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Home My WebLink About20060578.tiff RESOLUTION RE: APPROVE 2006-2007 COMMUNITY SERVICES BLOCK GRANT (CSBG) APPLICATION AND CONTRACT 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 the 2006-2007 Community Services Block Grant(CSBG)Application and Plan between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and the Colorado Department of Local Affairs, commencing March 1, 2006, and ending February 28, 2007, with further terms and conditions being as stated in said contract, and WHEREAS,after review,the Board deems it advisable to approve said contract, 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 2006-2007 Community Services Block Grant(CSBG)Application and Plan between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Department of Human Services,and the Colorado Department of Local Affairs be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said contract. The above and foregoing Resolution was,on motion duly made and seconded, adopted by the following vote on the 27th day of February, A.D., 2006. N f / %'OARD OF OUNTY COMMISSIONERS di/ 1, LD CO TY, COLORADO ATTEST: f ) f /% :., ; OIll ; .` •fl,a. eile, •Chair Weld County Clerk to the Bo-i;� 1 N®({)1�o ``�CUSED �.4:.� David E. Long, Pro-Tem BY: z��' ( ��Gic, b� D uty ClArfc to the BoardN,r(,-, -/ W 'am J e APPR S TO FO u QL Robert D. Masden C ty or a EXCUSED Glenn Vaad Date of signature: 311t , 2006-0578 60 H-SC3� , 1 HR0077 **CORRECTED** MEMORANDUM DATE: February 23, 2006 TO: Mike Geile Board of County Commissioners FROM: Walter J. Speckman, Executive Director, Human Services SUBJECT: Community Services Block Grant for PY 200; - 2007 To be placed on Agenda for February 27, 2006 Enclosed for Board approval is the Community Services Block Grant for Program Year 2006-2007 to the Colorado Department of Local Affairs from the Weld County Division of Human Services. The total of the request is for $269,127. The focus of the grant is linkage of services and access to transportation for the in-need rural elderly of Weld County. The funding will allow for staff time to set up,coordinate,and train the Senior Aide volunteer pools at rural senior sites. The grant also funds the operating costs of Senior Minibus Transportation for the rural elderly from the rural senior sites and also subcontracts WELDCO'S Senior volunteer pool to transport seniors in volunteer vehicles for one-time needs that Minibus cannot address, and reimburses the volunteer at $.425/mile. We have also added two new services, one is a Case Manager for the Medicaid clients and the other is a service for clients in our triage program to help them succeed in their new employment. The term of this request will be March 1, 2006 through February 28, 2007 If you have any questions, please telephone me at 353-3800, extension 3317. 20 C6 IS **CORRECTED** 2006-07 CSBG APPLICATION and PLAN GRANTEE: Weld County Division of Human Services ADDRESS: P.O. Box 1805 Greeley, CO 80632 CONTACT PERSON: Walter J. Speckman TITLE: Executive Director PHONE: (970) 353-3800 E-MAIL: FAX: (970) 356-3975 COUNTIES INCLUDED IN THIS PLAN: Weld TOTAL CSBG ALLOCATION $ 271,936.00 PROGRAM PERIOD: March 1, 2006 To February 28,2007 attach additional pages if more space is needed. t '=I TERAL O CTI Tot�al 'r. opal � To al�� ' )' s DirecciPro ministrativ• CS G Funds a N 1-1 , i- '',,r; ...* Costs �' r "' . , » .,tit See Poget f SecCage,�2 for defin c t x g_ . °g , 'x 1.. ,b/us.De by U.S'De t ofd y `� v� . , �" '� ..`�a•: en ,.Y1W :.Horn n Sery c'616,61411-,cc ., ,s.... 1. Employment $ 8,000.00 $ $ 8,000.00 2. Education $ $ $ 3. Income Management $ $ $ 4. Housing $ $ $ 5. Emergency Services $ $ $ 6. Nutrition $ 46,083.00 $ $ 46,083.00 7. Linkages with Other Programs $ 174,376.00 $ $ 174,376.00 8. Self-Sufficiency $ 40,668.00 $ $ 40,668.00 9. Health $ $ $ 10.Other(define): $ $ $ TOTAL $ 269,127.00 $ $ 269,127.00 I. 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CyC 7 0 <tl 0 y 0 ..