HomeMy WebLinkAbout20080680.tiff RESOLUTION
RE: APPROVE STATEMENT OF GRANT AWARD FOR DOMESTIC VIOLENCE FAST TRACK
PROGRAM AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Statement of Grant Award for the
Domestic Violence Fast Track Program between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the 19th Judicial District
Attorney's Office, and the Colorado Division of Criminal Justice, commencing April 1, 2008, and
ending March 31, 2009, with further terms and conditions being as stated in said grant award, and
WHEREAS,after review,the Board deems it advisable to approve said grant award, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Statement of Grant Award for the Domestic Violence Fast Track
Program between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the 19th Judicial District Attorney's Office, and the
Colorado Division of Criminal Justice be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said grant award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 27th day of February, A.D., 2008.
BOARD OF COUNTY COMMISSIONERS
f "f D COUNTY, COLORADO
ATTEST: eU �y 112/ Al a ,( 'd '
(,;,r �_
�� f.- Wil ' y� . Jerke, Chair
Weld County Clerk to the Board c ., , ' . ; ��
t ,.`�, Robert' en, Pro-Tem
BY: /'((-2Gi i c'h :al.'
Deputy Clerk to the Board w
William F. Garcia
APPRO A RM: EXCUSED
David E. Long
ounty Attorney �,c 2,0
3
5-per, ougla adema ner
Date of signature:
2008-0680
DA0021
,',' 1, /- 0 5 ) ,L'S/c'748
OF C�Cp�
jy¢ °' COLORADO DIVISION OF CRIMINAL JUSTICE
*l876 s STATEMENT OF GRANT AWARD (SOGA)
FEDERAL PROGRAM INFORMATION
CFDA Number: 16.588
Federal Agency: U.S. Department of Justice
Federal Award Name&Number: Violence Against Women Formula Grants
2007-WF-AX-0002
Subprantee Agency Name: District Attorney's Office, 19th Jud. Dist.
Project Director: Ms. Jo Ann Holden
Project Director Address: P.O. Box 1167
Greeley, CO 80632
Grant Number: 27-VW-19-23
Project Title: Domestic Violence Fast Track Program
Grant Period: 4/1/08-3/31/09
Date Issued: 2/4/08
In accordance with provisions of the Colorado Revised Statutes§24-33.5-502,the Division of Criminal Justice hereby awards a
grant to the above-named subgrantee. The attached grant application (Exhibit A), including Special Provisions and Certified
Assurances, is incorporated herein as a part of this document.
APPROVED BUDGET
Budget Category Federal Cash Match In-Kind Match Total
Personnel $14,972.00 $4,991.00 $0.00 $19,963.00
Supplies and Operating $0.00 $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00 $0.00
*Equipment $0.00 $0.00 $0.00 $0.00
*Professional Services $0.00 $0.00 $0.00 $0.00
TOTAL AWARD $14,972.00 $4,991.00 $0.00 $19,963.00
AMOUNT
*Purchase of equipment requires prior completion and approval of DCJ Form 13.
*Professional services require prior completion and approval of DCJ Form 16.
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SPECIAL CONDITIONS:
1. Under the STOP Violence Against Women Act Reauthorization(42 U.S.C. 3796gg-(d)(4),prosecution,law enforcement,and courts
applicants must consult with local victim services programs in developing their application to ensure that the proposed activities are designed
to promote the safety, confidentiality, and economic independence of victims of domestic violence, sexual assault, stalking and dating
violence. For this grant period,your agency has indicated it has complied with this requirement.
2.
3.
Page 1 of 3
X7008- 048c
Statement of Grant Award (SOGA)
INSTRUCTIONS
1. Grant activities must be based on the approved budget shown on page one of this Statement of Grant Award, and the approved
detailed budget(s)within the attached application, which supersedes any earlier budget request submitted, and which may be
different from the budget originally submitted in your application. The subgrantee must secure prior written approval from DCJ if
there is to be a change in any budget category(see DCJ Form 4-A).
2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary financial
reports.
3. The Subgrantee Agency affirms that the parties' agreement consists of a two-part document, the Statement of Grant Award
(SOGA),and Exhibit A,attached to the SOGA,which contains the Grant Application(including Project Summary,Budget and other
Documents), the Certifications, the State Special Provisions, the Grant Requirements, the Federal Certified Assurances, and
signatures of persons authorized to sign on behalf of the Subgrantee Agency on each part of the two-part document.
4. Review carefully the current applicable Administrative Guide of the Division of Criminal Justice for this grant program,that includes
procedures regarding this document,draw-down of grant funds,reporting requirements and requesting grant modifications.
5. This grant award shall be effective upon the final approval by the State Controller or designee. No payment shall be made pursuant
to the grant prior to State Controller approval.
6. This grant award may be voided in whole without further cause if it is not signed by the subgrantee's Authorized Official and
returned to the Division of Criminal Justice within 45 days of the date of issuance.
7. The signature of the Authorized Official below should be the same as the one on the grant application. The subgrantee must
promptly notify the Division of Criminal Justice of any changes in the Authorized Official,Project Director,or Financial Officer,by
completing and submitting DCJ Form 4-B. (If changes have already occurred, submit completed DCJ Form 4-B with this
document).
ADDITIONAL DCJ REQUIREMENTS
(1) Commencement within 60 Days. If the Division concludes that the project has not commenced within 60 days of the start date of
the grant period,the subgrantee must report the following by letter to the Division of Criminal Justice:
a. the steps taken to initiate the project;
b. the reasons for delay; and,
c. the expected starting date.
(2) Operational Within 80 Days. If the Division concludes that the project is not operational within 80 days of the original start date of
the grant period,the Division of Criminal Justice may begin termination or reduction in grant award proceedings as described in
"Special Provisions&Certified Assurances", Section entitled"Termination or Reduction in Grant Award."
(3) All subgrants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on the DCJ
quarterly narrative and financial reporting forms, which are provided with this SOGA. Technical assistance is available upon
request.
(4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended funds remaining
at the end of the grant period must be returned to the Division of Criminal Justice.
RETURN:
ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of Victims
Programs, S.T.O.P. VAWA Program, 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are
obtained, the white SOGA copy with approved application will be returned to your Project Director.
Page 2 of 3
Statement of Grant Award (SOGA)
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
SUBGRANTEE: STATE OF COLORADO:
District Attorney's Office, 19th Jud. Dist. BILL RITTER JR, GOVERNOR
Legal Name of Sub grantee Agency
Agency FEIN(or Social Security)# 846000813
By "1--1 (42-l� /MRECTOR
�SIGNATURE of Aurized Official alor do Division of Criminal Justice
William H. Jerke, Chair ne M. Smith,Director
Print Name&Title of Authorized Official Print Name&Title of DIRECTOR
Date Signed: 02/27/2008 Date Signed: L.3—.70:2 -&t-
Provide signature of Corporate/Board Secretary or
equivalent,or Town/City/County Clerk,to certify that person
ATTEST : named as Authorized Official above has the legal authority STATE OF COLORADO LEGAL REVIEW:
7BY
o enter into bir)ding legal contrails on behalf of this agency, See Contract Routing Waiver#46
and is in e rr p who signed where indicated.
(or, if not waived)
H. l/"/,��j� $2/27/2008
Sign ture bbb Date John Suthers, ATTORNEY GENERAL
Clerk to the Board —356-4000
Title .q E ILLS hone BY:
PLACE AGENCY SEAL HERE
Or J861 Date Signed:
Indicate No Seal Available
'calif r\fil
ALL CONTRACTS & SUB ,TIC ARDS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This subgrant award is not valid until the State
Controller,or such assistant as he may delegate,has signed it. If performance begins prior to the date below,the State of
Colorado may not be obligated to pay for the goods and/or services provided.
STATE CONTROLLER:
ESLIE M. SHENEFELT
EL //]�
BY J�Z.�' __
DATE 3/1/ (0 i
Page 3 of 3
.2068-ch d
SEP 0 7 2007
SECTION A: AGENCY INFORn1ATION
/'lease do NOT change Jinnwt of table or application.
1.APPLICANT AGENCY: District Attorney's Office, 19th Judicial Dis DCJ USE ONLY
Division or Unit(if applicable): Victim Witness Assistance Unit App#27-VW- L' - a3
Mailing Address: PO Box 1167
Street Address: 915 Tenth Street Grant# fl - V w -
City/Town: Greeley Zip Code: 80632-1167 Award$ w �1 ;
County: Weld Judicial District: 19th
Phone#: 970 356-4010 Fax#: 970 352-8023 2. FUNDS REQUESTED: $ 14,972.00
E-Mail Address: jholden@co.weld.co.us
Federal Employer I.D.Number: 84-6000813 3. APPLYING FOR: ®VAWA
4. CONTACT PERSON: JoAnn Holden Position: Dir Victim Services
Phone#: 970 356-4010 I Fax# : 970 352-8023 Email: jholden@co.weld.co.0
5. TYPE OF APPLICATION(Check One):
® CONTINUATION application-same project components as were funded for the FFY 2006 VAWA grant period
❑ CONTINUATION application-same project components as were funded for the FFY 2006 VAWA grant period PLUS NEW
PROJECT COMPONENTS not previously funded.
