HomeMy WebLinkAbout20090759.tiffRESOLUTION
RE: APPROVE AGREEMENT FOR SERVICES UNDER FEDERAL GRANT FOR JUVENILE
ACCOUNTABILITY INCENTIVE BLOCK GRANT AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Agreement for Services Under Federal
Grant for the Juvenile Accountability Incentive Block Grant/Juvenile Female Offender Program
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Sheriff's Office, and the Colorado Division of
Criminal Justice, Nineteenth Judicial District Probation Department, commencing
December 1, 2008, and ending September 30, 2009, with further terms and conditions being as
stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Agreement for Services Under Federal Grant for the Juvenile
Accountability Incentive Block Grant/Juvenile Female Offender Program between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the Sheriffs Office, and the Colorado Division of Criminal Justice, Nineteenth Judicial
District Probation Department, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 30th day of March, A.D., 2009, nunc pro tunc December 1, 2008.
BOARD OF COUIyTY,COMMISSIONERS
ELD OU TY,,CQ(ORADO
ATTEST:
Weld County Clerk to the B
BY-
Depu
JAPPR
o the Board
Cotmnty Attorney
Date of signature- Li/elIe/9
RM:
illiam F. arcia Chair
Douglas adema er, Pro -Tern
Sean P. Conway
�rbarkmeyer
David E. Long
, .506 <5)
2009-0759
SO0029
# of 2 originals
WELD COUNTY, COLORADO
AGREEMENT FOR SERVICES
UNDER FEDERAL GRANT
The Parties to this Agreement are WELD COUNTY, COLORADO (herein "COUNTY")
and the COLORADO JUDICIAL DEPARTMENT by and through the NINETEENTH
JUDICIAL DISTRICT PROBATION DEPARTMENT (herein "DISTRICT"). The
COUNTY and the DISTRICT may be referred to herein as the "Parties."
WHEREAS, the Colorado Division of Criminal Justice (herein "DCJ") has received an
award of Juvenile Accountability Incentive Block Grant (herein "JAIBG") funds from the
Federal Office of Juvenile Justice and Delinquency Prevention of the Federal Department
of Justice, being Award No. 2007-JB-FX-0065; AND
WHEREAS, the COUNTY has applied for and received from DCJ an award of funds
(herein "Subgrant") from the above described JAIBG Award, identified as DCJ Grant
No. 27-JB-L-I9-13, for the period from 12/01/2008 to 9/30/09 in support of the
COUNTY'S project entitled "Weld County Juvenile Accountability"; AND
WHEREAS, the said Subgrant includes financial support for the DISTRICT'S "Juvenile
Female Offender Program" ("JFOP", or "Program") as described in the COUNTY'S
grant application materials; AND
WHEREAS, the COUNTY and the DISTRICT desire to enter into an agreement under
which the DISTRICT will provide Juvenile Female Offender Program services, and the
COUNTY will reimburse the DISTRICT from JAIBG funds for a specified amount of the
cost of providing those services.
NOW THEREFORE, in consideration of their mutual promises and for their mutual
benefit, the COUNTY and the DISTRICT agree as follows:
1. TERM OF THE AGREEMENT.
Subject to termination as provided herein and notwithstanding the date of execution of
this Agreement, the term of this Agreement shall be from December 1, 2008 through
September 30, 2009.
2. DUTIES OF THE DISTRICT.
a. Statement of Work. The DISTRICT shall provide services in its Juvenile
Female Offender Program as described in the Statement of Grant Award (herein
"SOGA") for Grant Number 27-JB-L-19-13, a copy of which is attached hereto as
Exhibit A, the primary purpose of the Program being to reduce recidivism and
hold juvenile female offenders accountable by offering a gender specific program
that provides intensive supervision and increased access to resources and groups,
in order to enhance accountability.
IntergovWeldCounty- eldCounty- I 9thDistProbation
FemaleOffenderProgram
JAIBG 12-01-08 to 09-30-09
2009-0759
b. Private Contractor. The DISTRICT shall provide the services required by
the JAIBG Subgrant documents, through a contract with a private service
provider, Hawk II Systems, LLC, to run weekly groups, prepare initial
assessments for identified juvenile female offenders, participate in weekly home
visits and case staffings with the Program's probation officer, and perform a
variety of additional services as may be needed for the Program. The said private
provider shall be an independent contractor, and not an employee of the
DISTRICT, and therefore shall not look to the DISTRICT for any employment -
related matters including but not limited to, the payment of a salary and the
provision of benefits, the withholding and payment of any payroll taxes and
deductions, the provision of unemployment insurance and workers' compensation
insurance, and the application of rules of employment.
c. Invoices and Reports. The DISTRICT shall submit to the COUNTY
quarterly invoices for services provided under this Agreement, as well as
quarterly reports and a final report, including a "Financial Report," a
"Professional Services/Consultant Certification Form" and a "Narrative Report."
The said quarterly invoices and reports shall be due by the 9th day of each month
(or as soon thereafter as practicable) immediately following the end of each
quarter (ie. each 3 -month period or fraction thereof following the start -date),
throughout the contract term. The said due dates shall be on or about March 9,
June 9, September 9, and October 9, with the final report due on November 14,
2009. Failure to submit quarterly reports may result in withholding of funds
and/or contract termination.
d. Approved Expenditures. The DISTRICT agrees that all funds received
under this Agreement shall be expended solely for the purposes stated in this
Agreement, and in the Subgrant documents. Any funds not so expended shall be
repaid to the COUNTY.
e. Records. The DISTRICT shall make available to the COUNTY or to its
authorized designee, upon reasonable request and at reasonable times, all records
and other information relative to the implementation of this Agreement, except
that records and information for which the DISTRICT owes a duty of
confidentiality shall not be disclosed.
3. DUTIES OF THE COUNTY. The COUNTY shall compensate the DISTRICT
for services performed under this Agreement at a total fee of up to $7243.00. The
COUNTY shall make quarterly payments to the DISTRICT within thirty (30) days after
receipt and approval of invoices. Such payments should be addressed to Colorado
Judicial Department, Financial Services Division, Office of the State Court
Administrator, 1301 Pennsylvania Suite 300, Denver, CO 80203, with a copy to Chief
Probation Officer, l9`h Judicial District Probation, 934 9`h Avenue, Greeley, CO 80631.
IntergovWeld County- 19thDistProbation
FemalcOffenderI'rogram
JAIBG I2-01-08 to 09-30-09
2
The disbursement of funds from the COUNTY shall be contingent upon the receipt of
said funds by the COUNTY from DCJ, and shall be limited to the extent of the funds
received.
4. TERMINATION. Non-compliance with any portion of this Agreement may
result in termination of the Agreement, withholding of funds, return of money to the
COUNTY, and/or other action deemed necessary by the COUNTY.
5. CONFIDENTIALITY. In the event that the COUNTY obtains access to any
records or files of the DISTRICT in connection with this Agreement, or in connection
with the performance of its obligations under this Agreement, the COUNTY shall keep
such records and information confidential and shall comply with all laws and regulations
concerning the confidentiality of such records to the same extent that such laws and
regulations concerning the confidentiality of such records apply to the DISTRICT. The
COUNTY shall notify its employees and agents, if any, that they are subject to the
confidentiality requirements as set forth above, and shall provide each employee or agent
with a written explanation of the confidentiality requirements before the employee or
agent is permitted access to confidential data.
6. AMENDMENT. This Agreement may be amended upon written agreement of
the Parties.
7. INSURANCE. The DISTRICT, as a division of the Colorado Judicial
Department is a "Public Entity" within the meaning of the Colorado Governmental
Immunity Act, C.R.S. 24-10-101 et seg, as amended (hereinafter the "Act"), and
therefore its liability for acts and omissions of its employees and agents is limited by the
provisions of the said Act. To the extent required or permitted by the Act, the Judicial
Department, through the state Office of Risk Management, will at all times during the
term of this Agreement maintain such liability insurance, by commercial policy or self-
insurance, as is necessary to meet its liabilities under the said Act.
8. STATE AND FEDERAL ASSURANCES. The DISTRICT shall comply with
all applicable "Special Provisions and Certified Assurances" that the COUNTY is
required by the DCJ SOGA to require of its contractors, including without limitation the
"Federal Public Policy Assurances," the "Certification Regarding Debarment ,
Suspension, Ineligibility and Voluntary Exclusion" and the "Right of Privacy for
Recipients of Service and Sharing of Information," which are set forth in the SOGA
attached hereto as Exhibit A.
9. ENTIRE AGREEMENT. This writing constitutes the entire Agreement
between the Parties with respect to the subject matter herein, and shall be binding upon
said Parties, their officers, employees, agents and assigns and shall inure to the benefit of
the respective survivors, heirs, personal representatives, successors and assigns of said
Parties.
10. NO WAIVER OF IMMUNITY. No portion of this Agreement shall be deemed
IntergovWeld County -I 9thDistProhation
FemaleOffenderProgram
JA1BG 12—01-08 to 09-30-09
3
to constitute a waiver of any immunities that the Parties or their officers or employees
may possess, nor shall any portion of this Agreement be deemed to have created a duty of
care which did not previously exist with respect to any person not a Party to this
Agreement.
11. NO THIRD PARTY BENEFICIARY ENFORCEMENT. It is expressly
understood and agreed that the enforcement of the terms and conditions of this
Agreement, and all rights of action relating to such enforcement, shall be strictly reserved
to the undersigned Parties and nothing in this Agreement shall give or allow any claim or
right of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned Parties that any entity other than the undersigned
Parties receiving services or benefits under this Agreement shall be an incidental
beneficiary only.
IN WITNESS WHEREOF, the Parties hereto have executed this Agreement through their
respective lawfully empowered representatives.
By:
WELD COUNTY,
COLORADO
William F. Garcia, Chair
Board of County Commissioners
MAR 3 0 2009
ATTEST BY.:
Printed: D
By:
Deputy Clerk t t
IntergovWeld County -I 9thDistProbation
FemaleOffenderProgram
JAIBG I2--01-08 to 09-30-09
COLORADO JUDICIAL DEPARTMENT
By and through the 19TH JUDICIAL
DISTRICT PROBATION DEPARTMENT
By:
Roge A. Lein
Chief Judge
L14 -
By: .
Kevin A. Nelan
Chief Probation Offic
4
d A. Marro
State Court Adm
c cc9- 675
COLORADO DIVISION OF CRIMINAL JUSTICE
STATEMENT OF GRANT AWARD (SOGA)
FEDERAL PROGRAM INFORMATION
CFDA Title & Number: #16.523
Federal Agency: Office of Juvenile Justice and Delinquency Prevention, OJP, DOJ
Federal Award Name & Number: #2007-JB-FX-0065
Juvenile Accountability Incentive Block Grant Program Award
Subgrantee Name:
Project Director:
Project Director Address:
Grant Number:
Project Title:
Grant Period:
Date Issued:
Weld County
Commander Ken Poncelow
Weld County Sheriff's Department
1950 0 Street
Greeley, CO 80631
27-JB-L-19-13
Weld County Juvenile Accountability
December 1, 2008 To September 30, 2009
November 24, 2008
In accordance with provisions of the Colorado Revised Statutes §24-33.5-502, the Division of Criminal Justice hereby awards
a grant to the above -named subgrantee. The attached grant application (Exhibit A), including Special Provisions and Certified
Assurances, is incorporated herein as a part of this document.
APPM-1)/CL1 b inivo 1 oI r..,., ,....-n- ...-...-
Purpose Area #/Project
Federal Award
Cash Match
Total
*12a Female Offender Program
$7,243.00
$7,243.00
-Juvenile
* 15a -Collaborative Crisis Assessment
$7,243.00
$1,694.00
$8,937.00
*01 a -Administration
$762.00
$762.00
TOTAL AWARD AMOUNT
$15,248.00
$1,694.00
$16,942.00
* The detailed budget(s) found in the attached, approved plan provide budget category amounts for each purpose area. Use
these approved detailed budget(s) for reporting expenditures by Purpose Area.
