HomeMy WebLinkAbout20081186.tiff RESOLUTION
RE: APPROVE AGREEMENT FOR COURT SECURITY GRANT FUNDS AND AUTHORIZE
CHAIR TO SIGN - COLORADO JUDICIAL DEPARTMENT
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Agreement for Court Security Grant
Funds between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Sheriff's Office, and the Colorado
Judicial Department,commencing upon full execution,and ending December 31,2008,with further
terms and conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County,Colorado,that the Agreement for Court Security Grant Funds between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf
of the Weld County Sheriff's Office, and the Colorado Judicial Department be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said agreement.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
the following vote on the 23rd day of April, A.D., 2008.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: LW-GC/ ' IE /_ L./.�
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i � H. Jerke, Chair
Weld County Clerk to the Boardlot.;
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Deputy lerk to the Board � �//
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APP ORM: cat 9 E
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ounty Attorney
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Date of signature:
2008-1186
OSO0029
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Office of the State Court Administrator
ti .
*hz � 0r April 16, 2008
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Weld County Commissioners
950 O Street
Centennial Center
Gerald A.Marroney
State Court Administrator Greeley, CO 80632-0758
Carol M.Haller Dear Commissioners,
Legal Counsel
Troy C.Singleton Attached you will find a Corrected Award Letter regarding Weld County's
Administrative Assistant
award of Court Security Cash Funds. This correction was caused by my error in
calculating the number of radios that could be purchased. It is not a reduction in
DIRECTORS your award. The award is corrected as follows:
Mindy Masias
Human Resources
1. The number of 800 mHz radios to be purchased is reduced from 23 to
Mary Flanigan,CFO 12.
Financial Services 2. The award amount remains the same; $34,260.00
Robert T.Roper,CIO 3. In the event the Sheriff's Department is able to purchase radios with
Judicial Business Integrated similar operating capabilities at a unit price lower than the current
With Technology Services
$2855.00 they are authorized to do so in an amount not to exceed a total
Sherry Stwalley cost of$34,260.00.
Planning&Analysis
Legislative Liaison
All other grant conditions remain in effect. Should you have any questions
Thomas Quinn about this matter please feel free to contact me directly.
Probation Services
Steve Steadman
Court Security Specialist
Colorado Judicial Department
(303) 837-3616 (Office)
(303) 434-1045 (Cell)
1301 Pennsylvania Street,Suite 300,Denver.Colorado 80203
Phone:(303)861-1111 •(800)888-0001 •Fax:(303)837-2340
Web site: http://www.courts.state.co.us
2008-1186
r `
Office of the State Court Administrator
F'��l
FF - =_� April 16, 2008
* * Weld County Commissioners
950 O Street
1876 Centennial Center
Greeley,CO 80632-0758
Gerald A.Marroney Re: Corrected award letter
State Court Administrator
Dear Commissioners:
Carol M.Haller
Legal Counsel The Colorado State Court Administrator's Office(SCAO) is pleased to award your
Troy C.Singleton county a Court Security Grant Award in the amount of$34,260.00. These funds are to
Administrative Assistant be used to purchase 12 800 mHz radios for court transport and contract court security
officers at the Weld County Courthouse. These funds must be spent as follows:
DIRECTORS
Mindy Masks 1. $34,260.00 to purchase 12 800 mHz radios for court transport and contract
Human Resources court security officers at the Weld County Courthouse.
Mary Flanigan,CFO These funds must be expended on or before December 31, 2008. These funds are
Financial Services
awarded on a reimbursement basis. Please find three attachments to this award letter:
Robert T.Roper,CIO
Judicial Business Integrated 1. A contract to be signed and returned to this office.
With Technology Services 2. A progress report to be filed with SCAO no later than June 30, 2008.
Sherry Stwalley 3. A reimbursement request form to be completed along with necessary
Planning&Analysis documentation.