❑ NEW APPLICATION. My agency did not receive VAWA funding for the FFY2006 VAWA grant period.
6. PROSECUTION,LAW ENFORCEMENT AND COURTS APPLICANTS:
Prosecution,law enforcement and courts applicants must consult with victim services agencies in developing their grant applications to ensure
that the proposed activities are designed to promote safety,confidentiality,and economic independence of victims. Check,if appropriate.
a. ® Prosecution Applicant ❑Law Enforcement Applicant ['Courts Applicant
b. If checked, indicate below which victim services agencies were consulted in developing this application: A Woman's Place
SECTION B: Pizonct NARRATIVE
7. BRIEF PROJECT TITLE: I Domestic Violence Fast Track Program
8. BRIEF PROJECT SUMMARY:
The Domestic Violence Fast Track Program makes immediate contact with victims,provides referrals,discusses Victims'Rights and
gives Criminal Justice System information. This type of contact is crucial when working with victims to effectively address their
needs and to achieve ultimate success in prosecution.
9. DESCRIPTION OF PROJECT FOR WHICH FUNDS ARE BEING REQUESTED.
The Domestic Violence Fast Track Program(modified in January 2005)continues to be enhanced to better serve victims of
misdemeanor domestic violence and training issues which results in improved cases being filed in the court system ultimately creating
more effective prosecution. The County Court Victim Witness Assistant and Intern now have proactive interaction with victims of
misdemeanor domestic violence instead of minimal reactive interaction.
Weld County's population of 236,857 has grown 31%from 2000-2006(U.S. Census Bureau.) The Greely Tribune,June 28,
2007 -Greeley's population of 89,046 is a 15%increase from 2000 to 2006. In the past year, Severance's population of 2,590
increased 31%,Windsor's population of 15,976 saw a 7.7%increase, and Johnstown's population of 8,237 had a 13.2%increase. A
direct result of this growth was the addition of a fourth County Court Judge in August 2006; a District Court Judge will be added in
2007. The one County Court Victim Witness Assistant is responsible for victim assistance in all of the County Court Divisions with
the assistance of the 20 hour a week intern which was funded by the 19th JD VALE Board in July 2006 to respond to the crisis of
increased caseload. The VAWA Grant is presently funding 33%of the salary and benefits of one County Court Victim Witness
Assistant from 23%in the previous grant cycle. This application requests VAWA to continue funding this position at 33%of salary
and benefits. This position spends at least 75%of her time with the DV Fast Track Program..
Application I I.doc 2 "Exhibit A"
2007-2784
•
SECTION C: VAWA GOAI,s AND OILJLCI IVES
Please do A'OT change fornuu of table or application.
10. GOALS AND OBJECTIVES FOR THIS PROJECT(See instructions first)
DCJ USE Onlp �x�. r
°�o ategortes raj- LEA job Prosecution Vic₹imSery s Courts �f Mixed „ _Diseretionary
10 a. Federal Purpose Areas and State Priorities:
/. Federal Purpose Areas: (check'all Thatapply) 1. . . . „`.S to P iorities:"cheek allthat ap)ly)
❑ Training for Officers, Prosecutors,Judges ® Access for Underserved and/or Under-representei
Victims
• Specialized Units ® Specialized Advocacy
® Policies,Protocols,Orders O Judicial Education and Court-Related Projects
❑ Linked Data Collection&Communication Systems O Protection Order Enforcement
• Victim Services O Coordinated Response to Sexual Assault
❑ Stalking ® Collaborative,Community-based System
Improvement
❑ Indian Tribes O Multidisciplinary, Specialized Training
❑ Multidisciplinary Coordinated Response ❑ Addressing Needs of Underserved Population
O Training of Sexual Assault Forensic Personnel
-❑ Older and Disabled Women
O Assistance for Victims with Immigration Matters
❑ Emergency Services for Victims&their Families
• LE Victim Assistants for Protection Order Enforcement
❑ Training&Protocols for Police-Perpetrated DV
10 b.Victim Services Activities(Complete this section if your proposed project includes a request to provide direct VICTIM SERVICES t
crime victims)
Estimate the number of Adult Female Victims and their family members to be served by this project for each Type of Crime,Service, and
Underserved Area.
Kitt( ' .,Type of Grime° Est# Services Est# Und`e'rserved area i'
Sexual Assault Hotline Calls Previous Lack of Access
1100 Domestic Violence 452 Crisis Intervention 450 Rural Women
Stalking Hospital Response 10 Elderly Women
Dating Violence Counseling/Support Immigrant Women
930 Criminal Justice 230 Cultural,Language,Ethnic Minority
Advocacy/Court
Accompaniment
Civil Legal Advocacy/Court 1 Disabled
Accompaniment
Civil Legal Assistance Native American
1100 Victim/Witness Notification Sexual Orientation
770 Victim/Survivor Advocacy Other Special Needs:
Emergency Shelter
1100 Assistance Obtaining
Restraining Orders
Other:
Application 11.doc 3 Revised 6/07
10 c.Law Enforcement (Complete this section if your proposed project includes a request to fund a LAW ENFORCEMENT OFFICER to
provide law enforcement services to victims of domestic violence,sexual assault, stalking and/or dating violence)
Estimate the number of Adult Female Victims and their family members to be served by this project for each Type of Crime,Service, and
Underserved Area.
�0 "*1*of'L3nme
Sexual Assault Calls for assistance(911 &other) Previous Lack of Access
Domestic Violence Incident reports Rural Women
Stalking Cases/incidents investigated Elderly Women
Dating Violence Arrests of predominant aggressor Immigrant Women
Dual arrests Cultural,Language,Ethnic Minority
Protection/ex parte/temporary Disabled
restraining orders served
Arrests for violation of bail bond Native American
Enforcement of Warrants Sexual Orientation
Arrests for violation of protection Other Special Needs:
order
Protection orders issued
Referrals of cases to prosecutor
Referrals of federal firearms
charges to federal prosecutor
10 d.Prosecution (Complete this section if your proposed project includes a request to fund a PROSECUTOR to provide prosecution
services to victims of domestic violence,sexual assault, stalking and/or dating violence)
Estimate the number of Adult Female Victims and their family members to be served by this project for each Type of Crime,New Offenses,
and Underserved Area.
�, Eskk Type of Crime Est# New Offenses Este:. .'; Utiderservell Area
Sexual Assault
Misdemeanor Sexual Assault Previous Lack of Access
Domestic Violence Felony Sexual Assault Rural Women
Stalking Homicide Related to Sexual Elderly Women
Assault,Domestic Violence or
Stalking
Dating Violence Domestic Violence Ordinance Immigrant Women
Misdemeanor Domestic Violence Cultural,Language,Ethnic Minority
Felony Domestic Violence Disabled
Stalking Ordinance Native American
Misdemeanor Stalking Sexual Orientation
Felony Stalking Other Special Needs:
Violation of Protection Order
Violation of Bail
Violation of Probation or Parole
Violation of Other Court Order
Other:
4
•
10. GOALS AND OBJECTIVES FOR THIS PROJECT(Continued):
10 e.Probation: (Complete this section if your proposed project includes a request to fund a PROBATION OFFICER to provide probation
officer monitoring of domestic violence, sexual assault,stalking and/or dating violence offenders.)
Estimate the number of Adult Female Victims and their family members to be served by this project for each Type of Crime,Monitoring
Activities and Underserved Area.
Est# Re of=Crime Est.# Monitoring.Activrties'.'; -.Est# :: f)ndersertiedArea. ",. ., .:
Sexual Assault Face-to-Face Meeting w/Offender Previous Lack of Access
Domestic Violence Telephone Contact w/Offender Rural Women
Stalking Unscheduled Surveillance of Elderly Women
Offender
Dating Violence Outreach to Victims/Survivors Immigrant Women
Other: Cultural,Language,Ethnic Minority
Disabled
Native American
Sexual Orientation
Other Special Needs:
10 f. Need for the Project: (in the space provided,briefly list up to 5 reasons why there is a need for this project in your community).
1. Need to contact victims of domestic violence for initial court hearing.
2. Need to have immediate, proactive interaction with victims of misdemeanor domestic violence.
3. Need due to increasing population in Weld County: 31%increase from 2000 to 2006
4. Need due to Latino population in Weld County: 27.8% of population of 236,857
5. Need to identify dv trainings for prosecutors on predominant aggressor,domestic violence investigations,&victim dynamics
10 g.Will your project be using best practices or evidence-based programs/activities? ®Yes❑No
If yes,please briefly describe. The DV Fast Track Program adopted by the 19th JD in 2005, is based on the 18th JD DV Fast Track Program
which this Project Director implemented in 1997 after studying DV Fast Track Programs in Jefferson County DA's Office and Aurora Muni
Court.
10 h. Are you able to collect demographic information to determine underserved/under-represented populations in your area?
Z Yes ❑No If no,why not? The DV Fast Track Program gathers demopgraphic statistics requried in grant reports based on informatic
received in the police reports,and contacts with victims in person or on the phone.
