 'n \ R C C) V "O -0 -O 'O E O C C c 0 2O n v as n N a O -o = -° '° w O c o CO U- _ L - c " C -0 v 0 r 0 •C N U �O -vo a c .v '^ w n w .a C bn n-0 °J r C 4, Nt.c" C 0 n -p n a -O 0 0 ~° ou a = 0 v v u ,., e `p v 4-, > u < n O `V. p in U U bi ° °-co LA Lri a v a> m 0 0 00 CL .+ 0, T Y U HO -O LL O O. o VI 0 :!' rya 46 v w o 3 .. ID c a. C2 E a v v Z' L^ CD Z v OD en > C) N p v+ n p a «C E C) Y 'O n 'O w U V L. N x n La C v 1 v n LL n y n C ca a_w L V > J`` Y O O ��, .T+ - .T+ n n 00 N _ V≥ N r° H I— >. C -0 n U UC v n c m •E° LL a OJ ib 'vi d w> w w 0 v 0 0 a C J .. n J N M C n c •' n n n a .- ' w .v, E a+ v E n m A MI �b = v 0 0 in L Vl VI U 'C n C E .'> > E U co." by C C 4-1 TV v U U C 0) C C Z ,N C c. c o u o ° "p C C O r2IC > C O>> 0 0 0 O Cr -O C b0 Z Z Q C -p N C :ma O :>11:' � C Jp 'O 'O p d c CO C mn e ~ 00 ri r n be N C L O p n .0 J° n i LL N LL LL O w rco Y r r 0 co o 0 -O n C n n .1-10 ., u C Tr'-±-s v C .≥' v 0<<< u -o -o o -0 -0 C c u - n E X00 0 L C) cU cc, C) L° .L L L J° J J C y 0 0 U OD -p N J '^ U L N O D V) V1 VI r= c[ u2 U U U O2OO L LL LL .< W= Z LL 0 r LL= .DDD D O M ae M GABI - Detail Report O rn N rn N 0 01 O O O O O C v 0 - CU 00 CO 0 O O N Y L G f0 J v O >- (-) -O u N j lL O - 0 • V O 3 y v Z r/1 47, Cc O m io u C w E T N E a LL N a E m Z « Li u 4Ci a m Q Q c z v • CIJ d 02 I — E Y • A C i L O d Y L N_ C E The following budget line items show ce W_ N Y O Admin Costs Number of Sta Admin Costs O O O O a C V O c — 0- a `i u N U O O Building Maintenance / Repair and Oth Incidental Alterations / Renovations n Family Educational Network of Weld County One -Time Funding Grant Application Regional Head Start Narrative Purpose: To improve program quality and safety in the delivery of services through the renovation and repair of older modular facilities and improvements to outside play areas; needs that have been identified in the Community Assessment, the Self -Assessment and monitoring findings since 2005. I. Funding Level Requested: FENWC is requesting Program Improvement funds to renovate and repair older modular facilities, to install cushion play surfaces on five of its center playgrounds, and to install shade structures on four of its center playgrounds. II. Purpose: FENWC intends to use the requested funding to improve program quality and safety in the delivery of services through the renovation and repair of older modular facilities and upgrading of children's outdoor play areas. When the facilities were originally purchased, licensing regulations were not as stringent and space needs were different than they are today. The kitchen space in each modular measures 4 by 6. In it there is a refrigerator, a washer dryer and storage shelves. Teachers must use the top of the washer/dryer unit to organize and prep children's meals. There is no sink. The microwave sits on a shelf. At the Milliken modular there is no kitchen. Food organization and prep must be done in the already small classroom, which also houses the refrigerator and the microwave. For several years, the program has had a concern about the quality of sanitation control and health/safety of this type of food service preparation. Bathrooms are equipped with two toilets and meet regulations for handicap access, and, of course, to provide safety for the children, bathroom doors do not lock. Someone must always be vigilant that boys and girls do not use the restroom at the same time. As the U.S. Consumer Product Safety Commission (CPSC) and State Licensing requirements for children's outdoor play areas have become more stringent, many playgrounds no longer meet the standards for child safety. FENWC has replaced some equipment over time, and anticipates making additional upgrades with 2009 Quality Improvement money. Funds are still needed to install child -protective cushion play surfaces at some centers. These surfaces are more durable over time and provide more consistent safety than surfaces like wood chips or sand which blow or are tracked away over time, then failing to meet depth standards for child safety. Adequate shade is also a child health and safety concern. At the program's Gilcrest, Platteville, Dos Rios and Centennial centers, no shade structure is currently in place to protect children from the effects of the hot sun. page 1 of 5 Internal Health and Safety monitoring and the Program Self Assessment identified a need to build the health and safety capacity of the modular units and playgrounds. III. Health and Safety concerns FENWC is requesting funding for three areas of renovation, repair and improvement: kitchens, bathrooms and playgrounds. All three areas have significant health and safety issues. Included in the narrative below are issues with sanitation, safety of