Legislative Liaison
Thomas Quinn Congratulations on your award. Should you have any questions about this matter please
Probation Services refer them to:
Steve Steadman
Court Security Specialist
303 837 3616
steven.steadman@iudicial.state.co.us
in rel
ald Marron y
State Court Ad 'nistrator
Cc: Chief Judge Klein
Sheriff Cook
1301 Pennsylvania Street,Suite 300,Denver,Colorado 80203
Phone:(303)861-1111•(800)888-0001 •Fax:(303)837-2340
Web site:http://www.courts.state.co.us
AGREEMENT FOR COURT SECURITY GRANT FUNDS
This Agreement is made by and between the COUNTY OF WELD (hereinafter"COUNTY") a
body corporate and politic, whose principal offices are located at 950 O Street, Centennial
Center, Greeley, CO 80632-0758 and the COLORADO JUDICIAL DEPARTMENT (hereinafter
"JUDICIAL"). The COUNTY and JUDICIAL may each be referred to herein as a "Party", or
collectively and the "Parties."
WHEREAS, in 2007 the Colorado General Assembly enacted SB 07-118, subsequently codified
at §13-1-201 et seq., C.R.S., and thereby created the Court Security Cash Fund (hereinafter the
"Fund") in the state treasury (see §13-1-204, C.R.S.) to be funded by annual appropriations by
the General Assembly; AND
WHEREAS, SB 07-118 also created the Court Security Cash Fund Commission (hereinafter the
"Commission") to assist the State Court Administrator in distributing the funds to counties (see
§13-1-203, C.R.S.) through a program of court security grant applications (hereinafter the "Court
Security Grant Program" or"Program"); AND
WHEREAS, SB 07-118 also provided for a local security team in each county composed of, at
minimum, the Chief Judge, the County Sheriff, and a County Commissioner or Manager, or their
designees, to oversee issues of court security for the county (see §13-1-202, C.R.S.); AND
WHEREAS, the General Assembly has appropriated Fund moneys for the Court Security Grant
Program for State Fiscal Year 2008 (July 1, 2007 -June 30, 2008), and JUDICIAL reasonably
anticipates similar funding for State Fiscal Year 2009 (July 1, 2008-June 30, 2009); AND
WHEREAS, the local security team for the above-named COUNTY has submitted an application
for court security grant funds to supplement the COUNTY'S efforts already in place to improve
the security of one or more facilities in which state courts and/or probation offices are located;
AND
WHEREAS, a grant of funds to the COUNTY has been approved by the Commission and the
State Court Administrator.
NOW THEREFORE, in consideration of the premises and mutual promises and covenants
herein contained, the sufficiency of which is hereby acknowledged, COUNTY and JUDICIAL
agree as follows:
1. PURPOSE OF AGREEMENT. The purpose of this Agreement is to acknowledge the grant
of up to $34,260.00 to the COUNTY from the Court Security Cash Fund, to define the
obligations of the COUNTY under the Court Security Grant Program, and to establish the
payment plan under which the COUNTY will receive the said funds.
2. THE AGREEMENT. This Agreement is contained in this writing, which consists of five pages,
plus Exhibits A, B and C.
3. TERM OF THE AGREEMENT. This Agreement shall be effective from its date of full
execution by both Parties through December 31, 2008.
4. CERTIFICATION OF LEGAL STATUS. The COUNTY certifies that the COUNTY shall
comply with the provisions of CRS 8-17.5-101 et seq. The COUNTY shall not knowingly employ
or contract with an illegal alien to perform work under this contract or enter into a contract with a
subcontractor that fails to certify to the COUNTY that the subcontractor shall not knowingly
employ or contract with an illegal alien to perform work under this contract. The COUNTY
represents, warrants, and agrees that it (i) has verified that it does not employ any illegal aliens,
through participation in the Basic Pilot Employment Verification Program administered by the
Social Security Administration and Department of Homeland Security, and (ii) otherwise will
comply with the requirements of CRS 8-17.5-102(2)(b). The COUNTY shall comply with all
reasonable requests made in the course of an investigation under CRS 8-17.5-102 by the
Colorado Department of Labor and Employment. If the COUNTY fails to comply with any
requirement of this provision or CRS 8-17.5-101 et seq., JUDICIAL may terminate this contract
for breach and the COUNTY shall be liable for actual and consequential damages to JUDICIAL.
5. SCOPE OF WORK. The COUNTY shall use the grant funds to accomplish the goals and
activities outlined in its Grant Application, including any modifications that may have been made
by the Commission in the approval process, attached hereto as Exhibit A.
6. GENERAL CONDITIONS. The COUNTY shall use grant funds only for purposes of court
security improvement as set forth in this Agreement. Failure to follow the intent of the Court
Security Grant Program may result in revocation of the award, termination of this Agreement,
and return of funds.