10 i. Is any portion of your project specifically designed to serve underserved and/or under-represented populations?®Yes O No
If yes,answer the following questions:
1. What underserved/under-represented population will you serve? rural, elderly,cultural, language, ethnic minority,disabled
2. How much of your grant request($ figure)will be used to serve underserved/under-represented populations? $ 9,432.00
3. What percentage of your grant request does this figure represent? 63%
5
10. GOALS AND OBJECTIVES FOR THIS PROJECT(Continued):
10 j.Training Activities and Topics of Training (Complete if your proposed project includes a request to fund TRAINING
activities)
Eaf r`" �Thg7lumber ofandturd tats to be Trained by.§ (` T`upre f7'ratpiingi check-*1Ittat.- pply
ky ..t2i S Discipline. , .J `: r,, ':r
Judges ❑ Sexual Assault
Other Court Personnel ❑ Domestic Violence
Correction Personnel
Coalition Staff(inc.DV, SA,Tribal) U Dating Violence
Community Organization Staff(inc. disability, O Justice System
elderly,faith-based)
Government Agency Staff(inc. TANF,social O Underserved Populations
services,Medicaid)
Health/Mental Health Professionals(inc. sexual O Community Response
assault examiners)
Law Enforcement(Officers or Deputies) O Protection Orders
Law Enforcement(Victim Assistants) ❑ Other:
Prosecutors
Prosecution-Based Victim Assistants
Non-Profit Victim Service Providers
Probation Personnel
Parole Personnel
Volunteers
Other:
10 k. Specialized Units(Complete if your proposed project includes a request to fund a specialized unit)
Law Enforcement Prosecution Courts Probation/Parole
Develop a new unit O O ❑ ❑
Support,expand,or coordinate an ❑ ® ❑ ❑
existing unit
Train a specialized unit ❑ ❑ ❑ ❑
Other(specify): O ❑ ❑ ❑
10 I.Systems Improvement Activities (Complete if your proposed project includes systems improvement activities; check all that
apply)
Victim Services Law Enforcement Prosecution Courts Probation/Parole
Evaluation ❑ ❑ ® ❑ ❑
Interpreters ❑ ❑ ❑ ❑ ❑
Language Lines O ❑ ❑ ❑ ❑
Meetings btwn. Tribal&non- ❑ ❑ ❑ ❑ ❑
Tribal entities
Security personnel/equipment O ❑ ❑ ❑ ❑
Translation of forms/documents O ❑ ❑ ❑ ❑
Other(specify): O ❑ ❑ O ❑
6
•
10 m. GOALS AND OBJECTIVES FOR THIS PROJECT(Continued):
LIST THE PROJECT-SPECIFIC GOALS AND OBJECTIVES FOR YOUR PROJECT HERE.List NO MORE THAN 3 GOALS WITH 3
OBJECTIVES EACH. Goals and Objectives should describe how you will achieve the outcome,impact,or product that will result from grant-
funded activities. All goals and objectives must fit on this page(Exception:multi-agency and multi-project applicants may attach additional
pages). Write the word "NEW"in front of any goals and bjectives associated with NEW project components.
CAA- s oC
Goal I: To provide direct assistance tonvictitns of misde eanor domestic violence through the Domestic Violence Fast Track
Program by reinforcing safety planning,offering information on counseling,Victim's Compensation,community referrals,
Victims'Rights and the Criminal Justice System.
Objective I: By March 31,2009, services will be provided to 1100 victims; 691 will be underserved victims of:rural
areas,elderly, cultural,language,ethnic minority or disabled.
Objective II: Achieve an 80%approval rating on returned victim surveys and on a quarterly basis,provide a summary
of results of the victim surveys evaluating client satisfaction and uncover positive and negative aspects of the programs and any
need for change
GOAL II: Complete the prosecution mission of the DV Fast Track Program to resolve cases at the first court hearing,thereby
getting the defendant in treatment and supervised quickly.
Objective I. By March 31,2009,have"meaningful consultation"with 85%of misdemeanor domestic violence victims
the next working day after the crime.
Objective II: By March 31, 2009,achieve an 35%first appear disposition rate on misdeameanor domestic violence
cases. On a quarterly basis,provide a summary of results to prosecutors and law enforcement.
Objective III: Quarterly,identify need for prosecutors to attend trainings on predominant agreessor, domestic violence
investigations, and victim dynamics.
7 _St I j
SECTION I): I3I ncET INFORMATION
Please do NOT change fornml of whle or application.
Continuation Applicants fill out Columns 1,2 and 3. / New Applicants fill out Column 2 only.
11. BUDGET REQUEST « -` + . , 1` Illr`3t1'se.Ottifi 4ppltcat;.iiiiint t I E.` r,'
Continuation Applicants Continuation
(Column 1) ALL APPLICANTS Applicants with
(Column2) NEW nroiect
Describe 100%of your request in this section. components
(Column3)
Current Grant Award REQUESTED BUDGET Note NEW costs
in this column
PERSONNEL PERSONNEL
Employee/Job Position Employee/Job Position
Henrichs/Com Service $ 10,932.00 Hull/Victim Witness Assistant $ 11,429.00 $ 497.0
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
FICA,Ret. &Fringe $ 3,941.00 FICA,Retirement&Fringe Benefits $ 3,543.00 $ -398. 0
Subtotall$ 14,873.00 Subtotall$ 14,972.00 $ 99.0
SUPPLIES AND OPERATING SUPPLIES AND OPERATING EXPENSES(office supplies, Note W costs
EXPENSES computer software,training materials,conference registration in this column
fees,copying,rent,phone,postage,&other items under$5,000)
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
Subtotall$ Subtotall$ $
IN-STATE TRAVEL IN-STATE TRAVEL(itemize transportation/per diem,etc.) Note NE costs
$ $ $
$ $ $
$ $ $
Subtotall$ Subtotall$ $
EQUIPMENT EQUIPMENT(items which cost over$5,000 each) Note NE costs
$ $ $
$ $ $
Subtotall$ Subtotall$ $
PROFESSIONAL SERVICES PROFESSIONAL SERVICES Note NE costs
$ $ $
$ $ $
$ $ $
Subtotall$ Subtotall$ $
TOTAL FUNDS: $ 14,873.00 TOTAL FUNDS REQUESTED: $ 14,972.00 S 99.00
8 Jc11/
12. MATCHING FUNDS BUDGET: List the total matching funds. ALL VAWA APPLICANTS,EXCEPT TRIBES AND
VICTIM SERVICES,ARE REQUIRED TO PROVIDE LOCAL MATCHING FUNDS FOR THIS PROJECT. HOWEVER,
AGENCIES EXEMPT FROM MATCH ARE ASKED TO CONSIDER PROVIDING VOLUNTARY MATCH. TO
DETERMINE YOUR MATCH AMOUNT,DIVIDE YOUR REQUESTED AMOUNT BY 3. See instructions for more detail.
PERSONNEL(Employees of the applicant agency)
Employee/Job Position /
Hull/Victim Witness Assistant $ 3,810.00
$
$
FICA,Retirement&Fringe Benefits ) $ 1,181.00
Subtotal$ 4,991.00
SUPPLIES AND OPERATING EXPENSES(communication , i ig, en I ne,tuition,registration fees&other items
under$5,000)
Subtotal
OTHER: Travel,Equipment and/or P fe iona Se secify)
) Subtotal$
I %,.....-
SOURCE OF MATCH: County CASH: $4,991 IN-KIND: $ TOTAL: $ 4,991.00
13. GRANT BUDGET SUMMAR .This chart summarizes all dollars by category. All applicants should fill out pertinent
sections.
BUDGET CATEGORIES Funding Request Cash Match In-Kind Match TOTALS
Personnel $ 14,972.00 $ 4,991.00 $ $ 19,963.00
Supplies and Operatin: $ $ $ $
In-State Travel $ $ $ $
Equipment $ $ $ $
Professional Services $ $ $ $
TOTALS $ 14,972.00 $ 4,991.00 $ $ 19,963.00
k.. i
14. BUDGET DETAIL AND JUSTIFICATION: (Do not exceed the two pages allowed for this budget narrative.) Please
provide the following information for each budget category:
a. PERSONNEL REQUEST AND MATCH:
1. Please detail the cost of the salaries and benefits you are requesting. List annual salary X FTE=Salary request for
each employee:
The salary and benefit costs for all positions are established by the Board of County Commissioners. The County Commmissioners
normally award an annual cost-of-living raises(of 3%)and step-increases. Benefits are calculated at 31%of the yearly salary.
Utilizing this formual,projected 2008 Salary and Benefits for Victim Witness Assistant (Hull):
1 FTE salary$34,633+benefits$10,736=$45,369/year X 33%VAWA =$14,972
2. Please provide the following ADDITIONAL information on the positions for which you are requesting funding.
Employee/Job Position Requested No. of hours . No. of hours If THIS grant funding will If THIS grant funding
per week per week this not pay for the entire will not pay for the entire
requested for position position,what is the position,what is the
THIS grant works in total SOURCE of other funds AMOUNT of other funds
period to be —max 40 hrs. that will be used to pay that will be used to pay
funded by for the rest of this for the rest of this
VAWA. position? position?
Hull/Victim Witness Assistant 13 40 VOCA, County $ 30,397.00
b. SUPPLIES AND OPERATING REQUEST AND MATCH:Please see instructions,and fully explain and Justify the need for
the current request. Include and identify any supplies and operating used as cash or in-kind match.