• Purchase of equipment requires prior completion and approval of DCJ Form 13.
* Professional services require prior completion and approval of DCJ Form 16.
Special Condition(s):
1. This project was supported by Grant No. 2007-JB-FX-0065 awarded by the Office of Juvenile Justice and Delinquency
Prevention through the Division of Criminal Justice, Colorado Department of Public Safety. The Office of Juvenile Justice and
Delinquency Prevention is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics,
the National Institute of Justice, the Bureau of Justice Assistance, and the Office of Victims of Crime. Points of view or opinions
in this document are those of the author and do not represent the official position or policies of the United States Department of
Justice nor the Division of Criminal Justice, Colorado Department of Public Safety.
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Page 1 of 3
h
Statement of Grant Award (SOGA)
4
INSTRUCTIONS
1. Grant activities must be based on the approved budget shown on page one of this Statement of Grant Award, and the
approved detailed budget(s) within the attached application, which supersedes any earlier budget request submitted, and
which may be different from the budget originally submitted in your application. The subgrantee must secure prior written
approval from DCJ if there is to be a change in any budget category (see DCJ Form 4-A).
2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary
financial reports.
3. The Subgrantee Agency affirms that the parties' agreement consists of a two-part document, the Statement of Grant
Award (S0GA). and Exhibit A, attached to the SODA, which contains the Grant Application (including Project
Summary, Budget and other Documents), the Certifications. the State Special Provisions, the Grant Requirements,
the Federal Certified Assurances, and signatures of persons authorized to sign on behalf of the Subgrantee Agency
on each part of the two-part document.
4. Review carefully the "Administrative Guide for Federal Justice Grant Programs Administered by the Colorado Division of
Criminal Justice," which includes procedures regarding this document, draw -down of grant funds, reporting requirements
and requesting grant modifications.
5. This grant award shall be effective upon the final approval by the State Controller or designee. No payment shall
be made pursuant to the grant prior to State Controller approval.
6. This grant award may be voided in whole without further cause if it is not signed by the subgrantee's Authorized Official and
returned to the Division of Criminal Justice within 45 days of the date of issuance.
7. The signature of the Authorized Official below should be the same as the one on the grant application. The subgrantee must
promptly notify the Division of Criminal Justice of any changes in the Authorized Official, Project Director, or Financial
Officer, by completing and submitting DCJ Form 4-B. (If changes have already occurred, submit completed DCJ Form 4-B
with this document).
ADDITIONAL DCJ REQUIREMENTS
(1) Commencement within 60 Days. If the Division concludes that the project has not commenced within 60 days of the
start date of the grant period, the subgrantee must report the following by letter to the Division of Criminal Justice:
a. the steps taken to initiate the project;
b. the reasons for delay; and,
c. the expected starting date.
(2) Operational Within 80 Days. If the Division concludes that the project is not operational within 80 days of the original
start date of the grant period, the Division of Criminal Justice may begin termination or reduction in grant award
proceedings as described in "Special Provisions & Certified Assurances", Section entitled 'Termination or Reduction in
Grant Award.°
All subgrants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on
the DCJ quarterly narrative and financial reporting forms, which are provided with this SOGA. Technical assistance is
available upon request.
(4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended
funds remaining at the end of the grant period must be returned to the Division of Criminal Justice.
(3)
RETURN:
ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of
Juvenile Justice 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are obtained, the white
SOGA copy with approved application will be returned to your Project Director.
Statement of Grant Award (SOGA)
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Page 2 of
Statement of Grant Award (SOGA)
Grant Routing Number
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
* Persons signing for Subgrantee hereby swear and affirm that they are authorized to act on Subgrantee's behalf and
acknowledge that the State is relying on their representations to that effect.
SUBGRANTEE: I STATE OF COLORADO:
Weld County, Colorado
Legal Name of Subgrantee Agency
BILL RITTER, JR.GOVERNOR
By "\--7) /7,4,
*SIGNATUREf Authorized Official V
.-7 DIREECO o%rad-d'Division of Criminal Justice
JEANNE M. SMITH
William H. Jerke, Chair, Board of Commissions Print Name & Title of Authorized Officialte Signed: !X- (27
Date Signed: 12/15/2008
STATE OF COLORADO LEGAL REVIEW:
See Contract Routing Waiver # 127
(or, if not waived)
By:
John W. Suthers, Attorney General
Signature - Assistant Attorney General
Date Signed:
ALL CONTRACTS & SUBGRANT AWARDS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This subgrant award is not
valid until signed and dated below by the State Controller or delegate. If performance begins prior to the
date below, the State of Colorado may not be obligated to pay for the goods and/or services provided.
STATE CONTROLLER:
David J. McDermott, CPA
By:
o —*1 C_; -j•
Date Signed: 12--k ( ci`�l
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Page 3 of 3
w-39;
2007 JAB] Applwation
Direct Awards (rev. 11/19/08)
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE ACCOUNTABILITY BLOCK GRANT
APPLICATION FOR PROGRAM FUNDS
SECTION I - APPLICANT INFORMATION
STATE USE ONLY
App #.
Grant #: I Award: 27-JB-L-19-13
APPLICANT AGENCY:
Weld County
Address
1950 O Street
City, ZIP Greeley, 80631
Project Director
Ken Poncelow
E-mail kponcelow(a),co.weld.co.us
Telephone
(970) 356-4015 x 2802
Federal Employer ID Number
FEDERAL FUNDS REQUESTED: $15,248.00
8
4
6
0
0
0
8
1
3
FAX (970) 304-6467
$1,694.00
TOTAL: $16,942.00
CASH MATCH:
TYPE OF AGENCY:
(check one) •State ■ City/Town NCounty L ilndtan 1rme
❑Faith -Based Non -Profit ■
Other
•Private Non-profit
FUNCTION OF
AGENCY:
E Law Enforcement
• Probation
0 Prosecution
• Social Services
■ Youth Services
■ Courts
• Public Defense
IN Education
►D. Treatment/Mental Health
❑ Other Describe:
■ Treatment/Substance Abuse
TYPE OF APPLICATION: /JABG Local Allocation
• State Program Funds Liuther
New:
Continuation:
• Start a new project
►.1 Continue a project
currently receiving JABG funds
• Expand or enhance an existing project not
❑ Expand/enhance an existing project receiving JABG funds
previously JABG-funded
For continuation applications, list up to three years of prior
JABG funding in the table below.
GRANT NUMBER
FEDERAL FUNDS
DURATION
26-JB-L-19-13
$15,327
12/01/07-9/30/08
25-JB-L-19-13
$16,259
10/01/06-9/30/07
PROJECT TITLE: Weld Co. Juvenile Accountability PROJECT DURATION: From 12/01/2008 To 09/30/2009
PROJECT DESCRIPTION (Limit to space provided): These funds support services to juvenile offenders in Weld County through
two agencies: North Range Behavioral Health will deliver needed mental health services to detained youth from Weld county at Platte
Valley Youth Services Center. Services to be provided will include risk and needs assessments of juvenile offenders, crisis intervention, and
referral to ongoing mental health care as needed. The 19th Judicial Probation Department will provide gender specific probation services in
an effort to provide greater access to services/accountability for 15-20 female juvenile offenders utilizing an Individual Probation Plan (IPP).
In addition to the IPP the girls will participate in weekly groups and collaborative case management.
PURPOSE AREA #1: #12 Establishing and maintainingAtrograms to conduct risk and needs assessments
PURPOSE AREA #2: #15 Establishing and maintaining programs to enable juv. courts &juv. prob. officers to be more effective
PURPOSE AREA #3 (if applicable):
PROJECT WILL BE USING EVIDENCE -BASED PROGRAMS OR ACTIVITIES: [Wes ®No
SERVICE AREA:
U. S. Congressional District(s): ❑ 1 ❑2 ❑3 ®4 O5 ❑6 O7 ['Statewide
Judicial District(s) (Identify by District Number): 19th Judicial District
Cities and Counties to be served: Weld County
IS THE JURISDICTION(S) TO BE SERVED IN COMPLIANCE WITH THE
JJDP ACT? ®Yes ❑ No ❑ No, but working with DCJ Compliance Monitor.
DCJ USE ONLY -'Jurisdiction
Compltantwith JJDP Act? ^ -- .
1
2007 JABG Application
Direct Awards (rev. 11/19/08)
SECTION II: LOCAL JUVENILE CRIME ENFORCEMENT COALITION
(JCEC)
Minimum required representation includes categories A -G: (If any category was impracticable,
explain on an attached page)
A. Police
B. Sheriffs
C. Prosecutors: District, County and/or City
D. Probation Services
E. Juvenile Court: District and/or municipal
-jurisdiction
F. Schools: School district and/or local middle and/or
High schools (Please include students.)
G. Business
H. Prevention organizations
I. Religious -affiliated, fraternal, nonprofit, and/or
social services
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SIBEItSHIP AND INVOLVEMENT IN YOUR LOCAL JBAG PLAN (Linut g page`s
The Weld County JCEC oversees and evaluates juvenile programs occurring in Weld
County for the Board of County Commissioners. The membership of the JCEC
represents all aspects of the community. The JCEC is a sub -committee of a larger group
that oversees and responds to problems and issues in the entire criminal justice
community.
3
LW I .Int30 application
Direct Awards (rev. 11/19/08)
SECTION III - PROJECT SUMMARY
SATI
I'FEND.ER:PROGRAM
1. PROBLEM IDENTIFICATION (Limit 1 page)
Identify the problem to be addressed by the proposed project. Include a description of the.
data and/or community needs assessment used to identify the problem.
In the last five years in Weld County there has been a significant increase of female offenders being served by Juvenile
Probation Officers. In 2001 101 new juvenile female offenders served by probation, in 2007 there were 155, a Weld
County increase of 53%. Probationers considered at maximum level or "highest risk" are referred to Probation Officer
Donna DeLuca, who oversees and coordinates the Juvenile Female Offender Program (JFOP). The term "high risk" as it
relates to JFOP is defined as: a female juvenile who is not profiting from standard probation interventions that have been
implemented to date and who is continuing to put herself or others at risk through her current behavior. Between 70% and
80% o f these young women present with multiple issues such as prior sexual assault, family violence and substance abuse
that need to be address in concert with multiple agencies and programs. Without program intervention, maximum
level/high risk female offenders are not successful at completing probation. Gender specific issues tied directly to their
"high risk" behaviors must be addressed to increase the chance of successful completion of probation.
2. CONTRIBUTING FACTORS (Limit 1/4 page)
Provide an analysis of contributing factors, such as risk and protective factors, which
contribute to the problem or are needed to achieve the outcome. Describe how this
project's planned services/programming does not duplicate others offered in the
community.
A key factor is understanding the gender specific relationship between victimization, traumatic and abusive home life, and
juvenile female crime. In order to appreciate the complexity of these gender specific issues, it is critical to consider the
inter -relationship of all the accompanying behavior variables that play a major role in determining probation outcomes:
1. Youth and Family Issues: Parental disengagement, sexual assault, domestic violence, pregnancy, gang involvement,
extensive substance abuse, multiple educational failures and unidentified educational needs and significant losses within
the family.
2. Probationer Behaviors: Defiant, disgraceful, aggressive, resistive, belligerent, antagonistic, angry, uncooperative,
truant, irresponsible, impulsive, thoughtless.
3. System Issues: Previously failed placements, failure to access or profit from needed services, inappropriate referrals,
and program or agency resistance to provide services, lack of gender specific programs, incomplete assessment of needs,
lack of access to specific programs or services that might address these needs.
