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HomeMy WebLinkAbout20082386.tiff RESOLUTION RE: APPROVE GRANT APPLICATION FOR STOP VIOLENCE AGAINST WOMEN ACT (VAWA) FOR THE VICTIM/WITNESS 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 Grant Application for the STOP Violence Against Women Act (VAWA) for the Victim/Witness Program, from 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, to the Colorado Department of Public Safety, Division of Criminal Justice,commencing upon full execution,with terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said grant application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Grant Application for the STOP Violence Against Women Act(VAWA) for the Victim/Witness Program, from 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, to the Colorado Department of Public Safety, 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 application. The above and foregoing Resolution was,on motion duly made and seconded, adopted by the following vote on the 3rd day of September, A.D., 2008. ��..` BOARD OF COUNTY COMMISSIONERS w, 11,% ELD COUNTY, COLORADO ATTEST: 1184 ��'I/�' F' i >ize H. Jerke, Chair Weld County Clerk to the Boa . (, ±'d 1^v1 F ' e . a .en ro-Tem BYE Dep ty Cle o the Board - Wil F.arcia APPROD M: r.tij F G David E. Long a dun y Attorney EXCUSED Douglas Rademacher Date of signature: 9h/es 2008-2386 e- A0021 O9 5 �ic9n5Y OFFICE FOR VICTIMS PROGRAMS FFY 2008 S.T.O.P. VIOLENCE AGAINST WOMEN ACT (VAWA) FOR LAW ENFORCEMENT, PROSECUTION, JUDICIAL AND VICTIM SERVICES GRANT APPLICATION Grant Period: April 1, 2009 — December 31, 2010 VAWA Applications must be received at DCJ 700 Kipling Street, Suite 1000, Denver, CO 80215 no later than 3:00 pm on September 5, 2008 Late Applications will not be accepted. You are strongly encouraged to read the Announcement of Funds & • Application Instructions before completing this document. • Colorado Department of Public Safety • • r Division of Criminal Justice ' 'i.4. OFFICE FOR VICTIMS PROGRAMS For Information and Questions Contact: �( * Hettema, VAWA Administrative Assistant t Office: (303)239-5719 `ems+ Fax: (303)239-5743 .;.a"76 Email: lcc IR:Ir ma/a cdmstatc co us Toll Free(outside Denver/Metro area): 1-888-282-1080 Website: http://dcj.state.co.us/ovp APP doe 2008-2386 Revised 06/08 SECTION A: AGENCY INFORMATION Please do:A'O T change%orntat of table or a lication. 1.APPLICANT AGENCY: District Attorneys Office, 19't'JD DCJ USE ONLY Division or Unit(if applicable): Victim Witness Assistance Unit App,#28-VW- - Mailing Address: PO Box 1167 Street Address: 915 Tenth Street Grant# City/Town: Greeley Zip Code: 80632-1167 Award$ County: Weld Judicial District: 19th Phone#: 970 356-4010 Fax#: 970 352-8023 2. FUNDS REQUESTED: $ 12,705.00 E-Mail Address: WeldDa@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.us 5. TYPE OF APPLICATION (Check One): ® CONTINUATION application- same project components as were funded for the FFY 2007 VAWA grant period ❑ CONTINUATION application- same project components as were funded for the FFY 2007 VAWA grant period PLUS NEW PROJECT COMPONENTS not previously funded. O NEW APPLICATION. My agency did not receive VAWA funding for the FFY2007 VAWA grant period. 6. PROSECUTION,LAW ENFORCEMENT AND COURTS APPLICANTS (includes victim service programs within prosecution,law enforcement and courts agencies): 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"a"is checked, indicate below which victim services agencies were consulted in developing this application: A Woman's Place SEC'T'ION B: PRO.1ECh 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. From 2006 top 2007, 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 criminal District Court Judge was added part time in 2007and increased to full time July 1,2008. One County Court Victim Witness Assistant is responsible for victim assistance in the four County Court Divisions with the assistance of the 20 hour a week intern(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. 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. APP.doc 2 Revised 6/08 SECTION C: VAWA Go.Al.s AND OBJECTIVES Please do NOT change format affable or application. 10. GOALS AND OBJECTIVES FOR THIS PROJECT(See instructions first) DCJ USE Only %Categories LE prosecution Vtcitm$eriaces „:':;• :. . urrfs `fie Dlstrc#ItIIa 10 a. Federal Purpose Areas and State Priorities: I Federal Purpose Areas,fleck'alt''that apply)' I:; t`; ............................. ❑ Training for Officers,Prosecutors,Judges ® Access for Underserved and/or Under-represente Victims 11 Specialized Units ® Specialized Advocacy O Policies,Protocols,Orders 0 Judicial Education and Court-Related Projects ❑ Linked Data Collection&Communication Systems ❑ Protection Order Enforcement ❑ Victim Services ❑ Coordinated Response to Sexual Assault O Stalking ® Collaborative,Community-based System Improvement ❑ Indian Tribes ❑ Multidisciplinary,Specialized Training ❑ Multidisciplinary Coordinated Response 0 Addressing Needs of Underserved Population ❑ Training of Sexual Assault Forensic Personnel ❑ Older and Disabled Women ❑ 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 I 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. Est# Type of Crime; Eat# , .. Ser tes: . St!;# sert96 t Sexual Assault Hotline Calls Previous Lack of Access 173 Domestic Violence 60 Crisis Intervention 76 Rural Women Stalking Hospital Response 6 Elderly Women Dating Violence Counseling/Support Immigrant Women 145 Criminal Justice 66 Cultural,Language,Ethnic Minority Advocacy/Court _ Accompaniment Civil Legal Advocacy/Court Disabled Accompaniment Civil Legal Assistance Native American 173 Victim/Witness Notification Sexual Orientation 121 Victim/Survivor Advocacy Other Special Needs: Emergency Shelter Assistance Obtaining Restraining Orders 145 Other: follow up APP.