• .Q L O +a 0 ti .-' O N U tv ti O C C C •0 0 to ,C .0 V 0 r V • O vl O O O N N td U 0 O L G' O. ft M+ to tin W O N U" aGi 0 O vi - L Q M 69 oo .� O .� GJ 7 rn er p vs u 6 cn �9 pf, c� L�+ C O 7 6d O co L N C) P. w o" C U E c o .� 3^a�y� I c., 0 L G a+ Y , V 6)b 0 V CD 7 W C > o «t w tj I Urn O 7 G. A Ol o 'a 7) Fs,' ��. N •-. v • 7E 0 ,.O V1 O •y c U Q O 'C N 0 t- C C a C C a� r ) y 0 .U.. 7 U 0 0 0 a V] Q p cO C U yL , ,, b p yam, oLx ro c W /� el) � .- 2 Ci Ci 0 W p Q > C') L E E E y 'E a v) ro .� O Q Q Q O77 77 77 ff. Q 0.i 0 H." -is V] 7 U C L E L > a u O W Cd o To_ o U O CL o S co CO Ci Ca u5 CSBG APPLICATION DIRECTIONS I. GRANTEE INFORMATION AND FEDERAL OBJECTIVES: Check the Federal Objective(s)your agency activity(ies)will be addressing. For each activity, LIST ONLY ONE Federal Objective. II. BUDGET FORMAT: Complete your budget in as much detail as possible utilizing the provided format. This information will be used for monitoring and performance evaluation. A. PERSONNEL COSTS Indicate the CSBG dollar amount allocated to each position(s) funded including fringe benefits. Indicate the percentage (%) of the person's time paid with CSBG funds. B. DIRECT OPERATING COSTS Direct program costs can be identified with delivery of a particular project, service, or activity undertaken to achieve an objective of the grant program. For CSBG,these purposes and eligible activities are specified in the reauthorizing statute and reflected in the national ROMA performance measures. Direct program costs are incurred for the service delivery and management components within a particular program or project. Therefore, direct costs include expenditures on some activities with administrative qualities, including salaries and benefits of program staff and managers, equipment, training, conferences, travel, and contracts, as long as those expenses relate specifically to a particular program or activity, not to the general administration of the organization. C. ADMINISTRATIVE COSTS also referred to as INDIRECT/OVERHEAD Administrative costs are equivalent to typical indirect costs or overhead, As distinguished from administration or management expenditures that qualify as direct costs, administrative costs refer to central executive functions that do not directly support a specific project or service. Incurred for common objectives that benefit multiple programs administered by the grantee organization, or the organization as a whole, administrative costs are not readily assignable to a particular program funding stream. Rather, administrative costs relate to the general management of the grantee organization, such as strategic direction, Board development, executive director functions, accounting, budgeting, personnel, procurement, and legal services. D. CAPITAL EXPENDITURES Please itemize the equipment you intend to purchase. For any Capitol Equipment costs, you are required to submit a narrative to describe equipment needed and your procurement process. The State requires that bids and final equipment invoices be submitted to the State. E. SUBCONTRACT COSTS Those dollars allocated out to subcontractors to provide CSBG related services. F. TOTAL CSBG FUNDS BUDGETED III. COMMUNITY ACTION PLAN: As required in the reauthorized CSBG Act, please answer all 5 questions using additional sheets as needed. Subcontractors are NOT required to submit an Action Plan. 1. Community Needs Assessment (including food needs): Our State office must secure from each CSBG eligible entity, as a condition to receipt of funding, a community action plan that includes a community- needs assessment for the community served. This community-needs assessment may be coordinated with community-needs assessments conducted for other programs. 