Unfortunately, the attention of the families and professionals is often focused on a single, isolated behavior variable. Their
reaction to the isolated behavior determines how they relate to these young women, and triggers requests for punitive
detention, suspension, expulsion, or even DYC commitment. Rather, their focus must be driven by the dynamic interplay
of victimization, the trauma of abusive home life and dysfunctional parental interactions.
3. INTENDED LONG-TERM OUTCOMES/CHANGES (Limit V2 page)
Describe the intended long-term change/outcome desired related to the data and
contributing factors.
Luu I JAOU AppEleation
Direct Awards (rev. 11/19/08)
4. PROJECT DESCRIPTION (Limit 1 %2 pages)
Describe in detail the project that will be supported with these funds. Include a description
of services and activities that will be provided through this project. Describe the specific
part of your total program for which you are requesting funding.
To continue providing services to high -risk juvenile female offenders, by expediting access to appropriate services and
greater accountability and to increase the number of probationers that successfully complete probation. Through providing
more intensive supervision, weekly gender specific groups and the development of the Individualized Probation Plan (IPP)
a greater number of young women will be served. This grant will continue probation's current services with the
professional skills of Hawk II Systems, whose personnel are trained in specialty areas such as family/group dynamics and
substance abuse/mental health needs. This collaboration between Probation, Hawk II Systems and other service providers
give broader service delivery and greater accountability to this unique population.
5. POPULATION TO BE SERVED (Limit V2 page)
Complete the Table provided to define the proposed target population.
th J d' ' 1 D' tr'ct Probation - Female Offender Program
19 MAMMA is t
Number of Juveniles Targeted to be Served
White
Black
Hispanic
Asian/Pacific
Islander
Native
American
Other/
Unknown
Total
Males
Females
11
0
9
0
2
0
Total
22
Percent of
Total to
be Served with Limited English Proficiency:
Provide a description of the target population including age, gender, ethnicity and other
characteristics of those the project is intending to serve.
18-22 juvenile (ages 10-18) female probationers will be targeted with an estimated ethnic composition of: 50% Caucasian,
40% Hispanic, and 10% Native American or other heritage.
1. PROBLEM IDENTIFICATION (Limit 1 page)
Identify the problem to be addressed by the proposed project. Include a description of the
data and/or community needs assessment used to identify the problem.
Through its work with JABG, its member agencies, and other areas of work in the communities of Weld County,
North Range Behavioral Health (NRBIT) is acutely aware of the variety of problems facing youths who come into
contact with the juvenile justice system. Over the past few years, progress has been made in the identification of
detained juvenile offenders who are in need of mental health services while they are detained and after they are
released back into the community. Recidivism rates remain higher than acceptable and are still increasing for those
juvenile offenders with identifiable mental health issues who have not received appropriate mental health care. This
project, in the past, has helped to improve the communication between the numerous agencies, offices, institutions,
and individuals involved with these juveniles but more work remains to be done in terms of holding the youths
accountable for their actions, reducing recidivism, and ensuring greater integration of services in working with each
juvenile.
2007 JABU Application
Direct Awards (rev. 11/19/08)
2. CONTRIBUTING FACTORS (Limit %2 page)
Provide an analysis of contributing factors, such as risk and protective factors, which
contribute to the problem or are needed to achieve the outcome. Describe how this
project's planned services/programming does not duplicate others offered in the
community.
Despite ongoing efforts, not enough youths in Weld County are receiving the mental health and related services they need.
This is, in part, due to their own reluctance and that of their families to follow through with recommended mental health
care after leaving detention. There is an over -representation of Hispanic youth in the population served by PVYSC and the
local juvenile justice system. There appears, despite the best efforts of the local juvenile justice system, to be a lack of
immediate and meaningful consequences to the illegal behaviors of youth. There is a high level of gang influence in the
community for the population targeted by this project.
3. INTENDED LONG-TERM OUTCOMES/CHANGES (Limit r'A page)
Describe the intended long-term change/outcome desired related to the data and
contributing factors.
Reduce the overall recidivism rate of youths entering the juvenile justice system and the negative impacts of their behavior
on their families and the Weld County community.
4. PROJECT DESCRIPTION (Limit 1 %2 pages)
Describe in detail the project that will be supported with these funds. Include a description
of services and activities that will be provided through this project. Describe the specific
part of your total program for which you are requesting funding.
Through this proposal, NRBH seeks to be able to continue to quickly and appropriately identify, assess, evaluate,
and treat those detained youth at the Platte Valley Youth Services Center (PVYSC) who are in need of mental health
services; to communicate effectively with the juvenile court, probation officers, social services workers, detention
facility staff, mental health therapists, school personnel, and pertinent others about each referred individual; and to
provide timely mental health treatment to those identified in need of such. JABG funds have helped accomplish
some of these tasks in past years. NRBH again requests continued and increased funding of its efforts. Because of
proposed funding cuts this year, 6.2 hours (.1557FTE) of a mental health clinician's time will be made available
weekly to serve these juveniles through this grant. This will allow up to 18 juveniles to be admitted annually to
treatment services. In addition to this, up to three detainees may be seen each day the therapist is on site at their own
requests through "Counselor Alerts" or via referrals made by the Court, the staffs of the PVYSC, the Weld County
Department of Social Services (WCDSS,) and Weld County Probation Services for crisis intervention. Many
juveniles in this latter group, expected to number at least 100, do not need ongoing mental health care but have an
emergent or urgent need to speak to a counselor.
NRBH proposes to continue to be funded to provide both direct and indirect mental health services to the referred
juveniles and to improve its ability to communicate the results of assessments, evaluations, and other interventions
to the juvenile court and probation officers so they may have more timely information concerning detained youths
involved in this project.
It is projected there will be more than 700 detention admissions of Weld County youth to PVYSC this fiscal year.
This figure is not equal to the number of juveniles being admitted but to the total number of admissions which is a
duplicated count. NRBH proposes to serve at least 100 of those juveniles through this project.
Culturally competent services will be provided to all clients served by this project by staff from the Intensive Child
and Family Services (ICES) program with consultation when needed from the Multi -Cultural Services Program of
NRBH, which is housed at the Monfort Children's Clinic. Following up on an initial round of training in cultural
competency and sensitivity in May 2002 that has been and will be updated annually, NRBH provides culturally
competent care to those seeking its services. Similarly, gender specific services will be available to meet the
identified needs of the target population.
2OO7 JAIOV Appllcaton
Direct Awards (rev. 11/I9/0S)
5. POPULATION TO BE SERVED (Limit V2 page)
roposed target population.
Number of Juveniles Targeted to be Served
White
Black
Hispanic
Asian/Pacific
Islander
Native
American
Other/
Unknown
Total
Males
33
4
33
1
3
4
78
Females
8
2
8
1
2
1
22
Total
I _
100
Percent of Total to be Served with Limited English Proficiency: <5
Provide a description of the target population including age, gender, ethnicity and other
characteristics of those the project is intending to serve.
6. PROJECT PLAN (Duplicate these Tables as needed- Limit 2 pages per Purpose Area)
You must complete this section for each Purpose Area for which you are requesting
funding, including Administration. Provide project/program goals, objectives, services to
be provided, outcomes and performance measures using the format provided.
Project Title: Juvenile Female Offender Program -19th Judicial Probation
Purpose Area: #12
GOAL 1: For each young woman referred, a collaborative, gender responsive, culturally sensitive process that facilitates
timely access to specific community programs, actively involves parents and/or meaningful relations, and incorporates
weekly groups, while simultaneously responding to the needs of the probationer and the orders of the court. This rapid and
meaningful response, reflected in the creation of an Individualized Probation Plan (IPP), is a critical step in developing a
comprehensive assessment, activating appropriate substance abuse services, developing pro -social skills, maintaining
accountability, reducing revocations, and increasing the number of positive program completions.
Objective 1: To provide greater access to services/accountability to a minimum of 18-22 juvenile female
offenders utilizing the Individual Probation Plan (IPP).
Time -Line
Measurement
Responsible
Person
Through the use of the multi -disciplinary staffing team, the
IPP will reflect the needs, services and collective inter -agency
goals the juvenile female offender will address both short and
long-term.
10/01/08 to
9/30/09
# of female
juveniles
assessed
JFOP
Probation
Officer
Objective 2: Provide weekly groups and collaborative case management to a minimum of 18-22 juvenile,
female offenders facilitated by the contracted services of Hawk II Systems.
Time -Line
Measurement
Responsible
Person
Once accepted into the JFOP, the parent/youth group will be
required for a period of one month, and then peer education
groups will address multiple life -skill subjects. Additionally,
random/collaborative in -home supervision will be provided.
10/01/08 to
9/30/09
# of female
juveniles
attending &
completing
JFOP
Probation
Officer
Direct Awards (rev. I1/19(08)
GOAL 1 INDICATORS
1. Output indicator:
• Caseload of grant funded probation officer.
Objective #1, the program will serve a minimum of 18-20 high -risk juvenile female probationers, assessed and recorded
from 10/1/08 to 9/30/09. For each of the probationers, an IPP staffing will be initiated and documented by the grant funded
probation officer; the IPP will be present in each probationer's file. Review staffing for each probationer will be formally
conducted every 30 days for up to 6 months.
Objective #2, the actual number of juvenile female probationers who attended the weekly JFOP group will be counted, the
assignment completed will be counted as well as the actual number completing / graduating from the groups.
2. Short-term indicator:
• Average number of supervision meetings per month.
Objective #1, each female offender accepted into the program will have a minimum of one supervision contact per week,
and may have up to five meetings or contacts per week. These supervision events are based on the level of need, how
recently the young woman was staffed into the program, the number of supportive services being provided, and her general
day to day level of functioning.
Objective #2, each group attended by parent and child, each weekly peer group session, each session on parenting held in
the family's home, and each collaborative in -home or in -community contact will also be considered a significant part of the
overall supervisory structure, and will vary depending on the level of need and/or functioning.
• Number and percent of non-compliance events (missed court dates, positive UA's)
Objective #I, the percentage of compliance or non-compliance events, based on a behavioral baseline established at the
time of referral will be recorded at each of the monthly IPP staffings. Parents, private providers and other supportive
agencies will have opportunities to review and report on the progress to date and help in the development of the next
month's goals.
Objective #2, the percentage of compliance or non-compliance will be recorded by the attendance and assignments
completed at each of the groups provided. This information will then be reported at the monthly IPP staffing.
3.Intermediate Outcome Indicator:
• Number and percent of youth to complete their justice requirements successfully.
Results of Objective 1, measurements will be analyzed by comparing the total number of juvenile female probationers to
those actually served. As part of the analysis, there is an expectation that 100 percent of the FOP girls will have an IPP
staffing each month during the time in the program. These staffings will provide a formal method of data collection while
giving ongoing feedback to the youth and her parents.
Results of Objective 2 will be analyzed by reviewing the recidivism rate of the JFOP participants to those of the general
female offender population. Of the original youth identified, 75% will successfully complete this six-month program.
While being in the program for the entire six months is important, completing the IPP goals will be the benchmark for
successful program graduation.
GOAL 1 COST NEEDS: The cost needs will revolve around direct services and case management, with the goal of
conducting immediate assessments on all clients so as to provide early and effective interventions.
cue/ rt+nU Appncauoi
Direct Awards (rev. 11/19/05)
6. PROJECT PLAN (Duplicate these Tables as needed- Limit 2 pages per Purpose Area)
You must complete this section for each Purpose Area for which you are requesting
funding, including Administration. Provide project/program goals, objectives, services to
be provided, outcomes and performance measures using the format provided.
Project Title: Collaborative Crisis Assessment and Triage Services — North Range Behavioral Health
Purpose Area: #15
Goal 1: To rapidly respond to the mental health needs of those detained youth referred to the project
Objective 1-1:
Time -Line
Measurement
Responsible
Person(s)
To evaluate, refer, communicate about, and
treat those youths referred.