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. 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. E Est# 3ype f time .4f# le t�ffen =;': rI eft tl e tr Val ..Y. 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: APP.doc 4 Revised 6/07 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. _ .. Tylte tf° LstSr'. .'M nito iug.Ac3('itlt*s EstJt . Ind '_e .AS..._dm, ... . 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 intial court hearing for Victim Rights Compliance. 2. Need to have immediate,proactive interaction with victims of misdemenaor domestic violence for safety,referrals&resources. 3. Need due to increasing population in Weld County: 31%increase from 2000 to 2006 4. Need due to Latino population of Weld County: 27.8%of population of 236,857 5. Need to identify dv trainings for prosecutor on predominant aggressor,domestic violence investigation,&victim dynamics 10 g.Will your project be using best practices or evidence-based programs/activities? ®Yes 0 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 Progra 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 on the victims you serve? ® 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 0 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?$8,004 3. What percentage of your grant request does this figure represent?63% 10. GOALS AND OBJECTIVES FOR THIS PROJECT (Continued): APP.doc 5 Revised 6/07 10 j.Training Activities and Topics of Training (Complete if your proposed project includes a request to fund TRAINING activities) Est # T e JNSutnber abditiA4A t *arm 1' a ' ep '� l#l� Judges ❑ Sexual Assault Other Court Personnel ❑ Domestic Violence Correction Personnel Coalition Staff(inc.DV, SA,Tribal) ❑ Dating Violence Community Organization Staff(inc. disability, 0 Justice System elderly,faith-based) Government Agency Staff(inc. TANF,social ❑ Underserved Populations services,Medicaid) Health/Mental Health Professionals(inc. sexual 0 Community Response assault examiners) Law Enforcement(Officers or Deputies) ❑ 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 0 0 ❑ ❑ Support,expand,or coordinate an ❑ ❑ ❑ 0 existing unit Train a specialized unit 0 0 0 ❑ Other(specify): 0 0 0 0 101.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 0 0 ❑ ❑ ❑ Interpreters ❑ 0 ❑ 0 ❑ Language Lines ❑ ❑ 0 0 ❑ Meetings btwn. Tribal&non- ❑ 0 0 0 0 Tribal entities Security personnel/equipment ❑ 0 0 0 0 Translation of forms/documents ❑ ❑ ❑ ❑ 0 Other(specify): 0 ❑ 0 0 ❑ APP.doc 6 Revised 6/07 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 objectives associated with NEW project components. Goal I: To provide direct assistance to adult female victims of misdemeanor 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 December 31,2009, the Program will provide services to 700 victims;441 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 December 31,2009,have"meaningful consultation" with 75%of misdemeanor domestic violence victims the next working day after the crime. Objective II: By March 31,2009,achieve an 25%first appear disposition rate on misdeameanor domestic violence cases. On a quarterly basis,provide a summary of results. Objective III: Quarterly,identify need for prosecutors to attend trainings on predominant agreessor,domestic violence investigations,and victim dynamics. APP.doc ,7 Revised 6/07 SECTION' D: BE I)L.F:I I\FOR\I:k"F ION Please do ,\U1 c-Irani.,e format of table or application. Continuation Applicants fill out Columns 1,2 and 3. / New Applicants fill out Column 2 only. 11. BUDGET REQUEST :. !CJ` On ` - e t ►..# V' n #;W `. ��__. Continuation Applicants Continuation (Column 1) ALL APPLICANTS Applicants with (Column2) NEW proiect 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 Knicely/VW Assistant $ 11,429.00 Knicely/VW Assistant 9 months $ 9,699.00 $ -1,730.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 , $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 FICA,Ret. &Fringe $ 3,543.00 FICA,Retirement&Fringe Benefits $ 3,006.00 $ -537.00 Subtota $ 14,972.00 Subtotal$ 12,705.00 S --N fib) SUPPLIES AND OPERATING SUPPLIES AND OPERATING EXPENSES(office supplies, Note NEW costs EXPENSES computer software,training materials,conference registration in this column fees,copying,rent,phone,postage,&other items under$5,000) $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Subtotall$ 0.00 Subtotal1$ 0.00 $ 0.00 IN-STATE TRAVEL IN-STATE TRAVEL(itemize transportation/per diem,etc.) Note NEW costs $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Subtotalll$ 0.00 Subtotal$ 0.00 $ 0.00 EQUIPMENT EQUIPMENT(items which cost over$5,000 each) Note NEW costs $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Subtotall$ 0.00 Subtotal{$ 0.00 i $ 0.00 PROFESSIONAL SERVICES PROFESSIONAL SERVICES Note NEW costs $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Subtotall$ 0.00 Subtotall$ 0.00 $ 0.00 TOTAL FUNDS:$ 14,972.00 TOTAL FUNDS REQUESTED: $ 12,705.00 $ --‘2:1.61 APP.doc 8 Revised 6/07 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 Knicely,Victim Witness Assistant $ 2,922.