equipment, mold growth, inadequate fire proof doors and privacy for children. IV. Quality Impact Since the hoped for replacement of the small, older modular units has been postponed to an undetermined date in the future, it is imperative that FENWC make significant renovations, repairs and improvements to areas that impact child health (food prep, physical play/development), child safety and well-being (playgrounds, safety doors) and sanitation (bathrooms, kitchens). V. Need for alternative funding: The FENWC maintenance and repair schedule for the modular classrooms has been able to maintain repairs but unable to maintain needed renovations. Through quality improvement, FENWC has been able to commit monies to replace some playground equipment that no longer meets the CPSC and State Licensing requirements. The program has seen no increase to its operating budget in many years while operating costs continue to increase. Additional funding to complete health and safety renovations and repairs in the modular units and to install safe playground surfaces and shade structures is needed. VI. Denial of funding FENWC Head Start had been placed on the Weld County Capital Improvement Plan, to begin replacement of the modular units; however, because of the economic downturn and budget constraints, it has become necessary for the County to postpone its commitment to assist with the purchasing of new modular units. Therefore, it is imperative that FENWC seek additional funding, such as this Program Improvement opportunity, to renovate and repair the existing modular units to bring them up to current standards for health and safety. VI. Narrative and Budget for Renovation to Modular Facilities Kitchenette/Laundry Areas As previously stated, the kitchenette/laundry area in each modular measures 4 ft wide x 6 ft long. By replacing aging and oversized refrigerators and washer/dryer sets; smaller units will allow the installation of both a work/prep area for food and a small kitchen sink for sanitation. page 2 of 5 FENWC is requesting funding to renovate five of the existing modular units' kitchenette/laundry areas: Centennial, Dos Rios, Madison, Hudson, and Jefferson. In addition, FENWC is requesting funding to repair the adult and child sink areas in both of the Milliken classrooms. Since Milliken does not have a kitchen, all food prep is completed in the classroom. The sink areas (countertops, bottom cabinets and back splash) have deteriorated to the point where there is a current concern of mold growth. FENWC is requesting new, smaller commercial grade microwave units for the kitchenette areas as well. Current microwaves are older, larger and beginning to show rust and wear on the inside. FENWC is requesting 11 commercial grade microwaves to be distributed to the Centennial, Dos Rios, Madison, Hudson, Jefferson, and Frederick, Platteville, Gilcrest, Milliken, and Billie Martinez Head Start centers. FENWC is also requesting funding to install 2 new fireproof outside doors for the Milliken modular. Both of the existing doors have deteriorated and are no longer safe. Item Individual Cost Extended In Krtut' rc Total Washer/Dryer apartment size (24" wide) stacked. $1,899 $9,495 $9,495 Floor to ceiling shelf unit (22" wide). Mid area workspace with above and below cabinet storage. $625 $3,125 $3,125 Refrigerator (smallest width: 29 %") $1,299 $6,495 $6,495 Stainless steel sink; narrow (16") with cabinet $970 $4,850 $4,850 Plumbing for above sink (materials & labor) $445 $2,225 $2,225 Amana Microwave — commercial grade (22" wide) $393 $4,323 $4,323 Countertop, bottom cabinets and backsplash for classroom sink area (Milliken only) $2,975 $5,950 $5,950 36" x 80" fireproof outside door (Milliken only) $299 $598 $598 Sub Total $37,061 page 3 of 5 Bathrooms Each year the FENWC Head Start program receives an Early Childhood Environmental Rating Scale (ECERS) rating with suggestions for program improvement. A 5.0 rating on the ECERS is recognized by the National Association for the Education of Young Children (NAEYC) and other quality early childhood institutions as an indication of quality early childhood education. FENWC classrooms continue to maintain a 5.0 or higher; however, for the past two years ECERS has strongly recommended that a "dutch door" type of system be installed on the children's bathroom. This would allow the children privacy while permitting the teachers to monitor and therefore prevent "roughhousing" or other inappropriate behaviors in the bathroom. In addition, teachers could easily monitor the gender of the children in the bathroom at one time. FENWC is requesting funding to install the "dutch door" system on all 21 bathrooms in the program. In addition, FENWC is