7. PAYMENT METHOD
' a. For the cost of salaries and benefits, disbursement of grant funds shall be made quarterly
by JUDICIAL upon receipt of reimbursement request form, attached hereto as Exhibit B,
which shall be submitted by the COUNTY within 10 business days following the end of
June, September and December, 2008. If disbursement of grant funds on a
reimbursement basis causes an undue hardship for COUNTY, disbursement shall be
made in accordance with a written schedule prepared and agreed to by COUNTY and
JUDICIAL, and attached as an addendum to this contract.
b. For other reimbursable costs, disbursement of grant funds shall be made upon receipt of
reimbursement request form and substantiating receipts from COUNTY. If disbursement of
grant funds on a reimbursement basis causes an undue hardship for COUNTY, COUNTY
shall submit the vendor's invoice(s) to JUDICIAL for payment directly to the vendor.
c. Reimbursement requests should be mailed to the following address:
Steve Steadman
Court Security Specialist
Office of the State Court Administrator
1301 Pennsylvania Street, Suite 300
Denver, CO 80203
8. REPORTING REQUIREMENTS. The COUNTY shall submit quarterly activity reports on the
Quarterly Activity Report Form attached hereto as Exhibit C. Such reports must be received by
JUDICIAL on or before the 5th business day after the last day of each quarter.
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9. RECORDS MAINTENANCE. The COUNTY shall maintain a complete file of all records,
documents, communications, and other materials that pertain to the Program under this Agreement.
Such files shall be sufficient to properly reflect all direct and indirect costs of whatever nature for which
a Grant payment was made. These records shall be maintained according to generally accepted
accounting principles and shall be easily separable from other COUNTY records, and shall be retained
for at least three (3) years following expiration or termination of this Agreement.
10. AUDIT. The COUNTY authorizes JUDICIAL, or its designee, to perform audits and/or inspections
of its records at any reasonable time during the term of this Agreement and for a period of three (3)
years thereafter to assure compliance with this Agreement.
11. ADMINISTRATIVE REPRESENTATIVES. The Parties shall designate administrative
representatives for this Agreement, and each Party shall notify the other Party promptly of any change
in such designation. At the commencement of this Agreement, the designated representatives shall be:
FOR THE COUNTY FOR JUDICIAL
David Tuttle Steve Steadman
Weld County Sheriff's Office Court Security Specialist
1950 '0' Street Office of the State Court Administrator
Greeley, CO 80631 1301 Pennsylvania Street, Suite 300
Denver, CO 80203
12. STATUS OF COUNTY WORKERS. The Parties understand and agree that the COUNTY'S
employees and agents are not employees or agents of JUDICIAL. COUNTY shall have no
authorization, express or implied, to bind the Colorado Judicial Department to any agreements,
liability or understandings except as expressly set forth herein.
13. INCOME TAXES. COUNTY understands and agrees that-COUNTY is responsible to
withhold and pay, according to law, any federal, state and local income taxes owed by
its employees.
14. UNEMPLOYMENT COMPENSATION. COUNTY understands and agrees that its
employees and/or agents shall not be entitled to unemployment insurance benefits for
work performed under this Agreement, unless unemployment compensation coverage is
provided by COUNTY or by some entity other than JUDICIAL.
15. WORKERS' COMPENSATION. COUNTY understands and agrees that no workers'
compensation insurance shall be obtained by JUDICIAL concerning COUNTY or the
employees or agents of COUNTY. COUNTY shall comply with workers' compensation
law concerning COUNTY and the employees and agents of COUNTY.
16. FRINGE BENEFITS. Because COUNTY is engaged in COUNTY'S own independent
business, COUNTY'S employees are not eligible for, and shall not participate in, any
employer pension, health, or other fringe benefit plan of JUDICIAL.
17. TERMINATION
a. Cause/Default. JUDICIAL may terminate this Agreement, and the Grant Award, upon
default by COUNTY, effective immediately upon receipt of notice or termination, or at any
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time thereafter in the discretion of JUDICIAL. "Default" is defined as the failure to fulfill in a
timely and satisfactory manner any of the duties or obligations required under this
Agreement. JUDICIAL may in its discretion permit the COUNTY a period of time to cure the
default.
b. For Loss of Funds. In the event that funding for any activity established by the contract is
discontinued or decreased by the State, JUDICIAL may terminate the Agreement or reduce
its scope without penalty effective immediately upon receipt of notice of such termination or
reduction. In the event of such termination or reduction, the COUNTY will be compensated
for the value of services actually performed, if any, prior to the effective date of the
termination or reduction.