NOT APPLICABLE
10
14. BUDGET DETAIL AND JUSTIFICATION(Continued)
c. IN-STATE TRAVEL REQUEST AND MATCH:Please see instructions, and fully explain and justify the need for the current
request. Include and identify travel used as cash or in-kind match.
NOT APPLICABLE
d. EQUIPMENT REQUEST AND MATCH:Please see instructions,and fully explain and justify the need for the current
request. Generally,very little equipment will be funded. Include any equipment used as cash or in-kind match.
NOT APPLICABLE
e. PROFESSIONAL SERVICES/CONSULTANTS REQUEST AND MATCH: Please see instructions, and fully explain and
justify the need for the current request. Include and identify any professional services and consultants used as cash or in-kind
match. Please note that professional services expenditures require approval by DCJ(Form 16)BEFORE they are expended.
NOT APPLICABLE
f. DIFFERENCES FROM LAST YEAR'S REQUEST(Continuation Subgrantees only.) Please identify any new costs in this
request and briefly summarize the reasons for the differences between this year's request and your most recent/current grant award.
Explain the impact of any funding cuts and,justify areas that could not sustain further cuts.For personnel requests,indicate if
requesting a new position, if not—how it was funded before.
This VAWA Application for 2008-2009 is for$14,972 a$99 increase.
11
15. FUNDING SOURCES: Indicate the total amount of funding allocated for your project,program and agency for the current
calendar year—2007. We understand this time period is different than your VAWA grant period. Count only funds used to provide
direct and/or indirect services to address domestic violence, sexual assault and stalking. In some instances,the program and agency
budget will be the same.
Funding Category Amount for Current Calendar Year-2007
VAWA Project Budget(If not a current subgrantee,list the total of your proposed $ 14,972.00
budget on page 8)
Program Budget $ 424,194.00
Agency Budget $ 4,566,621.00
What program components are included in your program budget listed above(e.g.: other services your program provides such
as restraining order clinics,shelter services to DV victims,hotline services)?
The Victim Witness Assistance Unit in the District Attorney's Office consists of 12 staff(9.913 FTE)working with victims of
felonies,misdemeanors,and traffic cases providing these services: 1.Crime Victim Compensation; 2. notices to victims of Victim
Rights' Amendment crimes regarding the critical stages of the court system which advise them of their rights with regards to the court
system; 3.court case status information to victims,witnesses and law enforcement; 4.a liaison between the victim and prosecutor;
5. a safe and secure court waiting area for victims and witnesses; 6.a review of criminal cases to compile information to determine
victim restitution; 7."meaningful consultations"with misdemeanor domestic violence victims. 8.administrative support to the Crime
Victim Compensation and V.A.L.E. Boards.The program provides assistance to victims who need crisis counseling, criminal justice
assistance,personal support,relevant education,HIV notices and support victims who attend court hearings either as a witness or to
invoke VRA rights. Since 2005,the role of a Victim Witness Assistant has noticeably changed from providing reactive service with
no continuity to now being with the victim from the initial filing of charges through trial and sentencing.These changes have
significantly increased the quality and quantity of Victim Witness staff contacts with victims. The Victim Witness Unit has been able
to provide this enhanced support and service due to added financial support of the VALE Board(added a 20 hour/week employee in
2006)and the County Commissioners(1 FTE in 2006& 1 FTE in 2007).
12
16. AGENCY FUNDING BY FUNDING SOURCE: Please provide the total amount of funding your agency is currently
receiving to serve victims of domestic violence, sexual assault and stalking or to address domestic violence, sexual assault and
stalking.
FUNDING START DATE END DATE
AMOUNT
FEDERAL FUNDS: Month / Day / Year Month / Day / Year
VAWA funds: Ai $ 14,873 u,, 4 / 1 / 2007 J 3 / 31 / 2008
VOCA funds: ,, $32,606 12. 1 / 1 / 2007 it k 12 / 31 / 2007
ert? jig-
FVPSA(ACT)funds: ;y $ m / / / /
Other US Dept.of Justice funds such as l,( 4'h
Byrne(DCSIP),Juvenile Justice,COPS 4 ! $ / / irli / /
Other Federal funds: 4i? $ ' / / #li / /
STATE FUNDS:
State VALE funds: $ 4:1,::::4 / / a / /
la
0
State DAAP funds: 11:411 $ w4 / / r:y / /
Other State funds(e.g.general fund) $ :) / / / /
LOCAL GOVERNMENT FUNDS:
Local VALE funds: Judicial Dist 19 q $91,300 '7 / 1 / 2007 6 / 30 / 2008
i 9, / l
Judicial Dist.: r ` $ i / / V
Judicial Dist.: n $ 41-4, / / 4 / /
444 RS Tr:
Judicial Dist.: tit $ / / / /
Local Government funds: $ / / vo / /
Admin Funds: COMP, VALE, Weld Cty "'ft $285,415 t': 1 / 1.00 / 2007 'IiIP,K 12 / 31 / 2007
PRIVATE OR OTHER FUNDS:
Private funds: $ / / / /
Other funds: ,.1- $ Iliz / / `i, / /
17. DIVERSIFICATION/SUSTAINABILITY OF FUNDING: In the remaining space,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.
The Victim Witness Assistance Program in the Weld County District Attorney's Office utilizes
1. grant funding from Local VALE,VOCA and VAWA
2.Administrative Funds from VALE and Victim Compensation
3. County funding
13
SECTION E: CoNTINt:ATION APPLICANTS PROGRESS REPORT
/'lease do NO7'change,fornuit of tahle or application.
(Continuation Applicants only)
18. PROGRESS: Please provide a summary of the progress made in your project during time periods 1 and 2 as defined below.
See instructions before completing this section.
For the following time periods,please briefly summarize the progress made in meeting your prior and current grant goals and
objectives, the specific services that have been provided,changes or improvements made and/or problems encountered.
a. VAWA time period 1: FFY 2005 APRIL 1,2006-MARCH 31,2007 if you received funding during this time period.
The Domestic Violence and Sexual Assault Program:
1. Provided direct services to 1096 victims-Misdemeanor&Felony DV and sexual assault.
2.Twenty-one percent of the victims(233)were minority victims;47 were Spanish speaking only.
3. The DV Fast Track Program had contact with 70%of victims with a 27%disposition rate of the perpetrators at the initial court
hearing.
Activities:
1. Sexual Assault Resource Team: Met with North Colorado Medical Center regarding a SANE Program in Weld. Attended a
meeting at Medical Center of the Rockies who is exploring opening a SANE site.
2.The DA Office VW Assistants toured the Weld County DV shelter,A Woman's Place.
3.The DA Office Staff updated the resource list into separate lists for DV victims, SA victims for our waiting rooms. A handout,
written in Spanish,was created to give to walk-in, Spanish speaking only,victims who come to the office.
4.DV Protocol Meeting with United Way 211 Program
5. Collaborative Training given at A Woman's Place by DA Victim Assistance,LE Victim Assistance,and Probation Victim
Assistance.
6. DA's Office begins Sexual Assault Meeting with agencies SASI and ASAP: DA,Kenneth Buck, met with Ex Directors of SASI
&ASAP regarding the challenges of prosecuting sexual assault cases. Also attending this meeting is Project Director and Chief
DDAof Intake Unit.
7. Project Director met with domestic violence judge regarding the DV Fast Track Program for feedback.
8.Staff attends training: STAND UP FOR DIVERSITY,Immigration Options for Survivors,Physical&Emotional Impact of
Trauma, Strangulation, Stalking&Protection Orders,A Woman's Place presented information at a VW Staff Meeting regarding
resources and procedures.
b. VAWA time period 2: FFY 2006 APRIL 1,2007-PRESENT (1"& 2"Quarters)if you are currently receiving funding.
The Domestic Violence Fast Track Program during the first quarter have:
1. provided direct services to 282 victims,forty-three percent(123)are minority and 15 Spanish speaking only.
2.had contact with 75%of victims with a 25%disposition rate of the perpetrators at the initial court hearing.
We have been communicating with the WCSO since the beginning of 2007 for a new BOND INFORMATION sheet to be printed
and utilized in the jail. The new form adds a request for additional phone number sections, one to indicate a number where the
victim will be the next day and two a work number. We seemed to have made headway in April in getting this form printed and
utilized,but the project was delayed. A higher victim contact may result with more numbers given on how to contact the victim.
More victim contact may result with more may result in a higher disposition rate
Project Director met with Community Corrections Committee to implement VRA victim notification which had not been done
previously in Weld County.
A County Court DDA presented information on the Misdemeanor DV Fast Track Program at the June DV Coalition Meeting which
represents members from the bench,prosecutors,law enforcement, advocates in non-profit agencies and law enforcement, staff
from DV perpetrator agencies and Probation.
DV Training for staff: Human Trafficking in the US
14
•
SECTION F: SUPPORT, COORDINATION, AND NI:Tw1'oRKINc
Please do.NOT change./ormai o/table or application.