2. Service Delivery System: Please describe the service delivery system for services provided or coordinated with CSBG funds that target low-income individuals and families within your service area. 3. Linkages: A. Describe how linkages will be developed to fill identified gaps in services,through the provision of information, referrals, case management, and follow up consultations. B. Describe how linkages will be established between government and other social service programs to assure effective delivery of service to low-income individuals and to avoid duplication of such services 4. Coordination with other Public and Private Resources: Please describe how CSBG funds will be coordinated with other public and private resources. 5. Innovative Community and Neighborhood-based Initiatives: Please describe how CSBG funds will be used to support innovative community and neighborhood-based initiatives related to the purposes of CSBG, which may include fatherhood initiatives and other initiatives with the goal of strengthening families and encouraging effective parenting. VII. CERTIFICATIONS: The grantee assures that activities implemented with CSBG funds will be: used to accomplish the State CSBG Goal and Objective stated in the State Plan; and within the requirements set forth in the Community Services Block Grant Act, Title IV of the Civil Rights Act, the Age Discrimination Act of 1975, the Rehabilitation Act of 1973, Public Law 103-227, Part C, Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), Certification Regarding Drug-Free Workplace Requirements, Certification Regarding Lobbying, Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions, Office of Management and Budget (OMB Circular A110 and A122), and the current State of Colorado CSBG Plan. The grantee also assures that it will: specifically consider, in a public meeting the designation of any local public or private entity to carry out the county community service activities under contract with the county, any local community action agency (CAA) which received federal fiscal 1981-82 funding; consider, on the same basis as other non-governmental organizations, religious organizations to provide the CSBG services, so long as the program is implemented in a manner consistent with the Establishment Clause of the first amendment to the Constitution. Grantees shall not discriminate against an organization that provides assistance under, or applies to provide assistance, on the basis that the organization has a religious character. (Please review Sec.679 Operational Rule in the CSBG Act); provide for coordination between community anti-poverty programs and ensure, where appropriate, that emergency energy crisis intervention programs under Title XXVI (relating to low-income home energy assistance) are conducted in such community; provide, on an emergency basis, for the provision of such supplies and services, nutritious foods, and related services, as may be necessary to counteract conditions of starvation and malnutrition among low-income individuals; coordinate,to the extent possible,programs with and form partnerships with other organizations serving low-income residents of the community and members of groups served, including religious organizations, charitable groups, and community organizations; establish procedures under which a low-income individual, community organization, or religious organization, or representative of low-income individuals that considers its organization, or low-income individuals, to be inadequately represented on the CSBG board(or other mechanism)to petition for adequate representation; in the case of public organizations, have a tripartite advisory board which shall have members selected by the organization and shall be composed so as to assure that not fewer than 1/3 of the members are persons chosen in accordance with democratic selection procedures adequate to assure that these members (a) are representative of low-income individuals and families in the neighborhood served, (b) reside in the neighborhood, and (c) are able to participate actively in the development,planning, implementation,and evaluation of