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Home My WebLink About20073516.tiff MEMORANDUM DATE: November 7, 2007 TO: Clerk to the Board, Donna Bechler COLORADO FROM: Linda Perez SUBJECT: CIMS Funds Grant Award Letter This is your original CIMS Funds Grant Award Letter from the Department of Local Affairs under our Master Grant Contract, #06WFWC. As per discussion with Don Warden, it should be listed under Correspondence on one of the Board's Agenda. If you have any questions, please telephone me at 970-353-3800, extension 3363. T; -0 T. . --i W Cl) O 2007-3516 r Grant Award Letter 08WF29WC (3 Pages) Attachment 1 (1 Page) Attachment 2 (1 Page) Attachment 3 (1 Page) Department of Local Affairs Colorado Office of Workforce Development CIMS Funds Weld County / Employment Services of Weld County The"Effective Date"of this Award shall be the latter of the beginning date of performance period, located on provision #9, or the date of approval by the State Controller, or his designee, located on the final page of this document with the State Controller's signature. Work by the Contractor/Grantee shall not begin prior to the Effective Date, nor shall the State be responsible for any sum expended by the Contractor/Grantee prior to the Effective Date, unless otherwise specifically permitted by law. ACCEPTANCE OF THIS AWARD LETTER BY GRANTEE:THE GRANTEE HEREBY AGREES THAT THE TERMS AND CONDITIONS OF THE MASTER GRANT CONTRACT EXECUTED BY CONTRACTOR/GRANTEE DATED 4/26/06 CONSISTING OF 11 PAGES SHALL APPLY TO SERVICES PERFORMED UNDER THE GRANT AWARD LETTER. THE TERMS OF THE MASTER GRANT CONTRACT ARE HEREBY SPECIFICALLY INCORPORATED BY REFERENCE INTO THE GRANT AWARD LETTER,AND SPECIFICALLY REAFFIRMED BY THE CONTRACTOR/GRANTEE AS IF EXECUTED ON THIS DATE. BY SUBMITTING A REQUEST FOR PAYMENT OF WORK PERFORMED WITHIN THE SCOPE OF SERVICES SET FORTH BELOW, THE CONTRACTOR/GRANTEE ALSO HEREBY ACCEPTS THE GRANT AWARD LETTER OFFER,AND SPECIFICALLY AGREES TO THE TERMS OF THE GRANT AWARD(INCLUDING ATTACHMENTS),AS WELL AS THE TERMS OF THE MASTER GRANT CONTRACT. IF THE GRANT AWARD LETTER HAS BEEN WITHDRAWN BY THE STATE FOR ANY REASON, IT MAY NO LONGER BE ACCEPTED BY THE CONTRACTOR/GRANTEE. Part I. Grantee &Award Information 1. Award Made to: Employment Services of Weld County Remit Address if Different: PO Box 1805 Greeley, CO 80632 2. Grantee's Responsible Administrator: Linda Perez, Director 3. Award/Encumbrance Number: 08WF29WC 4. Master Contract Number: 06WFWC 5. Contract Logging Inquiry Number(CLIN): 005'7 j 6. Vendor Code: 846000813 Y 7. Funding Information: Source of Funds CFDA # Orgn Appr Object Gbl Rptc Amount CIMS Funds 17.260 LW BO 447 5120 7XIH 4447 $18,380 CIMS Funds 17.260 LW BO 447 5120 7XZA 4447 $ 3,280.00 Total $ 21,660.00 Part II. Terms 8. Award Amount. The total Award Amount provided under this Grant Award shall not exceed the sum of$21,660.00, including all Amendments. Budget Line Budget Performance Incentive $16.660.00 CPEX $5,000.00 Total Award $21,660.00 Page 1 of 3 Flexibility is allowed within the budget, provided no single line item is increased or decreased by more than 10%. If the Contractor/Grantee exercises this option,the Contractor/Grantee shall report the detail of such budget transfer in Box 8 (Comment box)of the Request for Payment form. Changes in excess of the allowed threshold and any changes in the prohibited line(s) must receive prior written approval from the State. 9. Performance Period: November 12, 2007 through October 31, 2008. 10. Grant Purpose: To foster the development and continuous improvement of the Weld County workforce region. 11. Scope of Services. Contractor/Grantee shall provide: A. Performance Incentive These are to be used in accordance with allowable WIA Federal Expenditures and WIA Performance Measures to continue and enhance the CIMS program. B. CPEx Participation These funds are to be used in the application process for those regions that are participating in the CPEx evaluation system. Deliverables; See above Scope of Services. 12. Reporting: The Contractor/Grantee shall meet all reporting requirements currently required by the State or federal law or regulation,or as may be subsequently required by State or federal law or regulation, any time during the performance of this Grant Award Letter. Changes shall be submitted to the Contractor/Grantee in writing. Regular required reports by Contractor/Grantee are as follows: a. Attachment One: Request for Payment. Contractor/Grantee shall submit three(3)copies of quarterly interim Requests for Payment within 20 days following the end of a calendar quarter using the form herein attached as Attachment One. Request for final payment shall be submitted no later than 30 days after the end of the Performance Period. b. Attachment Two: Performance Report. The Contractor/Grantee shall submit three (3)copies of quarterly Performance Reports within 20 days following the end of a calendar quarter using the form herein attached as Attachment Two. The Contractor/Grantee shall also submit a final narrative completion report to the State no later than 30 days after the end of the Performance Period. 