10/1/2008 -
9/30/2009.
Track the number of
youths referred and served;
document types of services
provided.
Program
Director and
clinical staff.
Objective 1-2:
Time -Line
Measurement
Responsible
Person(s)
All referred youth opened as NRBH clients
will have a service plan developed as part of
the admission process.
10/1/2008 -
9/30/2009.
Track the number of
youths referred and served;
document types of services
provided and presence of
plan.
Program
Director and
clinical staff.
Objective 1-3:
Time -Line
Measurement
Responsible
Person(s)
Seventy-five percent of the youth admitted
10/1/2008 -
Track the number of
Program
to mental health treatment other than crisis
9/30/2009.
youths referred and served;
Director and
services will complete their service plan.
document types of services
provided.
clinical staff.
Goal 1 Outcome Measures:
1. What will be measured? The time and date of referral, time and date of evaluation will be tracked, as will be when
the evaluation was delivered to the person or office needing it. What services were delivered to whom and the total
amount of services delivered to each referral will be tracked as will be the impact of the services.
2. How will it be measured? Data will be entered on the form developed in previous years so that the activities can be
measured. Provision of mental health services will be documented and measured by written progress and case
management notes as well as by entries on a Staff Activity Log, a form already in existence and use at NRBH. Each
youth's service plan will be analyzed for compliance and success data.
3. How will the results be analyzed? Progress notes, case management notes, service plans, and Staff Activity Logs
will be used to document the delivery of services reflecting quantity, quality, and appropriateness of the services
rendered.
2007 JABG Application
Rev. 11/18/08
7. PROJECT/PROGRAM IMPLEMENTATION OR ENHANCEMENT (Limit 1 page)
Describe how the proposed strategy/program will result in the intended outcomes. Site
evidence or research that indicates your proposed project/program will result in the desired
outcomes.
8. APPLICANT AGENCY CAPACITY, COMMUNITY COLLABORATION AND SUPPORT
(Limit r/2 page)
As its mission, "NORTH RANGE BEHAVIORAL HEALTH provides professional, culturally competent mental health
services for Weld County." Known previously as the Weld Mental Health Center, Inc., NRBH has served the mental
health needs of the people in this area for more than four decades. From 1995 to 1997, it functioned as the Mental Health
Assessment Service Agency (MHASA) for Weld County. In 1998, NRBH joined with the Larimer Center for Mental
Health and Centennial Mental Health Center to form Northeast Behavioral Health, which is now the Behavioral Health
Organization (BHO) for Weld County, Larimer County, and the 12 counties comprising the northeastern corner of
Colorado.
NRBH has developed numerous collaborative efforts over the years. Most notably, it currently works with Weld County
School District Six (District Six) to provide day treatment, residential treatment, and education services through the
Kathleen P. Littler Center in Greeley to children 12 years of age and under facing serious mental health problems. We
have also worked with staff from District Six and other Weld County school districts to provide mental health services to
students attending alternative educational programming at Weld Opportunity School, Trademark, and Colorado High.
Staff members of NRBH also provide on -site services to the students of Centennial, Dos Rios, and Cameron Elementary
Schools and Northridge, Greeley Central, and Greeley West High Schools. A positive working relationship between the
Family Education Network of Weld county and NRBH enables selected Head Start students to receive mental health care
in their schools. Staff of NRBH also worked collaboratively with staff of the Platte Valley Youth Services Center
(PVYSC) and with the Juvenile Services Planning Committee (Senate Bill 94 or SB 94) to provide basic mental health
services to detained youth. hi addition, NRBH was again awarded a JABG grant for the current fiscal year that helped
provide services to juveniles while they are detained. NRBH is a regular participant in meetings of the local Juvenile
Services (SB94) Planning Committee, local JABG, the Greeley -Evans Prevention Council, and the Weld County
Community Juvenile Review Board, and the Weld County Child Abuse Team. NRBH is a member of the Weld County
Interagency Oversight Group and works with A Kid's Place in the reviewing and updating of the Weld County Child
Abuse Protocol. An NRBH administrator is a member of the Board of Directors of A Kid's Place, which operates the local
children's advocacy center and the Court Appointed Special Advocate (CASA) program. A related collaborative effort,
Promises for Children, is now in place as well, necessitated by continuing needs in the community.
An ongoing collaborative effort called the Multidisciplinary Youth Assessment Team (MYAT) is now in its fifth year.
Comprised of the Weld County Department of Social Services (WCDSS,) the Weld County Division of Human Services
through its Employment Services Program, the IGRTC, and NRBH, this team has planned for and developed a community -
wide system to meet various needs of youth and families in conflict or in need of positive youth development. NRBH has
also joined in a community collaborative resulting in the formation of the Juvenile Assessment Center (JAC,) a program
designed to assess, provide crisis intervention and triage services to appropriate services for juveniles in the community.
-PO
20071ABG Application
Rev. 11/18/08
SECTION IV - PAST PERFORMANCE
(For Continuation Applications Only)
1. Summarize the progress made in meeting your grant goals and objectives, the specific
services that have been provided, changes or improvements made and/or problems
encountered. (Limit 'A page)
All goals and objectives for the current fiscal year will be met or exceeded, based on data gathered through 4/18/08.
Timely evaluation, case management, and treatment services have been provided to all referred juveniles. The racial
balance of those referred was markedly different than predicted with Hispanic/Latino youths comprising about 69% of
those referred, up from 64% the previous year. Of the Hispanic/Latino youths referred, approximately 25% were females,
up from about 20% last year. This also reflects the disproportionately high percentage of detained youth who are
Hispanic/Latino.
Timely responses to both the referred youths and to the agencies/individuals that referred them occurred more than 95% of
the time. The expected proportion of the youths seen under this grant needed only crisis intervention services while
detained. Ongoing services were offered to the rest and included as part of their release plans.
2. Explain the effectiveness and impact of the project to date. (Limit'/: page)
3. Share any information that is not/was not part of the original evaluation design. (Limit''
page)
SECTION V- PROJECT EVALUATION
1. Specifically define the outcome, impact, or product you intend to achieve. Explain how
you will document the progress on your objectives and explain how you will measure the
degree to which your grant -funded activities are achieving the intended outcome,
impact, or product. (Limit 'A page)
19th Judicial Probation - Evaluation and Long -Term Sustainabilitv Plan
Success will be achieved when 100% (a minimum of 18 annually) of all juvenile female probationers have received greater
access to services through the use of the multi -disciplinary staffing and the IPP, and has been provided with weekly groups
and collaborative case management. Goals for each individual will be reviewed, renewed and progress acknowledged
monthly at the IPP staffing. Supporting measurements of success, weekly supervision meetings, in home collaborative
visitations, group attendance, group assignment completion, school attendance, will also be collected on a regular monthly
basis. We are confident that the above indicators of success will result in lowered recidivism / revocation rates as
compared to the non -Juvenile Female Offender Program participants.
The Juvenile Female Offender Program started approximately five years ago. We are dedicated now, more than ever, to
the fact that gender specific services are essential in addressing the multifaceted needs of young women in our community.
This year we are committed to training other community professionals using our multidisciplinary staffing forum and the
Individualized Probation Plan format as a vehicle for learning and sharing. Despite the reduction in funding, we are
committed to maintaining the integrity of this program and will provide service to as many young females as possible.
This year, the JFOP Probation Officer will receive training from Hawk II Systems, who conducts our parent/youth groups,
and the girl gender -specific groups. This training will ensure the future of our program continuity. Additionally, we will
-tp-
2007 JABG Application
Rev. 11/18/08
be meeting with other collateral agencies at least quarterly to discuss how we can better utilize the time, resources, and
services that are currently available to the young women in our program.
We have worked hard at identifying those skills, programs or services that seem to impact our clients in a healthy and
positive manner. Continued effort will be made to refine our program, and evaluate "best practice" programs.
North Range Behavioral Health
NRBH again seeks to continue its capacity to provide services to youths detained at the PVYSC. This project has served,
and will continue to serve, as a pilot or model for how initial triage and evaluation, treatment, and case management
services can be provided to this target population in a manner best suited to reducing recidivism and the severity of repeat
offenses for those who do re -offend. Ideally, a full array of mental health services should be available to detained juveniles
and their families. This project, as proposed, when linked with the other services to youths provided by the NRBH ICFS
program will serve as a larger step toward achieving that ideal.
The treatment and case management services to be delivered are part of a service plan developed with and for each youth
admitted to NRBH services. Some of the youths to be served by this project will not complete their mental health services
during the fiscal year, even some of those who are referred early on in the year. NRBH will continue to track them once
they do finish and add their data to that of the others. Those who do finish will immediately help prove the value of
services such as these and demonstrate the need for continuing this work. Over the time this project has been funded, the
benefit of such services to the children and their families has been clearly shown, demonstrating that NRBH does provide
cost savings to the community and the state as the mental health treatment costs are much less than those involved in
detaining them and immensely less than serving them as committed youth.
This project will continue to allow NRBH access to juveniles who otherwise would have nothing to do with mental health
care either because they would have refused it or never would have been referred to it. Access is also gained to their
siblings and other family members of the referred youths, again expanding NRBH's ability to help others make positive
changes in their lives.
Measurement of the achievement of the goals set forth herein will be ongoing with reports made at required or requested
intervals. Both positive and negative results will be used to modify plans as the year progresses to realize maximum goal
attainment and to ensure attainment of the desired impact on the needs the therapists are striving to meet. NRBH will
continue to regularly evaluate how best to serve the target population over the course of the new grant period. The efficacy
of various evaluation and treatment approaches will be studied to show what, if any, revamping of services is indicated.
Strong efforts will be made to improve communications with all others involved in this project and the overall grant.
2. Will research be conducted as part of this project? (Limit % page)
NO ❑ YES If yes, check the type of research proposed:
O The planned research/evaluation activities do not involve the collection of information
identifiable to private persons.
❑ The planned research/evaluation activities involve the collection of information
identifiable to private persons.
If the second box is checked, describe the procedures that will be put in place to ensure
administrative and physical security of identifiable data and to preserve anonymity of
private persons to whom information relates.
2007 JABG Application
Rev. 11/18/08
SECTION VI- SUSTAINABILITY
1. Describe the plan for reducing reliance on federal funding in the future. Describe the steps
you have taken to diversify your funding sources, and/or incorporate this project into local
funding sources, e.g. state or local government funding, and/or broad -based community
support. (Limit''/: page)
NRBH views this project as a necessary part of its services to the Weld County community and will seek funding to
perpetuate and expand it. NRBH will continue to look to JABG, Senate Bill 94, federal, state, and other sources for
continuing funding.
2007 JABG Application
Rev. 11/18/08
SECTION VII — BUDGET
Copy this Budget Table and complete the Table and Narrative for each purpose area as well as the applicant
agency's administrative portion of the funds. For continuation applicants: Identify and justify all new
budget items and increases in each budget category from previous year funding.
Project Title: Administrative Costs
Purpose Area: Administration
(1)
Annual Full-
time Salary
1. PERSONNEL
(2)
Annual
Fringe
Benefit Cost
(3)
Sub -Total
(4)
% of time
for This
Project
X
x
$
TOTAL
Source
Fed $
Cash Ma
e
2. SUPPLIES AND OPERATING
Administrative Costs
Yi4yL°� ik','--.td8?3T�r4`'rx� ! pl `'ii ii`'�f
3. TRAVEL (Designate specifically in -state and out-of-state travel.)
X
x
ERSONNFI 1$T
TOTAL
$ 762.00
$ 762.00
TOTAL
Source
Fed $
762.00
762.00
Cash Mal
Source
Fed $
Cash Ms
tt
4. EQUIPMENT
r�x'`wTQT'AT ..}, i.'� SY�l.