19. COMMUNITY SUPPORT,NETWORKING,COORDINATION AND COLLABORATION
a. COORDINATION AGREEMENTS: THIS AGREEMENT REPLACES THE PREVIOUS REQUIREMENT FOR LETTERS
OF SUPPORT AND IS AN ESSENTIAL PART OF YOUR APPLICATION. The coordination agreement form is included in the
application kit after the certification of matching funds page. Complete three separate agreement pages and indicate here which
three community agencies have signed the coordination agreement.
AGENCY PERSON/POSITION
A Woman's Place Ellen Szabo,Executive Director
Weld County Law Enforcment Victim Services Suzi Cvancara,Director
Probation Department Victim Assistance Sheri Mann,Victim Assitant Coordinator
b. MEMORANDUMS OF AGREEMENT OR UNDERSTANDING: List the agencies with which you have active
memorandums of understanding or agreement regarding coordination and provision of services. If necessary, please summarize to
fit space. Do not attach the memorandums to the application,but have available upon request.
THESE AGENCIES SEEK TO ACHIEVE MOST Weld County Collections Department;Weld Cty Legal Services;
DELIVERY OF VICTIM SERVICES IN WELD COUNTY Greeley Police Dept Victim Services Unit;
C.A.R.E.-Child Advocacy Resource Center; UNC Adult Sexual Assault Program; Sexual Assault Survivors,Inc
AIMS Community College Criminal Justice Program; DA Office Victim Assistance Program;
Probation Victim Services;A Woman's Place; Weld Cty Area on Aging;Colorado Legal Services;
A Kid's Place;Colorado Prevention Partners Weld Cty LE Victim Services
REFERRALS: (if applicable)
c. REFERRALS MADE TO YOUR PROGRAM: List the agencies/individuals who make referrals to your program: (List only
the most frequently referring agencies/individuals,no more than 10.)
Greeley Police Department&Weld County Victim Services Programs
A Woman's Place,Inc.
Sexual Assault Survivor's Inc
A Kid's Place/CASA of Weld County
Colorado Legal Services
North Colorado Medical Center
Weld County Department of Social Services
19th Judicial District Courts
19th Judicial District Probation Department Victim Services
d. REFERRALS YOU MAKE TO OTHER PROGRAMS: List the agencies/individuals to whom you make referrals. (List
only those agencies you refer to most frequently,no more than 10).
A Woman's Place,Inc.
Catholic Charities,Northern
Child Advocacy Resource&Education(CARE)
Colorado Legal Services
19th Judicial District Probation Department,Victim Services Program
Sexual Assault Survivor's Inc
Weld County Department of Social Services
North Range Behavioral Health Center
Greeley Police Department& Weld County Victim Services Program
15
SECTION C: VICTIM INFORMATION AND ASSISTANCE
Please do: OT change farina!of table or a' dietitian.
20. CULTURALCOMPETENCY PLAN:VAWA applicants are asked to supply a plan to provide culturally competent
services to meet identified needs of racial,cultural and ethnic minority populations. The definition of cultural competence is:
planning to effectively deliver services in a context that is meaningful to the individual's culture. Please describe: 1)the
diverse needs in your community,2)tools you will use to assess and address the needs identified,3)resources available to
implement your plan;and 4)the minority population(s)in the community you serve,the ethnicity of victims served,as well
as ethnicity of staff,volunteers and/or board members. See instructions for further information.
Weld County's Latino population is 27.8 percent of the total population(US Census Bureau). Latino domestic violence
victims are around 21%. To assure sensitivity and relevancy in addressing the needs of Spanish speaking victims,the
Victim Witness Unit has a two fulltime Spanish bilingual Victim Witness Assistants. Victim Witness Unit Staff are
encouraged to take conversational Spanish classes offered by Weld County so all staff can at least communicate minimally
until the Spanish bilingual Victim Witness Assistant or Intern is available. Positions open in the Unit give a hiring preference
to Spanish bilingual applicants. The Victim Rights Amendment Brochure,Victim Compensation information and other key
letters have been translated into Spanish. The Victim Witness Unit seeks to maintain cultural competency by actively
participating in various community groups,education that is relevant to cultural sensitivity and to proactively be involved in
community efforts to assess and address issues and needs related to cultural competency.
21. VICTIMS RIGHTS ACT(See instructions for more information.)
a. Training:What training does your agency provide to direct services staff and volunteers about giving information to the
victim regarding their rights under the Colorado Constitution?
Ongoing training by the Director of Victim Services,JoAnn Holden
b. Date of the last training: 5/23/2006 Training provided by: Meghan Saleebey
c. Does your agency have a statutory mandate to notify victims under the Victims Rights Act? ® Yes ❑ No
If yes,answer d& e.
d. How do you notify victims of their rights under the Victims Rights Act?
The Victim Witness Unit provides written or phone notifications to all victims designated in the Victim Rights Amendment
prior to each of the critical stages of the court system. Initial notices include VRA Brochures,Victim Compensation
information and comm
e. How do you document that such notification has been given,if appropriate?
Documentation of all VRA notifications is maintained on the outside of the DA case file and in the database of DA's Office
including a screen for tracking VRA notices.
f. List the approximate number of notifications made by your agency each year. 16,500
g. Does your agency have a victims' rights brochure that is distributed to victims? ® Yes 9 No
If yes,please attach one copy in the appendix of the grant application.
h. In what language(s) is your victims' rights brochure available?
English, We utilize DCJ's Spanish brochure
16
22. VICTIM COMPENSATION(See instructions for more information.)
a. How does your agency regularly inform victims of the Victim Compensation program and assist them in applying when
appropriate?
The Victim Witness Assistance Program provides information to victims concerning Crime Victim Compensation by distributing
Victim Compensation Brochures(English and Spanish)and application forms,referring to Victim Compensation in VRA
Brochures,providing Victim Compensation Training at law enforcement departments,victim service agencies and other local
groups,and explaining and helping victims to complete application forms.
b. Are there any major issues that hinder your program in assisting crime victims in filing for Victim Compensation
benefits and understanding eligibility?
No
c. Are any of the services provided by your agency eligible for Victim Compensation reimbursement? ❑ Yes ® No
List services:
d. Please describe how your agency tracks funds and services to ensure that it is not using VAWA funds to provide services
that could be or have been paid for by Victim Compensation.
N/A
e. Does your agency regularly conduct/receive Victim Compensation training for direct services staff or volunteers?
® Yes O No
Date of last training: 0607 Training provided by: Karol Patch,Victim Compensation Coordinator
17
SECTION I-I: Ev tl.t ATION
Please do ACT change format of table or application.
23. EVALUATION:Describe how you will evaluate and measure the OUTCOME,IMPACT, or PRODUCT of this project.
(Please see instructions.)
In this evaluation narrative,be sure to address the following VAWA-required elements- 1. Specifically define the
OUTCOME,IMPACT, or PRODUCT you intend to achieve;2. Explain how you will document the PROGRESS on your
objectives;and 3. Explain how you will measure the degree to which your grant-funded activities are achieving the intended
OUTCOME,IMPACT,or PRODUCT.
OUTCOME
Providing services to 1100 misdeameanor domestic violence primary victims.
OUTCOME&IMPACT
Completing intial"meaningful consultation" to 85%of misdemeanor domestic violence victims within 24 hours of the criminal
episode which resulted in a 35%disposition rate at the defendant's initial hearing.
IMPACT: Victim Surveys
a. Did victims feel their contact with the court system was positive under the circumstances?What could have been done better?
b.Did victims feel that Victim Witness Unit Staff was accessible by phone?
c.Did victims feel that what would happen at court hearings was explained adequately to them?
OUTCOME
Are prosecutors attending trainings on predominant agreessor,domestic violence investigations,and victim dynamics to enhance
their knowledge?
18
SECTION I: FINANCIAL. MANAGEMENT
Please do NOT change format or table or application.
24. FINANCIAL MANAGEMENT: Please answer the following questions.
a. What is the date of your last independent audit or financial review: 12/31/2006
Include one copy of your most recent audit or financial review,including any management report or other auditor
comments in the appendix. Also,if there were findings,please attach the audit resolutions and/or corrective action plan.
b. Does your agency expend over$500,000 from combined federal sources in a year? If"yes"please ® Yes ❑ No
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/state grant funds. (These questions cover areas that will be monitored by DCJ staff. They are not intended to be
all inclusive and do not substitute for the agency's responsibility to meet all federal and state requirements for these
grant funds.)
® Yes ❑ No 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
® Yes ❑ No 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
® Yes ❑ No and Professional Services?
® Yes ❑ No Do you reconcile sub-ledgers to your general ledger at least monthly?
® Yes ❑ No 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
® Yes 0 No DCJ grant funds?
® Yes ❑ No ❑ N/A Does your accounting system clearly identify the funds and amount used as a cash match?
If you are using in-kind match such as volunteer hours,have you clearly documented how you
® Yes ❑ No ® N/A are keeping track of the match that you are reporting on your quarterly financial 1-A report?
® Yes ❑ No 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
® Yes 0 No on certain checks,reconciliations or other reviews?
For Continuation Applicants only.
® Yes ❑ No Do you use your accounting system data to prepare your quarterly financial reports for DCJ?
® Yes ❑ No Do you reconcile your accounting system data with your quarterly financial reports for DCJ?
d. If you answered NO to any of the questions above,please provide an explanation.