requesting funding to install stainless steel partitions between toilets that do not currently have those partitions; a total of 13 partitions are needed. Three centers; Frederick, Milliken and Jefferson have bathroom floors and walls that must be replaced due to stains/contamination from leaking toilets and general deterioration and wear and tear. FENWC is requesting funding to replace the floors (vinyl) and walls (sheetrock, paint, etc) in 8 bathrooms. Item Individual Cost Extended In -Kind's; Total Dutch door (36" x 8 ft.) $873 $18,333 $18,333 Labor to install "dutch" door $436 $9,156 $9,156 Stainless steel divider to place between toilets for privacy (materials & labor) $553 $7,189 $7,189 Bathroom floor: materials & labor $768 $6,144 $6,144 Bathroom walls: materials & labor $956 $7,648 $7,648 Sub Total $48,470 VII. Narrative and Budget for Improvements to Outdoor Play Areas Play Surfaces and Shade Structures Many FENWC Head Start classrooms are in elementary schools or sit on elementary school campuses which do not have adequate playground facilities to meet the health and safety requirements for preschool age children. FENWC is requesting funding to install cushion play surfaces on five of its current modular and elementary school centers and to install sun shades on page 4 of 5 four center play areas that currently have no shade available. The cushion play surfaces will be 830 square feet in area. Centers in need of this child safety equipment are Billie Martinez, Centennial, Gilcrest, Platteville and Frederick. The sun shades will be 20x24' rectangles and will be installed at Gilcrest, Platteville, Dos Rios and Centennial. School district partners are amenable to the installation of these features on the preschool playgrounds because they improve child safety and comply with both CPSC and State Licensing requirements. Item Individual Cost Extended In Kind:e Total, Cushion Play 50 for five center playgrounds $4.79/sq ft installed; 830 sq/ft per playground ($3,976) $19,880 $19,880.00 Shipping (cushion) $1,393 $1,393.00 Rectangular Playground Shade for four playgrounds Shipping Installation $3,977.38 $278.42 $398.00 4,653.80 x 4 = $18,615.20 $18,615.20 Land Provided by school district Totals , = q+' 9n,8p8 t Renovation to Kitchenette /Laundry Areas in Modular Facilities: Renovation to Bathroom Areas in Modular Facilities: Improvements to Outdoor Play Areas: Total Grant Dollars Requested: $ 37,061.00 48,470.00 39,888.20 $ 125,419.20 Outcomes: The program's goals for these areas are; (1) to improve the quality of sanitation control and the health/safety of food service preparation, (2) to insure the privacy and safety of children in the FENWC classrooms, including the use of bathroom facilities, and (3) to insure that center playgrounds meet and exceed Head Start, CPSC and licensing requirements for child safety and accessibility. page 5 of 5 APPLICATION FOR FEDERAL ASSISTANCE 2. DATE SUBMITTED: Applicant Identifier 90CM0136 1. TYPE OF SUBMISSION Application Construction Preapplication � Construction � Non -Construction 3. DATE RECEIVED BY STATE: State Application Identifier 4. DATE RECEIVED BY FEDERAL AGENCY: Federal Identifier 90CM0136 - 000 X Non -Construction 5. APPLICANT INFORMATION Legal Name: WELD COUNTY RESOURCES DEPARTMENT Organizational Unit Department HHS: Office of Head Start Organizational DUNS: 139136811 Division: HI -IS: Office of Head Start Address: Name and telephone number of the person to be contacted on matters involving this application (give area code) Street: 1551 North 17th Avenue P.O. Box 1805 Prefix: Dr. I Middle Name: City: Greeley First Name: Janet County: N/A Last Name: Flaugher State: CO Zip Code: 80632 Suffix: Country: N/A Email: jflaugher@co.weld.co.us 6. EMPLOYER IDENTIFICATION NUMBER (EIN) 846000813 Phone Number (give area code) (970)353-3800 Fax Number (give area code) (970)304-6453 8. TYPE OF APPLICATION � Continuation in box(es): � Revision 7. TYPE OF APPLICANT (enter appropriate letter Other (specify) in box) B X New If Revision, enter appropriate letter(s) Other (specify) 9. NAME OF FEDERAL AGENCY: HHS / ACF / OHS 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 93.600 TITLE (Name of Program): Head Start / Early Head Start 11. DESCRIPTION TITLE OF APPLICANT'S PROJECT: One -Time Funding Grant Application -Migrant and Seasonal Head Start Program Improvement Request for 2009 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States etc.): Weld County, Colorado 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date: 01/01/2009 Ending Date: 12/31/2009 a. Applicant 4 b. Project: 15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal $74,389 a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON Date: b. NO � PROGRAM IS NOT COVERED BY E.O. 12372 0 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW b. Applicant $0 c. State $0 d. Local $0 e. Other $0 f. Program Income $0 17. IS THE APPLICANT DELINQUENT ON ANY � Yes If "Yes," attach an explanation. FEDERAL DEBT? g. Total $74,389 X No 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a. Authorized Representative Prefix: Mr. I First Name: William Middle Name: Last Name: Garcia Suffix: b. Title: Authorizing Official c. Telephone number: (970)353-3800 d. Signature of Authorized Representative: �I / r1 e. Date Signed: JUL 1 51UU9 Standard Form 424 (Rev.9-2003) Prescribed by OMB Circular A- 2010 9-/;' Applicant delinquent explanation of federal debt for line 17: N/A GABI - SF424A Report 90CM0136 / 000 01/01/2009 to 12/31/2009 Budget Period: Fiscal Year. 2009 0 V GJ a.+ 4- C v E a, a d Le) Migrant - Seasonal O O M O a Z O L 0. 0 - co O E I- L b 2 d C O V C O V C O z O SQ G ae! 0 L z :.7 CO SECTION A - BUDGET SUMMARY io 1 Program Operation 93.600 $0 $0 $74,389 $0 $74,389 2 93.600 $0 $0 $0 $0 $0 3 $0 $0 $0 $0 $0 4 $0 $0 $0 $0 $0 5 Total (Sum of lines 1-4) $0 $0 $74,389 $0 $74,389 SECTION B - FEDERAL RESOURCES l GRANT PROGRAM, FUNCTION, OR ACTIVITY 6. Object Budget Categories (1) Program Operation (2) (3) (4) Total a. Personnel $0 $0 $0 $0 $0 b. Fringe Benefits $0 $0 $0 $0 $0 c. Travel $0 $0 $0 $0 $0 d. Equipment $6,682 $0 $0 $0 $6,682 e. Supplies $0 $0 $0 $0 $0 f. Contractual $0 $0 $0 $0 $0 g. Construction $0 $0 $0 $0 $0 h. Other $67,707 $0 $0 $0 $67,707 i. Total Direct Charges (sum of 6a - 6h) $74,389 $0 $0 $0 $74,389 j. Indirect Costs $0 $0 $0 $0 $0 k. Totals (sum of 6a - 6j) $74,389 $0 $0 $0 $74,389 7. Program Income $0 $0 $0 $0 $0 H New or Revised Budget Non -Federal (f) io L ^ 0 v a a, u. Estimated Unboligated Funds ea w a 1 Q., .o c o z Federal (c) O V S I- li; N - a, JD fl roa E.� E - U �i 0 Q Z Grant Program, Function, or Activity (a) N Q1 n a, ce E L 0 LL ro a C fC O O N T GABI - SF424A Report 01/01/2009 to 12/31/2009 Budget Period: m O N L Co t0 o 6 "O V LL 4— O -Y V O Y R a) y Z N ro O 47, 77.3 V c 7 a) w E T E a rif LL t/l a) Q d F E O V a) O. bD CL 90CM0136 / 000 Migrant - Seasonal O Z a, fa LI OD d a Q 0 \ R 4-0 C bD ` O d OMB Approval No. 0348-0044 BUDGET INFORMATION - Non Construction Programs SECTION C - NON-FEDERAL RESOURCES Total (e) 8 NFS $0 $0 $0 $0 9 $0 $0 $0 $0 10 $0 $0 $0 $0 11 $0 $0 $0 $0 12 Total (Sum of lines 8-11) $0 $0 $0 $0 SECTION D - FORECASTED CASH NEEDS I 4th Quarter 13 Federal $74,389 $0 $0 $74,389 $0 14 Non -Federal $0 $0 $0 $0 $0 15 Total (Sum of lines 13-14) $74,389 $0 $0 $74,389 $0 I SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT FUTURE FUNDING PERIODS (Years) First (b) Second (c) I Third (d) I Fourth (e) 16 Program Operation $0 $0 $74,389 $0 17 $0 $0 $0 $0 18 $0 $0 $0 $0 19 $0 $0 $0 $0 20 Total (Sum of lines 16-19) $0 $0 $74,389 $0 SECTION F - OTHER BUDGET INFORMATION 121. Direct Charges: 122. Indirect Charges: L ca Other (d) 3rd Quarter Grant Program (a) Applicant (b) State (c) 2nd Quarter 1st Quarter Current Year Budget IGrant Program (a) Budget Category E a) ct M N Standard Form 424A (Rev. 7-97) Authorized for Local Reproduction Prescribed by OMB Circular A-102 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES SF 4248 ASSURANCES - NON -CONSTRUCTION PROGRAMS 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 costs) 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. 4278-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM=s Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F). 6. Will comply with all Federal statutes relating to non-discrimination. 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 bases 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 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 non-discrimination 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 non-discrimination on the bases 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 the alcohol and drug abuse patient records; (h) Title VII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (I) any other non- discrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and w the requirements of any other non-discrimination statute(s) which may apply to the application. 7. Will comply, or has already complies, 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 with the 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. 