HomeMy WebLinkAbout20073132.tiff MEMORANDUM
' DATE: October 29, 2007
TO: Clerk to the Board, Donna Bechler
COLORADO FROM: Linda Perez
SUBJECT: Disability Program Navigator Grant Award Letter
This is your original Disability Program Navigator Grant Award Letter from the
Department of Local Affairs under our Master Grant for Thirteen Thousand Dollars
($13,000.00) 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.
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Grant Award Letter L8DPNWC (3 Pages)
Attachment 1 (1 Page)
Attachment 2 (1 Page)
Attachment 3 (1 Page)
Department of Local Affairs
Colorado Office of Workforce Development
DPN Grant
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WITHDRAWN BY THE STATE FOR ANY REASON, IT MAY NO LONGER BE ACCEPTED BY THE CONTRACTOR/GRANTEE.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: L8DPNWC 4. Master Contract Number: 06WFWC
5. Contract Logging Inquiry Number(CLIN): 00115 6. Vendor Code: 846000813 Y
7. Funding Information:
Source of Funds CFDA# Orgn Appr Object Gbl Rptc Amount
DPN Grant 17.266 LWBO 424 5120 J7DT 4424 $13,000
Total $ 13,000.00
Part II. Terms
8. Award Amount. The total Award Amount provided under this Grant Award shall not exceed the sum of$ 13,000.00, including
all Amendments.
Budget Line Budget
Salary and benefits $12,000.00
Travel $1,000.00
Total Award $13,000.00
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: August 1, 2007 through June 30, 2008.
10. Grant Purpose: To provide a Disability Program Navigator(DPN) in the Weld County workforce region.
11. Scope of Services. Contractor/Grantee shall provide:
"Contractor will support, manage, recruit and employ 1 FTE Disability Program Navigator. Contractor will ensure that
the Navigator performs the basic job functions included in the navigator job description provided by United States
Department of Labor(USDOL)/Social Security Administration(SSA). Contractor acknowledges all Navigators must be
located in One-Stop Career Centers that are universally accessible to individuals with disabilities, including physical,
programmatic, and communications accessibility.
Contractor agrees that a Navigator is:
o Not a case manager
o Not a front-line staff person in a One-Stop center
o Not a Benefits Planning and Outreach (BPAO) Specialist
o Not a Vocational Rehabilitation Specialist
o Not an Equal Opportunity Officer
Contractor demonstrates that they understand that a Navigator is a:
o resource to the One-Stop Career Center staff
o facilitator
o problem solver
o systems change agent
o relationship builder
o integrated resource team builder
Contractor agrees to the following service and outcome performance goals for the DPN initiative required under the
Government Performance and Results Act as follows:
6.4%of participants served by the workforce investment area(s) receiving grant funds will be persons with
disabilities.
The entered employment rate for participants with disabilities that exit the WIA adult, dislocated worker,and
youth programs will be 68%
Employment retention rate for people with disabilities is 83%
Contractor shall keep appropriate records as required by Department of Local Affairs(DOLA).
Participate in USDOUODEP surveys and data collection; including the timely submission of a quarterly report.
Collaborate with Division of Vocational Rehabilitation, Department of Labor& Employment and other consortium
partners to coordinate provision of service from different funding streams for people with disabilities.
Deploy and coordinate integrated team service approaches across workforce and disability systems to address multiple
employment needs of customers with disabilities who face barriers to employment.
Blend/braid services and funding around an individual customer's needs.
Act as resource coordinators,facilitating team meetings to develop individual employment plans for job seekers with
disabilities.
Establish a seamless One-Stop Career Center through an individualized team service design to assure a full spectrum
of program options.
Deliverables; See above Scope of Services.
Page 2 of 3
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.
c. Other Reports. The Contractor shall track and enter required information into the necessary automated system
prescribed by USDOLJODEP on a timely basis. This will include the submission of the Navigator quarterly report.
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
Part III. Signature
Reviewed By: Issued By: Colorado Office of Workforce Development
Pre-Approved Form Contract Reviewer Susan E. Kirkpatrick, cutive 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 Controller: Leslie M.Shenefelt By:
/� Date: �a 1 /O1
Rose i Auten, Co ler, Department of Local Affair's
Page 3 of 3
•
ATTACHMENT 1 - L8DPNWC
DPN GRANT
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 #: L8DPNWC
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 — LBDPNWC
DPN GRANT
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?
H.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:lfneei please adttadditional tracking tot ikist: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)
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