18. INSURANCE. The Parties understand and agree that both are "public entities"within the
meaning of the Colorado Governmental Immunity Act, Section 24-10-101 et seq., as amended,
C.R.S. (the "Act") and that to the extent required or permitted by the Act both Parties will at all
times during the term of this Agreement maintain such liability insurance, by commercial policy
or self-insurance, as is necessary to meet its liabilities under the Act.
19. CONFIDENTIALITY. In the event that COUNTY or the employees and/or agents of
COUNTY obtain access to any records or files of JUDICIAL in connection with this Agreement,
or in connection with the performance of its obligations under this Agreement, the COUNTY and
its employees and/or agents shall keep such records and information confidential and shall
comply with all laws and regulations concerning the confidentiality of such records to the same
extent as such laws and regulations apply to the COUNTY.
20. COMPLIANCE WITH LAW. The Parties to this Agreement shall comply with the letter and
spirit of all applicable federal, state and local laws and regulations related to performance under
this Agreement, including but not limited to the Colorado Antidiscrimination Act of 1957, as
amended, (Section 24-34-401 et seq., C.R.S.) and other applicable law respecting
discrimination and unfair employment practices.
21. SEVERABILITY. If any provisions of this Agreement are held to be invalid, illegal, or
unenforceable, the validity, legality, and enforceability of the remaining provisions shall not in
any way be affected or impaired thereby to the extent permitted by law.
22. ENTIRE AGREEMENT. This Agreement constitutes the entire agreement and a complete
integration of all understandings between COUNTY and JUDICIAL, and no modifications or
amendments to this Agreement shall be valid unless in a signed writing.
23. NON-WAIVER. The failure of either Party to exercise any of its rights under this Agreement
shall not be deemed to be a waiver of any other or subsequent rights.
24. CHOICE OF LAW; VENUE. Any dispute under or related to this Agreement shall be
decided in accordance with the laws of the State of Colorado, and venue shall be in the State
Courts of Colorado.
IN WITNESS WHEREOF, the Parties hereto execute this AGREEMENT FOR COURT
SECURITY GRANT FUNDS on the dates set forth below.
4
COUNTY OF WELD COLORADO JUDICIAL DEPARTMENT
By: -t-t- i i By.
Printed: William H. Jerke Printed: Gerald A. Marr ney
Title: Chair, Board of County Title: State ourt Admi istrator
Commissioners Date:
APR 2 3 2008
ATTEST one""s.,„/etkil , / `
Clerk to the Board "c""""N r ftç' •�`
By: ehQ�ca..�7 .- i8.1
Printed: ---) //zcrti,- � '" D i
Title: Deputy Clerk to the Bo at/ ,r.
AT(ESTING TO BOARD Of COUNTY �%p p pa�I
CoiWlSS10i4ER SGNATURES ONLY
APPROV D AS T
By<
Printed: Bruce Barker
Title:' County Attorney
5
_ \
Local Court Security Team Grant Application
JUDICIAL DISTRICT: 19th
County: weld GRANT APPLICATION PERIOD
FROM: 01/01/2008 TO: 06/30/200
This Request is from a County with statutory priority
Yes iI No 0
Total Grant Request Amount S 72,635.00
List items to be purchased, including staffing request in priority order:
t, 23 Model 2500 Motorola portable radio with hand held microphone, battery and charger.
2. 1 Fargo electronics card identity badging system, single sided.
3. RECEIVED
4.
MAR Q 3700
List any court security measures that are in place:
1. Security Guards use standard procedures to screen private citizens.
2. x-ray machines.
3. Walk through emtal detectors and hand held scanners.
4. ID Card display for employees who bypass scanners.
Briefly outline objectives, anticipated results and timeline for implementation should your grant request be
approved:
1. Provide clear communication for Court Transport Deputies and contract security officers with the court Transport
Division command post from any location within the court building complex and beyond. 2. Provide communication with
weld County Sheriff's Office and Greeley Police Department who may be required to respond to an active shooter or
hostage situation in the courthouse. The current 400 MHZ system does not facilitate either of these two objectives.