25. FEDERAL REPORTING INFORMATION: FFY 2007 VAWA Subgrantees will be required to report statistical and
narrative progress data on the revised 2-VAWA quarterly report form.
19
Special Provisions and Certified Assurances Page 1 of 10
Special Provisions*Certified Assurances must remain attached to the application
CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY:
XInter-Governmental Grant
Grant to a Colorado State Agency (Section A does not apply)
Grant to a Unit of Local Government,Tribal Government,or Special District.
n Grant to a Non-Profit,Private Organization(Non-Governmental)
The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing
legislation as indicated below; that all information contained in the application is correct;that there has been appropriate coordination
with affected agencies; and,that the applicant will read,understand and comply with all provisions of the governing legislation and all
other applicable federal and state laws, rules and regulations that have been or may hereafter be established. The applicant further
understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the grant
conditions set forth in the Statement of Grant Award, and in the current applicable Administrative Guide of the Division of Criminal
Justice.
GOVERNING LEGISLATION FOR THIS GRANT FROCK AM.
Violence Against Women Act Funds (VAWA). From the United States Department of Justice, Office of Justice Programs, under
federal statutory authority 42 U.S.C., Chapter 46, Section 3711, et seq., as amended, and under applicable program rules and
regulations established by the federal program office.
A. STANDARD STATE SPECIAL PROVISIONS
Effective Date of Special Provisions: August 7,2006
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, incurred as a
result of any act or omission by the Subgrantee Agency, or its employees, agents, subcontractors, or assignees pursuant
• to the terms of this subgrant award.
FOR INTERGOVERNMENTAL GRANTS ONLY:
b. No term or condition of this grant 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, Section 24-
10-101, et seq., C.R.S. or the Federal Tort Claims Act, 28 U.S.C. 2671, et seq. as applicable, as now or hereafter
amended.
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 ANT) 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
Special Provisions and Certified Assurances Page 2 of 10
Special Provisions&Certified Assurances must remain attached to the application
THIS GRANT PROVIDES FUNDS FOR ANY PERSONAL SERVICES, SUBGRANTEE AGENCY SHALL PROVIDE
AND KEEP IN FORCE WORKERS COMPENSATION (AND SHOW PROOF OF SUCH INSURANCE) AND
UNEMPLOYMENT COMPENSATION INSURANCE IN THE AMOUNTS REQUIRED BY LAW AND SHALL BE
SOLELY RESPONSIBLE FOR ITS ACTS OF ITS EMPLOYEES, INDEPENDENT SUB-CONTRACTORS AND
AGENTS.
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, Tide 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.
10. FEDERAL FUNDING.
This subgrant is subject to and contingent upon the continuing availability of federal funds for the purposes hereof.
11. (NOT APPLICABLE TO INTERGOVERNMENTAL GRANTS) ILLEGAL ALIENS-PUBLIC CONTRACTS FOR
SERVICES AND RESTRICTIONS ON PUBLIC BENEFITS. CRS 8-17.5-101 and 24-76.5-101
The Subgrantee Agency certifies that it shall comply with the provisions of CRS 8-17.5-101 et seq. 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 represents,warrants, and agrees that it(i)
has verified that it does not employ any illegal aliens,through participation in the Basic Pilot Employment Verification
Program administered by the Social Security Administration and Department of Homeland Security,and(ii)otherwise shall
comply with the requirements of CRS 8-17.5-102(2)(b). The Subgrantee Agency shall comply with all reasonable requests
made in the course of an investigation under CRS 8-17.5-102 by the Colorado Department of Labor and Employment.
Failure to comply with any requirement of this provision or CRS 8-17,5-101 et seq.,shall be cause for termination for breach
and the Subgrantee Agency shall be liable for actual and consequential damages.
Subgrantee Agency,if a natural person eighteen(18)years of age or older,hereby swears or affirms under penalty of perjury
August 23,2007
Special Provisions and Certified Assurances Page 3 of 10
Special Provisions&Certified Assurances must remain attached to the application
that the Subgrantee Agency(i)is a citizen of the United States or otherwise lawfully present in the United States pursuant to
federal law, (ii) shall comply with the provisions of CRS 24-76.5-101 et seq, and (iii) shall produce one of the forms of
identification required by CRS 24-76.5-103 prior to the effective date of this subgrant.
B. GRANT REQUIREMENTS
1. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that fund accounting, auditing, monitoring, evaluation procedures and such records
as necessary will be maintained to assure adequate internal fiscal controls, proper financial management, efficient
disbursement of funds received, and maintenance of required source documentation for all costs incurred. These
principles must be applied for all costs incurred whether charged on a direct or indirect basis.
b. All expenditures must be supported by appropriate source documentation. Only actual, approved, allowable
expenditures will be permitted.
c. The Subgrantee Agency assures that it will comply with the provisions of the current applicable Administrative
Guide of the Division of Criminal Justice which is hereby incorporated by reference. However, such a guide cannot
cover every foreseeable contingency, and the Subgrantee Agency is ultimately responsible for compliance with
applicable state and federal laws,rules and regulations.
2. PAYMENT&REPORTING
a. The Division of Criminal Justice will pay the Subgrantee Agency the reasonable and allowable costs of
performance, in accordance with current Colorado State Fiscal Rules, not to exceed the amount specified herein as
the Total Award Amount, as identified in the Statement of Grant Award.
b. The Division's requirements for invoice, advance payments, and cost reporting submissions are contained in the
DCJ Form 3 - Cash Request Procedures, and DCJ Form 1-A - Subgrant Financial Report, which are hereby
incorporated by reference.
c. Advance payments cannot exceed 30-day operating expenses.
d. The Subgrantee Agency assures that it shall maintain data and information to provide accurate quarterly program
narrative and financial reports to the Division. Said reports shall be provided in such form and contain such data and
information as the Division of Criminal Justice reasonably requires to administer the program.
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 government purposes: The
copyright in any work developed under an award or subaward; and 2) Any rights of copyright to which a
August 23,2007
Special Provisions and Certified Assurances Page 4 of 10
Special Provisions&Certified Assurances must remain attached to the application
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# ,issued by the Colorado Division of
Criminal Justice."
e. The Subgrantee Agency may not assign its rights or duties under this grant without the prior written consent of the
Division of Criminal Justice.
4. AUDIT,RECORD-KEEPING,AND MONITORING/INSPECTION
a. The Subgrantee Agency assures that it will procure an audit or financial review, incorporating this subgrant,by an
independent Certified Public Accountant(CPA),licensed to practice in Colorado. If the agency expends more than
$500,000 per year in combined federal funds, a Single Audit must be conducted in accordance with OMB Circular
A-133 (Audits of States, Local Governments, and non-profit organizations). If the agency expends less than
$500,000 per year in combined federal funds,the following policy applies: Agencies with total annual revenue from
all sources of$200,000 or more shall procure a fmancial audit; a fmancial review shall not be sufficient to meet this
requirement. Agencies with total annual revenue of less than $200,000 shall procure either a fmancial review or
fmancial 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.
August 23,2007
Special Provisions and Certified Assurances Page 5 of 10
Special Provisions'&Certified Assurances must remain attached to the application
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 required herein. The Division will provide reasonable assistance to the Subgrantee Agency in the
development of project goals, performance standards and subgrant requirements. Any determination of substandard
performance on the part of the Subgrantee Agency shall be within the discretion of the Division, based upon the Division's
review of the terms and conditions of the Grant Award,the application and project summary,the grant terms and assurances,
and the requirements of applicable law. Substandard performance, as determined by the Agency, shall constitute non-
compliance,which may result in termination for cause,or reduction of the Grant Award for cause,as follows:
a. Reduction In Grant Award Amount for Cause
i. The Division may reduce the total Statement of Grant Award amount for cause, without compensation for
reduction costs.
ii. If the state reduces the grant amount for cause, it will first give ten (10) days written notice to the
Subgrantee Agency, stating the reasons for reduction, steps taken to correct the problems, and the date the
subgrant award amount will be reduced in the event problems have not been corrected to the satisfaction of
the Division.
iii. In the event this grant is reduced for cause, the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of reduction.
iv. In the event this grant is reduced for cause, final payment to the Subgrantee Agency may be withheld at the
discretion of the Division until completion of final Division review.
b. Termination for Convenience:
i. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate.
ii. If the grant is terminated for convenience by either the Subgrantee Agency or the state, the Subgrantee
Agency shall be paid the necessary and allowable costs incurred through the date of termination, but not
exceeding a prorated amount based on the number of days of project operation prior to the date of
termination.
c. Termination for Cause:
i. The Division may terminate the grant for cause without compensation for termination costs.
ii. If the state terminates the grant for cause, it will first give ten (10) days written notice to the Subgrantee
Agency, stating the reasons for termination, steps taken to correct the problems, and the date the subgrant
will be terminated in the event problems have not been corrected to the satisfaction of the Division.
iii. In the event this grant is terminated for cause,the Division will only reimburse the Subgrantee Agency for
acceptable work or deliverables received up to the date of termination.
iv. In the event this grant is terminated for cause, final payment to the Subgrantee Agency may be withheld at
the discretion of the Division until completion of final Division review.
d. Any equipment purchased under this grant would revert, at the option of the Division, to the Division of Criminal
Justice upon termination of the grant for any of the above reasons.