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 maybe 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.); (t) conformity of Federal actions to State (C/ear Air) Implementation Plans under Section 176(c) of the Clear 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 the 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 of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. DRUG -FREE WORKPLACE REQUIREMENTS GRANTEES OTHER THAN INDIVIDUALS By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. This certification is required by regulations implementing the Drug -Free Workplace Act of 1988, 45 CFR, Part 76, Subpart F. The regulations published in the January 31, 1989 Federal Register, require certification by grantees that they will maintain a drug -free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when HHS determines to award the grant. False certification or violation of the certification shall be grounds for suspension of payments, suspension or termination of grants, or government -wide suspension or debarment. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug -free workplace requirements. Workplace identifications must include the actual address of buildings (or parts of building) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g. all vehicles of a mass transit authority of State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio studios). If the workplace identified to HHS changes during the performance of the grant, the grantee shall inform the agency of the change(s), it previously identified the workplaces in question (see above). Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug -Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: "Controlled substance" means a controlled substance in Schedules I through V of the Controlled Substances Act (21 USC 812) and as further defined by regulations (21 CFR, 1308.11 through 1308.15). "Conviction" means a finding of guilt (including a plea of nob contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal of State criminal drug statutes; "Criminal drug statute" means a Federal or non -Federal criminal statute involving the manufacture, distribution, dispensing use, or possession of any controlled substance; "Employee" means the employee of a grantee directly engaged in the performance of work under a grant including: (i) All "direct charge" employees; (ii) all "indirect charge" employees unless their impact of involvement is insignificant to the performance of the grant; and (iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces). The grantee certifies that it will provide a drug -free workplace by: a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; b) Establishing a drug -free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of be statement required by paragraph (a); d) Notifying the employee in the statement required by paragraph (a) that as a condition of employment under the grant, the employee will: (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; e) Notifying the agency in writing within ten days after receiving notice under subparagraph (d)(2), from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; f) Taking one of the following actions within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency. g) Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (a) through (0. CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE Public Law 103-227, also known as the Pro -Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal program either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children's services provided in private residences; portions of facilities used for inpatient drug or alcohol treatment; service providers whose sole source of applicable Federal funds in medicare of medicaid; or facilities where WIC coupons are redeemed. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. By signing this certification, the offeror/contractor (for acquisitions) or applicant/grantee (for grants) certifies that the submitting organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act. The submitting organization agrees that it will require that the language of this certification be included in any subawards which subrecipients shall certify accordingly. CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45 CFR Part 76 certifies to the best of his or her knowledge and believe that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transaction by any Federal Department or agency; (b) have not within a 3year period preceding this proposal been convicted or had a civil judgement 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 statement, or receiving stolen property; (c) are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and (d) have not within a 3 -year period preceding this application/proposal had one or more public transaction (Federal, State or local) terminated for cause or default. The inability of a person to provide the certification required above will not necessarily result in denial of participation in this covered transaction. If necessary, the prospective participant shall submit an explanation of why it cannot provide the certification. The Department of Health and Human Services' (HHS) determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," provided below without modification in all lower tier covered transactions. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS (TO BE SUPPLIED TO LOWER TIER PARTICIPANTS) By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR, Part 76, certifies to the best of its knowledge and belief that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible, m voluntarily excluded from participation in this transaction by any Federal department or agency. (b) where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. CERTIFICATION REGARDING LOBBYING FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The undersigned certifies to the best of his or her knowledge and belief, that: (1) No Federal appropriate funds have been paid or will be paid, by or on behalf of the undersigned, 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 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 influencing or attempting to influence an officer or employee or an 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. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards 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 or not less than $10,000 and not more than $100,000 for each such failure. I hereby aabove certifications and assurances. 07/15/2009 °nature of Certifying Official Date William F. Garcia, Chair Title Weld County, Colorado Applicant Organization GABI - Grant Application Report 01 O O N 4?-•' • f`0 o ›- C-1 V `z o O Y a) y; W co Zco O N — ea ✓ C o W W E T N E a en O LL Lel a) a W F N c O Z 6' U 0Wg O. Q m c 0 • W f N M O C 2 2 V to m G Z Y OD W 00. CU Y ▪ t_ C 00 I- O d O O u -O c., t •C C a E' a u O - O N N a Jr .O a o Z v T T O m a S. 4- G O y O u T - a v -130 o 5 c a E N o EZ O ... .0 w y oaa'u a= Z -C o W in a �m II E L a o Y c Z o a > o a W_ ro a W m asj E E o O •`^ a -c �`2 c J _c > u N O Z a U1 '- W y a o v E.N cb Ea ao> ZO o L O W W h A a w E' W V T r --:E o= .> a u W ` Z a w V O in ▪ LLa W W O N ▪ ', a La a C a i, J O Y .C Z o W L' N I V ▪ in ti o v ▪ W a W Y E N ea O ' U z a p - O O v, t_) a own v • C • y 'O La - bp U Program Option Cri O T J GABI - Grant Application Report CC 0 0 U 4- 0 0 Z aJ c 0 U T ca LL 90CM0136 / 000 Budget Period: 01/01/2009 to 12/31/2009 Fiscal Year: 2009 0 5i N N N C E 0▪ _ 0- Migrant - Seasonal 0 Z Y 01 I— D C JO 4-1 m 0 l7 0_ 0 0 0 y w w w A - L c Y � C cz a 5 a• C U a c b0 2 C C .2.. s- U s - V w L 0 CD E i by O O 6 Ft w v O O U Line Item Descriptio 0 0 0 A — N N 0 N CO IN LIS let Playground Equipment - Pea Gravel and Wood Chip Mulch Please enter a description • 0 EQUIPMENT Total Number of Employees v -O CO c L Y N C `v 0 C Cl 10 LL L C N O v z c u 14 C bo C N C I[< I _ U u 4.4 w r V v U 0 v O O U e Item Description o 0 co 0 0 0 0 0 M M c 0 0 0 Incidental Alterations / n OTHER Total 0 w P o 0 v 0 CL E W 0 _0 E z wa, 4-4 0 I v O o. 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Line Item Budget Total cc M N n tR O w cc M N fA Key Features Total 00 rult rn r w O Funding Category Cost for Program Operations Cost for Training and Technical Assistance: Non-federal Share (Cash and in -kind) co 0 FEDERAL FUNDING STATE FUNDING LOCAL FUNDING OTHER FUNDING IC 0 N July 14. 2009 GABI - Detail Report et Period: 01/01/2009 to 12/31/2009 m 0 0 c 0 a - O T V m o u ii: m u c a) W E T N E a LL � 90CM0136 / 000 ea C 0 d C cCu O 0 v E m 0- - O m E O V O O Pregnant Women: O Total Enrollment: O O -J E ba O a a) m 0 V 0 O C ° 0 CU u -o 6 T al -° Cu C al C N a E N °1 V T 0 0D s a 01 - 00 .- aa tit 111 Z ow 4- c O v O L.) `v °. ui tr. m v c a N E N .N ' ° O - O O mco 0 _ = a .0 av= = Z 0oN v CO a 3 c 2 T o^ E • t a O ..0 s 0 Z O > ` a) a) u, co Oi .0 w a▪ l m T 1E O° v, a= T= C J = > u al 0 ' Z °. `v a N ('I od E OO `a) E • z a O > L Z 0 a`i m N a E a — > r- E o O L V a > ) Z a W o U L- - \ LL a CU y O H \ a a T b0 Cu E is = c = T -0V O " u ZJ °1 CO `^ Iii N 0▪ \ u a a Y a) al Lc":a m_ a °C° V d 3 i ,° V 0 N V Z to N f ✓ T O w\LL 11) a -O L ° al H \ v al a 3 N a C a E O � O 'F+ 'O Z -• C U O w an N V ✓ E °_ M 0o vi \ \ t- . a 4 a) a r. a O coV S'+ • . Z u M -C '0 W O LL C a) Program Option July 14. 2009 a n a GABI - Detail Report 0 0 N en N O O O N O O 9 0 - LL 0. V m O O N c c W O - O U -o j LL w> O O V It) . y al y Z in C 0 O Liu C O • 41 w c to • a ra fl u_ d d E m Z UV W a eta o O 0 al �vi M I O C V C9 m O z w Y O .. d C 6.. C m L L. L. (.% d ink/ 14 2009 n a 0 GABI - Detail Report O1 O O rsi 0 01 O O O a O O 1 a1 m 0 CO m O O CC .. ra @) 0 G1 O ›- t-) V N N O O Y V O .. 