3. Relieve congestion at public entry points that significantly compromises security by allowing employees to enter
at another location. Clear universal communication and enhanced security. Implementation would be four weeks from the
date of the grant being approved.
Type in Names of Local Court Security Team members:
Chief Judge (or designee) County Commissioner(or designee) Sheriff(or designee)
Karen salaz, Dist. Admin William Jerke, chair BOCC Cmdr. David Tuttle
Statutorily Required Signature and Date L7t/,/ ;j
C ief Jd g 7 County Commissioner Sheriff
FEB 2 7 Z008
Date
Please use additional pages if necessary to complete your application. Refer to the
checklist instructions for completing this form.
diecri-O(o S'/
ICSTATE OF COLORADO
OFFICE OF THE STATE COURT ADMINISTRATOR
COURT SECURITY CASH FUND Revised 1/1012008
SECURITY GRANT APPLICATION FUNDING REQUEST
(SEE INSTRUCTIONS ON REVERSE SIDE)
SUBMITTAL
TO: STATE COURT ADMINISTRATOR
FROM(County):
Weld County, Nineteenth Judicial District
APPLICATION
® Initial Application 0 Court Security Emergency Funds Request
❑ Revised Application(Explain Revision)
(Explain nature of request)
Itemization of Requested Funds
A. Personnel Services
1. Wages $
2. Fringe benefits (up to 30%of wages) $
3. Other(Explain) $
$
B. Security Equipment(itemize each item requested)
1. First Item 23 Radios $65,665.00
2. Second Item 1 badge syst $ 6,970.00
3. Third Item $
4. Fourth Item $
5. Professional services(architects,engineers etc.) $
B. Allocation for installation(see instructions) $
$72,635
D. Training
1. (Explain) $
2. Associated travel costs(If any) $
Total Funds Requested$72,635
TOTAL
4rugg APPROV SIGNATURE APPROVALS
C.DerJ ' ales, Chair,Court Security Commission Date
5/ vralecg State Court Administrator Date
1-G j .County Commissioner /i Date
DabmpysenttOStteCudeasiia the5OMce_ 02/27/2008
Local Court Security Team „
Security Cash Fund - Reimbursement Request Form
Court S y q
Section I: General Information
Project Duration:
Judicial
District#: From: To:
County Commissioner(or designee):
County: Name: Phone:
Report covers project activity during the following calendar quarter:
July 1 -Sept 30 Jan 1 - Mar 31
Oct 1 -Dec 31 Apr 1 -June 30
Section II: Financial Information 1
A B C D E F G
Unobligated
Budget Budget Expended Prior Expended Expended YTD Total Obligated Allocation
Category Allocation Quarter(s) Current Quarter (B+C) Encumbered (D+E) (A-F)
Personnel
Equipment
Training
Total
Prepared By/Date: Approved By/Date: _
Note -Submit a completed W9 form with your first reimbursement request.
Make check payable to:
Mailing address:
Phone number:
Section III: Judicial Department Use Only
Reviewed &Approved for Payment By/Date:
Steve Steadman,Court Security Specialist
FY: PV#: Vendor Code:
Category Fund Org Appr Object Sub-Object Amount
Personnel 20W 904 5120 01
Equipment 20W 904 5120 02
Training 20W 904 5120 03
Total _
PV Review&COFRS Entry By/Date:
COFRS Approval By/Date:
Substitute Form REQUEST FOR TAXPAYER IDENTIFICATION State of Colorado
W-9 NUMBER (TIN) VERIFICATION Do NOT send to IRS
PRINT OR TYPE
Legal Name (OWNER OF THE EIN OR SSN AS NAME APPEARS ON IRS OR SOCIAL SECURITY ADMINISTRATION RECORDS) RETURN TO ADDRESS BELOW
DO NOT ENTER TI@ BUSINESS NAME OF A SOLE PROPRIETORSHIP ON THIS TUNE-See Reverse for Important Information
Trade Name Casters ONLY IF DOING BUSINESS AS(D/WA)
•
Remit Address
Purchase Order Address—Optional PART II See Part II Instructions on Back of Form
Check legal entitytype and enter 9 digit Taxpayer Identification Number(TIN)below: Do Not
to tlto legal 11:11110 enteral ubiltc.