5. CONTRACTED CONSULTANT AND PROFESSIONAL SERVICES
Attach a copy of each contract with a detailed budget.
6. TOTAL OF ALL PROJECT
COSTS
O:TAL CONTRACTED CQST;.
TOTAL
TOTAL
$
$
$
TOTAL
Source
Source
Fed $
Cash M:
Source
Fed $
Cash M;
$ 762.00
Fed $
[$ 762.00
% of Total
100%
Cash Match $
of Tc
2007 JAI3G Application
Rev. 11/18/08
2. BUDGETNARRAT'IVE!
y `Yiefer to f nstruchuns,
ant,. vc ocu
Lpmple g a Budge fw each pu ose are
ds For` con inuation- apphcan en y, an
adm nistr hv� ^port►on thef ,a ,'°°
kxuctiej jj ₹a:ate ova french".
6adggt tezns andincreases in each budget category from prev_ions year,fundmg
m►ntative ,Costa ,= Weld County,
min" isstration
'rye /=v.v tf j itf rNl S .av,9P6,se
is .e Tsle
trUis/ OS
w G
7/d PtMild o a ors
Cd
/fCct c r:ied'O
A s er>71'f r//Ey rgop' AlT'
nil 6.4Ce
Aab
/losr,q Cd .
yy�
de 6'9
de 62
tat ec t?e
7-o C o ,0
.4 s w4?' f L
2007 JABG Application
Rev. 11/18/08
SECTION VII - BUDGET
Copy this Budget Table and complete the Table and Narrative for each purpose area as well as the applicant
agency's administrative portion of the funds. For continuation applicants: Identify and justify all new
budget items and increases in each budget category from previous year funding.
Project Title: Juvenile Female Offender Program — 19th Judicial Probation
Purpose Area: #12
(3)
Sub -Total
(4)
° This
for Th
Pro hi
j s
Source
1. PERSONNEL
(1)
Annual Full-
time Salary
(2)
Annual
Fringe
Benefit Cost
TOTAL
Fed $
Cash Mat'
+
=
=
X %
X %
$
$
+
_F
X %
$
+
= X %
$
$
TOTALPERSONNELCOST1
w3 e,3a{yf�a t,p {r dti, rFrn ,;;.n l'c r"`A ti.^T".
"`n.Nif �� w .x �1 x"r,` �.. z =... e. u . , .
a.,..
ii�`=� I a. �` s+�,��.
TOTAL
Source
2. SUPPLIES AND OPERATING —
Fed $
Cash Mate
$
$
$
--',:;,4 a `°ur 5{° v 4 +kr< }'xa OT^AL SUP-PLYES 11ND OPERATIN'OpOSSTS:
X 16
1b I,>"t M1F Q.�dG�PQ�NS�'�.a mdu jN5M:4�;:F�11'N4'�'Ti 4
$
�Y�°�I'8s�V
TOTAL
Source
3. TRAVEL (Designate specifically in -state and out-of-state travel.)
Fed $
Cash Mat
$
$
"' 'a�,{,vti: Sx {r asi (l iy ��' ti,r)-, si"( �;rr9.:.,'v "�� '9 "TMt�",'ti r ra TO',FALT',Rik ,, L(,Q,F
{� rl� `.thJ` �r'ff'�..* ' ..3.11221, i1, rTh, F {"h.�i].� .itYr... . { +_
: $
TOTAL
Source
4. EQUIPMENT
Fed $
Cash Mal
$
,TOTAL EQUIPMENT COSTi
W ��. r e tagg �q5t a-4 +1tii i 9, Y Qi4. 4. Ol £#x J_s
t ''rte i!. '.a^♦n.T. -n6 � . of 6 , �„ w. t .UU. J ..
$
t{°.�, r=s�� vS .t
PROFESSIONAL SERVICES
TOTAL
Source
5. CONTRACTED CONSULTANT AND
Attach a copy of each contract with a detailed budget.
Fed $
Cash Ma
Hawk II Systems, LLC (weekly groups/coordinate monthly staffing, case management)
$ 7,243.00
7,243.00
TOTAL CONTRACTED COST
$ 7,243.00
7,243.00
Source
6. TOTAL OF ALL PROJECT
COSTS
5)
TOTAL
Fed $
% of Total
Cash Match $
% of Toi
(1 through
TOTAL COST
$ 7,243.00
$7,243.00
100%
2007 JABG Application
Rev. 17/18/08
2. BUDGET NARRATIVE: (Limit 3 pages)
Refer to instructions. Follow the same categories and line items as in the Budget Table.
Complete a Budget Narrative for each purpose area/project as well as the applicant agency's
administrative portion of the funds. For continuation applicants: Identify and justify all new
budget items and increases in each budget category from previous year funding.
Project Title: Juvenile Female Offender Program — 19th Judicial Probation
Purpose Area: #12
CONTRACTED CONSULTANT / PROFESSIONAL SERVICES
Weld County Probation has contracted with Hawk II Systems L.L.C. continuously for the past several
years to work with the Juvenile Female Offender Program (JFOP). hi order to continue the program
and to maintain current services, the Probation Department is requesting $7,243.00 annually to be
allocated towards Hawk II Systems. Hawk II Systems, as well as other providers or agencies working
directly with JFOP, will attend monthly staffings where the Individualized Probation Plan (IPP) will
be developed, and review and create new goals for the upcoming month outlined. Expenses will cover
Hawk II Systems' provision of the required parent/daughter groups that will contain parenting and
behavior management information. In addition, weekly, on -going cognitive girls groups will be
provided by Hawk II Systems to address issues of personal safety, teen pregnancy, interpersonal
relationships, personal decision making and career choices. In order for the girls and their families to
receive support and program consistency, regular in -home and/or school visits will be conducted
jointly by Hawk II Systems and the probation officer. These visits allow issues that arise to be
addressed in a timely and supportive fashion.
-161-
2007 JAI3G Application
Rev. II/18/03
SECTION VII - BUDGET
Copy this Budget Table and complete the Table and Narrative for each purpose area as well as the applicant
agency's administrative portion of the funds. For continuation applicants: Identify and justify all new
budget items and increases in each budget category from previous year funding.
Project Title: Collaborative Crisis Assessment and Triage Services — North Range Behavioral Health
Purpose Area: #15
(2)
Annual
Fringe
Benefit Cost
(3)
Sub -Total
(4)
Source
1. PERSONNEL
(1)
Annual Full-
time Salary
% of time
for This
Project
TOTAL
Fed $
Cash Mal
+
=
X
+
—
X %
$ -
+
=
=
X %
X %
$
$
+
n u OTAL PERSONNEL COST-$
ti, t1 L 1 V: .>> $ J: yfi g
TOTAL
Source
2. SUPPLIES AND OPERATING
Fed $
Cash Mat
$
. r4 , sv a ' '" r TOTALISUPPLIES AND OEERAITING COTS".
NYfF ,�uliulu :. r, is L i, .... . ,wl 1K. ��� lc, �I 1v nnJ , I, .t4t?i.
$
.
TOTAL
Source
3. TRAVEL (Designate specifically in -state and out-of-state travel.)
Fed $
Cash Ma
TAI RAVELCOST
M1 v )k, k fl f y5 r','� , 4t ,Ni M71KtaK/I ,l v . _
$
TOTAL
Source
4. EQUIPMENT
_
Fed $
Cash Ma
$
$
TOTAL EQUIPMENT COST[
$
PROFESSIONAL SERVICES
TOTAL
Source
5. CONTRACTED CONSULTANT AND
Attach a copy of each contract with a detailed budget.
Fed $
Cash M:
Clinical Staff
$ 8,937.00
7,243.00
1,694.00
$
TOTAL CONTRACTED: COST,
$ 8,937.00
7,243.00
1,694.00
PROJECT
Source
6. TOTAL OF ALL
COSTS
5)
TOTAL
Fed $
% of Total
Cash Match $
'90 of Tc
(1 through
'TOTAL COST
$ 8,937.00
$7,243.00
80%
$1,694.00
20%
2007 JABG Application
Rev. 11/18/08
2. BUDGET NARRATIVE: (Limit 3 pages)
Refer to instructions. Follow the same categories and line items as in the Budget Table.
Complete a Budget Narrative for each purpose area/project as well as the applicant agency's
administrative portion of the funds. For continuation applicants: Identify and justify all new
budget items and increases in each budget category from previous year funding.
Project Title: Collaborative Crisis Assessment and Triage Services/North Range Behavioral
Health
Purpose Area: #15
Overall Budget
The overall budget for this project will be $8,937, including $1,694 cash match, broken down as
follows:
A. Personnel: No personnel expense is planned.
B. Supplies and Operating: No support is being requested for costs anticipated for supplies and
operating expenses for this project.
C. Travel: No funds to cover travel expenses are being sought.
D. Equipment: No equipment expense is planned.
Contracted Consultant/Professional Services
Contract personnel expenses of $8,937 include the salary and fringe benefits for the clinical staff that
will be performing the services to be delivered. Fringe benefits account for 23% of gross salary and
are prorated based on the full time equivalent. Additional personnel expenses such as the salaries of
the Program Director and clinical supervisor are not included here nor are grant support sought for
them. Data from Mountain States Employers Council, Inc. of Denver indicates the proposed salary is
consistent with what is paid for equivalent positions and employee qualifications in this area.
2007 JABG Application
Rev. 11/18/08
3. TOTAL PROJECT FUNDING:
From: 12/1/2008 to: November 30, 2009
Will this project BE FUNDED using ADDITIONAL FUNDS other than those provided from
this grant? YES XXX NO
If yes, what % of the total project costs will be supported by these federal funds?
List the type and amount of other funding that will be provided to this project.
0/U
Fund Type/Describe Amount
Federal
State
County Government
Municipal Government
Private
Other - specify
TOTAL
2007 JABG Application
Rev. 11/18/08
4. FINANCIAL MANAGEMENT: Please complete the items below.
A. Hasa copy of your last independent audit or financial review been previously submitted to DCJ?
YES/. 41 NO. If YES, to which program?
If audit last provided to DCJ is older than one year, include one copy of the most recent audit or
financial review, including any management report or other auditor comments in the appendix. Also,
if there were findings, please attach the audit resolutions and/or corrective action plan.
B. Does your agency expend over $500,000 from combined federal sources in a year?
rryES /INIS0
If YES, attach a copy of the A-133 audit, including audit resolutions and/or corrective action plan.
C. Please respond to the following questions about whether your accounting system meets the criteria for
managing federal grant funds. (These questions cover areas that will be monitored by DCJ staff during
site visits or through other reporting mechanisms. They are not intended to be all inclusive and do not
substitute for the agency's responsibility to meet all federal and state requirements for these grant
funds.)
ZYES ONO
®YES ❑N0
®YES ENO
EYES
ZYES
®YES
❑N0
ENO
❑N0
®YES ❑NO
®YES ❑N0
®YES ❑NO
®YES ENO
Does your accounting system separate ALL revenues and expenditures by funding
source?
Does your system track revenues and expenditures for each grant award separately
through a sub -ledger system?
Does your system allow expenditures to be classified by the broad budget categories
listed in the approved budget in your grant, i.e. Personnel, Supplies and Operating,
Travel, Equipment and Professional Services?
Do you reconcile sub -ledgers to your general ledger at least monthly?
Do you mark your invoices with the grant number?
Do you maintain time sheets, signed by the employee and supervisor for each
employee paid by DCJ grant funds?
Do you have written financial policies and procedures in place?
Do you have accounting internal controls in place, such as separation of duties, two
signatures on certain checks, reconciliations or other reviews?
For Continuation Applicants only
Do you use your accounting system data to prepare your quarterly financial reports
for DO?