7. ORDER OF PRECEDENCE
Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Special
Provisions and Certified Assurances,(b) Statement of Grant Award;and, (c)the final approved Subgrant Application.
8. DISPUTE RESOLUTION(THIS PROVISION APPLIES ONLY TO INTERAGENCY AGREEMENTS):
Any failure of either party to perform in accordance with the terms of this agreement shall constitute a breach of the
agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall
be referred to superior departmental management staff designated by each department. Failing resolution at that level,
disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive
directors, the dispute shall be submitted in writing by both parties to the State Controller, whose decision on the dispute will
be final.
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
August 23,2007
Special Provisions and Certified Assurances Page 6 of 10
Special Provisions'&Certified Assurances must remain attached to the application
provisions of:
i. Title I of the Omnibus Crime Control and Safe Streets Act of 1968,as amended;
ii. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act,as appropriate;
iii. All other applicable Federal laws,orders,circulars,regulations or guidelines.
b. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the provisions
of 28 CFR applicable to grants and cooperative agreements including:
i. Part 18,Administrative Review Procedure;
ii. Part 22,Confidentiality of Identifiable Research and Statistical Information;
iii. Part 23,Criminal Intelligence Systems Operating Policies;
iv. Part 30 Intergovernmental Review of Department of Justice Programs and Activities;
v. Part 35,Nondiscrimination on the Basis of Disability in State and Local Government Services;
vi. Part,38,Equal Treatment for Faith Based Organizations;
vii. Part 42 Nondiscrimination/Equal Employment Opportunity Policies and Procedure;
viii. Part 61 Procedures of Implementing the National Environmental Policy Act;
ix. Part 63 Floodplain Management and Wetland Protection Procedures;and,
x. Federal Laws or regulations applicable to Federal Assistance Programs.
2. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. Subgrantee Agency assures that it will comply with appropriate federal cost principles and administrative
requirements applicable to grants as follows:
i. For state,local or Indian tribal government entities;
a) 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 commitment would have been necessitated even if federal financial support under
this federal grant program had not been made available.
August 23,2007
Special Provisions and Certified Assurances Page 7 of 10
Special Provisions&Certified Assurances must remain attached to the application
4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS (Subgrantee Agencies receiving$100,000 or more in total
federal funds per year. See 28 CFR Part 69.)
The prospective Subgrantee Agency certifies,by submission of this proposal,that:
a. No federal funds received through this subgrant will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee
of a member of Congress in connection with the making of any federal grant, the entering into of any cooperative
agreement,and the extension,continuation,renewal,amendment,or modification of any federal grant or cooperative
agreement;and,
b. If any funds other than funds through this subgrant will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an
employee of a member of Congress in connection with this subgrant, the prospective Subgrantee Agency shall
complete and submit Standard Form-LLL,"Disclosure of Lobbying Activities."
5. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION(Subgrantee Agencies receiving$100,000 or more in total federal funds per year.See, 28 CFR Part 67.)
The prospective Subgrantee Agency certifies,by submission of this proposal, that neither it nor its principals, subcontractors
or suppliers:
a. Are presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded from participation in this transaction by any Federal
department or agency;
b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of
records,making false statements,or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal, State,or
local)with commission of any of the offenses enumerated in paragraph(5)(b)of this certification; and
d. Have not within a three-year period preceding this application had one or more public transactions(Federal, State,or
local)terminated for cause or default; and
e. Where the prospective Subgrantee Agency is unable to certify to any of the statements in this certification, he or she
shall attach an explanation to this application.
6. CERTIFICATION REGARDING DRUG FREE WORKPLACE (See, 28 CFR Part 67, Subpart F.)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with the Drug Free
Workplace Act of 1988,as implemented at 28 CFR Part 67, Subpart F.
7. CIVIL RIGHTS COMPLIANCE (See, 28 CFR Part 42.)
a. Upon award, each Subgrantee Agency will be provided DCJ's Form 30, entitled"Certification of Compliance with
Regulations Regarding Federal Civil Rights Requirements and Equal Employment Opportunity Plans (EEOP), and
will be required to do the following:
i. The Project Director must submit the form to the Subgrantee Agency's Authorized Official for this grant;
ii. The Authorized Official must review the form in conjunction with subgrant agency personnel responsible
for reporting civil rights findings of discrimination;
iii. The Authorized Official must accurately complete the required information and provide all information
requested;
iv. The Authorized Official must provide an original signature on the form as indicated; and,
v. The DCJ 30 Form with original signature must be returned to the Division with the Statement of Grant
Award(SOGA).
b. Any subgrant agency findings of discrimination must be reported to the Division of Criminal Justice within 45 days
of receipt of this grant award, and to the Office for Civil Rights, Office of Justice Programs, U.S. Department of
Justice.
8. NON-DISCRIMINATION
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,
August 23,2007
Special Provisions and Certified Assurances Page 8 of 10
Special Provisions.&Certified Assurances must remain attached to the application
and their implementing regulations,41 CFR Part 60.1 et. seq.,as applicable to construction contracts.
9. NATIONAL ENVIRONMENTAL POLICY ACT(NEPA)AND NATIONAL HISTORIC PRESERVATION ACT
(NHPA)COMPLIANCE (42 USC§§4321-4370 and 16 USC§470)
a. The Subgrantee Agency agrees to assist the Division of Criminal Justice and the Office of Justice Programs, U.S.
Department of Justice,in complying with the National Environmental Policy Act,the National Historic Preservation
Act(NHPA) and other related federal environmental impact analyses requirements in the use of these grant funds
either directly by the Subgrantee Agency or by a subcontractor. As long as the activity needs to be undertaken in
order to use these grant funds,this NEPA requirement first must be met whether or not the activities listed below are
being specifically funded with these grant funds.The activities covered by this special condition are:
b. New construction;
c. Minor renovation or remodeling of a property either listed on or eligible for listing on the National Register of
Historic Places,or located within a 100-year flood plain;
d. Renovation, lease or any other proposed use of a building or facility that will either result in a change in its basic
prior use,or significantly change its size.
e. Implementation of a new program involving the use of chemicals other than chemicals that are either purchased as
an incidental component of a funded activity and traditionally used, for example, in office, household, recreational
or educational environments.
10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (This provision applies only to entities that
provide medical care and treatment)
The Subgrantee Agency acknowledges that it is a covered health care provider under the Health Insurance Portability and
Accountability Act,42 U.S.C. 1320d-1320d-8, and its implementing regulations and agrees to comply with the requirements
of HIPAA concerning any uses and disclosures of protected health information.
11. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970(Government Entities Only)
The prospective Subgrantee Agency certifies,by submission of this proposal,that it will comply with the requirements of the
Uniform Relocation Assistance and Real Property Acquisitions Act of 1970,which govern the treatment of persons displaced
as a result of federal and federally-assisted programs.
12. Political Activity of Certain State and Local Employees (5 U.S.C. §§ 1501-08 and §§ 7324-28 — applies to Government
Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with requirements of 5
U.S.C. §§ 1501-08 and §§ 7324-28, which limit certain political activities of State and local government employees whose
principal employment is in connection with an activity financed in whole or part by federal assistance.
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. These requirements are more likely to change from year to year than the special provisions and federal
certified assurances shown above,and usually vary across offices within the Division.
1. The capacity for VAWA funds to provide future continuation dollars for projects is undetermined at this time.
Subgrantee Agencies are advised to seek other funding sources,especially for personnel dollars.
2. The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VAWA-funded
project have read state laws and applicable rules of professional conduct related to issues of confidentiality and
privilege, particularly with respect to releasing identifying information about victims of crime, including but not
limited to,those found in. Section 13-90-107,C.R.S.
3. The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VAWA-funded
project understand that disclosure of personally identifying information about victims served with VAWA funds is
prohibited without a written release,coun order or statutory requirement.
4. Pursuant to 28 CFR §66.34, the recipient(or subrecipient, contractor or subcontractor) must obtain advance written
approval from the Office on Violence Against Women program manager assigned to its award, and must comply
with all conditions specified by the program manager in connection with that approval before: 1) using award funds
August 23,2007
Special Provisions and Certified Assurances Page 9 of 10
• Special Previsions'&Certified Assurances must remain attached to the application
to purchase ownership of, or a license to use, a copyrighted work; or 2) incorporating any copyrighted work, or
portion thereof,into a new work developed under this award.
5. The following activities cannot be conducted under the OVW federal action: Research and technology whose
anticipated and future application could be expected to have an effect on the environment.
•
August 23,2007
•
Special Provisions and Certified Assurances Page 9 of 9
Special Provisions&Certified Assurances must remain attached to the application
SIGNATURE PAGE ->->->TO BE COMPLETED BY ALL APPLICANTS
(ORIGINAL SIGNATURES REQUIRED-Please sign in BLUE ink. See instructions for description of proper signatories.)
The Subgrantee Agency and responsible signatories certify by signing that they have read the Application including the Special Provisions and
Certified Assurances,and are fully cognizant of their duties and responsibilities for this project.The Subgrantee Agency understands and agrees that
any subgrant award received as a result of this application shall incorporate by reference the information contained herein. Responsibility for
narrative and fiscal reporting requirements are delegated to the designated Project Director, who will sign all such reports. This delegation is for
purposes of reporting to the Division and for operational ease, and in no way limits the authority and responsibility of the Authorized Official. In
accordance with the Colorado Revised Statutes 24-72-202.6,information supplied in this application is considered a public record.