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 FICA, Retirement&Fringe Benefits $ 1,313.00 Subtotal 4,235.00 SUPPLIES AND OPERATING EXPENSES (communications,copying,rent,phone,tuition,registration fees&other items under$5,000) $ 0.00 $ 0.00 i Subtotal$ 0.00 OTHER: Travel,Equipment and/or Professional Services (specify) $ 0.00 $ 0.00 Subtotal$ 0.00 (SOURCE OF MATCH: CASH: $ IN-KIND: $ 0.00 TOTAL: $ 4,235.00 4,235.00 13. GRANT BUDGET SUMMARY: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 $ 12,705.00 $ 4,235.00 $ 0.00 $ 16,940.00 Supplies and Operating $ 0.00 $ 0.00 $ 0.00 $ 0.00 In-State 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 TOTALS $ 12,705.00 $ 4,235.00 $ 0.00 $ 16,940.00 APP.doc 9 Revised 6/07 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. Knicely has recevied a 6 month and 1 year merit increase since the 2008-2009 VAWA Grant Budget. The County Commmissioners normally award an annual cost-of-living raises(of 3 %). Benefits are calculated at 31%of the yearly salary. Utilizing this formual,projected 2009 Salary and Benefits for Victim Witness Assistant (Knicely): 1 FTE salary$39,185+benefits$12,147=$51,332/year $51,332 T 12 months=$4,277.66 X 9 months grant=$38,499 X 33%VAWA =$12,705 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 r- position position,what is the position,what is the THIS grant 1[ 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 ID for the rest of this for the rest of this VAWA. position? position? Knicely/Victim Witenss Assist 13 ;' 40 VALE Admin and Grant $ 25,794 E;Uil it! -t 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. N/A APP.doc 10 Revised 6/07 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. N/A d. EQUIPMENT REQUEST AND MATCH: Please see instructions,and fully explain andjustify the need for the current request. Generally,very little equipment will be funded. Include any equipment used as cash or in-kind match. N/A 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. N/A 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. Since this is a nine momth grant,the request is$2,267 LESS than last year's request. If this would have been a 12 month grant there would have been an increase of$1,968 which reflects the merit increases of Knicely at 6 months and 1 year as well as the 3%market increase given each year by the County Commissioners. APP.doc 1 l Revised 6/07 15. FUNDING SOURCES: Indicate the total amount of funding allocated for your project, program and agency for the current calendar year—2008. 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-2008 VAWA Project Budget(If not a current subgrantee,list the total of your proposed $ 12,705.00 budget on page 8) Program Budget $ 563,351.00 Agency Budget $ 4,298,700.00 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 13 staff(11.25 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 Victim Assistance 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 Assistance contacts with victims. The Victim Witness Assistance 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 & 1 FTE in 2008). APP.doc 12 Revised 6/07 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: I h $ 14,972 v`,I 4 / 1 / 2008 St 3 / 31 / 2008 VOCA funds: s $35,418 a= 1 / 1 / 2008 : 12 / 31 / 2008 FVPSA(ACT)funds: A $ / / , / / Other US Dept.of Justice funds such as I Byrne(DCSIP),Juvenile Justice,COPS } ( $ / / / / Other Federal funds: rliE? $ ,,, / / 41" / / STATE FUNDS: State VALE funds: F : $ Illa I / e / / State DAAP funds: $ a / / / / Other State funds(e.g. general fund) $ f / / / / LOCAL GOVERNMENT FUNDS: Local VALE funds: Judicial Dist.: 19 in $91,300 r ' 7 / 1 / 20087' 6 / 30 / 2009 Judicial Dist.: 011 $ k / / / / aq t / / `�` / / Judicial Dist.: „ $ Judicial Dist.: $ ' ' / / x l.t Local Government funds: ;` $ / / -bei / / COMP,VALE,Weld County ni $421,686 .. I / 1 / 2008 In 12 / 31 / 2008 Ea PRIVATE OR OTHER FUNDS: Private funds: :: / I " $ ' / / Other funds: ,", `£$ " / / 4e; / / ei: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 suonort. 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 APP.doc 13 Revised 6/07 SECTION E: CostiscATtoN APPLICANTS PROGRESS REPORT Please da NOT change format of table 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 2006 APRIL 1,2007-MARCH 31,2008 if you received funding during this time period. The Domestic Violence Fast Track Program provided direct services to to 889 victims;38%of the victims(304)were minority victims; and 37 were Spanish speaking only. The DV Fast Track Program had contact with 66%of victims with a 26%disposition rate of the perpetrators at the initial court hearing. 1. Trainings were provided to 73 persons representing 10 different agencies: 1-DV Fast Track Program presented by County Court DDA at a monthly DV Coalition Mtg; 2-DV Fast Track,Felony DV and DA VW Unit presented by Project Director to A Woman's Place and Greeley PD Victim Assistance; 3-DV Fast Track Program and VRA presented by Project Director to County Court Judges and their staff; 4-specific domestic violence laws presented by two District Court DDAs at a DV Coalition mtg. 2. Trainings dealing with DV issues VW Staff has attended during the past grant cycle: 1-proposed changes to Colorado Domestic Violence treatment standards; 2-domestic violence and immigration; 3-human trafficking; 4-understanding the dynamics of domestic violence: 5-why some men hurt women and how all men can help; 6-the macho paradox 3. Continued collaborative efforts with community agencies that provide services and interpretation for victims from diverse cultural and ethnic backgrounds: 1-DOVE Advocacy Services for Abused Deaf Women&Children for information, literature,and victim support, 2-Project Illumination an agency which provides services to victims with developmental disabilities. 4. The Project Director participated in the WELD COUNTY DOMESTIC VIOLENCE FOCUS GROUP MEEETING to discuss needs surrounding domestic violence in Weld County. 5.The DA VW Assistants met with an Advocate from A Woman's Place in March 2008 to talk about coordination of victims between our agencies with regards to A Woman's Place Legal Advocacy Program and resources for Friend and Family Intervention. This meeting was so informative,that the group decided to continue with monthly meetings. 6.Henrichs,VW handling the DV Fast Track Program, left the office August 2007. Knicely,VW Intern,replaced this position in September 2007. Knicely with help from District Court VW Assistants covered the DV Fast Track Program until the part time VW Intern position could filled in January 2008. b. VAWA time period 2: FFY 2007 APRIL 1,2008-PRESENT (1"&2"Quarters)if you are currently receiving funding. 