Do you reconcile your accounting system data with your quarterly financial reports
for DO?
If you answered "No" to any of the questions above, please provide an explanation on an inserted
page referencing Section V Item #4.
- 2t
2007 JABG Application
SECTION VIII - CERTIFICATION OF MATCH
This Certification of Appropriation of Match form should be completed by all agencies
providing match.
Certification of Appropriation of Match
Date: June 30, 2008
Colorado Division of Criminal Justice
Office of Adult and Juvenile Justice Assistance
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
Please be advised that Weld County Board of County Commissioners has committed support in the form of
form of cash match in the amount of $1,694.00 to match the State of Colorado funds for the
Juvenile Accountability Block Grant for the 19`h Judicial Probation Office and North Range
Behavioral Health.
Execution of this document represents a certification that said funds have been earmarked within the appropriation of
budget process for use as matching funds for this grant application.
Sincerely,
JUN . U 2000
Signature/Date
William H. Jerke, Chair, Board of Weld County Commissioners
Typed Name and Title
May 13, 2005
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT FUN
Ds
FOR JUVENH,EACCOUNTAP,.,..T.8LOC,.O. GRANT PROGRAM
FUNnc
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions & Certified Assurances must remain attached to the application
SPCA Page 1 of 11
CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY:
% Inter -Governmental Grant
Grant to a Colorado State Agency (Section A does not apply)
XGrant to a Unit of Local Government, Tribal Government, or Special District.
The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing
legislation as indicated below; that all information contained in the application is correct; that there has been appropriate coordination
with affected agencies; and, that the applicant will read, understand and comply with all provisions of the governing legislation and all
other applicable federal and state laws, roles and regulations that have been or may hereafter be established. The applicant further
understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the grant
conditions set forth in the Statement of Grant Award, and in the current applicable Administrative Guide of the Division of Criminal
Justice.
COQ RNING i EGIS ON FOR THIS GR AN PROG A'V
Juvenile Accountability Block Grant Program. From the United States Department of Justice, Office of Justice Programs, Office of
Juvenile Justice and Delinquency Prevention, under federal statutory authority, PL107-273, November 2002, Making Appropriations
for the Departruents of Commerce, Justice and State, the Judiciary, and related Agencies and for other Purposes (Appropriations Act)
and under applicable program guidelines established by said federal program office.
A. STANDARD STATE SPECIAL PROVISIONS
Revised May 13, 2008
1. CONTROLLER'S APPROVAL. CRS 24-30-202 (1)
This subgrant award shall not be deemed valid until it has been approved by the Colorado State Controller or designee.
2. FUND AVAILABILITY. CRS 24-30-202 (5.5)
Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being
appropriated, budgeted, and otherwise made available.
3. INDEMNIFICATION.
a. The Subgrantee Agency shall indemnify, save, and hold harmless the State, its employees and agents, against any and all
claims, damages, liability and court awards including costs, expenses, and attorney fees and related costs, inured as a
result of any act or omission by the Subgrantee Agency, or its employees, agents, subcontractors, or assignees pursuant
to the terms of this subgrant award.
FOR INTERGOVERNMENTAL GRANTS ONLY:
b. No term or condition of this subgrant shall be construed or interpreted as a waiver, express or implied, of any of the
immunities, rights, benefits, protection, or other provisions, of the Colorado Governmental Immunity Act, C.R.S. Section
24-10-101, et seq., or the Federal Tort Claims Act, 28 U.S.C. 2671, et seq., as applicable, as now or hereafter amended.
The Subgrantee Agency, by execution of this grant containing this indemnification clause, does not waive the operation
of any law concerning the parties' ability to indemnify.
slay 13. 2008
COLORADO DIVISION or LJCIWIIfl L Junirv-�
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions & Certified Assurances must remain attached to the application
SPCA Page 2 of 11
4. INDEPENDENT CONTRACTOR. 4 CCR 801-2:
(THIS PROVISION IS NOT APPLICABLE TO GRANTS TO COLORADO STATE AGENCIES):
THE SUBGRANTEE AGENCY SHALL PERFORM THE DUTIES FUNDED UNDER THIS GRANT AS AN INDEPENDENT
CONTRACTOR AND NOT AS AN EMPLOYEE OF THE STATE. NEITHER THE SUBGRANTEE AGENCY NOR ANY AGENT,
SUB -CONTRACTOR, OR EMPLOYEE OF THE SUBGRANTEE AGENCY SHALL BE OR SHALL BE DEEMED TO BE AN
AGENT OR EMPLOYEE OF THE STATE BY VIRTUE OF THIS SUBGRANT. SUBGRANTEE AGENCY SHALL PAY WHEN DUE
ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT
TO THIS GRANT. SUBGRANTEE AGENCY ACKNOWLEDGES THAT THE SUBGRANTEE AGENCY AND ITS EMPLOYEES
ARE NOT ENTITLED TO UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE SUBGRANTEE AGENCY OR THIRD
PARTY PROVIDES SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH
COVERAGE. SUBGRANTEE AGENCY SHALL NOT HAVE AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE
TO ANY AGREEMENTS, LIABILITY, OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. IF THIS GRANT
PROVIES FUNS FOR ANY PERSNAL WORKERS COMPENSSATION (ANDOSHOW PROOF SOFLSUCH INSURANCE)BGRANTEE AND SHALL PROVIDE
UNEMPLOYMENT COMPENSATION
INSURANCE IN THE AMOUNTS REQUIRED BY LAW AND SHALL BE SOLELY RESPONSIBLE FOR ITS ACTS OF ITS
EMPLOYEES, INDEPENDENT SUB -CONTRACTORS AND AGENTS.
5. NON-DISCRIMINATION.
The Subgrantee Agency agrees to comply with the letter and the spirit of all applicable State and federal laws respecting
discrimination and unfair employment practices.
6. CHOICE OF LAW.
The laws of the State of Colorado, and rules and regulations issued pursuant thereto, shall be applied in the interpretation,
execution, and enforcement of this subgrant. Any provision of this subgrant, whether or not incorporated herein by reference,
which provides for arbitration by any extra -judicial body or person or which is otherwise in conflict with said laws, rules, and
regulations shall be considered null and void. Nothing contained in any provision incorporated herein by reference which
purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any
action at law whether by way of complaint, defense, or otherwise. Any provision rendered null and void by the operation of
this provision will not invalidate the remainder of this subgrant, to the extent that the subgrant is capable of execution.
At all times during the performance of this subgrant, the Subgrantee Agency shall strictly adhere to all applicable federal and
State laws, rules, and regulations that have been or may hereafter be established. -
7. VENDOR OFFSET. CRS 24-30-202 (1) & CRS 24-30-202.4
(THIS PROVISION APPLIES TO NON -INTERGOVERNMENTAL GRANTS ONLY)
The State Controller may withhold payment of certain debts owed to State agencies under the vendor offset intercept system
for: (a) unpaid child support debt or child support arrearages; (b) unpaid balance of tax, accrued interest, or other charges
specified in Article 21, Title 39, CRS; (c) unpaid loans due to the Student Loan Division of the Department of Higher
Education; (d) amounts required to be paid to the Unemployment Compensation Fund; and (e) other unpaid debts owing to
the State or its agencies as a result of final agency determination or reduced to judgment, as certified by the State Controller.
8. EMPLOYEE FINANCIAL INTEREST. CRS 24-18-201 & CRS 24-50-507
The signatories aver that to their knowledge, no employee of the State has any personal or beneficial interest whatsoever in
the service or property described in this subgrant award.
9. SOFTWARE PIRACY PROHIBITION. (Governor's Executive Order D 002 00)
No State or other public funds payable under this subgrant shall be used for the acquisition, operation, or maintenance of
computer software in violation of federal copyright laws or applicable licensing restrictions. The Subgrantee Agency hereby
certifies that, for the term of this subgrant and any extensions, the Subgrantee Agency has in place appropriate systems and
controls to prevent such improper use of public funds. If the State determines that the Subgrantee Agency is in violation of
this paragraph, the State may exercise any remedy available at law or equity or under this subgrant, including, without
limitation, immediate termination of the Subgrant and any remedy consistent with federal copyright laws or applicable
licensing restrictions.
May 13, 2008
COLORADO DIVISION OF CRttvtlNALJLJliLE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION @JDP) ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions & Certified Assurances mast remain attached to the application
SPCA Page 3 of 11
10. FEDERAL FUNDING.
This subgrant is subject to and contingent upon the continuing availability of Federal funds for the purposes hereof.
11. PUBLIC CONTRACTS FOR SERVICES. CRS §8-173-101. [Not Applicable to agreements relating to the offer,
issuance, or sale of securities, investment advisory services or fund management services, sponsored projects,
intergovernmental agreements, or information technology services or products and services] The Subgrantee Agency
certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work
under this subgrant and will confirm the employment eligibility of all employees who are newly hired for employment in the
United States to perform work under this subgrant, through participation in the E -Verify Program or the Department program
established pursuant to CRS §8-17.5-102(5)(c), the Subgrantee Agency shall not knowingly employ or contract with an
illegal alien to perform work under this subgrant or enter into a contract with a subcontractor that fails to certify to the
Subgrantee Agency that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under
this subgrant. The Subgrantee Agency (a) shall not use E -Verify Program or Department program procedures to undertake
pre -employment screening of job applicants while this subgrant is being performed, (b) shall notify the subcontractor and the
contracting State agency within three days if the Subgrantee Agency has actual knowledge that a subcontractor is employing
or contracting with an illegal alien for work under this subgrant, (c) shall terminate the subgrant if a subcontractor does not
stop employing or contracting with the illegal alien within three days of receiving the notice, and (d) shall comply with
reasonable requests made in the course of an investigation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado
Department of Labor and Employment. If the Subgrantee Agency participates in the Department program, the Subgrantee
Agency shall deliver to the contracting State agency, institution of higher education or political subdivision a written,
notarized affirmation, affirming that the Subgrantee Agency has examined the legal work status of such employee, and
comply with all of the other requirements of the Department program. If the Subgrantee Agency fails to comply with any
requirement of 1 et e ng State er education or
political subdiviisionis pmay to m nat this n or CRS ssubg subgrant breach and, if so terminated, the nSubgrantee cy, rAgon en Af gency shall be liable for
damages.
12. PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Subgrantee Agency, if a natural person
eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or
otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-
76.5-101 et seq., and (c) has produced one form of identification required by CRS §24-76.5-103 prior to the effective date of
this subgrant.
E. GRANT REQUIREMENTS
1. FINANCIAL & ADMINISTRATIVE MANAGEMENT
•
a. The Subgrantee Agency assures that fund accounting, auditing, monitoring, evaluation procedures and such records
as necessary will be maintained to assure adequate internal fiscal controls, proper financial management, efficient
disbursement of funds received, and maintenance of required source documentation for all costs incurred. These
principles must be applied for all costs incurred whether charged on a direct or indirect basis.
b. All expenditures must be supported by appropriate source documentation. Only actual, approved, allowable
expenditures will be permitted.
c. The Subgrantee Agency assures that it will comply with the provisions of the current applicable Administrative
Guide of the Division of Criminal Justice which is hereby incorporated by reference. However, such a guide canno
cover every foreseeable contingency, and the Subgrantee Agency is ultimately responsible for compliance 31/111
applicable state and federal laws, rules and regulations.