AUTHORIZED OFFICIAL
Name William H.Jerke
Position Chair
Agency Board of County Commissioners,Weld County
Mailing Address PO Box 758
City,State,Zip Greeley,Co 80632
Telephone# 970 336-7204 ext 4200
Fax# 970 352-0242
E-mail Address wjerke@co.weld.co.us
FINANCIAL OFFICER
Name Donald Warden
Position Director of Finance and Administration
Agency Weld County Government
Mailing Address PO Box 758
City,State,Zip Greeley,Co 80632
Telephone# 970 356-4000 ext 4218
Fax# 970 35 42
E-mail Address dw den@co.weld.co.us
Signature .. . ...m
H F e 4p I
PROJECT DIRECTOR
Name JoAnn Holden
Position Director of Victim Services
Agency Weld County District Attorney's Office
Mailing Address PO Box 1167
City,State,Zip Greeley,CO 80632
Telephone# 970 356-4010 X4747
Fax# 970 352-8023
E-mail Address jholden@co.weld.co.us
,Signature` ':a� J a
a&oo&-cc;8O
CERTIFICATION OF MATCHING FUNDS
PLEASE BE ADVISED that Weld County Government has appropriated
(unit of government,forfeiture fund,non-profit agency,or corporation)
funds in the amount of$ 4991 to match federal funds for the Domestic Violence Fast Track Program
(project title)
The source(s)of these funds is non-federal govenmental funds
These funds are made available as El CASH or 11 IN-KIND match
If the applicant is a non-profit,non-governmental victim services agency or a tribe,the applicant certifies that it is voluntarily
providing matching funds for this VAWA grant.
Execution of this document represents a certification that said funds have been earmarked within the appropriation of budget
process, which by state or local government law or practice, binds and obligates the state/local unit of government or the
implementing agency to use such funds for purposes of this grant funded project, or permits such uses. The funds are, or will be
(within the project duration), actually provided for such purposes.
Signature must be by the individual
authorized to commit these funds on behalf
of the unit of government, forfeiture fund,
non-profit agency or corporation. This
Sincerely, ; individual is either the Authorized Official
on this grant or appropriate financial
controller of matching funds.
08/29/2007
Signature Date
William H. Jerke
Typed Name
Pro—Tem
Board Chair,Board of County Commissoners,Weld County
Title
Application.doc Revised 6/07
aDo'7- a7P
DCJ FORM 30
CERTIFICATION OF COMPLIANCE WITH REGULATIONS
OFFICE FOR CIVIL RIGHTS,OFFICE OF JUSTICE PROGRAMS
FOR SUBGRANTS ISSUED BY THE COLORADO DIVISION OF CRIMINAL JUSTICE
INSTRUCTIONS: Complete the identifying information, which is found on the Statement of Grant Award(SOGA), in the
table below. Read the form completely, identifying,under "I,"the person responsible for reporting civil rights findings;
and checking only the one certification under"II"that applies to your agency. Have your Authorized Official sign at the
bottom of page 2,forward a copy to the person you identified under "I"and return the original to the Colorado Division of
Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the grant award beginning date.
Grant# d1—VV\-)—Y1 •)-3 Grant Project Title: ILIctwsatc VvaPrvie ` E,arrcI LLB-[Vow
Subgrantee Name(Funded Entity): ---isy,,$)-c cr A -\0( eaSi C) ti ) I i -7110• TYLI .
Address: -C3O 13OY
Gsee\e\ Cu E0b3Z--
Duration: Beginning date: Li-}-0k End date: 3-3 or] Award:$ q '912.00
Project Director's Name&Phone#: �O1)\)(„\‘‘.\
\r \d e n O %) 3 X\ � D )(lit)
AUTHORIZED OFFICIAL'S CERTIFICATION: As the Authorized Official for the above Subgrantee, I certify,by my
signature below,that I have read and am fully cognizant of our duties and responsibilities under this Certification.
I. REQUIREMENTS OF SUBGRANT RECIPIENTS: All subgrant recipients(regardless of the type of entity or the amount
awarded)are subject to prohibitions against discrimination in any program or activity,and must take reasonable steps to
provide meaningful access for persons with limited English proficiency.
♦I certify that this agency will maintain data(and submit when required)to ensure that: ow services are delivered in an
equitable manner to all segments of the service population; our employment practices comply with Equal Opportunity
Requirements,28 CFR 42.207 and 42.301 et seq.; our projects and activities provide meaningful access for people with
limited English proficiency as required by Title VI of the Civil Rights Act,(See also,2000 Executive Order#13166).
♦I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of
discrimination will submit these findings, if any,to the Division of Criminal Justice within 45 days of the finding,and/or if
the finding occurred prior to the grant award beginning date,within 45 days of the grant award beginning date. A copy of
this Certification will be provided to this person,as identified here:
Person responsible for reporting civil rights findings of discrimination:(Name, address& phone)
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Gsou\ei CO 63 -J 9 -10 33bD22D
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP)CERTIFICATIONS: Check the box before ONLY THE ONE
APPROPRIATE CERTIFICATION(A,B,CI or C2 below)that applies to this subgrantee agency during the period of the
grant duration noted above.
® CERTIFICATION "A" [NO EEOP IS REQUIRED if(1),(2)or(3),below,apply.] This is the Certification that
most non-profits and small agencies will use. Check(1),(2)and/or(3)as they apply to your entity.(More than one may
apply.)
This funded entity has not been awarded more than$1 million cumulatively from all programs administered by the U.S.
Department of Justice over an 18-month period that includes the above grant duration period,and
(1) is an educational,medical or non-profit institution or an Indian Tribe;and/or
(2) has less than 50 employees;and/or
X'(3) was awarded through this grant from the Colorado Division of Criminal Justice less than$25,000 in
federal U.S. Department of Justice funds.
Therefore, I hereby certify that this funded entity is not required to maintain an EEOP, pursuant to 28 CFR 42.301, et
s q.
(CONTINUED ON REVERSE SIDE)
Colorado Division of Criminal Justice Page 1 oft (Rev.8/16/2004)
DCJ FORM 30:
CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS,OFFICE OF JUSTICE PROGRAMS (Continued)
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATIONS: (Continued)
O CERTIFICATION "B" (EEOP MUST BE ON FILE)
This funded entity,as a for-profit entity or a state or local government having 50 or more employees,was awarded,
through this grant from the Colorado Division of Criminal Justice,more than$25,000,but less than$500,000 in federal
U.S. Department of Justice funds. Also,it has not been awarded more than$1 million cumulatively from all programs
administered by the U.S. Department of Justice over an 18-month period that includes the above grant duration period.
Therefore, I hereby certify that the funded entity has formulated an Equal Employment Opportunity Plan in accordance
with 28 CFR 42.301,et sag., subpart E,that it has been signed into effect by the proper authority and disseminated to all
employees,and that it is on file for review or audit by officials of the Division of Criminal Justice or the Office for Civil
Rights,Office of Justice Programs as required by relevant laws and regulations.
O CERTIFICATION"Cl" (EEOP MUST BE SUBMITTED) This funded entity,as a for-profit entity or a state or
local government having 50 or more employees,was awarded,through this grant from the Colorado Division of
Criminal Justice,more than$500,000 in federal U.S. Department of Justice funds,but,it has not been awarded more
than$1 million cumulatively from all programs administered by the U.S.Department of Justice over an 18-month period
that includes the above grant duration period.
Therefore, I hereby certify that the funded entity will submit,within 45 days of the award,an EEOP or an EEOP Short
Form,that will include a section specifically analyzing the subgrantee(implementing)agency.
O CERTIFICATION"C2" (EEOP MUST BE SUBMITTED) This funded entity,having 50 or more employees,has
been awarded more than$1 million cumulatively from all programs administered by the U.S.Department of Justice,
including this subgrant from the Div.of Criminal Justice,over an 18-month period that includes the above grant
duration period.
Therefore, I hereby certify that the funded entity will submit,within 45 days of the award,an EEOP or an EEOP Short
Form,that will include a section specifically analyzing the subgrantee(implementing)agency. (If you have already
submitted an EEOP applicable to this time period, send a copy of the letter received from the Office for Civil Rights
showing that your EEOP is acceptable.)
As the Authorized Official for the above Subgrantee, I certify,by my signature below,that I have read and am fully cognizant of
our duties and responsibilities under this Certification. I, hereby, also certify that the content of this form,other than the data entry
required, has not been altered.
't `Giv 02/27/2008
[Authorizes Official's signature[ [Date[
William II. Jerke Chair, Board of County Commissioners
[Typed Name] [Title]
* * * * * * * * * *
This original signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO
80215, within 45 days of the grant award beginning date. You must also forward a signed copy to the person you identified
under "I"on page 1. DCJ will forward a copy to the Office for Civil Rights, Office of Justice Programs, U.S. Department of
Justice.
Colorado Division of CdMml Justice Page 2 of 2 (Rev.8/16/2004)
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