1-The DV Fast Track Program 1st quarter: a-provided direct services to 196 victims- 89 were underserved victims(10 limited English and 79 rural)b-had contact with 71%of victims with a 25%disposition rate of the perpetrators at the initial court hearing. The goals of 85%victim contact and 35%dispo rate at first hearing have not been met. The Project Director has met with the Chief of County Court regarding predominate agressor and he has done some training with law enforcement agencies. The Project Director met with Knicely and Henry(VW handling the DV Fast Track Program)in July 2008 to review the stats for insight and feedback.Four of five victim survey's received gave scores of"extremely helpful". 2- Knicely& Holden gave a training to WCSO Victim Services Volunteers on DV Fast Track. 3- One DDA attended the EVAW DV&SA Training May 2008. 4. All DA VW Assistants attended and are certified in the Colorado Address Confidentiality Program. 5. Continued collaborative efforts with community agencies that provide services and interpretation for victims from diverse cultural and ethnic backgrounds by meeting with Asian Pacific Development Center. 6.The DA VW Assistants have continued meeting with an Advocate from A Woman's Place to coordinate efforts. 1-Criminal PO Modification Information Sheet for victims and defendants; 2-Civil PO Brochure; 3-AWP update on offering clinics for victims on civil PO process;4-Advocate information on how to talk to a family or friend of a DV victim 5-safety planning;6-dv court procedures; 7-how to qualify to be a dv expert witness; 8-AWP Legal Advocacy Project;9-stalking; 10-review of Maryland's Lethality Assessment Report; 11-Verizon Hopeline cell phone project 7. June-The VW Director met with the Notification Clerk,County Court Secretary handling the dv docket to discuss identifying and documenting dual arrest dv cases. 8. July—Project Director watched a misdemeanor dv trial from jury selection through testimony involving a recanting victim to further insight on how an expert witness could be helpful. APP.doc 14 Revised 6/07 SECTION F: SLPPORI, COORDINATION,AND NETWORKING Please do NOT change format of 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 Sheriffs Office Ken Poncelow,Commander Weld Cty Sheriff Office 19th JD Probation Department Victim Assistance Sheri Mann,Victim Services Probation Departm 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 Catholic Charties Weld Cty Area on Aging;Colorado Legal Services; Probation Victim Services; A Woman's Place; Weld Cty LE Victim Services A Kid's Place; Colorado Prevention Partners Island Grove Treatment Agency 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 APP.doc 15 Revised 6/07 VIOLENCE AGAINST WOMEN ACT (VAWA) GRANT COORDINATION AGREEMENT The following agreement between �{��/\(s(y� S 1 Y. (/,fQQ and 1\ \ 0(1\64_A R \ (Applicant Agency) (Community/System Agency) is voluntarily entered into on behalf of each of the agencies. Brief Description of VAWA-funded project: The DV 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 to effectively address victims's needs. Brief description of responsibilities of each of the agencies (i.e.: what will each agency contribute/provide?) The District Attorney's Office Victim Assistance Unit makes immediate contact with misdemeanor domestic violence victims regarding the court process, assess their needs (i.e. safety, financial, therapy) and makes referrals to agencies who provide services. A Woman's Place provides support and information to domestic violence victims wishing to obtain a civil protective order. Because the Legal Advocacy Program is located in the courthouse, victims are able to receive immediate assistance and support. Brief description of how the agencies have worked together in the past: We collaborative by meeting every six weeks to network, update, and train. The DA's VW Unit provides AWP with cell phones from the HOPELINE Progamn. We appreciate the expertise of each other's agency and rely on assistance from each other. New Components(if applicable): The applicant agency has included the following new components in its VAWA grant application: Comments (Provide any additional comments that you think would be helpful to the VAWA Advisory Board re: this project/agency): Weld County is the third largest county in Colorado consisting of 4, 004 square miles with a population of 236,857. Half of the population resides in 31 rural incorporated towns. Servicing such a large area is a challenge. By signing below,we are formalizing our joint commitment to work together and to assist/improve services to victims of domestic violence,sexual assault, stalking and dating violence in our community through communication,collaboration and coordination. In addition,we agree these new components,if any,are necessary to assisting/improving services to victims of domestic violence,sexual assault,stalking and dating violence. Additionally,the signatories agree to provide information and referrals to each other's agency programs, as appropriate. Agreed to on (Date) Printed Name Signature Title&Agency \ip 5-6Pinn A-Wasiel (1)€0 woo, cs\- -b -.5 ocSsici A representative from the a icant agency and the agency with whom the applicant agency is cooperating must each sign the coordination agreement. APP.doc Revised 6/07 08/26/2008 12:42 FAX 970 352 8023 WELD COUNTY OA 002/002 VIOLENCE AGAINST WOMEN ACT (VAWA) GRANT COORDINATION AGREEMENT The followingp agreetnent ASS 1, ,, ,` pl_ P P.S L between Q{� � r� ic�$S�14QJ't��'-R. and 1f V ttill7� lJt1',y\-! J►\ dQ 1�t7� � (Applicant Agency) (CommR9ty/System Agency) is voluntarily entered into on behalf of each of the agencies. Brief