program funded. in the case of private non-profit entities, have a tripartite board that participates in the development, planning, implementation, and evaluation of the program to serve low-income communities. The board shall be composed so as to assure that(a) 1/3 of the members are elected officials, holding office on the date of selection, or their representatives, except that if the number of such elected officials reasonably available and willing to serve on the board is less than 1/3 of the membership of the board, membership on the board of appointive public officials or their representatives may be counted in. meeting such 1/3 requirement; (b) not fewer than 1/3 of the members are person chosen in accordance with democratic selection procedures adequate to assure that these members are representative of low-income individuals and families in the neighborhood served, and each representative of low-income individuals and families selected to represent a specific neighborhood within a community resides in the neighborhood represented;and(c)the remainder of the members are officials or members of business, industry, labor, religious, law enforcement, education, or other major groups and interest in the community served; prohibit the purchase or improvement of land, or the purchase, construction, or permanent improvement(other than low-cost residential weatherization or other energy-related home repairs)of any building or facility with CSBG funds; prohibit, including subcontractors, (a) any partisan or nonpartisan political activity or any political activity associated with a candidate, or contending faction or group, in an election for public or party office, (b) any activity to provide voters or prospective voters with transportation to the polls or similar assistance in connection with any such election, or(c) any voter registration activity. prohibit that persons shall, on the basis of race, color, national origin or sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under, any program or activity funded in whole or in part with CSBG. Any prohibition against discrimination on the basis of age under the Age Discrimination Act or 1975 (42 U.S.C 6101 et seq.) or with respect to an otherwise qualified individual with a disability as provided in Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 12131 et seq.)shall also apply to any such program or activity. participate in the Results-Oriented Management and Accountability(ROMA) System, and describe outcome measure to be used to measure performance in promoting self-sufficiency, family stability,and/or community revitalization; make available for public inspection each plan prepared as part of the program planning process. The grantee may, at its initiative,revise any plan prepared for CSBG funding and shall furnish the revised plan to the Director of the Community Services Block Grant under the Department of Local Affairs. Each plan prepared for submission shall be made available for public inspection within the county and/or service area in such a manner as will facilitate review of,and comments on,the plan; cooperate with the State,to determine whether grantee performance goals, administrative standards, financial management requirements,and other requirements of the State, in conducting monitoring reviews including(1) a full on-site review for each grantee at least once during each 3-year period,(2)on-site review for each newly designated grantee immediately after the completion of the first year in which funds were received, (3)follow-up reviews with grantees that fail to meet the goals, standards,and requirement established by the State, and(4) other reviews as appropriate, including reviews of grantees with other programs that have had other federal, State,or local grants terminated for cause. make available appropriate books, documents, papers,and records for inspection,examination,copying, or mechanical reproduction on or off the premises