2. PAYMENT & REPORTING
a. The Division of Criminal Justice will pay the Subgrantee Agency the reasonable and allowable costs o
performance, in accordance with current Colorado State Fiscal Rules, not to exceed the amount specified herein a
the Total Award Amount, as identified in the Statement of Grant Award.in th
e b. The DC) Form 3 s r- equirements
R questoPro edures, and cDC1 Form s 1-A , and cSubg antost trFinancng cialsReportrwhichsions ae contained are hereb
incorporated by reference.
c. Advance payments cannot exceed 30 -day operating expenses.
d. The Subgrantee Agency assures that it shall maintain data and information to provide accurate quarterly prograi
LULUKAI)U VI%1JIVpt V1l:mL
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions & Certified Assurances must remain attached to the application
SPCA Page 4 of 11
May 13, 2005
narrative and financial reports to the Division. Said reports shall be provided in such form and contain such data and
information as the Division of Criminal Justice reasonably requires to administer the program.
e. The Subgrantee Agency assures that quarterly financial and narrative reports shall be submitted within 30 days of
the end of each calendar quarter and shall be current and actual.
f. The Subgrantee Agency further assures that final financial and narrative reports shall be submitted on the forms
provided by the Division of Criminal Justice within 45 days of the end date of the subgrant.
g. The Division reserves the right to make and authorize modifications, adjustments, and/or revisions to the Grant
Award for the purpose of making changes in budget categories, extensions of grant award dates, changes in goals
and objectives, and other modifications which do not change the total amount of the Grant Award. The Division's
requirements for such grant adjustments are contained in the procedures for DCJ Forms 4A, 4B, 4C, and 4D, which
are hereby incorporated by reference.
h. The Division may withhold payment in the event the Subgrantee Agency fails to comply with conditions, including
all financial reporting requirements and certifications contained in this grant award.
3. PROCUREMENT AND CONTRACTS
a. The Subgrantee Agency assures that open, competitive procurement procedures will be followed for all purchases
under the grant. All contracts for professional services, of any amount, and equipment purchases over five thousand
dollars (per item, with a useful life of at least one year) must receive prior approval by the Division of Criminal
Justice.
b. The Subgrantee Agency assures that no contract or agreement will be made for execution of project activities or
provisions of services (other than purchase of supplies or standard commercial or maintenance services) that is not
incorporated in the approved application or approved in advance by the Division of Criminal Justice.
c. The Subgrantee Agency assures that contractors/vendors who assist the Subgrantee Agency to develop
specifications, requirements, statements of work and/or Request For Proposal for a proposed procurement shall be
excluded from bidding or submitting a proposal to compete for the award of such procurement.
d. The Subgrantee Agency assures that where activities supported by this subgrant produce any discovery or invention,
original computer programs, writing, sound recordings, pictorial reproductions, drawing or other graphical
representation and works of any similar nature, the following requirements apply:
i. The Division of Criminal Justice reserves a royalty -free, non-exclusive, and irrevocable license to
reproduce, publish, or otherwise use, and authorize others to use, for Federal govemment purposes: The
copyright in any work developed under an award or subaward; and 2) Any rights of copyright to which a
recipient or subrecipient purchases ownership with support.
ii. If any program produces patentable items, patent rights, processes or inventions, in the course of work
sponsored by the Federal award or subaward funds, such facts must be promptly and fully reported to the
awarding agency, Division of Criminal Justice. The awarding agency shall determine whether protection
on the invention or discovery shall be sought. The awarding agency will also determine how rights in the
invention or discovery (including rights under any patents issued thereon) shall be allocated and
administered in order to protect the public interest pursuant to published Presidential and government
memorandums and guidelines, and the regulations promulgated by the Department of Commerce in 37
CFR Part 401.
iii. When issuing statements, press releases, requests for proposals, bid solicitations, and other published
documents describing projects or programs funded in whole or in part with these grant funds, all
Subgrantee Agencies must clearly:
a) State the percentage of the total cost of the program or project, which will be financed with this
grant money;
b) State the dollar amount of state or federal funds for the project or program;
c) Use the phrase -"This project was supported by grant 1i_ , issued by the Colorado Division of
Criminal Justice."
e. The Subgrantee Agency may not assign its rights or duties under this grant without the prior written consent of the
Division of Criminal Justice.
4. AUDIT, RECORD -KEEPING, AND MONITORING/INSPECTION
a. The Subgrantee Agency assures that it will procure an audit or financial review, incorporating this subgrant, by au
independent Certified Public Accountant (CPA), licensed to practice in Colorado. If the agency expends more thar
$500,000 per year in combined federal funds, a Single Audit must be conducted in accordance with OMB Circular
A-133 (Audits of States, Local Governments, and non-profit organizations). If the agency expends less thar
$500,000 per year in combined federal funds, the following policy applies: Agencies with total annual revenue fron
1
COLORADO DIVISIU_v UP t -KIM NAU0in it.r.
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICA'fIOSPECIALJUVENILE
PROGRAM FUNDS•
PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions & Certified Assurances must remain attached to the application
SPCA Page 5 of II
May 13, 2001
all sources of $200,000 or more shall procure a financial audit; a financial review shall not be sufficient to meet this
requirement. Agencies with total annual revenue of less than $200,000 shall procure either a financial review or
financial audit.
i. At such time as the audit or financial review is completed, ONE COPY OF THE REPORT, INCLUDING
THE CORRESPONDING MANAGEMENT LETTER, MUST BE FORWARDED TO THE DIVISION
OF CRIMINAL JUSTICE for clearance. The audit or financial review incorporating this subgrant must be
completed and received within 12 months of the end of the fiscal years that includes the end date of the
grant.
ii. The Subgrantee Agency accepts responsibility for the costs of a financial program audit to be performed by
the Department of Public Safety in the event that the audit report or financial review:
a) does not meet the applicable A-133 or DCJ standards;
b) is not submitted in a timely manner; or,
c) does not provide an audit response plan with corresponding corrections made sufficient to satisfy
any audit findings.
b. The Subgrantee Agency assures that:
i. It will retain all project records, as will facilitate an effective audit, for seven years after the end of the state
fiscal year that includes the end date of the grant. (For example if the grant ended 9/30/2001, the state FY
would be July 1, 2001 -June 30, 2002. The files could be destroyed after 6/30/2009); except,
ii. If an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily, then
records must be retained beyond the seven-year period until such issues are resolved.
c. The Subgrantee Agency assures that it will keep copies of all documents, correspondence, and required receipts
related to this subgrant in a separate file bearing the project title and grant number.
d. The Division may periodically request submission of supporting financial and programmatic documentation,
subcontracts, general and sub -ledgers for the purpose of monitoring compliance with the grant award via desk
review, or in preparation for an on -site monitoring visit. Routine or special on -site visits may be conducted at the
subgrant agency, and at the location of any collaborating entities, for the same purpose. Subgrantee Agencies will
be notified in advance of any on -site monitoring visit.
e. The Subgrantee Agency assures that the Division of Criminal Justice, Colorado Department of Public Safety, shall
have access for purposes of monitoring, audit and examinations to any bonds, documents, papers and records of the
Subgrantee Agency and to relevant books and records of subcontractors of the Subgrantee Agency. It is the
responsibility of the Subgrantee Agency to notify any of its project collaborators and subcontractors of these
provisions.
f. The Subgrantee Agency assures that signatories of the application and subgrant award and personnel employed
through this subgrant will appear when requested at any administrative hearing, monitoring site visit, conference or
meeting conducted by the Division of Criminal Justice. .
5. COLORADO VICTIM RIGHTS ACT
The Subgrantee Agency assures that the application signatories, all staff and all volunteers assigned to the funded project
have read and understand the rights afforded to crime victims pursuant to § 24-4.1-302.5 C.R.S., and the services delineated
pursuant to §§ 24-4.1-303 and 24-4.1-304 C.R.S., commonly known as the Victim Rights Act, and enabling legislation.
6. TERMINATION or REDUCTION IN GRANT AWARD
The Division will monitor the performance of the Subgrantee Agency against goals and performance standards as found in
the application, Section VI required herein. The Division will provide reasonable assistance to the Subgrantee Agency
concerning project goals, performance standards and subgrant requirements. Any determination of substandard perfomrancc
on the part of the Subgrantee Agency shall be within the discretion of the Division, based upon the Division's review of the
terms and conditions of the Grant Award, the application and project summary, the grant terms and assurances, and the
requirements of applicable law. Substandard performance, as determined by the Division, shall constitute non-compliance
which may result in termination for cause, or reduction of the Grant Award for cause, as follows:
a. Reduction In Grant Award Amount for Cause
i. The Division may reduce the total Statement of Grant Award amount for cause, without compensation fo
reduction costs.
ii. If the state reduces the grant amount for cause, it will first give ten (10) days written notice to th
Subgrantee Agency, stating the reasons for reduction, steps taken to correct the problems, and the date th
subgrant award amount will be reduced in the event problems have not been corrected to the satisfaction c
the Division.
iii. In the event this grant is reduced for cause, the Division will only reimburse the Subgrantee Agency ft
acceptable work or deliverables received up to the date of reduction.
COLORADO DIVISION OF CRIMINAL J U SLICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICATIONFOR JUVENILE ACCOUNTABILITY BLOCK GRANT
PROVISIONS AND CERTIFIED ASSURANCESRANI FUNDS
Special Provisions & Certified Assurances must remain attached to the application
SPCA Page 6 of II
May 13, 2008
iv. In the event this grant is reduced for cause, final payment to the Subgrantee Agency may be withheld at the
discretion of the Division until completion of final Division review.
b. Termination for Convenience:
i. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate.
ii. If the grant is terminated for convenience by either the Subgrantee Agency or the state, the Subgrantee
Agency shall be paid the necessary and allowable costs incurred through the date of termination, but not
exceeding a prorated amount based on the number of days of project operation prior to the date of
termination.
c. Termination for Cause:
i. The Division may terminate the grant for cause without compensation for termination costs.
ii. If the state terminates the grant for cause, it will first give ten (10) days written notice to the Subgrantee
Agency, stating the reasons for termination, steps taken to correct the problems, and the date the subgrant
will be terminated in the event problems have not been corrected to the satisfaction of the Division.
iii. In the event this grant is terminated for cause, the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of termination.
iv. In the event this grant is terminated for cause, final payment to the Subgrantee Agency may be withheld at
the discretion of the Division until completion of final Division review.
d. Any equipment purchased under this grant would revert, at the option of the Division, to the Division of Criminal
Justice upon termination of the grant for any of the above reasons.
7. ORDER OF PRECEDENCE
Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Special
Provisions and Certified Assurances, (b) Statement of Grant Award; and, (c) the final approved Subgrant Application.
8. DISPUTE RESOLUTION (THIS PROVISION APPLIES ONLY TO INTERAGENCY AGREEMENTS):
Any failure of either party to perform in accordance with the terms of this agreement shall constitute a breach of the
agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall
be referred to superior departmental management staff designated by each department. Failing resolution at that level,
disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive
directors, the dispute shall be submitted in writing by both parties to the State Controller, whose decision on the dispute will
be final.
C. FEDERAL CERTIFIED ASSURANCES
1. FEDERAL PUBLIC POLICY ASSURANCES
a. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the applicable
provisions of:
i. Title I of the Omnibus Crime Control and Safe Streets Act of 1968, as amended;
ii. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act, as appropriate;
iii. All other applicable Federal laws, orders, circulars, regulations or guidelines.
b. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the provision≤
of 28 CFR applicable to grants and cooperative agreements including:
i. Part 18, Administrative Review Procedure;
ii. Part 22, Confidentiality of Identifiable Research and Statistical Information;
iii. Part 23, Criminal Intelligence Systems Operating Policies;
iv. Part 30 Intergovernmental Review of Department of Justice Programs and Activities;
v. Part 35, Nondiscrimination on the Basis of Disability in State and Local Government Services;
vi. Part 38, Equal Treatment for Faith Based Organizations;
vii. Part 42 Nondiscrimination/Equal Employment Opportunity Policies and Procedure;
viii. Part 61 Procedures of Implementing the National Environmental Policy Act;
ix. Part 63 Floodplain Management and Wetland Protection Procedures; and,
x. Federal Laws or regulations applicable to Federal Assistance Programs.