Description of VAWA-flmded project: The DV Fast Track Program makes immediate contact with victims, provides referrals, discusses Victims'Rights and gives Criminal Justice System information. Brief description of responsibilities of each of the agencies (i.e.: what will each agency contribute/provide?) The DV Fast Track program is able to make immediate victim contact because a copy of the BOND Advisement Sheet is faxed to the DA's Office each morning from the WC Sheriffs Office giving possible victim contact numbers. Victim contact is crucial when working with dv victims to effectively address their needs and to achieve ultimate success in prosecution. Brief description of how the agencies have worked together in the past: The DA's VW Unit and Weld County Sheriff's Office have a collaborative working relationship in being able to contact dv victims the day after the incident and respond quickly to other safety concerns relayed. New Components (iffapplicable): The applicant agency has included the following aew components in its VAWA grant application: Comments (Provide any additional comments that you think would be helpful to the VAWA Advisory Board re: this project/agency): When a perpetrator of domestic violence is arrested,the victim receives an information sheet explaining the location and tune of the bond hearing. This is especially important if the DV Fast Track Staff is unable to make victim contact the next morning. By signing below,we are formalizing our joint commitment to work together and to assist/improve services to victims of domestic violence,sexual assault,stalking and dating violence in our community through communication,collaboration and coordination. In addition,we agree these new components,if any,are necessary to assisting/improving services to victims of domestic violence,sexual assault,stalking and dating violence. Additionally(,the signatories agree to provide information and referrals to each other's agency programs,as appropriate. R-,1 f0 Agreed to on u� (Date) Printed Name Signature Title&Agency Tsce.Uvc cr Y'i c to vc 70P1tNA16o1d.4fr,, � 1nxJl0- D3Oaht12, �,//� Co NM./Ai n V/4.of Po'.✓C4s<o4/ ���aGC�C / ✓ &dee CovNsY Jillie',lFfr +F'KOC6 A representative from the applicant agency and the agency with whom the applicant agency is cooperating must each sign the coordination agreement. APP.doc Revised 6/07 08/25/2008 15:44 FAX 970 352 8023 WELD COUNTY DA 002/002 VIOLENCE AGAINST WOMEN ACT(VAWA) GRANT COORDINATION AGREEMENT The follawia between � d rPrOtOGANY1 Vs fi m LW la�pp(Applicant Agency) (Comnwfity/System Agency) is D voluntarily t into on behalf o£each of the agencies. makes immediate contact with victims, Brief Description of VAWA-famded project: The DV Fact Track Program provides referrals, discusses Victims' Bights and gives Criminal Justice System information This type of contact is crucial when working with victims to effectively address t Brief description of re ponsibnidas of each of the agencies(i.r_e what will each agency contribute/provider) Many cases in the DV Past Track Program are resolved with the defendant being sentenced to Probation with the requirement of a dv evaluation and treatment The District Attorney's Office Victim Assistance Unit sends **dryad=to victims regarding the defendant's sentence along with a Post Sentencing Notification Form for the victim to complete should the wish to continue to be notified of the defendant's status.These notification forms are monitored by Probation Victim Assistance. Brief description of bow the agencies have worked together in the pat The DA's VW Unit and Probation VA created a Probation Post Sentencing Brochure specific to Weld County. The DA VA Unit provides victim information to Probation VA so proactive contact can be made. The Probation VA Unit shares victim address information. New Components((fapplicable): The applicant agency has included the following new components in its VAWA grant application: Comments (Provide any additional comments that you think would be helpful to the VAWA Advisory Board to: this project/agency): Coreinual contact with victims of domestic violence as the case progresses through tba occult system is a vital component in responding to a victim's safety and other needs. The DA's VW Unit and Probation VA work oofaboratively for success in this goal. By dicing below,wo ace formalizing=joint commit: at Do wodc together end to asslMSprove services to victims of domestic violence,sexual smash,stalking and dating violence in oar oommnnity through oomsneaiaad0U,coilabeeatiion and comdin°d In addition,we agree those new components,if any,are necessary to assisting/improving services to victims of domestic violence,sexual assault,stalking and dating violence. Additionally,the signatories agree to provide taccemstice and Lanza to each other's agency progneme,as appropriate. Agreed to on (Date) Printed Name Signature The&Agency si0ikC1Y1 ISon Pelt "Uinsie c oA Winn,.0- 5;tvrt� ,.�// �>Pl� t��4y��13 0 ut dful Revisal 6/07 SECTION G: VICTIM INFORMATION AND ASSISTANCE Please do AY)T change fiirnmt()(table or a,>licatinn. 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 were 38%during the last grant cycle. 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 with yearly formal training by either the COVA Trainer or JoAnn Holden b. Date of the last training: 12/3/2007 Training provided by: JoAnn Holden,DIR of Victim Services 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 VWitness 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 Comp and community resources. 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. 18,000 g. Does your agency have a victims'rights brochure that is distributed to victims? ® Yes ❑ 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 APP.doc 16 Revised 6/07 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? 