Not color an SSN or FIN that-d.:n not
,1❑O
(SSN=Social Security Number BIN=Employer Identification Number)
Individual (Individual's SSN)
NOTE:If no woe is circled on a mint Account when them is mac dun one name.the number will be SonsihmA to te that of the Eta owe listen -----------
Sole Proprietorship(Owner's SSN or Business FEIN) SSN
NOTE:tuner both am owner's SSW w the business EIN(if you am required m haw oa)
—— -- ————
EIN
n Partnership n General ❑ Limited (Partnership's EIN)
Estate/Trust (Legal Entity's EIN)
NOTE:Do not famish the identification number of personal representative or trustee unless the legal entity itself is not designntcd in _ .
the account title.List and circle the name of the legal trust.estate or pension trust.
Other ► ___ . (Entity's BIN) ——_
Limited Liability Company.Mint Venture.Club.etc.
Corporation Do you provide legal or medical services? fYes n No (COrp'S EIN)
Includes corporations providing medical billing services
nGovernment(or Government Operated)Enity (Entity's EIN)
nOrganization Exempt from Tax under Section 501(a) (Org's BIN)
Do Too provide medical services? Yes ❑No
Check Here if you do not have a SSN or EIN,but have applied for one. See reverse for information on How to Obtain A TIN.
Licensed Real Estate Broker? Yes D No
Under Penalties of perjury,I certify that:
(1) The number listed on this form is my correct Taxpayer Identification Number(or I am waiting for a number to be issued to me)AND
(2) I am not subject to backupwithholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or-dividends'or(c)the IRS has notified me that I
am no longer subject to backup withholding(does not apply to real estate transactions,mortgage interest paid the acquisition of abandonment of
secured property,contribution to an individual retirement arrangement(IPA),and payments other than interest and dividends).
CERTIFICATION INSTRUCTIONS — You must cross out item(2)above if you have been notified by the IRS that you are currently subject to backup
withholding because of under reporting interest or dividends on your tax return.(See Signing the Certification on the reverse of this form.)
THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS
DOCUMENT OTHER THAN THE CERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING
NAME(Print or Type) TITLE(Print or Type)
AUTHORIZED SIGNATURE DATE PHONE(
DO NOT WRITE BELOW THIS LINE RETURN BOTH COPIES TO ADDRESS ABOVE
AGENCY USE ONLY
Agency-_ _ Approved By Date
1099 Y_ N
VEND Addison _ Change _
Action Completed By Date
•
NAME AND TAX IDENTIFICATION NUMBER (TIN)
INDIVIDUALS: Enter First and Last name EXACTLY as it appears on your Social Security Card.However,if you have changed
your last name,for instance,due to marriage,without informing the Social Security Administration of the name
change,please enter your first name and both the last name shown on your social security card and your new last
name(IN THAT ORDER).For your TIN,enter your Social Security Number(SSN).
<Y SOLE PROPRIETORSHIPS: Enter the owner's name on the first line;on the second name line you may enter the business name.YOU
MAY NOT ENTER ONLY THE BUSINESS NAME.For the TIN,enter both the owner's Social Security
a
Number and the Federal Employer Tax Identification Number(EIN)if you are required to have one.
ALL OTHER ENTITY'S: Enter the name of the owner of the EIN or SSN exactly as originally registered with the IRS.The correct
TIN is the Employer Identification Number(EIN).
DO NOT ENTER AN SSN OR EIN THAT WAS NOT ASSIGNED TO THE LEGAL NAME OF THIS FORM
HOW TO OBTAIN A TIN
If you do not have a TIN,you should apply for one immediately.To apply for the number,obtain Form SS-05,Application for a Social Security Number
Card(for individuals),or Form SS-4,Application of Employer Identification Number(for businesses and all other entities),at your local office of the
Social Security Administration or the Internal Revenue Service.Complete and file the appropriate form according to its instructions.
To complete Form W-9 if you do not have a TIN,check"Applied For"box in the space indicated on the front,sign and date the form,and give it to the
requester.For payments that could be subject to backup withholding,you will then have 60 days to obtain a TIN and furnish it to the requester.During
the 60-day period,the payments you receive will not be subject to the 31%backup withholding,unless you make a withdrawal.However if the requester
does not receive your TIN from you within 60 days,backup withholding,if applicable,will begin and continue until you furnish your TIN to the requester.