3 a+ a Z Cc 0 A m V C w E T N E co 3 u N W a H E m Z� T u w a 'O n c co O O q t N to p M O - C LI V W m 2 GABI - Detail Report N O O O 0 0 4?) N C CO • CI O >- u 9 V V LL 3 `O 0 5 O 3 a+ W Z N m C O V 0 = V a E w T ?I E a J `i. VI 90CM0136 / 000 c 0 c a a a a 0 t OJ N W 1_c b N I O O I, up • ID O r I N w O Ic 0 ___' N T 0 o 0 T Ln In --"' c O o o u l0 {n L..__I T) in V d w b9 N I, 2 ry I V I V W CC J M M 0- V v'i 3 �' 6 N 7 a V O 0 «. 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I s U 0 0 0 C 0 m o 'a m a O 1i a c ofl.15 0 F v v v0 E z ( , c a Y H w On eN T Ln m 0- GABI - Detail Report Budget Period: 01/01/2009 to 12/31/2009 m O O N C N 0 -0 u N N_ o O Y V 3 Y al IC Z N C 0 ea r0 V C J w E T E Co = LL ✓1 UTi 90CM0136 / 000 O Co a) ro C m 0 o. .c w O a) Co O a V S 2 c Co a) m u 3 a) v a) `o a) w c a) a) 0 ix N O Co a in ix a Co aL C u c opip Z -0 Co C Y a) a) ro > al a f° O O a) co co IN co u Iri O co -0 0 Co a+ �? Oi al W C CO Ln co 'O 00 a8 co co aQ M O O O co M aE aF -� C O O ) O M In O CI' O O O O O O O O O O J ro O O O L M t� o n O C O O O O co co n o 0 a a) O O P ra O W W [f W W O a) O O W O VI' W b4 W O O a in W O LL a) U a)ro v S E on a w a) "0 � Co al T v y u Y a c a a) To itio on o U O O Co ae a) a) L N V O C a) O Y co O y W c ft= a o c a) o o o `^ f° a 6.e 0 U o 0 Ln a) v Z D ?re a v 3 a) v m in J J v '_ a) C Eo O o - v a) tooa a E' > O -0 L y `O 0 = > > o -0 top E a C O N VI Co v C c co -.a to a. 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Q w x z LL O ry H LL a0 m r > y Q O h0 O O H be, O Y O 4L 0 a a v, a 0 0 C a O O C V a u Y O 0 V Ou O O O J O co Z a m c N no C V O .- 0 a) a a_ a a m A n 0 C O- 00 00 o _Da c.0 c C O 'o 'o J p C LL in J J Q Q Q ut O O O . Vl Lei in lulu 14 2009 a a GABI - Detail Report O O N N cn O O ry 0 v-- 0 O) a a N u m CO 0' O O c c n • u 0 O >'- n3 a u N LL O O Y V O 3 $ a) y Z m c O C .? u J E w N E a m LL L d a E N ° V as n m a Q Q m 0 c O O a) t u to M O c U bJ U rn.C O Z u r▪ o Oa • a 4.1 � E m O a The following budget line items show administrative costs: ct 2 0 cn 0 O N T J Family Educational Network of Weld County One -Time Funding Grant Application Migrant and Seasonal Head Start Narrative Purpose: To improve program quality and safety in the delivery of services through the renovation and repair of older modular facilities and improvements to outdoor play surfaces; needs that has been identified in the Community Assessment, the Self -Assessment and monitoring findings since 2005. L Funding Level Requested: FENWC is requesting Program Improvement funds to renovate and repair 7 older modular facilities and to add sufficient ground cushion to the play area surrounding 6 playgrounds to bring them up to the U.S. Consumer Product Safety Commission (CPSC) and State Licensing requirements for children's outdoor play areas. II. Purpose: FENWC intends to use the requested funding to improve program quality and safety in the delivery of services through the renovation and repair of older modular facilities and upgrading of children's outdoor play areas. Internal Health and Safety monitoring and the Program Self Assessment identified a need to build the health and safety capacity of the modular units. III. Health and Safety concerns FENWC is requesting funding for three areas of renovation, repair and improvement: windows, interior doors and exterior doors. All three areas have significant health and safety issues. IV. Quality Impact Since the hoped for replacement of the small, older modular units has been postponed to an undetermined date in the future, it is imperative that FENWC make significant renovations, repairs and improvements to areas that impact child health, safety and supervision. Many of the older modular units have exterior doors that are deteriorating and are constantly being repaired so that they will either close securely or so that they won't stick and not open at all. In addition, interior doors with an upper panel of glass for the center director's office would allow people in the office to see if a child or another adult was standing in front of the door before opening it; it would also allow the center director greater flexibility in monitoring and supervising the classrooms. Energy efficient windows would help the classrooms' stay at an even, comfortable temperature during both the hot summers and the cold winters. page 1 of 5 V. Need for alternative funding: The FENWC maintenance and repair schedule for the modular classrooms has been able to maintain repairs but unable to maintain needed renovations and improvements. The program has seen no increase to its operating budget in many years while operating costs continue to increase. Additional funding to complete health and safety renovations and repairs in the modular units is needed. VI. Denial of funding