0 Yes O 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 0 No Date of last training: u47 pl Training provided by: Karol Patch,Victim Compensation Coordiantor APP.doc 17 Revised 6/07 SECTION H: EV:vI.t ATION Please do.NOT change%(rnuu(/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 DV Fast Track Program provided services to 700 misdeameanor adult female domestic violence primary victims,441 "underserved" victims. OUTCOME&IMPACT Completing intial "meaningful consultation" to 75%of misdemeanor domestic violence victims within 24 hours of the criminal episode which resulted in a 25%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? APP.doc 18 Revised 6/07 SECTION I: FINAANCAAI. MANAGEMENT Please do .AOT 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: 12/31/2007 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 0 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.) Z 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 0 No Do you reconcile sub-ledgers to your general ledger at least monthly? ® Yes 0 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 ❑ No DCJ grant funds? ® Yes ❑ No 0 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 ❑ No on certain checks,reconciliations or other reviews? For Continuation Applicants only. Z Yes 9 No Do you use your accounting system data to prepare your quarterly financial reports for DCJ? ® Yes 9 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 2008 VAWA Subgrantees will be required to report statistical and narrative progress data on the revised 2-VAWA quarterly report form and the DCJ 2V W. APP.doc 19 Revised 6/07 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$ 4,235.00 to match federal funds for the Domestic Violence Fast Track Program (project title) The source(s) of these funds is non-federal governmental funds These funds are made available as N CASH or 7 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, Sincerely, non-profit agency or corporation. This individual is either the Authorized Official on this grant or appropriate financial controller of matching funds. t Gins 9/3/0a Signature Date Willaim H.Jerke Typed Name Chair.Board of County Commissoners,Weld County Title APP.doc Revised 6/07 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: M Inter-Governmental Grant 11 Grant to a Colorado State Agency (Section A does not apply) Grant to a Unit of Local Government,Tribal Government,or Special District. El Grant to a Non-Profit,Private Organization(Non-Governmental) The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing legislation as indicated below; that all information contained in the application is correct; that there has been appropriate coordination with affected agencies; and,that the applicant will read,understand and comply with all provisions of the governing legislation and all other applicable federal and state laws, rules and regulations that have been or may hereafter be established. The applicant further understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the grant conditions set forth in the Statement of Grant Award, and in the current applicable Administrative Guide of the Division of Criminal Justice. GOVERNING LEGISLATION FOR THIS GRANT PROGRAM: Violence Against Women Act Funds (VAWA). From the United States Department of Justice, Office of Justice Programs, under federal statutory authority 42 U.S.C., Chapter 46, Section 3711, et seq., as amended, and under applicable program rules and regulations established by the federal program office. A. STANDARD STATE SPECIAL PROVISIONS Revised May 13,2008 1. CONTROLLER'S APPROVAL.CRS 24-30-202(1) This subgrant award shall not be deemed valid until it has been approved by the Colorado State Controller or designee. 2. FUND AVAILABILITY.CRS 24-30-202(5.5) Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted,and otherwise made available. 3. INDEMNIFICATION. a. The Subgrantee Agency shall indemnify, save,and hold harmless the State,its employees and agents, against any and all claims, damages, liability and court awards including costs, expenses, and attorney fees and related costs, 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 AND NOT AS AN EMPLOYEE OF THE STATE. NEITHER THE SUBGRANTEE AGENCY NOR ANY AGENT, SUB-CONTRACTOR, OR EMPLOYEE OF THE SUBGRANTEE AGENCY SHALL BE OR SHALL BE DEEMED TO BE AN AGENT OR EMPLOYEE OF THE STATE BY VIRTUE OF THIS SUBGRANT. SUBGRANTEE AGENCY SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS GRANT. SUBGRANTEE AGENCY ACKNOWLEDGES THAT THE SUBGRANTEE AGENCY AND ITS EMPLOYEES ARE NOT ENTITLED TO UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE SUBGRANTEE AGENCY OR THIRD PARTY PROVIDES SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE. SUBGRANTEE AGENCY SHALL NOT HAVE AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE TO ANY AGREEMENTS,LIABILITY,OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. IF 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 ONLK) The State Controller may withhold payment of certain debts owed to State agencies under the vendor offset intercept system for: (a) unpaid child support debt or child support arrearages; (b) unpaid balance of tax, accrued interest, or other charges specified in Article 21, Title 39, CRS; (c) unpaid loans due to the Student Loan Division of the Department of Higher Education; (d)amounts required to be paid to the Unemployment Compensation Fund; and(e) other unpaid debts owing to the State or its agencies,as a result of final agency determination or reduced to judgment, as certified by the State Controller. 8. EMPLOYEE FINANCIAL INTEREST.CRS 24-18-201 &CRS 24-50-507 The signatories aver that to their knowledge, no employee of the State has any personal or beneficial interest whatsoever in the service or property described in this subgrant award. 