13. Payment and Completion: The final Request for Payment and the narrative project completion report are due to the State (OWD) no later than 30 days after the end of the Performance Period. Project funds will not remain encumbered for further reimbursement after the project is ended. 14. Certification of Legal Residency. The Contractor is receiving federal or state funds under this contract and must confirm that any individual natural person eighteen years of age or older is lawfully present in the United States pursuant to CRS 24-76.5-103(4)when such individual applies for public benefits provided under this Contract, by completing the Affidavit attached hereto as Attachment 3. 15. Attachments to Award Letter. The following attachments are hereby incorporated into the Grant Award Letter: • Request for Payment, Attachment 1 • Performance Report,Attachment 2 • Affidavit of Legal Residency, Attachment 3 Page 2 of 3 Part III. Signature Reviewed By: Issued By:Colorado Office of Workforce Development Au Pre-Approved Form Contract Reviewer SE. Kirkpatrick, Exe uti Director Department of Local Affairs Approval: CRS 24-30-202 requires that the State Controller approve all state contracts. This Award Letter is not valid until the State Controller, or such assistant as he may delegate,has signed it. The contractor is not authorized to begin performance until the Award Letter is signed and dated below. If performance begins prior to the date below,the State of Colorado may not be obligated to pay for the goods and/or services provided. State Con ro er: Lesli M.She felt Date: l ( /71O- 1 Ro M rie Aut , Contro er, Department of Local Affairs -/fGY Page 3 of 3 ATTACHMENT 1 - 08WF29WC CIMS Funds REQUEST FOR PAYMENT FORM 1. GRANTOR 2. TYPE OF PAYMENT 3. RECIPIENT ORGANIZATION (Name, Address, Telephone Number) Department of Local Affairs _ Partial Employment Services of Weld County Office of Workforce Development PO Box 1805 1313 Sherman St, Room 521 _ Final Greeley,CO 80632 Denver, CO 80203 970-353-3800 4. PERIOD COVERED BY THIS REQUEST 5. PAYMENT REQUEST 6. AWARD LETTER NUMBER From: TO #: 08WF29WC 7. PURPOSE FOR GRANT FUNDS REQUESTED Expenditures Previous Current Request Budget Line(s) Per Award Letter Budget(A) Request(s) (B) (C) Balance (A-B-C) TOTAL: 8. COMMENT: 9. CERTIFICATION: I certify to the best of my knowledge and belief the data above is correct and that all expenditures were made in accordance with the grant requirements. SIGNATURE OF AUTHORIZED OFFICIAL NAME AND TITLE (Type or Print) DATE STATE REVIEW Comment: Approved by: Program/Project Manager Date ATTACHMENT 2 - 08WF29WC CIMS Funds PERFORMANCE REPORT Workforce Region: Address: City, State & Zip code: Telephone Number: Fax Number: Responsible Administrator: Email address: Award Letter: Reporting Period From: To: NARRATIVE SECTION: To be completed by Contractor/Grantee(please add addition page(s) if necessary): I. Project Status: Have the project goals for this quarter been met? Have the deliverables for this quarter been achieved? If not,what is the status and the plan for accomplishing the goals and deliverables? II. Describe the work to be undertaken during the next reporting period. What deliverables will be accomplished? If there is slippage in work, what is your plan to catch up and achieve key deliverable dates? Have you communicated all problems, questions,or issues with the State promptly? Remember that changes in the Scope of Services or completion dates cannot be made without an agreement in writing signed by the State. III. Describe any challenges that have been encountered and how the challenges were met? IV. Participant Totals, if applicable, and Expenditures (Note:If needed please add additional tracking to the list below) Planned(cumulative) Actual (cumulative) %of Plan Total Enrollments Total Terminations Total Expenditures Signature of Authorized Official Name and Title(Type or Print) Date Submit Report To: Office of Workforce Development, 1313 Sherman St, Room 521, Denver, CO 80203 Attachment 3 AFFIDAVIT OF LEGAL RESIDENCY I, , swear or affirm under penalty of perjury under the laws of the State of Colorado that (check one): I am a United States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United States pursuant to Federal law. I understand that this sworn statement is required by law because I have applied for a public benefit or I am a sole proprietor entering into a contract or purchase order with the State of Colorado. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit or prior to entering into a contract with the State. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. Signature Date Name (please print) Social Security Number(optional) Hello