upon reasonable request by the U.S. Controller General,the State, or their authorized representatives should an investigation of the uses of CSBG funds be undertaken; in the case of county governments or subgrantees which receive a CSBG award in excess of S100,000, comply with the following three certifications related to the"Limitation on use of appropriated funds to influence certain Federal Contracting and financial transactions(P.L. 101-121, Section 319 and USC Title 31 Section 1352)": 1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned,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 awarding of any Federal contract, continuation, renewal,amendment, or modification of any Federal contract,grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or 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 any employee of a Member of Congress in connection with this Federal contract,grant, loan,or cooperative agreement,the undersigned shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying," in accordance with its instruction. 3. The undersigned shall require that the language of this certification be included in the award document for subawards at all tiers(including subcontracts, subgrants,and contracts under grants, loans,and cooperative agreements)and that all subrecipients shall certify and disclose accordingly. The grantee certifies to the best of its knowledge and belief,that it and its principals: a) are not presently debarred,suspended,proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; b) have not within a three-year period preceding this proposal been convicted 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 transaction; violation of Federal or State antitrust statues 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 otherwise criminally or civilly charged by a governmental entity(Federal, State or local) with commission of any of the offenses enumerated in paragraph(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. (If you are unable to certi o any of the statements in this certification,please attach an explanation to this application.) CONTRACTOR: DA(A) M. J. Geile If County Grantee: Chairman of the Board of County Commissioners must sign If Multi-County Service Agency: Chairman of the Board of Directors with delegated contracting authority must sign. FEB 2 7 ZOOS Chair, Board of Weld County Commissioners POSITION TITLE: DATE: fit,♦ .w 4 . MadA640 ■ illi COUNTY CLERK TO THE BOARD , ...... Ulf f r Oc\t_ C kK - O Htutckc. /it, E CARD � �, � y V. CSBG BOARD LIST: Representatives of Private Sector: Name: Cornelia Dietz (United Way Representative) Name: Mary Fox (Community at Large) Address: 1713 Glen Meadows Drive Greeley,CO 80631 Address: 415 1"Street Kersey,CO 80644 Phone: (970)352-8313 H Phone: (970)356-6277 H (970)352-8394 B Name: Robert Masden (County Commissioner) Name: Address: 915 10"'Street Greeley,CO 80631 Address: Phone: (970)353-3800 ex.4200 B Phone: Representatives of Public Sector: Name: Bonnie Veik(Disabled Comm Rep) Name: John Lee (City of Greelev)I Address: 14801 WRC 100 Nunn,Colorado Address: 1000 10th Street Greeley,CO 80631 Phone: Phone: (970)350-9731 B Name: Name: Address: Address: Phone: Phone: Low-Income Persons or their Representatives: Name:Yvonne Benevides(FENWC Parent Policy Representative) Name: Address: 136 E.24th Street#9 Greeley, CO 80631 Address: Phone: (970)395-0429 H 9970)352-1551 B Phone: Name: Tom Denning (FENWC Parent Policy Representative) Name: Address: Address: Phone: Phone: ATTACHMENTS TO APPLICATION VI. BOARD MINUTES Please attach a copy of your CSBG Board minutes of the meeting when the CSBG application was reviewed and approved by your CSBG board. VII. PROOF OF PUBLIC HEARING: Please attach a copy of the public notice (including the listing in the local newspaper for each county served) calling for public review and comment on your CSBG Application and Plan. VIII. MINUTES OF PUBLIC HEARING Please attach a copy of the minutes