9. SOFTWARE PIRACY PROHIBITION.(Governor's Executive Order D 002 00) No State or other public funds payable under this subgrant shall be used for the acquisition, operation, or maintenance of computer software in violation of federal copyright laws or applicable licensing restrictions. The Subgrantee Agency hereby certifies that, for the term of this subgrant and any extensions, the Subgrantee Agency has in place appropriate systems and controls to prevent such improper use of public funds. If the State determines that the Subgrantee Agency is in violation of this paragraph, the State may exercise any remedy available at law or equity or under this Subgrant, including, without limitation, immediate termination of the Subgrant and any remedy consistent with federal copyright laws or applicable licensing restrictions. 10. FEDERAL FUNDING. This subgrant is subject to and contingent upon the continuing availability of federal funds for the purposes hereof. 11. PUBLIC CONTRACTS FOR SERVICES. CRS §8-17.5-101. [Not Applicable to agreements relating to the offer, issuance, or sale of securities, investment advisory services or fund management services, sponsored projects, intergovernmental agreements, or information technology services or products and services] The Subgrantee Agency certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this subgrant and will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this subgrant,through participation in the E-Verify Program or the Department program established pursuant to CRS §S-17.5-102(5)(c), the Subgrantee Agency shall not knowingly employ or contract with an illegal alien to perform work under this subgrant or enter into a contract with a subcontractor that fails to certify to the Subgrantee Agency that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this subgrant. The Subgrantee Agency (a) shall not use E-Verify Program or Department program procedures to undertake pre-employment screening of job applicants while this subgrant is being performed, (b)shall notify the subcontractor and the contracting State agency within three days if the Subgrantee Agency has actual knowledge that a subcontractor is employing or contracting with an illegal alien for work under this subgrant, (c) shall terminate the subgrant if a subcontractor does not May 13,2008 Special Provisions and Certified Assurances Page 3 of 10 Special Provisions&Certified Assurances must remain attached to the application stop employing or contracting with the illegal alien within three days of receiving the notice, and (d) shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado Department of Labor and Employment. If the Subgrantee Agency participates in the Department program, the Subgrantee Agency shall deliver to the contracting State agency, institution of higher education or political subdivision a written, notarized affirmation, affirming that the Subgrantee Agency has examined the legal work status of such employee, and comply with all of the other requirements of the Department program. If the Subgrantee Agency fails to comply with any requirement of this provision or CRS §8-17.5-101 et seq., the contracting State agency, institution of higher education or political subdivision may terminate this subgrant for breach and, if so terminated, the Subgrantee Agency shall be liable for damages. 12. PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Subgrantee Agency, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24- 76.5-101 et seq., and(c)has produced one form of identification required by CRS §24-76.5-103 prior to the effective date of this subgrant. 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 May 13,2008 Special Provisions and Certified Assurances Page 4 of 10 Special Provisions&Certified Assurances must remain attached to the application 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 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 financial audit; a financial review shall not be sufficient to meet this requirement. Agencies with total annual revenue of less than $200,000 shall procure either a financial review or financial audit. i. At such time as the audit or financial review is completed, ONE COPY OF THE REPORT, INCLUDING THE CORRESPONDING MANAGEMENT LETTER, MUST BE FORWARDED TO THE DIVISION OF CRIMINAL JUSTICE for clearance. The audit or financial review incorporating this subgrant must be completed and received within 12 months of the end of the fiscal years that includes the end date of the grant. ii. The Subgrantee Agency accepts responsibility for the costs of a financial program audit to be performed by the Department of Public Safety in the event that the audit report or financial review: a) does not meet the applicable A-133 or DCJ standards; b) is not submitted in a timely manner;or, c) does not provide an audit response plan with corresponding corrections made sufficient to satisfy any audit findings. b. The Subgrantee Agency assures that: i. It will retain all project records,as will facilitate an effective audit, for seven years after the end of the state fiscal year that includes the end date of the grant. (For example if the grant ended 9/30/2001, the state FY would be July 1,2001-June 30,2002. The files could be destroyed after 6/30/2009); except, ii. If an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily,then records must be retained beyond the seven-year period until such issues are resolved. c. The Subgrantee Agency assures that it will keep copies of all documents, correspondence, and required receipts related to this subgrant in a separate file bearing the project title and grant number. d. The Division may periodically request submission of supporting financial and programmatic documentation, subcontracts, general and sub-ledgers