Note:Writing "Applied For"on the form means that you have already applied for a TIN OR that you intend to apply for one in the near future.
As soon as you receive your TIN,complete another Form W-9,include your new TIN,sign and date the form,and give it to the requester.
FOR PAYEES EXEMPT FROM BACKUP WITHHOLDING
— " Individuals(including sole proprietors)are not exempt from backup withholding.Corporations are exempt from backup withholding for
— certain payments,such as interest and dividends.
Ifyou are exempt from backup withholding,you should still complete this form to avoidpossible erroneous backup withholding.Enter
� P P
Q your correct TIN in Part I,write`Exempt'in Part II,and sign and date the form.
ti If you are a nonresident alien or a foreign entity not subject to backup withholding,give the requester a completed Form W-8,
Certificate of Foreign Status.
CERTIFICATION
(1)Interest,Dividend,and Barter Exchange Accounts Opened Before 1984 and Broker Accounts That Were Considered Active During 1983.
-You are not required to sign the certification;however,you may do so.You are required to provide your correct TIN.
(2)Interest,Dividend,Broker and Barter Exchange Accounts Opened After 1983 and Broker Accounts That Were Considered Inactive During 1983.
-You must sign the certification or backup withholding will apply.If you are subject to backup withholding and you are merely
providing your correct TIN to the requester,you must cross out item(2)in the certification before signing the form.
(3)Real Estate Transactions-You must sign the certification.You may cross out time(2)of the certification if you wish.
CC
Cl" (4)Other Payments-You are required to furnish your correct TIN,but you are not required to sign the certification unless you have
been notified of an incorrect TIN.Other payments include payments made in the course of the requecter's trade or business for rents,
royalties,goods(other than bills for merchandise),medical and health care services,payments to a nonemployee for services(including
attorney and accounting fees),and payments to certain fishing boat crew members.
(5)Mortgage Interest Paid by You,Acquisition or Abandonment of secured Property,or IRA Contributions.-You are required to
furnish your correct TIN,but you are not requited to sign the certification.
Signature.- The signature should be an authorized signature,generally the person whose name is on the top line of the form,a partner
in the partnership,or an officer of the corporation. For a joint account,only the person whose TIN is shown in LEGAL
CC BUSINESS DESIGNATION should sign the form.
= Privacy Act Notice.- Section 6109 requires you to furnish your correct taxpayer identification number(TIN)to persons who must file information
H returns with IRS to report interest,dividends,and certain other income paid to you,mortgage interest you paid,the acquisition or abandonment of secured
O property,or contributions you made to an individual retirement arrangement(IRA).IRS uses the numbers for identification purposes and to help verify the
accuracy of your tax return.You must provide your TIN whether or not you are required to file a tax return.Payers must generally withhold 31%of
taxable interest,dividend,and certain other payments to a payee who does not furnish a TIN to a payer.Certain other penalties may also apply.
Colorado State Court Administrator's Office
Court Security Cash Fund Grant Award
Progress Report
Award # Date Prepared
County Report #
Reporting Period to
Final Report Yes No
INSTRUCTIONS FOR PREPARATION OF QUARTERLY PROGRESS REPORT
Recipients of State Court Administrator's Court Security grant funds shall submit quarterly progress reports
within 30 days of the close of each business calendar quarter, i.e., no later than April 30, July 30, October 30 and
January 30. Each report shall include a narrative description of: (I) project activities during the calendar quarter; -
(2)any reportable securityincidents or threats'; (3) any significant problem areas that developed and how they
were or will be resolved; and (4)the activities scheduled during the next reporting period.
Report (attach additional pages if necessary)
The Colorado Court Security Reference Guide defines a reportable threat or incident as,"Definition of a
Threat
"A security threat is an event that has the potential to cause,or has in fact caused, personal injury or property loss"
Definitions of Reportable Threats
The following are definitions of threats that shall be reported:
A. Attempted or actual acts of violence to persons or property of the court;
B. Verbal or written threats of future violence;and/or
C. Conduct or patterns of conduct(inappropriate communication or actions)which cause concern about the possibility
of future violence.
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