of the Public Meeting when the CSBG Application was reviewed and approved. IX. OUTCOME PLAN(S) Please attach an outcome plan for each activity funded. If funds are subcontracted, an outcome plan for each subcontract should also be included. COLORADO CSBG CONTRACTOR/SUBCONTRACTOR SUMMARY SHEET County: Weld Implementing Agency: Weld County Human Services (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Walt Speckman Complete Mailing Address, including zip: 1551 N. 17th Ave, Greeely CO 80634 Phone Number: (970)353-3800 Fax: (970) 304-6453 Email Address: Program Period: 03/01/06 to 02/28/07 CSBG Award: $4,500.00 Select ONE Federal Objective O Employment O Nutrition O Education X Linkages with Other Programs O Income Management O Self-Sufficiency O Housing O Health O Emergency Services O Other: Select ONE National Goal/Outcome: OGoal 1 Low-income people become more self-sufficient. (Family) X Goal 2 The conditions in which low-income people live are improved. (Community) OGoal 3 Low-income people own a stake in their community. (Community) OGoal 4 Partnerships among supporters and providers of services to low-income people are achieved. (Agency) O Goal 5 Agencies increase their capacity to achieve results. (Agency) O Goal 6 Low-income people,especially vulnerable populations,achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National indicator (see CSBG National Goals and Outcome Measures sheet) 2.1 g Low income Target Populations 4i° 1 ..ile JA _X SENIORS 44 `iJ YOUTH 1851 kftliiinie a J Official Signature: / ` ' 3knt� 2 7 2006 Official's Name and Title: M. J. Geile, Chair,-R6-arff ofy Weld County Commissioners ATTEST: WE COUNTY�TOTHE�D BY: 4" 1 V t F t& 7 BE TY C4ERK TO THE AWARD • o N Y C C Y 0a 15 O O S C .O 1] �• CO T _ O J ur a) N O — N O U QO O «0 N C NO U o o 0 ti b N )0 O c �-' . C u 0 LL O o E .,. m o W _ i„ ON b 2 O N SP d a) N DA (A c aoi a�i o c n U 7 . N — p O -.- w N U O p O CO Uawa�°i �0o) E > , Q Q CO O O N a.9C O } a) s N U Ev c o 0 ° s Qomo N �" N 0) F M Q Y L U. 0) `) C La -o tN. ' Q O C te N o 0 o U ° w u, U 4-i ..Ny o i c f0 •4`'. a N ≤0 c o .C ` Q Q cil a rrO^.C ii co O .C o V C u Bi.o V * — 3 a0 o O [] a) ai �O CL .aa N N O O O N o Z 3 C ovZ - « O U o -o 0 a c 'E E. � b O C w OC = a E a U_ to t° o u E E co .� C a O N U t- U . ,O a y 0 Q C O Le CJ i Y . ` O Y0 m a pcf) U Cu ' U U w0 0 cNE � ¢ Li O C E . v O ° Q 'O V C C O cC b0 d b Curt a fY� . cc) 0 E o c o � '"e -o OO co © 0CC yx U H CO o d.0 Q y C W o •O zu co c N V a) Q 0. W Y C c: Y N E v G W ',7, N .L. N 7 E OE H > o Q.O�-. U O a X F U U C C N Cu C O. z O c Vj O Q Z o -c —_ O O (n 2 o G O 0a z .L' U d al y >i V C ro 0 U C C Z C Q (0 O a x a Imml O d N E O t- N J z O G. � .� NI co N � C W — v `o Z t - z � w 3 N T N _ Eoo cl .Co oC V O c r dU _ a a y # °� vCD o tour 3 ° a ' o C 'RI CD O 't Z �©I 'b o 2min oaN2Eo � a'i c ..4 < H C7 W 2 R a z cn U C d - U C N O 0)'� '..r. 0. N �i co Y d W C O a a ti J C Li- C N C 'O C Y U B� 2 ON COLORADO CSBG CONTRACTOR/SUBCONTRACTOR SUMMARY SHEET County: Weld Implementing Agency: Weld County Human Services (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Walt Speckman Complete Mailing Address, including zip: 1551 N. 17th Ave, Greeely CO 80634 Phone Number: (970)353-3800 Fax: (970) 304-6455 Email Address: Program Period: 03/01/06 to 02/28/07 CSBG Award: $27,423.00 Select ONE Federal Objective D Employment D Nutrition D Education X Linkages with Other Programs D Income Management Cl Self-Sufficiency Cl Housing D Health D Emergency Services D Other: Select ONE National Goal/Outcome: DGoal 1 Low-income people become more self-sufficient. (Family) DGoal 2 The conditions in which low-income people live are improved. (Community) DGoal 3 Low-income people own a stake in their community. (Community) DGoal 4 Partnerships among supporters and providers of services to low-income people are achieved. (Agency) XGoal 5 Agencies increase their capacity to achieve results. (Agency) DGoal 6 Low-income people, especially vulnerable populations, achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Indicator (see CSBG National Goals and Outcome Measures sheet) 5.1 Low income Target Populations X SENIORS �La X YOUTH . 