for the purpose of monitoring compliance with the grant award via desk review, or in preparation for an on-site monitoring visit. Routine or special on-site visits may be conducted at the May 13,2008 Special Provisions and Certified Assurances Page 5 of 10 Special Provisions&Certified Assurances must remain attached to the application subgrant agency, and at the location of any collaborating entities, for the same purpose. Subgrantee Agencies will be notified in advance of any on-site monitoring visit. e. The Subgrantee Agency assures that the Division of Criminal Justice, Colorado Department of Public Safety, shall have access for purposes of monitoring, audit and examinations to any bonds, documents,papers and records of the Subgrantee Agency and to relevant books and records of subcontractors of the Subgrantee Agency. It is the responsibility of the Subgrantee Agency to notify any of its project collaborators and subcontractors of these provisions. f. The Subgrantee Agency assures that signatories of the application and subgrant award and personnel employed through this subgrant will appear when requested at any administrative hearing, monitoring site visit, conference or meeting conducted by the Division of Criminal Justice. 5. COLORADO VICTIM RIGHTS ACT The Subgrantee Agency assures that the application signatories, all staff and all volunteers assigned to the funded project have read and understand the rights afforded to crime victims pursuant to § 24-4.1-302.5 C.R.S., and the services delineated pursuant to§§ 24-4.1-303 and 24-4.1-304 C.R.S.,commonly known as the Victim Rights Act,and enabling legislation. 6. TERMINATION or REDUCTION IN GRANT AWARD The Division will monitor the performance of the Subgrantee Agency against goals and performance standards as found in the application 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 May 13,2008 Special Provisions and Certified Assurances Page 6 of 10 Special Provisions&Certified Assurances must remain attached to the application agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall be referred to superior departmental management staff designated by each department. Failing resolution at that level, disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive directors, the dispute shall be submitted in writing by both parties to the State Controller, whose decision on the dispute will be final. C. FEDERAL CERTIFIED ASSURANCES 1. FEDERAL PUBLIC POLICY ASSURANCES a. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the applicable provisions of: i. Title I of the Omnibus Crime Control and Safe Streets Act of 1968,as amended; ii. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act,as appropriate; iii. All other applicable Federal laws,orders,circulars,regulations or guidelines. b. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with the 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. May 13,2008 Special Provisions and Certified Assurances Page 7 of 10 Special Provisions&Certified Assurances must remain attached to the application b. The Subgrantee Agency certifies that federal funds made available under this grant: i. Will not be used to supplant state or local funds; ii. 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. 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 May 13,2008 Special Provisions and Certified Assurances Page 8 of 10 Special Provisions&Certified Assurances must remain attached to the application of receipt of this grant award, and to the Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice. 8. NON-DISCRIMINATION The following federal non-discrimination cites apply in particular: the nondiscrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968, as amended; Title VI of the Civil Rights Act of 1964; Section 504 of the Rehabilitation Act of 1973,as amended; Subtitle A,Title II of the Americans with Disabilities Act of 1990,42 U.S.C. 12101, et. seq. and Department of Justice Regulations on Disability Discrimination, 28 CFR Part 35 and Part 39;Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination Regulations 28 CFR Part 42, Subparts C, D, E, and G; and Executive Order 11246, as amended by Executive Order 11375, and their implementing regulations,41 CFR Part 60.1 et. seq.,as applicable to construction contracts. 9. NATIONAL ENVIRONMENTAL POLICY ACT(NEPA)AND NATIONAL HISTORIC PRESERVATION ACT (NHPA)COMPLIANCE (42 USC§§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 May 13,2008 Special Provisions and Certified Assurances Page 9 of 10 Special Provisions&Certified Assurances must remain attached to the application privilege, particularly with respect to releasing identifying information about victims of crime, including but not limited to, those found in. Section 13-90-107,C.R.S. 3. The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VAWA-funded project understand that disclosure of personally identifying information about victims served with VAWA funds is prohibited without a written release,court order or statutory requirement. 4. 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 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. May 13,2008 Special Provisions and Certified Assurances Page 10 of 10 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 Board 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 bjerke@co.weld.co.us Signature Date '2t -, 4 4--c q/33De FINANCIAL OFFICER Name Barbara Connolly Position Contoller Agency Weld County Government Mailing Address PO Box 758 City, State,Zip Greeley,Co 80632 Telephone# 970 356-4000 ext 4218 Fax# 970 352-0242 E-mail Address bconnolly@co.weld.co.us Signature Date/ PROJE DIRECTOR Name JoAnn Holden Position Director of Victim Services,Weld County District Attorney's Office 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 Date ("1 May 13,2008 Hello