2. FINANCIAL & ADMINISTRATIVE MANAGEMENT
a. Subgrantee Agency assures that it will comply with appropriate federal cost principles and administrativ
requirements applicable to grants as follows:
i. For state, local or Indian tribal government entities;
COLORADO DIVISION ON CKIMINAL JCS i ILL
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLIC.ATION.FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions d Certified Assurances must remain attached to the application
SPCA Page 7 of I I
May U, 2005
a) OMB Circular A-87, Cost Principles for State, Local & Indian Tribal Governments
b) OMB Circular A-102, Common Rule -Uniform Administrative Requirements for Grants and
Cooperative Agreements to State and Local Governments
c) 28 CFR 66, Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments
ii. For non-profit organizations;
a) OMB Circular A-122, Cost Principles for Non -Profit Organizations
b) OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Nonprofit Organizations
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with
Institutions of Higher Education, Hospitals, and other Non -Profit Organizations
iii. For colleges and universities;
a) OMB Circular A-21, Cost Principles for Educational Institutions
b) OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Nonprofit Organizations
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative Agreements with
Institutions of Higher Education, Hospitals, and other Non -Profit Organizations
iv. For each agency spending more than $500,000 per year in federal funds from all sources;
a) OMB Circular A-133, Audits of States, Local Governments and Nonprofit Organizations
b. The Subgrantee Agency assures that it will comply with the provisions of the Office of the Comptroller, Office of
Justice Programs OC Financial Guide for Grants, current edition. (For practical purposes, the requirements pertinent
to the management of these funds have been extracted from the above documents and are contained in the current
applicable Administrative Guide of the Division of Criminal Justice, which is hereby incorporated by reference.
However, such a guide cannot cover every foreseeable contingency, and the Subgrantee Agency is ultimately
responsible for compliance with applicable state and federal laws, rules and regulations.)
3. NON -SUPPLANTING OF FUNDS (Governmental Agencies Only)
a. The Subgrantee Agency certifies that any required matching funds used to pay the non-federal portion of the cost of
this subgrant are in addition to funds that would have otherwise been made available for the purposes of this project.
b. The Subgrantee Agency certifies that federal funds made available under this grant:
i. Will not be used to supplant state or local funds;
ii. That the Subgrantee Agency's expenditures for the purpose described in this application for the annual
period are as great as for the preceding year plus the average annual increment in such expenditures for the
past two, three, four or five years; OR
iii. Where the certification above (3bii) cannot be made, and there is a reduced or unchanged local investment,
then the Subgrantee Agency shall give a written explanation demonstrating that the Subgrantee Agency's
reduced or unchanged conunitment would have been necessitated even if federal financial support under
this federal grant program had not been made available.
4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS (Subgrantee Agencies receiving $100,000 or more in total
federal funds per year. See 28 CFR Part 69.)
The prospective Subgrantee Agency certifies, by submission of this proposal, that:
a. No federal funds received through this subgrant will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee
of a member of Congress in connection with the making of any federal grant, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any federal grant or cooperative
agreement; and,
b. If any funds other than funds through this subgrant will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an
employee of a member of Congress in connection with this subgrant, the prospective Subgrantee Agency shall
complete and submit Standard Form -LIT, "Disclosure of Lobbying Activities."
5. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION (Subgrantee Agencies receiving $100,000 or more in total federal finds per year. See, 28 CFR Part 67.)
The prospective Subgrantee Agency certifies, by submission of this proposal, that neither it nor its principals, subcontractors
or suppliers:
a. Are presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded from participation in this transaction by any Federal
department or agency;
COLORADO D1V1S1u;V ariv-r.
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
• Special Provisions tit Certified Assurances must remain attached to the application
SPCA Page 8 of t I
May 13. 2008
b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or.civilly charged by a governmental entity (Federal, State, or
local) with commission of any of the offenses enumerated in paragraph (5)(b) of this certification; and
d. Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or
local) terminated for cause or default; and
e. Where the prospective Subgrantee Agency is unable to certify to any of the statements in this certification, he or she
shall attach an explanation to this application.
6. CERTIFICATION REGARDING DRUG FREE WORKPLACE (See, 28 CFR Part 67, Subpart F.)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with the Drug Free
Workplace Act of 1988, as implemented at 28 CFR Part 67, Subpart F.
7. CIVIL RIGHTS COMPLIANCE (See, 28 CFR Part 42.)
a. Upon award, each Subgrantee Agency will be provided DCJ's Form 30, entitled "Certification of Compliance with
Regulations Regarding Federal Civil Rights Requirements and Equal Employment Opportunity Plans (EEOP), and
will be required to do the following:
i. The Project Director must submit the form to the Subgrantee Agency's Authorized Official for this grant;
ii. The Authorized Official must review the form in conjunction with subgrant agency personnel responsible
for reporting civil rights findings of discrimination;
iii. The Authorized Official must accurately complete the required information and provide all information
requested;
iv. The Authorized Official must provide an original signature on the form as indicated; and,
v. The DCJ 30 Form with original signature must be returned to the Division with the Statement of Grant
Award (SOGA).
b. Any subgrant agency findings of discrimination must be reported to the Division of Criminal Justice within 45 days
of receipt of this grant award, and to the Office for Civil Rights, Office of Justice Programs, U.S. Department of
Justice.
8. NON-DISCRIMINATION
The following federal non-discrimination cites apply in particular: the nondiscrimination requirements of the Omnibus
Crime Control and Safe Streets Act of 1968, as amended; Title VI of the Civil Rights Act of 1964; Section 504 of the
Rehabilitation Act of 1973, as amended; Subtitle A, Title II of the Americans with Disabilities Act of 1990, 42 U.S.C. 12101,
et. seq. and Department of Justice Regulations on Disability Discrimination, 28 CFR Part 35 and Part 39;Title IX of the
Education Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination
Regulations 28 CFR Part 42, Subparts C, D, E, and G; and Executive Order 11246, as amended by Executive Order 11375,
and their implementing regulations, 41 CFR Part 60.1 et. seq., as applicable to construction contracts.
9. NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) AND NATIONAL HISTORIC PRESERVATION ACT
(NHPA) COMPLIANCE (42 USC §>s4321-4370 and 16 USC X470)
a. The Subgrantee Agency agrees to assist the Division of Criminal Justice and the Office of Justice Programs, U.S
Department of Justice, in complying with the National Environmental Policy Act, the National IIistoric Preservatior
Act (NHPA) and other related federal environmental impact analyses requirements in the use of these grant fund:
either directly by the Subgrantee Agency or by a subcontractor. As long as the activity needs to be undertaken it
order to use these grant funds, this NEPA requirement first must be met whether or not the activities listed below an
being specifically funded with these grant funds. The activities covered by this special condition arc:
b. New construction;
c. Minor renovation or remodeling of a property either listed on or eligible for listing on the National Register of
Historic Places, or located within a 100 -year flood plain;
d. Renovation, lease or any other proposed use of a building or facility that will either result in a change in its basic
prior use, or significantly change its size.
e. Implementation of a new program involving the use of chemicals other than chemicals that are either purchased as
an incidental component of a funded activity and traditionally used, for example, in office, household, recreational
or educational environments.
COLORADO DEV IS1U (iP laU MI:N AL a Us11Ct
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICATION 'FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions & Certified Assurances mist remain attached to the application
SPCA Page 9 of 11
May 13, 2009
10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (This provision applies only to entities that
provide medical care and treatment)
The Subgrantee Agency acknowledges that it is a covered health care provider under the Health Insurance Portability and
Accountability Act, 42 U.S.C. 1320d -1320d-8, and its implementing regulations and agrees to comply with the requirements
of HIPAA concerning any uses and disclosures of protected health information.
11. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (Government Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with the requirements of the
Uniform Relocation Assistance and Real Property Acquisitions Act of 1970, which govern the treatment of persons displaced
as a result of federal and federally -assisted programs.
12. Political Activity of Certain State and Local Employees (5 U.S.C. §§ 1501-08 and §§ 7324-28 — applies to Government
Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with requirements of
U.S.C. §§ 1501-08 and §§ 7324-28, which limit certain political activities of State and local government employees whose
principal employment is in connection with an activity financed in whole or part by federal assistance.
r
May 13, 2008
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICATION RAM FUNDS
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES
Special Provisions & Certified Assurances must remain attached to the application
SPCA Page 10 of 11
D. PROGRAM SPECIFIC REQUIREMENTS
The following program specific requirements are imposed by the Federal or State sponsoring agency concerning special
requirements of law, program requirements, and other administrative requirements which must be passed on to subgrant
award recipients.
L Right if Privacy for Recipients of Service and Sharing of information.
The prospective Subgrantee Agency certifies, by submission of this proposal, that:
a. Pursuant to Section 223(a)(18) of the Juvenile Justice and Delinquency Prevention Act, procedures have been
established to ensure that this program will not disclose program records containing the identity of individual
juveniles. Exceptions to this requirement are authorization by law; consent of either the juvenile or his/her legal
authorized representative; or justification that otherwise the functions of this title cannot be performed. Under
no circumstances may public project reports or findings contain names of actual juvenile service recipients.
b. Necessary information will be shared appropriately among schools, law enforcement, courts and juvenile -
serving agencies pursuant to the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. §1232g), as
amended by Improving America's School Act of 1994 (IASA). FERPA allows schools to play a vital role in a
community's effort to identify children who are at risk of delinquency and provide services prior to a child's
becoming involved in the juvenile justice system.
c. Necessary information will be shared in accordance with the "Children's Code Records and Information Act,"
19-1-301 et seq., Colorado Revised Statutes, to balance the best interests of children and the privacy interests of
children and their families with the need to share information among service agencies and the need to protect
the public safety.
2. In addition to the "Termination for Cause" item, F.3 under Grant Requirements above, the subgrant may be
suspended or terminated by the Division of Criminal Justice if the Subgrantee Agency fails to comply with the core
requirements of the Juvenile Justice and Delinquency Prevention Act, 1974, as amended: Deinstitutionalization of
Stats Offenders, Section 223 (a)(12)(A); Separation of Juveniles from Incarcerated Adults, Section 223(a)(13);
Removal of Juveniles from Adult Jails and Lockups, Section 223 (a)(14); Disproportionate Minority Confinement,
Section (a)(23).
I
May 13, 2008
COLORADO DIVISION OF CRIMINAL JUSTICE
`JUVENILE JUSTICE AND DELINQUENCY PREVENTION (JJDP) ACT
APPLICATION FOR JUVENILE ACCOUNTABILITY BLOCK GRANT PROG PROVISIONS AND CERTIFIED ASSURANCES RAM FUNDS
Special Provisions & Certified Assurances must remain attached to the application
SPCA Page 11 of 11
SIGNATURE PAGE ->->-> TO BE COMPLETED BY ALL. APPLICANTS
(ORIGINAL SIGNATURES REQUIRED - Please sign in BLUE ink. See instructions for description of proper signatories.)
The Subgrantee Agency and responsible signatories certify by signing that they have read the Application including the Special Provisions and
aCertified ny Assurances,
receiare ved ed as l a resuuizant of lt of thisheir applicatioes n shall d responsibilities
incorporate by refereencect. the de information contained herein. e Agency anResp Responsibility for
narrative ed to ated Project dreporting
to the Division and for operatiotnal ease,eand in no cr
fiscal eorts. This delegation is way limits the authority and responsibility of for
the Authorized ed Official. purposes ofreporting ng In
accordance with the Colorado Revised Statutes 24-72-202.6, information supplied in this application is considered a public record.
AUTHORIZED OFFICIAL
Position
Agency
Telephone #
Fax #
E-mail Address
PROJECT DIRECTOR
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