1861 '""„ A—, t' t Official Signature: ,. -'�. A. 2 7 2006 g Official's Name and Title: M. J. Gene, Chair ••$Aa'r AS1Sf Weld County Commissionprs ATTEST: WE COU YC K 0 BY: A LJ l Var S Z ? DE TY C RK TO THE! OARD 13 c o (k ) \ \ (k k / t ± 3 ) ) ) f \ s. J 0 41 co \ \ — a / 2 ) k # c \ j # k � � / / ) ca I. § 2 ) ( § ( � = \ © G # & m / _ _ o - co ) ) / 7 j ) / k > : co co o CD "O- - k ) ) \ } ) ( � © .E \ / 2 Ca g ) \ ) ` \ O � = \ U 2 § ) � k � a ; § = rs3 . \ § © j 0 § 5 S { / ) ( E � � 3 CI3 "O ] © 0 �_ � } \ E j � $ \ ) § /\ \ 0 ) \ $ 2 i - ... . . . .•\ ( f a § § . c a ' 8 >•• U) co {� t � \) k -o \ b ® ® [ E2 = o § ) — b4 \ & t E § ) ) } 2 $ 0 ., — > co cl a.) 'a § J " § / a g ( ) ) © § & / — ) g ^ § S (= U) - \\ § - } k ) ) tub® •: _ \ ) EMco « f « ® 13 \ 7e © g © •& co c) cm - a= faama * § E6 * a / 2 ] 22q ; 172giE \f 3a COLORADO CSBG CONTRACTOR/SUBCONTRACTOR SUMMARY SHEET County: Weld Implementing Agency: Weld County Human Services (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Walt Speckman Complete Mailing Address, including zip: 1551 N. 17`h Ave, Greeely CO 80634 Phone Number: (970)353-3800 Fax: (970) 304-6453 Email Address: Program Period: 03/01/06 to 02/28/07 CSBG Award: $ 8,000.00 Select ONE Federal Objective x Employment O Nutrition O Education O Linkages with Other Programs O Income Management O Self-Sufficiency O Housing O Health O Emergency Services O Other: Select ONE National Goal/Outcome: XGoal 1 Low-income people become more self-sufficient. (Family) OGoal 2 The conditions in which low-income people live are improved. (Community) OGoal 3 Low-income people own a stake in their community. (Community) O Goal 4 Partnerships among supporters and providers of services to low-income people are achieved. (Agency) OGoal 5 Agencies increase their capacity to achieve results. (Agency) O Goal 6 Low-income people,especially vulnerable populations,achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Indicator (see CSBG National Goals and Outcome Measures sheet) I.IA Low income Target Populations g& SENIORS ('-;r'' X YOUTH a „ 1861 t Official Signature: dap:= `°'. FEB 2 7 2006 Official's Name an itle: G i1e Chair, Board of Weld County Commissioners ATTEST: �� WEL COU 11 (' BY: ,_ ;!'1,84,4 �at:IC ' LAY 7. DE TY CL K TO THE BQ KD E C >, E N T O m .0.. 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E X Q a c 4 JNN > noC4- a) w ORADO CSBG APPLICATION SUMMARY SHEET County: Weld Implementing Agency: Weld County Human Services (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Walt Speckman Complete Mailing Address, including zip: 1551 N. 17th Ave, Greeely CO 80634 Phone Number: (970)353-3800 Fax: (970)304-6453 Email Address: Program Period: 03/01/06 to 02/28/07 CSBG Award: $46,083.00 Select ONE Federal Objective O Employment O Nutrition O Education X Linkages with Other Programs O Income Management O Self-Sufficiency O Housing O Health O Emergency Services O Other: Select ONE National Goal/Outcome: OGoal 1 Low-income people become more self-sufficient. (Family) OGoal 2 The conditions in which low-income people live are improved. (Community) OGoal 3 Low-income people own a stake in their community. (Community) OGoal 4 Partnerships among supporters and providers of services to low-income people are achieved. (Agency) OGoal 5 Agencies increase their capacity to achieve results. (Agency) XGoal 6 Low-income people, especially vulnerable populations, achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Indicator (see CSBG National Goals and Outcome Measures sheet) 6.1a Low income Target Populations `Ni E La X SENIOR o YOUTH _ F 1861 ;- lk 2 EB 272006 Official Signature: a Official's Name and Title: M. J. Geile, p a Weld County Commissioners ATTEST: 11441 _IA WE COUNTY CLERK O THEBOM J 1 BY. Ate 1/444A )L DE TY CLEAK TO THE BO RD E 45 Db % • = 0 - a = } � \ )• } I jj //) ] \ / / [ k \ ® e 32 \ 8 } }\\ . 