FENWC Head Start had been placed on the Weld County Capital Improvement Plan, to begin replacement of the modular units; however, because of the economic downturn and budget constraints, it has become necessary for the County to postpone its commitment to assist with the purchasing of new modular units. Therefore, it is imperative that FENWC seek additional funding, such as this Program Improvement opportunity, to renovate and repair the existing modular units and playgrounds to bring them up to current standards for health and safety. VII. Narrative and Budget for Renovation, Repair and Improvement to Modular Facilities FENWC is requesting funding to install new energy efficient, double -paned slider windows in 7 Migrant Seasonal Head Start modular units. Each modular has 4 double -window units. FENWC is requesting funding to install new steel exterior doors (front and back) for each classroom. There are 14 classrooms; located in 7 modular units that require new steel exterior doors. Each classroom requires 2 doors. The new exterior doors will be steel with an emergency push bar for exiting. FENWC is requesting funding to install new interior wood doors with a one-way glass half panel on top. Each modular unit needs 2 new interior wood doors; there are 7 modular units. FENWC is requesting funding to install two new pocket doors per modular unit. The tiny 4 ft x 6 ft kitchenette/laundry area in each modular is separated from the classrooms by a pocket door on each side. Since the area is so very tiny, purchasing and installing a pocket door with a two- way tempered safe glass upper panel would (a) bring more light into a very tiny, dim space and (b) allow the people preparing the food to see if children were standing near the doorway when they attempt to bring the trays of food into the classroom. Each modular unit requires 2 new pocket doors. There are 7 modular units. The seven Migrant Seasonal modular units that need new windows, exterior doors and interior doors are Frederick (2 modular units), Jefferson, Madison, Dos Rios, Centennial and Hudson. page 2 of 5 Item Individual Cost Extended In -Kind Total Window unit: energy efficient, double -paned, sliders Cost per window unit $ 458.09 x 4 Cost per modular unit (includes install) $1,832.36 $12,826.52 $12,826.52 Exterior Door: steel door with emergency push bar $1,250.00 x 4 Cost per modular unit (includes install) $5,000.00 $35,000.00 $35,000.00 Interior Door: wood doors with half panel of one-way glass on top $ 550.00 x 2 Cost per modular unit (includes install) $1,100.00 $7,700.00 $ 7,700.00 Pocket Doors: Wood door with two- way tempered safe glass panel on top $ 870.00 x 2 Cost per modular unit (includes install) $1,740.00 $12,180.00 $12,180.00 Sub Total $67,706.52 page 3 of 5 VIII. Narrative and Budget for Improvements to Outdoor Play Surface Areas Many FENWC Migrant Seasonal Head Start classrooms are in elementary schools or sit on elementary school campuses which do not have adequate playground facilities to meet the health and safety requirements for preschool age children. FENWC is requesting funding to add sufficient ground cover to the play area surrounding 5 playgrounds to bring them up to the U.S. Consumer Product Safety Commission (CPSC) and State Licensing requirements for children's outdoor play areas. This funding would provide the correct surface area depth for areas not located directly under playground equipment but used by the children for other outdoor play (dramatic play, sand and water play, etc.) Sufficient pea gravel to provide a 9" depth is needed at three Migrant Seasonal Head Start centers: Dos Rios, Centennial and Billie Martinez. Sufficient wood chip mulch is required to both provide a 9" depth and to cover exposed tree roots (which are a tripping hazard) is needed at two Migrant Seasonal Head Start centers: Madison and Frederick. Item Individual Cost Extended In -Kind Total Pea Gravel: cover 800 sq ft of children's play area at a depth of 9" $ 1,354.00 $ 4,062.00 $ 4,062.00 Wood Chip Mulch: Cover 700 sq ft of children's play area at a depth of 9" $ 1,310.00 $ 2,620.00 $ 2,620.00 Sub Total $ 6,682.00 Renovation, Repair, Improvement to Modular Facilities: Improvements to Outdoor Play Areas: Total Grant Dollars Requested: $ 67,706.52 $ 6,682.00 $ 74,388.52 page 4 of 5 Outcomes: The program's goals for these areas are; (1) to improve the quality of the classroom environment by upgrading to energy efficient windows, (2) to improve safety and visibility by installing steel exterior doors and interior doors with upper glass panels and (3) to insure that center playgrounds meet and exceed Head Start, CPSC and licensing requirements for child safety and accessibility. page 5 of 5 Hello