0 ) . 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COLORADO CSBG CONTRACTOR/SUBCONTRACTOR SUMMARY SHEET County: Weld Implementing Agency: Weld County Human Services (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Walt Speckman Complete Mailing Address, including zip: 1551 N. 17th Ave, Greeely CO 80634 Phone Number: (970)353-3800 Fax: (970) 304-6453 Email Address: Program Period: 03/01/06 to 02/28/07 CSBG Award: $40,668.00 Select ONE Federal Objective O Employment O Nutrition O Education X Linkages with Other Programs O Income Management O Self-Sufficiency O Housing O Health O Emergency Services O Other: Select ONE National Goal/Outcome: OGoal 1 Low-income people become more self-sufficient. (Family) OGoal 2 The conditions in which low-income people live are improved. (Community) OGoal 3 Low-income people own a stake in their community. (Community) OGoal 4 Partnerships among supporters and providers of services to low-income people are achieved. (A) OGoal 5 Agencies increase their capacity to achieve results. (Agency) X Goal 6 Low-income people,especially vulnerable populations,achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Indicator (see CSBG National Goals and Outcome Measures sheet) 6.1 A Low income Target Populations ` l I"' J X SENIORS T. YOUTH 1861 3"r' =.. i 1 . Official Signature: (/w e� EB 2 7 2006 Official's NameandTitle: M. J. Geile, Chair, oard of Weld County Commissioners ATTEST: �� WE COUN CLE K TO HE B,f D BY:C ,6t,C 1 fiat(C t'(( LL`Yti j DEP TY CL K TO THE BOARD No C C CD -CI 2 / - SR _ O 0 O fl o Cc N ) 037mn 2 re w , a to ) m R _c ! \ _ _ © f � \ ) \ at) c � � Ena / � ` G ± f ) " § (\ \ ke § '; .4" a eaaolesce } § , E } \ � ) ( - § atK -r _ -8 Q \ / 902 & ) \ I / \ ) \ f / ! ) a - ® \ < s a ) E ^ O ® ) \ / - ) k § - ) / f \ ) 7 ( O ) _ Z ) Q ) 3 } } / / ) } ± 7 CO W - / \ ) 4( ) \ O 0 O = ct , ) 0 ® \ \ \ } \ \ E k / E t B ) kco ; } - - _ / 3 co0 ) ] \ i * b \ \ u HE { () 2 / ) \ \ bfe ) \ _ \\ _ c § , _ , « ) aco § \ q § / % ) E & _ � co _ < c \ ) / W } a + ® T { ) � { j } & � 2 < k § ! k § 2 ( 2k ® {® e2 7 , 2 ! - — � a ° C CO ) \ ® •/f 15-C) 0a 2 ® Jon _ (/) \ \ ' E < $ aE [= » § = u v •- - --.c a » \ 2 j I _o cu f3Z > S E a ` k § ) / ) EG / ® - \ ( » \( u z z = 4 § 20 ' ° ) { ) � fyQ 2 74 = aE0 ) § \ } ° ° \ \ ) [ e22 / $ f \ **C0RRECTED** COLORADO CSBG CONTRACTOR/SUBCONTRACTOR SUMMARY SHEET County: Weld Implementing Agency: Weld County Human Services (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Walt Soeckman Complete Mailing Address, including zip: 1551 N. 17th Ave, Greeely CO 80634 Phone Number: (970)353-3800 Fax: (970) 304-6453 Email Address: Program Period: 03/01/06 to 02/28/07 CSBG Award: $ 142,453.00 Select ONE Federal Objective O Employment O Nutrition O Education X Linkages with Other Programs O Income Management O Self-Sufficiency O Housing O Health O Emergency Services O Other: Select ONE National Goal/Outcome: Moat 1 Low-income people become more self-sufficient. (Family) X Goal 2 The conditions in which low-income people live are improved. (Community) OGoal 3 Low-income people own a stake in their community. (Community) OGoal 4 Partnerships among supporters and providers of services to low-income people are achieved. (Agency) OGoal 5 Agencies increase their capacity to achieve results. (Agency) O Goal 6 Low-income people,especially vulnerable populations,achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Indicator (see CSBG National Goals and Outcome Measures sheet) 2A G Low incbme Target Populations X SENIORS J Ep e X YOUTH UM Official Signature: i , %%i.1?; /27/2006 M. .'G ile Official's Name an• Title: C ir, Bo- d o'er��y"/y ,`-Vi 'loners ATTEST: Si' i �t L '1 THE BOARD BY: . Ire t 3R /c� T Er)ARD D UTY RK TO THE OARD **C0RRECTED** w O O 4--, O>. 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